The Supreme Court of Canada ruled Thursday that witnesses could cover their faces for religious reasons while testifying in court under some circumstances. A Muslim woman, who cannot be named under a court order, asked to wear a niqab, a full-face veil, for religious reasons when testifying in an Ontario court against two men whom she has accused of sexual assault. The Supreme Court did not specifically rule on her request. But it provided trial judges with a four-part process for analyzing such requests to maintain a balance between religious freedoms and the right to a fair trial. The defendants’ lawyers argued that the faces of witnesses provided clues about the truthfulness of their testimony. Canada’s immigration minister recently barred women from wearing a niqab when taking the citizenship oath.
World Briefing | The Americas: Canada: Court Seeks a Balance on Veils
Label: World
Reacting to users’ outcry, Facebook’s Instagram reverts to prior policy on advertising
Label: TechnologySAN FRANCISCO – Instagram has abandoned wording in its new terms-of-service agreement that sparked outcry from users concerned it meant their photos could appear in advertisements.
In a blog post late Thursday, the popular mobile photo-sharing service says it has reverted to language in the advertising section of its terms of service that appeared when it was launched in October 2010.
Instagram is now owned by Facebook Inc. and maintains that it would like to experiment with different forms of advertising to make money.
Its blog post says that it will now ask users’ permission to introduce possible ad products only after they are fully developed.
The outcry to the changes announced earlier this week led the company to clarify that it has no plans to put users’ photos in ads.
Social Media News Headlines – Yahoo! News
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The X Factor: Who Won the Show?
Label: Lifestyle
The X Factor
12/20/2012 at 10:10 PM EST
from left: Fifth Harmony, Tate Stevens and Carly Rose Sonenclar
Ray Mickshaw/FOX
After performing live one last time the night before, Britney Spears's contestant Carly Rose Sonenclar, along with L.A. Reid's Tate Stevens and Simon Cowell's Fifth Harmony all vied for the $5 million recording contract awarded to the season's winner.
Click after the jump to find out who won the coveted prize.
L.A. Reid's "Over 25" contestant Tate Stevens, 37, is the winner of The X Factor season 2. He's a dad of two and a road worker from Missouri.
"First and foremost I got to thank the man upstairs for taking care of me, my family, all the country music fans – God bless you," he said after hearing the results. "Thank you so much for all the votes. This is the best day of my life."
L.A. said, "You deserve this. I'm proud to work with you. I think you represent The X Factor really, really well. So on behalf of Simon and myself and all the judges, congratulations."
Britney's teen contestant, Carly Rose Sonenclar, landed in second place. She and Britney looked emotional but didn't get a chance to say anything at the end.
Third place went to Simon Cowell's girl group, Fifth Harmony.
Member Camila Cabello, said, "I feel like in this competition we've gained more than $5 million could because we've gained friends for life ... I'm so happy to be where I am right now."
Simon said, "I have a feeling that we're going to be hearing and seeing a lot more of these girls in the future."
AP IMPACT: Steroids loom in major-college football
Label: HealthWASHINGTON (AP) — With steroids easy to buy, testing weak and punishments inconsistent, college football players are packing on significant weight — 30 pounds or more in a single year, sometimes — without drawing much attention from their schools or the NCAA in a sport that earns tens of billions of dollars for teams.
Rules vary so widely that, on any given game day, a team with a strict no-steroid policy can face a team whose players have repeatedly tested positive.
An investigation by The Associated Press — based on interviews with players, testers, dealers and experts and an analysis of weight records for more than 61,000 players — revealed that while those running the multibillion-dollar sport say they believe the problem is under control, that control is hardly evident.
The sport's near-zero rate of positive steroids tests isn't an accurate gauge among college athletes. Random tests provide weak deterrence and, by design, fail to catch every player using steroids. Colleges also are reluctant to spend money on expensive steroid testing when cheaper ones for drugs like marijuana allow them to say they're doing everything they can to keep drugs out of football.
"It's nothing like what's going on in reality," said Don Catlin, an anti-doping pioneer who spent years conducting the NCAA's laboratory tests at UCLA. He became so frustrated with the college system that it was part of the reason he left the testing industry to focus on anti-doping research.
___
EDITOR'S NOTE — Whether for athletics or age, Americans from teenagers to baby boomers are trying to get an edge by illegally using anabolic steroids and human growth hormone, despite well-documented risks. This is the first of a two-part series.
___
While other major sports have been beset by revelations of steroid use, college football has operated with barely a whiff of scandal. Between 1996 and 2010 — the era of Barry Bonds, Mark McGwire, Marion Jones and Lance Armstrong — the failure rate for NCAA steroid tests fell even closer to zero from an already low rate of less than 1 percent.
The AP's investigation, drawing upon more than a decade of official rosters from all 120 Football Bowl Subdivision teams, found thousands of players quickly putting on significant weight, even more than their fellow players. The information compiled by the AP included players who appeared for multiple years on the same teams.
For decades, scientific studies have shown that anabolic steroid use leads to an increase in body weight. Weight gain alone doesn't prove steroid use, but very rapid weight gain is one factor that would be deemed suspicious, said Kathy Turpin, senior director of sport drug testing for the National Center for Drug Free Sport, which conducts tests for the NCAA and more than 300 schools.
Yet the NCAA has never studied weight gain or considered it in regard to its steroid testing policies, said Mary Wilfert, the NCAA's associate director of health and safety.
The NCAA attributes the decline in positive tests to its year-round drug testing program, combined with anti-drug education and testing conducted by schools.
The AP's analysis found that, regardless of school, conference and won-loss record, many players gained weight at exceptional rates compared with their fellow athletes and while accounting for their heights.
Adding more than 20 or 25 pounds of lean muscle in a year is nearly impossible through diet and exercise alone, said Dan Benardot, director of the Laboratory for Elite Athlete Performance at Georgia State University.
In nearly all the rarest cases of weight gain in the AP study, players were offensive or defensive linemen, hulking giants who tower above 6-foot-3 and weigh 300 pounds or more. Four of those players interviewed by the AP said that they never used steroids and gained weight through dramatic increases in eating, up to six meals a day. Two said they were aware of other players using steroids.
"I ate 5-6 times a day," said Clint Oldenburg, who played for Colorado State starting in 2002 and for five years in the NFL. Oldenburg's weight increased over four years from 212 to 290.
Oldenburg told the AP he was surprised at the scope of steroid use in college football, even in Colorado State's locker room. "There were a lot of guys even on my team that were using." He declined to identify any of them.
The AP found more than 4,700 players — or about 7 percent of all players — who gained more than 20 pounds overall in a single year. It was common for the athletes to gain 10, 15 and up to 20 pounds in their first year under a rigorous regimen of weightlifting and diet. Others gained 25, 35 and 40 pounds in a season. In roughly 100 cases, players packed on as much 80 pounds in a single year.
In at least 11 instances, players that AP identified as packing on significant weight in college went on to fail NFL drug tests. But pro football's confidentiality rules make it impossible to know for certain which drugs were used and how many others failed tests that never became public.
Even though testers consider rapid weight gain suspicious, in practice it doesn't result in testing. Ben Lamaak, who arrived at Iowa State in 2006, said he weighed 225 pounds in high school. He graduated as a 320-pound offensive lineman and said he did it all naturally.
"I was just a young kid at that time, and I was still growing into my body," he said. "It really wasn't that hard for me to gain the weight. I love to eat."
In addition to random drug testing, Iowa State is one of many schools that have "reasonable suspicion" testing. That means players can be tested when their behavior or physical symptoms suggest drug use. Despite gaining 81 pounds in a year, Lamaak said he was never singled out for testing.
The associate athletics director for athletic training at Iowa State, Mark Coberley, said coaches and trainers use body composition, strength data and other factors to spot suspected cheaters. Lamaak, he said, was not suspicious because he gained a lot of "non-lean" weight.
But looking solely at the most significant weight gainers also ignores players like Bryan Maneafaiga.
In the summer of 2004, Bryan Maneafaiga was an undersized 180-pound running back trying to make the University of Hawaii football team. Twice — once in pre-season and once in the fall — he failed school drug tests, showing up positive for marijuana use but not steroids.
He'd started injecting stanozolol, a steroid, in the summer to help bulk up to a roster weight of 200 pounds. Once on the team, he'd occasionally inject the milky liquid into his buttocks the day before games.
"Food and good training will only get you so far," he told the AP recently.
Maneafaiga's former coach, June Jones, said it was news to him that one of his players had used steroids. Jones, who now coaches at Southern Methodist University, believes the NCAA does a good job rooting out steroid use.
On paper, college football has a strong drug policy. The NCAA conducts random, unannounced drug testing and the penalties for failure are severe. Players lose an entire year of eligibility after a first positive test. A second offense means permanent ineligibility for sports.
In practice, though, the NCAA's roughly 11,000 annual tests amount to a fraction of all athletes in Division I and II schools. Exactly how many tests are conducted each year on football players is unclear because the NCAA hasn't published its data for two years. And when it did, it periodically changed the formats, making it impossible to compare one year of football to the next.
Even when players are tested by the NCAA, experts like Catlin say it's easy enough to anticipate the test and develop a doping routine that results in a clean test by the time it occurs. NCAA rules say players can be notified up to two days in advance of a test, which Catlin says is plenty of time to beat a test if players have designed the right doping regimen. By comparison, Olympic athletes are given no notice.
Most schools that use Drug Free Sport do not test for anabolic steroids, Turpin said. Some are worried about the cost. Others don't think they have a problem. And others believe that since the NCAA tests for steroids their money is best spent testing for street drugs, she said.
Doping is a bigger deal at some schools than others.
At Notre Dame and Alabama, the teams that will soon compete for the national championship, players don't automatically miss games for testing positive for steroids. At Alabama, coaches have wide discretion. Notre Dame's student-athlete handbook says a player who fails a test can return to the field once the steroids are out of his system.
The University of North Carolina kicks players off the team after a single positive test for steroids. Auburn's student-athlete handbook calls for a half-season suspension for any athlete caught using performance-enhancing drugs.
At UCLA, home of the laboratory that for years set the standard for cutting-edge steroid testing, athletes can fail three drug tests before being suspended. At Bowling Green, testing is voluntary.
At the University of Maryland, students must get counseling after testing positive, but school officials are prohibited from disciplining first-time steroid users.
Only about half the student athletes in a 2009 NCAA survey said they believed school testing deterred drug use. As an association of colleges and universities, the NCAA could not unilaterally force schools to institute uniform testing policies and sanctions, Wilfert said.
"We can't tell them what to do, but if went through a membership process where they determined that this is what should be done, then it could happen," she said.
___
Associated Press writers Ryan Foley in Cedar Rapids, Iowa; David Brandt in Jackson, Miss.; David Skretta in Lawrence, Kan.; Don Thompson in Sacramento, Calif., and Alexa Olesen in Shanghai, China, and researchers Susan James in New York and Monika Mathur in Washington contributed to this report.
___
Contact the Washington investigative team at DCinvestigations (at) ap.org.
Whether for athletics or age, Americans from teenagers to baby boomers are trying to get an edge by illegally using anabolic steroids and human growth hormone, despite well-documented risks. This is the first of a two-part series.
10 California hospitals fined for serious errors
Label: BusinessTen California hospitals received fines Thursday for errors that resulted in either serious injury or death to a patient.
The California Department of Public Health issued a total of $785,000 in penalties for errors that include removing the wrong kidney, leaving surgical objects behind and failing to call for assistance when a patient began bleeding excessively.
The civil fines, ranging from $10,000 to $100,000, were issued to hospitals throughout the state for errors that occurred in 2010 and 2011. Two facilities in Los Angeles County and two in Orange County were among those fined.
Hospitals are required to report certain errors to the state. The goal of issuing the penalties and making them public is to reduce surgical and medication mistakes, said Debby Rogers, deputy director of the department's Center for Healthcare Quality.
"The value of the fines is bringing awareness both to the healthcare industry and healthcare providers but also to consumers," she said in a call to reporters.
Four of the hospitals fined were Kaiser facilities. At Kaiser's South Bay Medical Center, a patient died after mistakenly being given a blood thinner instead of medication to stop bleeding in the digestive tract. The state fined the facility $50,000. At the Kaiser's Oakland Medical Center, a 29-year-old woman died during a laser surgery to remove a congenital birth defect from her upper lip. The state fined the hospital $100,000.
An official with Kaiser Foundation Hospitals and Health Plan in Northern California said in a statement that she deeply regretted what occurred at its Oakland facility. "This should never have happened and we have taken steps to prevent it from happening again," said Barbara Crawford, vice president of quality and regulatory services.
Kaiser's Southern California office also submitted a statement saying that patient safety is "paramount" and that the facility took the errors very seriously and put in additional safeguards to prevent future problems.
A few of the penalties were due to surgical items being left behind in patients during operations. At Methodist Hospital of Southern California in Arcadia, surgeons left in a sponge when doing a gallbladder surgery and had to do another operation to remove it. The fine was $50,000.
Hospital spokesman Rick Miller said it was a "one-time" incident. "Since that time, we revamped our policies and procedures," he said. "There have been no other cases like this."
One facility, UC San Francisco Medical Center, received its sixth fine since 2007. In 2010, a nurse practitioner prescribed a cancer patient a medication that she was allergic to, resulting in her spending time in the intensive care unit and a skilled nursing facility.
The fact that the hospital has had so many fines is "obviously concerning to us," Rogers said.
After the error, the medical center re-trained staff on procedures regarding allergies and evaluated the nurse practitioner workload. The hospital also now has a comprehensive electronic health records system that makes it easier to access patient information, said Josh Adler, chief medical officer of UCSF Medical Center.
Rogers said the state recently proposed regulations that would raise the amount of penalties, making the initial fine $75,000, the second $100,000 and the third $125,000. The regulations also would allow the state to issue fines for errors that do not rise to the level of "immediate jeopardy" to patient health and safety.
The two Orange County hospitals that were fined were Mission Hospital Regional Medical Center in Mission Viejo and Orange Coast Memorial Medical Center in Fountain Valley.
Since 2007, the state has fined 141 hospitals a total of $9.6 million in penalties. The state has collected $7.5 million of that amount.
anna.gorman@latimes.com
Family Is Jailed in England Over Forced Labor
Label: World
DUBLIN — Five members of an Irish family who enjoyed lavish lifestyles from the proceeds of forced labor were jailed in England on Wednesday after a three-month trial.
Bristol Crown Court heard harrowing details of how the family enticed mentally ill, alcoholic and homeless men to work in their paving and patio business based in Bedford, England, for as little as $8 a day. They kept the men in filthy trailers and forced them to perform menial tasks like cleaning the family’s toilets. At times, the men were so hungry they resorted to scavenging for food in supermarket garbage and were subjected to threats and beatings if they tried to leave.
Some had worked in such circumstances for two decades. However, the judge ordered the jury to drop a second charge of conspiracy to hold a person in servitude.
William Connors, 52, was sentenced to six and a half years, and his wife, Mary, 48, was sentenced to two years and three months. One of their sons, John, 29, received four years, and another son, James, 20, was sent to a juvenile detention center for three years. A son-in-law, Miles Connors, 24, was given a three-year prison sentence.
The court heard testimony that the Connors family had made a fortune from the proceeds of their crimes. They drove expensive cars and went on luxury vacations. Some of the family lived in houses worth millions, had millions in bank accounts and owned several properties in Ireland. These are now subject to possible seizure as criminal assets.
The police began investigating the family after the body of one of their workers, Christopher Nicholls, 40, was discovered in 2008. They were placed under surveillance in August 2010, and evidence was recorded of men being assaulted. In April 2010, the Coroners and Justice Act was introduced, making it an offense to conspire to hold someone in servitude and require that individual to carry out forced or compulsory labor.
After sentencing, the officer who had led the investigation, Detective Chief Inspector Dave Sellwood, described the Connors family as “greedy, arrogant people” who preyed on the weak.
“This was a criminal enterprise from beginning to end,” he told RTE, the Irish national broadcaster. “They picked up vulnerable people, they offered them a new life and hope when they didn’t have any, and then they dashed that.”
The family maintained that the men were “free agents” able to come and go as they pleased. The family said they had acted as “good Samaritans” by providing them with food, work and housing.
New Online Privacy Loophole Lets Facebook Advertise to Kids
Label: TechnologyMark Zuckerberg‘s been eager to find a way to get more kids on Facebook for years, and on Wednesday, the Federal Trade Commission handed it to him on a platter. That might be overstating it a little bit. It’s more like the FTC served it to him on a platter covered in plastic wrap with a note attached that says “Do not open.” Nevertheless, should Facebook decided to see what’s inside, experts in online privacy for children say the social network could legally start peddling everything from kids’ bicycles to that new gender-neutral Easy Bake Oven.
RELATED: German Official Urges Citizens to Stop Using Facebook
After months of deliberating and plenty of lobbying on both sides of the issue, the FTC updated the controversial Children’s Online Privacy Protection Act (COPPA) this week. The changes were absolutely designed to better protect children in the privacy-invading era of social media, especially from the data-hungry advertisers who want to sell them things. Websites like Facebook don’t allow kids to sign up without their parents permission, generally because COPPA has prohibited them from collecting the kinds of information they need to serve them ads. And why would they want a user to whom they couldn’t serve ads? Under the new FTC rules, parental permission is required for just about anything a kid would do on Facebook, including uploading photos, videos and geolocational information. Tracking tools like cookies are also verboten without a parent’s permission.
RELATED: What Police Learn About You When They Subpoena Your Facebook Account
But there’s a loophole. The new rules say very plainly that no parental permission is needed “for the sole purpose of supporting the website or online service’s internal operations, such as contextual advertising, frequency capping, legal compliance, site analysis, and network communications.” The key phrase there is “contextual advertising,” which is an ad product Facebook has been working on for a while. Facebook’s version basically reads your News Feed and shows you ads that are relevant, or contextual, to what you’re reading. As a few people have pointed out, this opens a door for Facebook to start exploring the idea of ad-supported profiles for kids. Alan Simpson, the vice president of child privacy advocacy group Common Sense, isn’t happy about this idea. “Common Sense doesn’t like this part, and the industry lobbyists probably do,” he told TechCrunch Monday evening.
RELATED: What Facebook Does to Kids’ Brains
Now, there are a lot of ifs in this scenario. Based on the magnitude and sensitivity of the issue, Facebook probably doesn’t want to go scaring a bunch of parents by sneaking through loopholes to show their kids Easy Bake Oven ads. It has been nearly a decade and a half since COPPA got an update, though, and Mark Zuckerberg isn’t really known for his patience. Of course, Facebook could do what they’ve been doing for ages, which is look over their shoulder while kids lie about having permission and sign up anyways.
Social Media News Headlines – Yahoo! News
Title Post: New Online Privacy Loophole Lets Facebook Advertise to Kids
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The X Factor: Finalists Sing for Votes One Last Time
Label: Lifestyle
TV Watch
The X Factor
By Aaron Parsley
12/19/2012 at 10:40 PM EST
from left: Fifth Harmony, Tate Stevens and Carly Rose Sonenclar
Ray Mickshaw/FOX
The X Factor's season 2 finale got underway Wednesday night with the finalists performing three songs each – including a duet with a music superstar.
Britney Spears's contestant, Carly Rose Sonenclar, has been a favorite, trading the No. 1 spot with her fellow finalist, L.A. Reid's country singer Tate Stevens, through out the competition.
Carly first reprised "Feeling Good," and sang it better than the first time she performed it during her audition, according to judge Simon Cowell. "It's shocking how bright your star is," Spears said. She performed her duet with Leann Rimes, singing the country star's hit, "How Do I Live." Her final performance – of Leonard Cohen's "Hallelujah" – had the judges gushing. "You looked like an angel," Demi Lovato said. "You sang like a ridiculously talented angel."
Tate, the competition's only country singer, first performed "Anything Goes" by Randy Houser. "I'm still obsessed with you," Demi said. Added Simon, "You are made in America. You are authentic." For his duet, he sang Little Big Town's cheeky party anthem, "Pontoon." And for his final performance in the competition, Tate sang Chris Young's "Tomorrow." "In a year's time," Simon said, "We're going to be hearing about your record sales."
"I'm almost crying because I realize it's the last time I'm going to see you perform on that stage," Demi said.
Simon's remaining act, girl group Fifth Harmony, may have had their best night yet in the competition, beginning with "Anything Can Happen." L.A. called it "magical," adding that they're "the one to beat." Britney said the colorful performance was "spectacular, girly and fun." Their duet, with The X Factor's own Demi Lovato, of "Give Your Heart a Break" was a highlight of the night.
"These girls are so easy to work with," the judge said. "They're so down to earth, so sweet and I love you guys. This was so much fun."
Their last song, "Let It Be" by the Beatles, proved how much the five members have "blossomed as a group," Britney said. Admitting his bias, their mentor Simon said, based on their performances on Wednesday, the girls of Fifth Harmony "deserve to win the competition."
Do you agree? Or is Tate or Carly your choice for the big prize? Tell us in the comments below.
The winner will be revealed Thursday in a two-hour show that will include a performance by One Direction.
Experts: Kids are resilient in coping with trauma
Label: HealthWASHINGTON (AP) — They might not want to talk about the gunshots or the screams. But their toys might start getting into imaginary shootouts.
Last week's school shooting in Connecticut raises the question: What will be the psychological fallout for the children who survived?
For people of any age, regaining a sense of security after surviving violence can take a long time. They're at risk for lingering anxiety, depression, post-traumatic stress disorder.
But after the grief and fear fades, psychiatrists say most of Newtown's young survivors probably will cope without long-term emotional problems.
"Kids do tend to be highly resilient," said Dr. Matthew Biel, chief of child and adolescent psychiatry at MedStar Georgetown University Hospital.
And one way that younger children try to make sense of trauma is through play. Youngsters may pull out action figures or stuffed animals and re-enact what they witnessed, perhaps multiple times.
"That's the way they gain mastery over a situation that's overwhelming," Biel explained, saying it becomes a concern only if the child is clearly distressed while playing.
Nor is it unusual for children to chase each other playing cops-and-robbers, but now parents might see some also pretending they're dead, added Dr. Melissa Brymer of the UCLA-Duke National Center for Child Traumatic Stress.
Among the challenges will be spotting which children are struggling enough that they may need professional help.
Newtown's tragedy is particularly heart-wrenching because of what such young children grappled with — like the six first-graders who apparently had to run past their teacher's body to escape to safety.
There's little scientific research specifically on PTSD, post-traumatic stress disorder, in children exposed to a burst of violence, and even less to tell if a younger child will have a harder time healing than an older one.
Overall, scientists say studies of natural disasters and wars suggest most children eventually recover from traumatic experiences while a smaller proportion develop long-term disorders such as PTSD. Brymer says in her studies of school shootings, that fraction can range from 10 percent to a quarter of survivors, depending on what they actually experienced. A broader 2007 study found 13 percent of U.S. children exposed to different types of trauma reported some symptoms of PTSD, although less than 1 percent had enough for an official diagnosis.
Violence isn't all that rare in childhood. In many parts of the world — and in inner-city neighborhoods in the U.S., too — children witness it repeatedly. They don't become inured to it, Biel said, and more exposure means a greater chance of lasting psychological harm.
In Newtown, most at risk for longer-term problems are those who saw someone killed, said Dr. Carol North of the University of Texas Southwestern Medical Center, who has researched survivors of mass shootings.
Friday's shootings were mostly in two classrooms of Sandy Hook Elementary School, which has about 450 students through fourth-grade.
But those who weren't as close to the danger may be at extra risk, too, if this wasn't their first trauma or they already had problems such as anxiety disorders that increase their vulnerability, she said.
Right after a traumatic event, it's normal to have nightmares or trouble sleeping, to stick close to loved ones, and to be nervous or moody, Biel said.
To help, parents will have to follow their child's lead. Grilling a child about a traumatic experience isn't good, he stressed. Some children will ask a lot of questions, seeking reassurance, he said. Others will be quiet, thinking about the experience and maybe drawing or writing about it, or acting it out at playtime. Younger children may regress, becoming clingy or having tantrums.
Before second grade, their brains also are at a developmental stage some refer to as magical thinking, when it's difficult to distinguish reality and fantasy. Parents may have to help them understand that a friend who died isn't in pain or lonely but also isn't coming back, Brymer said.
When problem behaviors or signs of distress continue for several weeks, Brymer says it's time for an evaluation by a counselor or pediatrician.
Besides a supportive family, what helps? North advises getting children back into routines, together with their friends, and easing them back into a school setting. Studies of survivors of the Sept. 11 terrorist attacks found "the power of the support of the people who went through it with you is huge," she said.
Children as young as first-graders can benefit from cognitive-behavioral therapy, Georgetown's Biel said. They can calm themselves with breathing techniques. They also can learn to identify and label their feelings — anger, frustration, worry — and how to balance, say, a worried thought with a brave one.
Finally, avoid watching TV coverage of the shooting, as children may think it's happening all over again, Biel added. He found that children who watched the 9/11 clips of planes hitting the World Trade Center thought they were seeing dozens of separate attacks.
___
EDITOR'S NOTE — Lauran Neergaard covers health and medical issues for The Associated Press in Washington.
Rogue pharmacists fuel addiction
Label: BusinessJoey Rovero's quest for pills ended at Pacifica Pharmacy.
It was the same for Naythan Kenney,
Matt Stavron and Joseph Gomez.
All four were patients of a Rowland Heights
physician who was a prolific prescriber of narcotic painkillers and other addictive drugs. To get their fix, they needed more than a piece of paper.
They needed a pharmacist willing to dispense the drugs, and at Pacifica they found one.
All four died of drug overdoses after filling prescriptions at the tiny pharmacy in Huntington Beach, court and coroners' records show.
Pacifica's owner, Thang Q. "Frank" Tran, sold pain medications in large quantities. Particularly popular with his customers were high-dose, 80-milligram tablets of OxyContin. Tran filled nearly twice as many of those prescriptions as did nearby Walgreens, CVS and Sav-On pharmacies combined, according to state records.
Many of his customers traveled long distances and paid cash. Rovero drove more than 350 miles from Arizona State University in Tempe to get his prescriptions in Rowland Heights and then 33 more miles to the pharmacy.
"I thought to myself, 'Why in the world would these kids go that much farther out of their way?' " said April Rovero, whose son was 21 when he died. "Someone must have told them to go there."
Pharmacists are supposed to be a last line of defense against misuse of prescription medications. By law, they are required to scrutinize prescriptions, size up customers and refuse to dispense a drug when they suspect the patient has no medical need for it.
Some, however, provide massive amounts of painkillers and anti-anxiety drugs to addicts and dealers with no questions asked, according to state records, regulators and law enforcement officials.
Rogue pharmacists are key enablers of drug abuse and an important source of supply for the illegal market.
State officials who license and oversee pharmacies are overmatched by the scale of the problem.
Prescription drug abuse has increased sharply over the last decade, fueling a doubling of drug fatalities nationwide.
California's 42,000 pharmacists filled 318 million prescriptions last year.
Those for OxyContin, Dilaudid and other potent painkillers have increased 52% over the last five years, according to a review of prescription data collected by the state. The total dosage dispensed by pharmacies has also grown: by nearly 50%, the data show.
The task of identifying careless or corrupt pharmacists and initiating disciplinary action falls to 37 investigators for the California Board of Pharmacy.
"We are struggling to keep up because there are more pharmacies, more licensees, more places to go," said Virginia Herold, the agency's executive director. "We work really hard. But there's a limit to what we can do."
The board has added investigators in recent years. Even so, "we do have some pharmacies that seem to be able to help deliver unconscionable quantities of drugs to patients," Herold said.
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