Rogue pharmacists fuel addiction

Joey 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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Aleppo Residents, Battered by War, Struggle to Survive

The Fight for Aleppo:
In Syria’s largest city, a sustained and pitched battle between rebels and the Syrian army has left the city in ruins.

ALEPPO, Syria — Inside the classrooms where they once studied, the boys darted like a pack. Their banging and clanking could be heard for a city block.

The playground outside had been hit by a Syrian Air Force airstrike, which fractured the school’s walls. Now the children were smashing the furniture, prying off wooden desktops and bench seats, rushing away with what they could.

The Isam al-Nadri School for Boys was being dismantled for the firewood it contained. One sixth grader, Ahmed, clutching the kindling he had made by ransacking a room, offered an irreducible argument for looting his own school. “I want heat,” he said.

Winter is descending on Aleppo, Syria’s largest city and the bloodied stage for an urban battle, now running into its sixth month, between rebels and the military of President Bashar al-Assad.

As temperatures drop and the weakened government’s artillery thunders on, Aleppo is administered by no one and slipping into disaster. Front-line neighborhoods are rubble. Most of the city’s districts have had no electricity and little water for weeks. All of Aleppo suffers from shortages of oil, food, medicine, doctors and gas.

Diseases are spreading. Parks and courtyards are being defoliated for firewood, turning streets once lined with trees into avenues bordered by stumps. Months’ worth of trash is piled high, often beside bread lines where hundreds of people wait for a meager stack of loaves.

One of the Middle East’s beautiful and historic cities is being forced by scarcity and violence into a bitter new shape. Overlaying it all is a mix of fatigue and distrust, the sentiments of a population divided in multiple ways.

Aleppo’s citizens scavenge and seethe. And along with the sectarian passions of civil war, some residents express yearnings for starkly opposite visions of the future: either for a return of the relative stability of the Assad government or for the promises of Islamic rule.

Others see a grim hope, calling the tearing apart of their society a period that one day will be remembered as this ancient city’s ultimate test.

“We left high salaries, we left our jobs, we left our rank in society,” said Dr. Ammar Diar Bakerly, who directs medical care in the city’s rebel-held east. “We left everything to get our dignity. This is the price we have to pay, and it is a cheap price to get our freedom from the tyrant.”

Not everyone shares these revolutionary views. “We come every morning to the clinic asking for medicine, but they don’t offer any,” said Johair Iman Mustafa, a house painter and taxi driver with no work, who spotted a visitor and approached in a rage. “We go to the bakery for hours, but there is no bread and they kick us.”

“Before the revolution,” said Mr. Mustafa, a Sunni who had been no supporter of Mr. Assad’s Alawite-led government, “it was much better.”

Supplies Dwindle, Prices Rise

For most of Syria’s 21-month uprising, Aleppo, a commercial and government center built around its historic Old City, was spared the battles engulfing the country.

That changed in July when the Free Syrian Army, or F.S.A., as many rebels call themselves, entered Aleppo and opened urban fronts.

The government rushed in much-needed army units from elsewhere, turning to heavier weapons in a bid to retain control of a city that, if lost, would change Mr. Assad’s self-assured narrative. The war’s largest battle yet was joined.

Five months on, the government’s gambit has failed. Even with air support and artillery batteries firing relentlessly, Mr. Assad’s military has yielded ground. In roughly half the city, rebels move about openly.

From the outset, Aleppo’s population, its loyalties split, was stuck between forces. Disorganized rebel groups had started a battle they had little prospect to win swiftly. The army fought back in part with a collective-punishment model. Foreign fighters began to trickle in, stalking the front and talking of jihad.

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Instagram tests new limits in user privacy

SAN FRANCISCO (Reuters) – Instagram, which spurred suspicions this week that it would sell user photos after revising its terms of service, has sparked renewed debate about how much control over personal data users must give up to live and participate in a world steeped in social media.

In forcefully establishing a new set of usage terms, Instagram, the massively popular photo-sharing service owned by Facebook Inc, has claimed some rights that have been practically unheard of among its prominent social media peers, legal experts and consumer advocates say.

Users who decline to accept Instagram’s new privacy policy have one month to delete their accounts, or they will be bound by the new terms. Another clause appears to waive the rights of minors on the service. And in the wake of a class-action settlement involving Facebook and privacy issues, Instagram has added terms to shield itself from similar litigation.

All told, the revised terms reflect a new, draconian grip over user rights, experts say.

“This is all uncharted territory,” said Jay Edelson, a partner at the Chicago law firm Edelson McGuire. “If Instagram is to encourage as many lawsuits as possible and as much backlash as possible then they succeeded.”

Instagram’s new policies, which go into effect January 16, lay the groundwork for the company to begin generating advertising revenue by giving marketers the right to display profile pictures and other personal information such as who users follow in advertisements.

The new terms, which allow an advertiser to pay Instagram “to display your username, likeness, photos (along with any associated metadata)” without compensation, triggered an outburst of complaints on the Web on Tuesday from users upset that Instagram would make money from their uploaded content.

The uproar prompted a lengthy blog post from the company to “clarify” the changes, with CEO Kevin Systrom saying the company had no current plans to incorporate photos taken by users into ads.

Instagram declined comment beyond its blog post, which failed to appease critics including National Geographic, which suspended new posts to Instagram. “We are very concerned with the direction of the proposed new terms of service and if they remain as presented we may close our account,” said National Geographic, an early Instagram adopter.

PUSHING BOUNDARIES

Consumer advocates said Facebook was using Instagram’s aggressive new terms to push the boundaries of how social media sites can make money while its own hands were tied by recent agreements with regulators and class action plaintiffs.

Under the terms of a 2011 settlement with the Federal Trade Commission, Facebook is required to get user consent before personal information is shared beyond their privacy settings. A preliminary class action lawsuit settlement with Facebook allows users to opt-out of being included in the “sponsored stories” ads that use their personal information.

Under Instagram’s new terms, users who want to opt-out must simply quit using the service.

“Instagram has given people a pretty stark choice: Take it or leave, and if you leave it you’ve got to leave the service,” said Kurt Opsahl, a senior staff attorney with the Electronic Frontier Foundation, a Internet user right’s group.

What’s more, he said, if a user initially agrees to the new terms but then has a change of mind, their information could still be used for commercial purposes.

In a post on its official blog on Tuesday, Instagram did not address another controversial provision that states that if a child under the age of 18 uses the service, then it is implied that his or her parent has tacitly agreed to Instagram’s terms.

“The notion is that minors can’t be bound to a contract. And that also means they can’t be bound to a provision that says they agree to waive the rights,” said the EFF’s Opsahl.

BLOCKING CLASS ACTION SUITS

While Facebook continues to be bogged in its own class action suit, Instagram took preventive steps to avoid a similar legal morass.

Its new terms of service require users with a legal complaint to enter arbitration, rather than take the company to court. It prohibits users from joining a class action lawsuit unless they mail a written “opt-out” statement to Facebook’s headquarters in Menlo Park within 30 days of joining Instagram.

That provision is not included in terms of service for other leading social media companies like Twitter, Google, YouTube or even Facebook itself, and it immunizes Instagram from many forms of legal liability, said Michael Rustad, a professor at Suffolk University Law School.

Rustad, who has studied the terms of services for 157 social media services, said just 10 contained provisions prohibiting class action lawsuits.

The clause effectively cripples users who want to legally challenge the company because lawyers will not likely represent an individual plaintiff, Rustad argued.

“No lawyers will take these cases,” Rustad said. “In consumer arbitration cases, everything is stacked against the consumer. It’s a pretense, it’s a legal fiction, that there are remedies.”

Instagram, which has 100 million users, allows consumers to tweak the photos they take on their smartphones and share the images with friends. Facebook acquired Instagram in September for $ 715 million.

Instagram’s take-it-or-leave-it policy pushes the envelope for how social networking companies treat user privacy issues, said Marc Rotenberg, the executive director of the Electronic Privacy Information Center.

“I think Facebook is probably using Instagram to see how far it can press this advertising model,” said Rotenberg. “If they can keep a lot of users, then all those users have agreed to have their images as part of advertising.”

(Additional reporting by Dan Levine; Editing by Jeremy Laurence)

Internet News Headlines – Yahoo! News

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The Voice Crowns a Winner!

TV Watch

By Julia Haskins

12/18/2012 at 11:20 PM EST

From left: Terry McDermott, Cassadee Pope, Nicholas David and host Carson Daly

Tyler Golden/NBC

The Voice has a new winner!

After several powerful performances the night before, the top three singers – Nicholas David (of Team Cee Lo) and Terry McDermott and Cassadee Pope (of Blake Shelton's team) – faced the music on Tuesday during the final results show of season 3.

Which one was the winner? Keep reading to find out ...

Cassadee Pope was named the winner of The Voice!

Pope thanked her fans who supported her throughout the competition. She was joined onstage by McDermott, who was the runner-up, and David, who came in third place.

It was a night of music as Rihanna, newly engaged Kelly Clarkson, Bruno Mars and the Killers celebrated with the finalists by displaying their talents.

Season 4 of The Voice premieres March 25, 2013, with Shakira and Usher stepping in to take over for Christina Aguilera and Cee Lo Green.

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Experts: Kids are resilient in coping with trauma

WASHINGTON (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.

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EDITOR'S NOTE — Lauran Neergaard covers health and medical issues for The Associated Press in Washington.

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California's marine reserve network now complete

Surviving budget cuts, mobs of angry fishermen and death threats, California officials today completed the largest network of undersea parks in the continental United States — 848 square miles of protected waters that reach from the Oregon state line to the Mexican border.

The final segment of marine reserves, along the state's north coast, becomes official today. Its 137 square miles of protected waters reflect an unusual agreement reached among Native American tribes, conservation groups and fishermen to preserve tribal traditions while protecting marine life from exploitation.

All told, the dozen-year effort has set aside 16% of state waters as marine reserves, including 9% that are off-limits to fishing or gathering of any kind.

State officials got to work shortly after the Legislature passed the Marine Life Protection Act in 1999. It directed them to consider a statewide network of protected waters, modeled after a familiar strategy on land — setting up parks and refuges to conserve wildlife, said Michael Sutton, a California Fish and Game commissioner.

"It's not rocket science," Sutton said. "If you protect wildlife habitat and you don't kill too many, wildlife tends to do well. We've done that on land with the waterfowl population. Now, we've done it in the ocean for fish."

Marine reserves have proliferated in the last decade, particularly in remote areas such as the Northwestern Hawaiian Islands, the Phoenix Islands and the Northern Mariana Islands.

But California's network of reserves is the only one established near a heavily populated coastline. The state issues 2 million fishing licenses a year.

The network got its start from the late Jim Donlon, an avid sport fisherman from Oxnard who lamented the disappearance of the big fish he used to catch around the Channel Islands off Santa Barbara. He set in motion a first round of public meetings that resulted in protecting certain rocky reefs, sandy bottoms and other areas around the islands to allow fish populations to recover.

Initially, these reserves were seen as "an insurance policy" against inadequate fisheries management that had allowed rockfish and other marine life populations to plunge to record lows, said Steve Gaines, dean of the Bren School of Environmental Science and Management at UC Santa Barbara.

The idea: Protected waters would allow some fish to reach full size, and when they swam out of the reserve they would benefit local fishermen by getting caught.

Now, he said, scientists realize that marine reserves, if in the right places, can become a source of providing larvae to reseed larger regions and benefit entire fisheries.

"That's what's exciting about California's network," Gaines said. "It's big enough that it's going to benefit the species that occur all along the coast."

The size of the network is exactly what filled auditoriums with red-shirted, shouting fishermen, angry at impending closures of favored fishing spots. The fight has continued in the courts. So far, none of the lawsuits has prevailed.

The American Sportfishing Assn., the Virginia-based trade group of the tackle and sport fishing industry, hired Sacramento lobbyists and public relations firms, and organized anglers by the busload to try to derail the process.

The organization was delighted when Gov. Arnold Schwarzenegger announced in 2004 that budget shortfalls required an indefinite postponement of the plan, said the association's vice president, Gordon Robertson. But what happened next, he said, outflanked the sportfishing industry.

Michael Mantell, a Sacramento lawyer who coordinates philanthropy and conservation, organized the David and Lucile Packard Foundation, the Gordon and Betty Moore Foundation, the Marisla Foundation and two others to pick up the state's costs, including paying for panels of local leaders to take testimony and make recommendations. So far, the foundations have spent more than $23 million.

"The environmental community poured far more resources than the recreational fishing did," Robertson said. He vowed not to let that happen in other states.

Richard B. Rogers, a lifelong recreational fisherman and scuba diver, said the science won him over on the issue. After Schwarzenegger appointed him to the Fish and Game Commission, his work to help establish the reserves was, as he put it, "the single most important thing I've done in life, other than marrying my wife and raising my five kids."

Yet it also put him in an awkward position: vilified as an enemy of his fellow fishermen.

"We got death threats," Rogers said. "There were threats of physical violence."

He remains annoyed that some question his allegiance to the sport, ignoring that he owns a boat, as well as many rods and reels. He supported the reserves for one reason, he said: "I want to make sure my grandchildren have some fish to catch."

ken.weiss@latimes.com

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Pew Study Finds One in 6 Follows No Religion

A global study of religious adherence released on Tuesday by the Pew Research Center found that about one of every six people worldwide has no religious affiliation. This makes the “unaffiliated,” as the study calls them, the third-largest group worldwide, with 16 percent of the global population — about equal to Catholics.

The study also found a wide disparity in the median age of religious populations, with Muslims and Hindus the youngest, and Buddhists and Jews the oldest. The median age of the youngest group, Muslims, was 23, while the median for Jews was 36.

Over all, Christians (including Catholics) are the largest religious group, with 2.2 billion people, about 32 percent of the world’s population. They are followed by Muslims, with 1.6 billion, about 23 percent. There are about one billion Hindus, about 15 percent of the global population, and nearly half a billion Buddhists, about 7 percent.

The study, “The Global Religious Landscape,” is a snapshot of the size and distribution of religious groups as of 2010, and does not show trends over time.

“Something that may surprise a lot of people,” said Conrad Hackett, a primary researcher on the report, “is that the third-largest religious group, after Christians and Muslims, is the religiously unaffiliated. There may have been some guesses floating out there before, but this is the first time there are numbers based on survey data analyzed in a rigorous and scientific way.”

More than three-quarters of the religiously unaffiliated live in Asia, the majority in China. Many of the people in this group do hold some religious or spiritual beliefs and may even believe in a deity, but they do not identify with a particular faith.

People who practice folk or tribal religions, like African, Chinese, American Indian and Australian aboriginal traditional religions, make up another 6 percent of the world’s population. Smaller faith groups — like Bahais, Jains, Sikhs, Shintoists, Taoists, Wiccans and Zoroastrians — combined make up less than one percent of the global population. Jews, with about 14 million, make up only 0.2 percent of the global population.

The study is based on analysis of 2,500 different data sources, including censuses and demographic surveys of children and adults in 232 countries. It relies on self-identification, so it includes people who are not regular practitioners or orthodox believers of the religion they claim.

The religious groups with the youngest median ages have the highest levels of fertility and poverty and the lowest levels of female education, Jack A. Goldstone, director of the Center for Global Policy at George Mason University, in Virginia, said in an interview by e-mail. He noted that in predominantly Muslim countries where the government supports the education of women and girls, like Tunisia, Iran and Indonesia, the median age is higher than for Muslims in Africa and the Middle East.

The study also shows that about one-fourth of the world’s population lives in countries where they are a religious minority. But 97 percent of Hindus and 87 percent of Christians live in countries where they are the majority faith, said Alan Cooperman, associate director for research at the Pew Forum.

“Christians are the most evenly dispersed — except in one place, and that’s the Middle East and North Africa, which happens to be the place where Christianity originated,” Mr. Cooperman said.

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The Voice's Top Three Give Final Performances in the Competition

TV Watch

The Voice

By Julia Haskins

12/17/2012 at 10:25 PM EST

From left: Judges Adam Levine, Cee Lo Green, Christina Aguilera and Blake Shelton

Trae Patton/NBC

Monday night's episode of The Voice gave the final three contestants three chances to earn fans' votes. Each singer revisited a "breakout" song that set them apart in the competition, sang a new song and performed a duet with his or her coach.

But the night opened with a touching tribute to the victims of the Sandy Hook tragedy. Coaches and singers held up the names of each life lost while singing Leonard Cohen's "Hallelujah."

Team Cee Lo's Nicholas David then kicked off the competition with Jerry Lee Lewis's "Great Balls of Fire." Not able to resist a pun, his coach chimed in on his performance: "Your fire tonight burned this house down," Green said. David later revisited his performance of Bill Withers's "Lean On Me," and joined Green for a duet of Wild Cherry's "Play That Funky Music."

Team Blake's two contestants also had the crowd cheering. Terry McDermott's sang his best song, Foreigner's "I Want to Know What Love Is," and took a stab at Mr. Mister's "Take These Broken Wings." But the crowning moment of the night for McDermott was his duet with Shelton of Aerosmith's "Dude (Looks Like a Lady)." Adam Levine played guitar alongside them, decked out in a long rocker wig.

Cassadee Pope sang "Over You," which her coach and his wife, Miranda Lambert, co-wrote. She received huge praise for singing it the first time, but the song about Shelton's late brother had special meaning in the wake of the shootings in Newtown, Conn. "America's heart is heavy, and that's about healing," Shelton said. She also moved the coaches with her take on Faith Hill's "Cry." "I don't care that you weren't on my team," Levine said. "I am so proud of you and so happy that you're here at this moment." Pope finished the night with Shelton for a duet of Sheryl Crow's "Steve McQueen."

The Voice returns Tuesday, when the season's winner will be named. Who will it be? Tell us in the comments below.

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Experts: No link between Asperger's, violence

NEW YORK (AP) — While an official has said that the 20-year-old gunman in the Connecticut school shooting had Asperger's syndrome, experts say there is no connection between the disorder and violence.

Asperger's is a mild form of autism often characterized by social awkwardness.

"There really is no clear association between Asperger's and violent behavior," said psychologist Elizabeth Laugeson, an assistant clinical professor at the University of California, Los Angeles.

Little is known about Adam Lanza, identified by police as the shooter in the Friday massacre at a Newtown, Conn., elementary school. He fatally shot his mother before going to the school and killing 20 young children, six adults and himself, authorities said.

A law enforcement official, speaking on condition of anonymity because the person was not authorized to discuss the unfolding investigation, said Lanza had been diagnosed with Asperger's.

High school classmates and others have described him as bright but painfully shy, anxious and a loner. Those kinds of symptoms are consistent with Asperger's, said psychologist Eric Butter of Nationwide Children's Hospital in Columbus, Ohio, who treats autism, including Asperger's, but has no knowledge of Lanza's case.

Research suggests people with autism do have a higher rate of aggressive behavior — outbursts, shoving or pushing or angry shouting — than the general population, he said.

"But we are not talking about the kind of planned and intentional type of violence we have seen at Newtown," he said in an email.

"These types of tragedies have occurred at the hands of individuals with many different types of personalities and psychological profiles," he added.

Autism is a developmental disorder that can range from mild to severe. Asperger's generally is thought of as a mild form. Both autism and Asperger's can be characterized by poor social skills, repetitive behavior or interests and problems communicating. Unlike classic autism, Asperger's does not typically involve delays in mental development or speech.

Experts say those with autism and related disorders are sometimes diagnosed with other mental health problems, such as depression, anxiety, bipolar disorder or obsessive-compulsive disorder.

"I think it's far more likely that what happened may have more to do with some other kind of mental health condition like depression or anxiety rather than Asperger's," Laugeson said.

She said those with Asperger's tend to focus on rules and be very law-abiding.

"There's something more to this," she said. "We just don't know what that is yet."

After much debate, the term Asperger's is being dropped from the diagnostic manual used by the nation's psychiatrists. In changes approved earlier this month, Asperger's will be incorporated under the umbrella term "autism spectrum disorder" for all the ranges of autism.

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AP Writer Matt Apuzzo contributed to this report.

___

Online:

Asperger's information: http://1.usa.gov/3tGSp5

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Traffic fatalities down across U.S. but up in California

The number of people killed in traffic accidents last year dropped to its lowest point in more than six decades elsewhere in the nation but rose in California, according to new federal transportation figures.

Across the country, deaths of cyclists and pedestrians surged in 2011, despite the overall downward trend in fatalities.

According to the recently released report, 32,367 people were killed in motor vehicle accidents in 2011, a decrease of 1.9% from the year before and the lowest number since 1949. But in California, fatalities increased 2.6% in 2011 to 2,791, according to the report.

California had more traffic fatalities than any state except Texas.

Federal officials highlighted the overall decrease in deaths. But at least one traffic safety group said the figures were alarming, particularly a 3% increase in pedestrian deaths and an 8.7% increase in cyclist fatalities from 2010 to 2011.

"We are still concerned about the numbers of cyclists and pedestrians at risk on our roadways," said Paul Oberhauser, co-chairman of the Chicago-based Traffic Safety Coalition, which is partly funded by the traffic safety camera industry. "This new report is a reminder we still need to be cautious and share the road."

In Los Angeles on Monday, Mayor Antonio Villaraigosa announced the addition of new "highly visible" painted crosswalks at more than 50 of the city's most dangerous intersections. "Los Angeles is in the midst of a transportation renaissance," Villaraigosa said in a news release, referring to new rail and other investments. But pedestrian safety must remain a priority "to create a 21st century transportation network that works for everyone," he said.

The new crosswalks feature 2-foot-wide white or yellow stripes and a new stop line for motorists, to cut down on vehicles encroaching on the paths of pedestrians.

The targeted intersections are scheduled to be painted by March. Officials hope to eventually repaint crosswalks at all of the city's 5,000 intersections. Funded through Measure R, the half-cent transportation sales tax voters approved in 2008, the new crosswalks cost about $2,500 each, more than twice the expense of traditional crosswalks.

Margot Ocañas of the city's transportation agency said the rate of motorists striking pedestrians in or near intersections fell 5.4% between 2001 and 2010 to 2,522. But the decline has been uneven and had climbed to 2,738 collisions as recently as 2008.

Among the city's worst intersections for pedestrians between 2007 and 2011, according to city officials, were: Alvarado and 7th streets (25 accidents); Hollywood Boulevard and Highland Avenue (21 accidents); and Western and Slauson avenues, Union Avenue and 6th Street, and Spring and 5th streets (19 each).

Intersections with 18 accidents each included Main and 5th streets, Hollywood Boulevard and Vine Street, Florence Avenue and Broadway, Sunset Boulevard and Echo Park Avenue, and Wilshire Boulevard and Western Avenue.

ari.bloomekatz@latimes.com

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