Algeria Terrorists Want to Trade US Hostages for Blind Sheikh













The al Qaeda-linked terrorists holding Americans and other Westerners hostage at a gas plant in Algeria have now demanded the release of two convicted terrorists held in U.S. prisons, including the "blind sheikh" who helped plan the first attack on New York's World Trade Center, in exchange for the freedom of two American hostages, according to an African news service.


The terror group calling itself the Masked Brigade, which raided the BP joint venture plant in In Amenas early Wednesday, reportedly contacted a Mauritanian news service with the offer. In addition to the release of Omar Abdel-Rahman, who planned the 1993 World Trade Center bombing, they demanded the release of Aifia Siddiqui, a Pakistani scientist who shot at two U.S. soldiers in Afghanistan in 2008.


At least three Americans were being held hostage by the militants when the Algerian military mounted a rescue operation at the facility Thursday that reportedly resulted in casualties.


Five other Americans who were at the facility when it was attacked by the terrorists are now safe and believed to have left the country, according to U.S. officials.


Reports that dozens of hostages were killed during the Algerian military's attempt to retake the compound have not been confirmed, though Algeria's information minister has confirmed that there were casualties. It's known by U.S. and foreign officials that multiple British, Japanese and Norwegian hostages were killed.






Mike Nelson/AFP/Getty Images













Algeria Hostage Situation: Military Operation Mounted Watch Video







According to an unconfirmed report by an African news outlet, the militants said seven hostages survived the attack, including two Americans, one Briton, three Belgians and a Japanese national. U.S. officials monitoring the case had no information indicating any Americans have been injured or killed, but said the situation is fluid and casualties cannot be ruled out.


On Friday morning, a U.S. military plane evacuated between 10 and 20 people of unknown nationalities from In Amenas.


British Prime Minister David Cameron told parliament today that the terror attack "appears to have been a large, well coordinated and heavily armed assault and it is probable that it had been pre-planned."


"The terrorist group is believed to have been operating under Mokhtar Belmokhtar, a criminal terrorist and smuggler who has been operating in Mali and in the region for a number of years," said Cameron.


Cameron said Algerian security forces are still in action at the facility. On Thursday, he said that the situation was "very bad … A number of British citizens have been taken hostage. Already, we know of one who has died. ... I think we should be prepared for the possibility for further bad news, very difficult news in this extremely difficult situation."


The kidnappers had earlier released a statement saying there are "more than 40 crusaders" held "including 7 Americans."


U.S. officials had previously confirmed to ABC News that there were at least three Americans held hostage at the natural gas facility jointly owned by BP, the Algerian national oil company and a Norwegian firm at In Amenas, Algeria.


"I want to assure the American people that the United States will take all necessary and proper steps that are required to deal with this situation," said Panetta. "I don't think there's any question that [this was] a terrorist act and that the terrorists have affiliation with al Qaeda."


He said the precise motivation of the kidnappers was unknown.


"They are terrorists, and they will do terrorist acts," he said.






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Algerian forces launch operation to break desert siege


ALGIERS (Reuters) - Twenty-five foreign hostages escaped and six were killed on Thursday when Algerian forces launched an operation to free them at a remote desert gas plant, Algerian sources said, as one of the biggest international hostage crises in decades unfolded.


The standoff began when gunmen calling themselves the Battalion of Blood stormed the gas facility on Wednesday morning. They said they were holding 41 foreigners and demanded a halt to a French military operation against fellow al Qaeda-linked Islamist militants in neighboring Mali.


The raid increased fears that jihadist militants could launch further attacks in Algeria, a vast desert country with large oil and gas reserves that is only just recovering from a protracted conflict with Islamist rebels during the 1990s which cost an estimated 200,000 lives.


Fast-moving details of the military operation to free the hostages from the gas plant were difficult to confirm. Algeria's official APS news agency said about half the foreign hostages had been freed.


A local source told Reuters six foreign hostages were killed along with eight captors when the Algerian military fired on a vehicle being used by the gunmen.


Mauritania's ANI news agency, which has been in constant contact with the kidnappers, said seven hostages were still being held: two Americans, three Belgians, one Japanese and one British citizen.


It quoted one of the kidnappers as saying that Algerian ground forces were trying to fight their way into the complex.


ANI and Qatar-based Al Jazeera reported that 34 of the captives and 15 of their captors had been killed when government forces fired from helicopters at a vehicle. Those death tolls, far higher than confirmed by the local source, would contradict the reports that large numbers of foreigners escaped alive.


Britain and Norway, whose oil firms BP and Statoil run the plant jointly with the Algerian state oil company, said they had been informed by the Algerian authorities that a military operation was under way but did not provide details.


As many as 600 Algerian workers at the site managed to flee, the official Algerian news agency said.


RAISING THE STAKES


The incident dramatically raises the stakes in the French military campaign in neighboring Mali, where hundreds of French paratroopers and marines are launching a ground offensive against rebels after air strikes began last week.


Algerian Interior Minister Daho Ould Kablia said the kidnappers were led by Mokhtar Belmokhtar, a veteran Islamist guerrilla who fought Soviet forces in Afghanistan in the 1980s and had set up his own group in the Sahara after falling out with other local al Qaeda leaders.


A holy warrior-cum-smuggler dubbed "The Uncatchable" by French intelligence and "Mister Marlboro" by some locals for his illicit cigarette-running business, Belmokhtar's links to those who seized towns across northern Mali last year are unclear.


The hostage takers earlier allowed some prisoners to speak to the media, apparently to put pressure on Algerian forces not to storm the compound. An unidentified hostage who spoke to France 24 television said prisoners were forced to wear explosive belts and captors had threatened to blow up the plant.


A local source told Reuters the hostage takers had blown up a petrol filling station at the plant.


Two hostages, identified as British and Irish, spoke to Al Jazeera television and called on the Algerian army to withdraw from the area to avoid casualties.


"We are receiving care and good treatment from the kidnappers. The (Algerian) army did not withdraw and they are firing at the camp," the British man said. "There are around 150 Algerian hostages. We say to everybody that negotiations is a sign of strength and will spare many any loss of life."


Ireland said later that the Irish hostage was among those freed.


NUMBERS UNCONFIRMED


The precise number and nationalities of foreign hostages could not be confirmed, with some countries reluctant to release information that could be useful to the captors.


Britain said one of its citizens was killed in the initial storming on Wednesday and "a number" of others were held.


The militants said seven Americans were among their hostages, a figure U.S. officials said they could not confirm.


Norwegian oil company Statoil said nine of its Norwegian staff and three Algerian employees were captive. Britain's BP, which operates the plant with Statoil and Algerian state oil company Sonatrach, said some of its staff were held but would not say how many or their nationalities.


Japanese media said five workers from Japanese engineering firm JGC Corp. were held, a number the company did not confirm. Paris has not said whether any hostages were French. Vienna said one hostage was Austrian, Dublin said one was Irish and Bucharest said an unspecified number were Romanian.


Spanish oil company Cepsa said it had begun to evacuate personnel from elsewhere in Algeria, an OPEC member.


Paris said the Algeria attack demonstrated it was right to intervene in Mali: "We have the flagrant proof that this problem goes beyond just the north of Mali," French ambassador to Mali Christian Rouyer told France Inter radio.


President Francois Hollande has received public backing from Western and African allies who fear that al Qaeda, flush with men and arms from the defeated forces of Libya's Muammar Gaddafi, is building a desert haven in Mali, a poor country helpless to combat fighters who seized its north last year.


However, there is also some concern in Washington and other capitals that the French action in Mali could provoke a backlash worse than the initial threat by militants in the remote Sahara.


The militants, communicating through established contacts with media in neighboring Mauritania, said they had dozens of men armed with mortars and anti-aircraft missiles in the compound and had rigged it with explosives.


"We hold the Algerian government and the French government and the countries of the hostages fully responsible if our demands are not met, and it is up to them to stop the brutal aggression against our people in Mali," read one statement carried by Mauritanian media.


They condemned Algeria's secularist government for letting French warplanes fly over its territory to Mali and shutting its border to Malian refugees.


PRESSING ON


The attack in Algeria did not stop France from pressing on with its campaign in Mali. It said on Thursday it now had 1,400 troops on the ground in Mali, and combat was underway against the rebels that it first began targeting from the air last week.


"There was combat yesterday, on the ground and in the air. It happened overnight and is under way now," said Le Drian. Residents said a column of about 30 French Sagaie armored vehicles set off on Wednesday toward rebel positions from the town of Niono, 300 km (190 miles) from the capital, Bamako.


The French action last week came as a surprise but received widespread international support in public. Neighboring African countries planning to provide ground troops for a U.N. force by September have said they will move faster to deploy them.


Nigeria, the strongest regional power, sent 162 soldiers on Thursday, the first of an anticipated 906.


"The whole world clearly needs to unite and do much more than is presently being done to contain terrorism, with its very negative impact on global peace and security," President Goodluck Jonathan said.


Germany, Britain and the Netherlands have offered transport aircraft to help ferry in African troops. Washington has said it is considering what support it can offer.


Many inhabitants of northern Mali have welcomed the French action, though some also fear being caught in the cross-fire. The Mali rebels who seized Timbuktu and other oasis towns in northern Mali last year imposed Islamic law, including public amputations and beheadings that angered many locals.


A day after launching the campaign in Mali, Hollande also ordered a failed rescue in Somalia on Saturday to free a French hostage held by al Qaeda-linked al Shabaab militants since 2009. Al Shabaab said on Thursday it had executed hostage Denis Allex. France said it believed he died in the rescue.


(Reporting by Lamine Chikhi; Writing by Peter Graff; Editing by Giles Elgood)



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Football: Rodgers slams Suarez over diving admission






LONDON: Liverpool manager Brendan Rodgers on Thursday said that his controversial striker Luis Suarez could face punishment from the club after admitting that he dived to try to win a penalty in a league game with Stoke City.

In an interview with Fox Sports Argentina, Suarez admitted "falling" during October's 0-0 draw between the clubs at Anfield, prompting Rodgers, who had defended him from criticism at the time, to hit out.

"I think it is wrong. It is unacceptable. I have spoken to Luis and it will be dealt with internally," said Rodgers. "(Diving) is not something we advocate. Our ethics are correct."

Rodgers spoke to Suarez on Thursday and said he had been "totally understanding on where I am coming from as manager of the club.

"What was said was wrong. He takes that and we move on," he added.

Suarez hit the headlines for a theatrical fall in the Stoke game after he went to ground under a challenge from Marc Wilson in an unsuccessful attempt to win a second-half penalty.

FIFA vice-president Jim Boyce was moved to describe Suarez's tumble as "cheating", adding that the tendency for players to easily fall to the ground was a "cancer" in the game.

Suarez has been accused of diving at regular intervals during his time in England and he admitted in the interview that he had gone down on purpose.

"I was criticised for trying to win a penalty by falling in a match against Stoke," said the Uruguay international. "It's true I fell because we were drawing against Stoke at home and we needed to do something.

"But afterwards, the coaches of Stoke, Everton, all of them, came forward. I came to realise that the name of Suarez was a (newspaper) seller."

Suarez sparked controversy again earlier this month when he handled the ball prior to scoring Liverpool's winning goal in their 2-1 victory at non-league Mansfield Town in the FA Cup.

"The other day, a ball hit my hand without me meaning it to," he said. "I kissed my wrist (in celebration) and everyone started rounding on me."

Suarez also claimed that foreign players are treated differently to home-grown players in the Premier League.

"It's difficult," he said. "It's what Carlitos (Tevez) said, it's what Kun (Sergio Aguero) said: foreigners, and especially the South Americans, are treated differently to local players."

Suarez added that his run-in with Manchester United defender Patrice Evra, which saw him hit with a 40,000 fine pounds and an eight-match ban for racial abuse, was long forgotten.

"When people come and insult me, saying I'm South American, I don't start crying. It's something that stays on the pitch, part of football. My conscience is clear," he said, before claiming that Manchester United control the British press.

"They've got a lot of power and they'll always help them."

- AFP/fa



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Enrolment in schools between 6-14 age high in rural areas: Report

NEW DELHI: The enrolment in schools between the 6-14 age group continue to be high in rural areas. In 2012, 96.5% of all the children in this age group in rural areas were enrolled in schools. These and many more details on educational status of the country were revealed in the Annual Status of Education Report (ASER) 2012.

The report was released by the minister of human resource development, M M Pallam Raju on Thursday.

Releasing the report, Raju said that the focus of the current 12th five-year plan is on quality of education imparted in schools and emphasised on the need to improve the quality of the teachers in schools and infrastructure needs to be strengthened.

According to the report, the proportion of the children in the age group of 6-14 who are not enrolled in schools has gone up slightly from 3.3% in 2011 to 3.5% in 2012.

While appreciating the improvement of infrastructure in schools including sanitation and mid-day meals, the minister expressed his concern that the girls enrolment is going down.

Raju said: "After the enactment of RTE Act some states are doing well in primary and elementary education but states from north-east regions have to catch up." Stating that aspiration level of the parents and the child is going up, Raju added, "We have to take steps to make our future generation a well-rounded personality."

The increase in enrolment is largest in Rajasthan and UP. The report also says that learning outcomes were low but steady in the years leading to 2010. But across the country, children's ability to read simple text and do basic arithmetic has declined since then.

Nationally, private schools enrolment has increased (6-14 age group). In next five years, the country may have half of the children attending private schools even in the rural areas

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Study: NYC better than LA at cutting kids' obesity


NEW YORK (AP) — A new study shows New York City is doing better than Los Angeles in the battle against childhood obesity, at least for low-income children.


From 2003 to 2011, obesity rates for poor children dropped in New York to around 16 percent. But they rose in Los Angeles and ended at about 20 percent.


The researchers focused on children ages 3 and 4 enrolled in a government program that provides food and other services to women and their young children.


The Centers for Disease Control and Prevention released the study Thursday.


The authors noted that the Los Angeles program has many more Mexican-American kids. Obesity is more common in Mexican-American boys than in white or black kids.


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Football Star Manti Te'o Faces Tough Questions













Notre Dame's star linebackerManti Te'o faces a problem bigger than any running back he's had to bring down.


As the elaborate hoax about his dead "girlfriend" unravels, many questions remain to be answered, chief among them whether he was complicit in promoting the dramatic story of his girlfriend's death from leukemia. Te'o may soon be forced to tackle those questions himself.


"A lot of people are very suspicious when Te'o says he had no idea and he was just a sucker in this," Deadspin writer Timothy Burke said on "Good Morning America" today. "Why would somebody go to such great lengths to hoax him like that?"


Click here for 'Catfish' stars' advice on online dating.


Burke's Deadspin story broke the scandal, forcing Te'o and Notre Dame to admit the girlfriend, Lennay Kekua, never existed. Notre Dame claims that Te'o is the victim of a "cruel hoax."


"[Notre Dame is] sticking to his story and they're going to, I think, fight and make every sort of attempt they can to prove he had no idea this was going on and that he was the unfortunate victim of a year-long prank," Burke said.


But it won't be easy.






Mike Ehrmann/Getty Images











Tale of Notre Dame Football Star's Girlfriend and Her Death an Alleged Hoax Watch Video









Notre Dame's Athletic Director Discusses Manti Te'o Girlfriend Hoax Watch Video









MTV's 'Catfish' Series Pulls Back Curtain on Online Profiles Watch Video





"I think that there are some questions about when he became aware of it, simply because Notre Dame and Te'o's statement have indicated that he found out about it in late December, but he chose not to correct or identify when he was asked before the BCS Championship game about his girlfriend," he said. The championship game was played on Jan. 7.


Burke said he is particularly eager for answers about the story Te'o told of meeting his girlfriend in 2009 and his father Brian Te'o's statements about how the purported girlfriend used to visit Manti in Hawaii.


The university's athletic director Jack Swarbrick said at a Wednesday night news conference that the school was not speaking for Te'o.


"At the end of the day, this is Manti's story to tell and we believe he should have the right to tell it, which he is going to do," Swarbrick said.


Swarbrick said that Te'o and his family came to the university last month with concerns that Te'o had been the victim of a hoax.


"The university immediately initiated an investigation to assist Manti and his family in discovering the motive for and nature of this hoax," he said. "While the proper authorities will continue to investigate this troubling matter, this appears to be, at a minimum, a sad and very cruel deception to entertain its perpetrators."


The school's investigators monitored online chatter by the alleged perpetrators, Swarbrick said, adding that he was shocked by the "casual cruelty" it revealed.


"They enjoyed the joke," Swarbrick said, comparing the ruse to the popular film "Catfish," in which filmmakers revealed a person at the other end of an online relationship was not who she said she was.


"While we still don't know all of the dimensions of this ... there are certain things that I feel confident we do know," Swarbrick said. "The first is that this was a very elaborate, very sophisticated hoax, perpetrated for reasons we don't understand."


Click here for more scandalous public confessions.


Swarbrick also said that he believed Te'o's representatives were planning to disclose the truth next week until Wednesday's story broke.


Te'o, who led the Fighting Irish to the BCS championship game this year and finished second for the Heisman Trophy, has only issued a written statement so far.






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Dozens held after Islamists attack Algerian gas field


ALGIERS (Reuters) - Islamist militants attacked a gas field in Algeria on Wednesday, claiming to have kidnapped up to 41 foreigners including seven Americans in a dawn raid in retaliation for France's intervention in Mali, according to regional media reports.


The raiders were also reported to have killed three people, including a Briton and a French national.


An al Qaeda affiliated group said the raid had been carried out because of Algeria's decision to allow France to use its air space for attacks against Islamists in Mali, where French forces have been in action against al Qaeda-linked militants since last week.


The attack in southern Algeria also raised fears that the French action in Mali could prompt further Islamist revenge attacks on Western targets in Africa, where al Qaeda in the Islamic Maghreb (AQIM) operates across borders in the Sahara desert, and in Europe.


AQIM said it had carried out Wednesday's raid on the In Amenas gas facility in Algeria, Mauritania's ANI news agency reported.


The Algerian interior ministry said: "A terrorist group, heavily armed and using three vehicles, launched an attack this Wednesday at 5 a.m. against a Sonatrach base in Tigantourine, near In Amenas, about 100 km (60 miles) from the Algerian and Libyan border."


The gas field is operated by a joint venture including BP, Norwegian oil firm Statoil and Algerian state company Sonatrach.


ARMED MEN


BP said armed men were still occupying facilities at the gas field.


"The site was attacked and occupied by a group of unidentified armed people at about 0500 UK time. Contact with the site is extremely difficult, but we understand that armed individuals are still occupying the In Amenas operations site," it said.


Algeria's official APS news agency said a Briton and an Algerian security guard had been killed and seven people were injured. A French national was also killed in the attack, a local source said.


Also among those reported kidnapped by various sources were five Japanese nationals working for the Japanese engineering firm JGC Corp, a French national, an Irishman, a Norwegian and a number of Britons.


A member of an Islamist group styling itself the "Blood Battalion" was quoted by Mauritanian media as saying that five of the hostages were being held at the gas facility and 36 were in a housing area. APS said the Islamist raiders had freed Algerians working at the gas facility.


"The operation was in response to the blatant interference by Algeria and the opening of its air space to French aircraft to bomb northern Mali," the Islamist spokesman told Mauritania's ANI news agency.


ANI, which has regular direct contact with Islamists, said that fighters under the command of Mokhtar Belmokhtar were holding the foreigners.


Belmokhtar for years commanded al Qaeda fighters in the Sahara before setting up his own armed Islamist group late last year after an apparent fallout with other militant leaders.


The Algerian army was in the area of the gas facility, according to French and Algerian sources.


SECURITY IMPLICATIONS


The attack was the first time in years that Islamist militants are known to have launched an attack on an Algerian energy facility.


The attack could have implications for security across the whole of Algeria's energy sector, which supplies about a quarter of Europe's natural gas imports and exports millions of barrels of crude oil each year.


Such an attack would require a large and heavily-armed insurgent force with a degree of freedom to move around -- all elements that al Qaeda has not previously had.


However, the conflict in neighboring Libya in 2011 changed the balance of force. Security experts say al Qaeda was able to obtain arms, including heavy weapons, from the looted arsenals of former leader Muammar Gaddafi.


Statoil, a minority shareholder in the gas venture, said it had 17 employees at the plant and four of them had been evacuated. The company declined to comment on the other 13.


The five Japanese work for the engineering firm JGC Corporation, Jiji news agency reported, quoting company officials. JGC has a deal with Sonatrach-BP-Statoil Association for work in gas production at In Amenas.


A reporter for Japan's NHK television managed to call a JGC worker in Algeria.


The worker said he got a phone call from a colleague at the gas field. "It was around 6 a.m. this morning. He said that he had been hearing gunshots for about 20 minutes. I wasn't able to get through to him since."


French troops launched their first ground operation against Islamist rebels in Mali on Wednesday in an action to dislodge from a strategic town al Qaeda-linked fighters who have resisted six days of air strikes.


(Additional reporting by Catherine Bremer and John Irish in Paris, Laurent Prieur in Nouakchott, Andrew Osborn in London, Balazs Koranyi in Oslo, Antoni Slodkowski in Tokyo, Raissa Kasolowsky in Abu Dhabi and Christian Lowe in Warsaw; Editing by Giles Elgood)



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Elton John has second baby via surrogate






LONDON: British pop star Elton John and his partner David Furnish have become parents for a second time, they confirmed on Wednesday.

The couple told Hello! magazine that they were "overwhelmed with happiness" at the birth of their son Elijah Joseph Daniel Furnish-John, who was born in Los Angeles on Friday to a surrogate mother.

"Both of us have longed to have children, but the reality that we now have two sons is almost unbelievable," they said.

The couple's first son Zachary was also born via a surrogacy arrangement in California in 2010.

"The birth of our second son completes our family in a most precious and perfect way," John and Furnish told the magazine.

"It is difficult to fully express how we are feeling at this time; we are just overwhelmed with happiness and excitement."

The "Candle in the Wind" singer, 65, has been in a relationship with 50-year-old film producer Furnish for almost 20 years and they have been in a civil partnership since 2005.

Last week, the couple's spokesman denied reports they had become parents again, but they have often spoken of their desire for Zachary to have a sibling.

The baby shares his middle name, Daniel, with one of John's 1970s hits.

- AFP/fa



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Mahakumbh 2013: Aussie Monk to host bhandara for 2,000 devotees

ALLAHABAD: Heading to the sangam city, one comes across the idol of harshavardhan, the emperor who ruled over India thousands of years ago. After a dip in the waters of sangam, he renounced everything on the earth he owned, even his clothes. Jason, a physiotherapist from Sydney, Australia - has something in common with the emperor.

"The picture of my life wasn't perfect despite the fact that I had every material thing in this world that money could buy. In an interaction with my spiritual guru, I was able to find the cause and so I am here," said Jason, who is now Mahamandaleshwar Jasraj Puri. A Mahamandaleshwar may be termed as the scholar of Vedic literature. He guides and propagates Hinduism by way of his actions such as the saffron robe, bhajan or pravachans etc.

Incidentally, he is the first foreigner to be rising to the level of a Mahamandaleshwar in the Panchyati Akahada. Happy over being able to participate in the shahi snaan, Jasraj organized bhandara (public feast) on Wednesday. "I have fixed the menu and hope that everything passes off well," he told TOI while inviting other members of his akahada.

He shared that Mahakumbh has been the agent of transformation in his life. "In 2001, I took sanyas and during the ardhakumbh in Haridwar, I became a Mahamandaleshwar. And the present one has added to my achievements," he said. On the journey of transformation from Jason to Jasraj, he said, "in yoga, we say that meditation and gurukripa, can transform a crow into a swan and I am a living example."

What he finds best about his metamorphoses is that he has not lost his identity. "I was a physiotherapist who relived pain and I am doing the same today. Only the route of my action has changed," he said. He has heard the story of Harshvardhan and says that he has received much more than what he gave. "The worth of what I have now, is thousand times more than what I gave," he said.

The Indianized soul works as a manager in the ashram of his guru in Pali, Rajasthan. But besides that, he is working to sensitize Indians about their rich heritage and tradition. Pointing at the common devotees who head to the kumbh mela, he said, "Seeing them I feel that spirituality is in their blood and they should not ignore it in the quest to ape the west. The glamour in the developed world is a farce."

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ER visits tied to energy drinks double since 2007


SAN FRANCISCO (AP) — A new government survey suggests the number of people seeking emergency treatment after consuming energy drinks has doubled nationwide during the past four years, the same period in which the supercharged drink industry has surged in popularity in convenience stores, bars and on college campuses.


From 2007 to 2011, the government estimates the number of emergency room visits involving the neon-labeled beverages shot up from about 10,000 to more than 20,000. Most of those cases involved teens or young adults, according to a survey of the nation's hospitals released late last week by the Substance Abuse and Mental Health Services Administration.


The report doesn't specify which symptoms brought people to the emergency room but calls energy drink consumption a "rising public health problem" that can cause insomnia, nervousness, headache, fast heartbeat and seizures that are severe enough to require emergency care.


Several emergency physicians said they had seen a clear uptick in the number of patients suffering from irregular heartbeats, anxiety and heart attacks who said they had recently downed an energy drink.


More than half of the patients considered in the survey who wound up in the emergency room told doctors they had downed only energy drinks. In 2011, about 42 percent of the cases involved energy drinks in combination with alcohol or drugs, such as the stimulants Adderall or Ritalin.


"A lot of people don't realize the strength of these things. I had someone come in recently who had drunk three energy drinks in an hour, which is the equivalent of 15 cups of coffee," said Howard Mell, an emergency physician in the suburbs of Cleveland, who serves as a spokesman for the American College of Emergency Physicians. "Essentially he gave himself a stress test and thankfully he passed. But if he had a weak heart or suffered from coronary disease and didn't know it, this could have precipitated very bad things."


The findings came as concerns over energy drinks have intensified following reports last fall of 18 deaths possibly tied to the drinks — including a 14-year-old Maryland girl who died after drinking two large cans of Monster Energy drinks. Monster does not believe its products were responsible for the death.


Two senators are calling for the Food and Drug Administration to investigate safety concerns about energy drinks and their ingredients.


The energy drink industry says its drinks are safe and there is no proof linking its products to the adverse reactions.


Late last year, the FDA asked the U.S. Health and Human Services to update the figures its substance abuse research arm compiles about emergency room visits tied to energy drinks.


The Substance Abuse and Mental Health Services Administration's survey was based on responses it receives from about 230 hospitals each year, a representative sample of about 5 percent of emergency departments nationwide. The agency then uses those responses to estimate the number of energy drink-related emergency department visits nationwide.


The more than 20,000 cases estimated for 2011 represent a small portion of the annual 136 million emergency room visits tracked by Centers for Disease Control and Prevention.


The FDA said it was considering the findings and pressing for more details as it undertakes a broad review of the safety of energy drinks and related ingredients this spring.


"We will examine this additional information ... as a part of our ongoing investigation into potential safety issues surrounding the use of energy-drink products," FDA spokeswoman Shelly Burgess said in a statement.


Beverage manufacturers fired back at the survey, saying the statistics were misleading and taken out of context.


"This report does not share information about the overall health of those who may have consumed energy drinks, or what symptoms brought them to the ER in the first place," the American Beverage Association said in a statement. "There is no basis by which to understand the overall caffeine intake of any of these individuals — from all sources."


Energy drinks remain a small part of the carbonated soft drinks market, representing only 3.3 percent of sales volume, according to the industry tracker Beverage Digest. Even as soda consumption has flagged in recent years, energy drinks sales are growing rapidly.


In 2011, sales volume for energy drinks rose by almost 17 percent, with the top three companies — Monster, Red Bull and Rockstar — each logging double-digit gains, Beverage Digest found. The drinks are often marketed at sporting events that are popular among younger people such as surfing and skateboarding.


From 2007 to 2011, the most recent year for which data was available, people from 18 to 25 were the most common age group seeking emergency treatment for energy drink-related reactions, the report found.


"We were really concerned to find that in four years the number of emergency department visits almost doubled, and these drinks are largely marketed to younger people," said Al Woodward, a senior statistical analyst with the Substance Abuse and Mental Health Services Administration who worked on the report.


Emergency physician Steve Sun said he had seen an increase in such cases at the Catholic hospital where he works on the edge of San Francisco's Golden Gate Park.


"I saw one young man who had mixed energy drinks with alcohol and we had to admit him to the hospital because he was so dehydrated he had renal failure," Sun said. "Because he was young he did well in the hospital, but if another patient had had underlying coronary artery disease, it could have led to a heart attack."


___


Follow Garance Burke on Twitter at http://twitter.com/garanceburke


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