WebMD to cut 14 percent of workforce to reduce expenses

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(Reuters) – Health information website WebMD Health Corp said it will cut around 250 jobs, or 14 percent of its workforce, to reduce costs.


The company, which had about 1700 employees according to Thomson Reuters data, said it would take a charge of about $ 6 million to $ 8 million in the fourth quarter, primarily on severance and other restructuring-related costs.






WebMD, which is a popular and long-trusted destination for checking health and disease related information, has lost its sheen for investors in recent times as it struggled to convert its growing user base into a steady revenue stream.


The company named a former Pfizer Inc executive Cavan Redmond as CEO earlier this year, entrusting the industry veteran with the task of reviving the website’s flagging business.


Its previous CEO, Wayne Gattinella, resigned after the company took itself off the auction block in January.


WebMD also said on Tuesday that it plans to streamline its operations and focus resources on increasing user engagement, customer satisfaction and innovation, and expects these efforts to reduce annualized operating expenses by about $ 45 million.


While most of the job cuts will be effective at the end of the year, other cost saving actions will be implemented in the first quarter of 2013, the company said in a statement.


The company reported a third-quarter loss in November, compared with a profit in the year-ago quarter, and said revenue fell 13 percent.


WebMD’s shares, which have lost nearly 40 percent of their value over the past six months, were down about 2 percent in premarket trade. They closed at $ 13.85 on Monday on the Nasdaq.


(Reporting by Esha Dey in Bangalore; Editing by Roshni Menon)


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World Chefs: Keller shares memories, spotlight in latest book

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NEW YORK (Reuters) – Thomas Keller, one of America‘s most respected chefs, shares the food memories of his childhood and his time in France in his new book “Bouchon Bakery,” which is also the name of his chain of pastry shops in the United States.


Keller is the only American chef who owns two three-Michelin-star restaurants – Per Se in New York City and The French Laundry in the Napa Valley wine region in California.






Earlier this year, Britain’s Restaurant Magazine named Per Se, which opened in 2004, the world’s sixth best restaurant. Keller also earned the magazine’s lifetime achievement award.


Like his four other books, his latest effort is a collaboration. He co-wrote it with his top pastry chefs Sebastien Rouxel and Matthew McDonald along with food writers Susie Heller, Michael Ruhlman and Amy Vogler.


The 57-year-old spoke to Reuters about the book, his pastry chefs and his place in the culinary world.


Q: Why did you collaborate with the leaders of your pastry team with this book?


A: “If you look at my other cookbooks, it’s always been a point with me to share these opportunities with those who share their skills and expertise with the general public. That was the reason why I did the book. Sebastien is one of the best pastry chefs in America. His techniques are unparalleled. I’m not trying to pretend that I’m a pastry chef by writing a book about baking and pastries. Nor am I trying to be a bread baker. I have Matthew McDonald, who is one of the best bakers in America. To be able to highlight his skills in the bread section was very important as well.”


Q: How did your time in France change your view about pastry and bread-making?


A: “When you are in France, especially in Paris, there were three or four boulangeries of different significance just on the block where I lived because they had pastry chefs with different levels of skills. You went to different ones for different things. To have a fresh baked baguette everyday was extraordinary. Anyone who lived in Paris for any length of time would say eating a fresh baguette is pretty special. Bread plays a real important part in the experience of the diners. To make sure we have the opportunity to significantly impact the experience by controlling the production and style of the bread was very important to me.”


Q: Do you have a favorite dessert?


A: “It depends on the day … There are so many things I love. I think anything that’s done really, really well. For me, that’s really something I really appreciate. I think one of the things that really resonate with the individual is that idea that eating, and eating through that experience, they have a memory. We are always trying to do something that’s good. Why put something on the menu that’s not very good?”


Q: The book emphasizes weighing ingredients over measuring with cups and spoons. Could that be difficult for home cooks?


A: “One of the things about pastry … it’s such an exact process. The most exact thing you practice is with weighing. There is an exactness to the execution, which gives you every opportunity to be successful.”


Q: French Laundry and Per Se are among two of the best restaurants in the country. Bouchon Bakery is a success. What more would you like to accomplish in the culinary world?


A: “I have accomplished today everything I wanted to accomplish, more than I ever dreamed was possible. Right now, I’m just focused on the restaurants we have and the book I just wrote. Let me enjoy this moment before you ask me what I’ll be doing tomorrow.”


Pecan Sandies for my mom (Makes 1-1/2 dozen cookies)


1 ¾ cups + 1 ½ teaspoons all-purpose flour (250 grams)


¾ cup coarsely chopped pecans (80 grams)


4 ounces unsalted butter, at room temperature (170 grams)


¾ cup + 1 ¾ teaspoons powdered sugar (90 grams)


Additional powdered sugar for dusting (optional)


1. Position the racks in the upper and lower thirds of the oven and preheat the oven to 325°F (convection) or 350°F (standard). Line two sheet pans with Silpats or parchment paper.


2. Toss the flour and pecans together in a medium bowl.


3. Place the butter in the bowl of a stand mixer fitted with the paddle attachment and mix on medium-low speed until smooth. Add the 90 grams/¾ cup plus 1¾ teaspoons powdered sugar and mix for about 2 minutes, until fluffy. Scrape down the sides and bottom of the bowl. Add the flour mixture and mix on low speed for about 30 seconds, until just combined. Scrape the bottom of the bowl to incorporate any dry ingredients that have settled there.


4. Divide the dough into 30-gram/1½-tablespoon portions, roll into balls, and arrange on the sheet pans, leaving about 1½ inches between them. Press the cookies into 2-inch disks.


5. Bake until pale golden brown, 15 to 18 minutes if using a convection oven, 22 to 25 minutes if using a standard oven, reversing the positions of the pans halfway through. (Sandies baked in a convection oven will not spread as much as those baked in a standard oven and will have a more even color.)


6. Set the pans on a cooling rack and cool for 5 to 10 minutes. Using a metal spatula, transfer the cookies to the rack to cool completely. If desired, dust with powdered sugar.


Note: The cookies can be stored in a covered container for up to 3 days.


(Reporting by Richard Leong; Editing by Patricia Reaney and James Dalgleish)


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Healthiest States in America Named

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Reported by Dr. Amish Patel:


The annual America’s Health Rankings list is out, pitting U.S. states against each other in a no-holds-barred contest of health. So, how did your state fare?






For the fourth year in a row, Vermont takes the top spot as healthiest state. Applauding the state’s high rate of high school graduation and low rate of uninsured population, the report also finds that Vermont is not without its problems. Vermonters have a relatively high rate of cancer deaths and participate in binge drinking more than most states (Wisconsiners binge drink the most, Tennesseans the least). Vermont is in good company in the northeast with seven states from the region making it into the top 10.


Second place goes to Hawaii, a regular contender for first place. Since the ranking started in 1990, Hawaii has consistently ranked in the top six states. Hawaiians enjoy low rates of obesity and smoking, but have high rates of binge drinking and low birth weight babies.


Louisiana and Mississippi are tied for the least healthy state and have consistently been at the bottom of the list for the past 23 years. Both states have low rates of binge drinking, but suffer from high rates of occupational fatalities and children in poverty. These two states are in the bottom five in about half of the 24 components that make up the overall ranking, including high rates of chronic conditions like sedentary lifestyle, obesity and diabetes.


These chronic conditions are also putting the entire nation’s health most at risk. Obesity alone is the leading cause of preventable death and costs our nation about $ 200 billion each year. More than 66 million adults are obese – that’s more than one in four Americans. Colorado is the least obese and least sedentary state, in contrast to Mississippi which is the most obese and most sedentary.


“It is important to note that we are living longer, but not necessarily better,” says Jane Pennington, spokesperson from the United Health Foundation, the group responsible for the report. “Despite improvements, we still have unhealthy behavior that threatens our health status. It continues to be disappointing that we are seeing a rise in chronic illness. It doesn’t have to be that way. That is the alarm that we want to sound.”


Although smoking in the U.S. has been decreasing recently, more than 45 million Americans still smoke, according to the U.S. Centers for Disease Control and Prevention. Utah has the lowest percent of its population smoking and Kentucky has the highest.


“People should care about this report,” says Dr. Anthony Shih, executive vice president for Programs at the Commonwealth Fund. “It is clear that where you live matters in terms of overall health and it should motivate action to improve.”


States should be looking at their healthier neighbors for ways to improve.


“The relatively high performance of [fourth-ranked] Massachusetts – where a law similar to the Affordable Care Act was enacted in 2006 – may hopefully motivate other states to participate in Medicaid expansion and more aggressively implement the ACA within their own state. Successful implementation will likely raise the performance of most states,” according to Shih.


By having programs and policies that support better health, states can expect better rankings. If a state increases the tax on cigarettes or bans smoking in public places, for example, the number of smokers in that state should decrease, cutting deaths from cardiovascular disease and cancer deaths.


The statistics show that states can improve their ranking. Vermont was ranked 20 th in 1990, but steadily made improvements over the years to get where it is now.


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Thousands protest Mich. right-to-work law

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LANSING, Michigan (Reuters) - More than 12,000 workers from throughout Michigan and the U.S. Midwest crowded into the state Capitol and marched outside in freezing temperatures on Tuesday as the legislature began debating a "right-to-work" law restricting unions in a stronghold of organized labor.


Michigan State Police Inspector Gene Adamczyk said the Capitol building was closed to visitors when it reached capacity of 2,200. An estimated 10,000 people demonstrated outside.


Protesters lined the railings of the inner rotunda of the Capitol in Lansing as the Republican-majority Michigan House of Representatives began debate on a law that would strike a heavy blow against unions by prohibiting them from compelling workers to be members and pay dues.


The pro-union forces earlier had chanted "Hey hey, ho ho, right-to-work has got to go," and "What's disgusting, union busting," inside the building where police had arrested eight protesters last Thursday as Republicans gave preliminary approval to the laws.


Supporters of the right-to-work legislation also were inside the Capitol and on the grounds nearby, although they were heavily outnumbered by opponents. Security was tight with police dressed in riot gear, carrying long batons and with spray canisters on their belts.


Outside, where a nearby bank sign showed the temperature at 25 degrees Fahrenheit (-4 Celsius) and light snow fell, four inflatable rats dubbed the "Rat Pack" depicted Republican Governor Rick Snyder and the party leaders who have led the right-to-work effort.


A man dressed as Santa Claus stood on the Capitol steps holding a sign saying that Republicans had stolen Christmas.


The show of force by unionized workers recalled huge rallies in Wisconsin two years ago when Republicans voted to curb public sector unions.


Several school districts in Michigan were closed as teachers went to Lansing to join the rallies.


Jen Penz, a union steward for teacher aides at Warren Consolidated Schools, said 260 teachers called in sick there, forcing schools to close in the district near Detroit.


"We're not abandoning our students. We're here to protect their future," Penz said. "We're setting a good example for them.


Ann Patnaude, deputy state director for Americans for Prosperity and a supporter of right-to-work, said many people are confused about the issue.


"The unions are still going to be around," she said. "There's still going to be collective bargaining. This is about freedom, the right to choose."


The bills under consideration by the Republican-controlled Michigan House of Representatives on Tuesday would cover private, and public sector unions, except for fire and police. Snyder has pledged to sign the bills quickly.


The right-to-work movement has been growing in the United States in recent years. Indiana earlier this year became the first state in the industrial Midwest to approve right-to-work and several other states are watching the Michigan action closely.


Michigan would become the 24th state to enact right-to-work provisions. Passage of the legislation would be a stunning blow to the power of organized labor in the United States, which has suffered a series of setbacks in recent years.


Wisconsin Republicans in 2011 passed laws severely restricting the power of public sector unions. While Wisconsin did not even attempt to pass right-to-work, the success of Republicans there in curbing powerful unions such as teachers and state workers emboldened politicians in other states to follow suit.


UNION HOTBED


Michigan is home of the heavily unionized U.S. auto industry, with some 700 manufacturing plants in the state. It is also the birthplace of the United Auto Workers, the richest U.S. labor union. Michigan has the fifth highest percentage of unionized workers in the United States at 17.5 percent.


While new Michigan laws would not be expected to have much immediate impact because existing union contracts would be preserved, they could eventually weaken the UAW, which has already seen its influence wane in negotiating with the major automakers.


Right-to-work laws typically allow workers to hold a job without being forced to join a union or pay union dues.


President Barack Obama waded into the debate during a visit to the Daimler Detroit Diesel plant in Redford, Michigan, on Monday, criticizing the Republican right-to-work effort.


"What they're really talking about is giving you the right to work for less money," Obama said.


Labor leaders such as UAW President Bob King say they were blindsided by Snyder, who last Thursday announced he was supporting right-to-work after nearly two years of saying the issue was too divisive.


King was unsuccessful in more than a week of talks with Snyder and his staff in staving off the right-to-work push by the Republicans, who will lose several seats when newly elected members take their seats in the Michigan House and Senate in January.


Detroit area is headquarters for General Motors Co, Ford Motor Co and Chrysler, which is majority owned by Fiat SpA.


(Additional reporting by Robert Carr; Editing by Greg McCune and Bill Trott)



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McAfee wants to return to US, ‘normal life’

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BACALAR, Mexico (AP) — Software company founder John McAfee said Sunday he wants to return to the United States and “settle down to whatever normal life” he can.


In a live-stream Internet broadcast from the Guatemalan detention center where he is fighting a government order that he be returned to Belize, the 67-year-old said “I simply would like to live comfortably day by day, fish, swim, enjoy my declining years.”






Police in neighboring Belize want to question McAfee in the fatal shooting of a U.S. expatriate who lived near his home on a Belizean island in November.


The creator of the McAfee antivirus program again denied involvement in the killing during the Sunday Internet video hook-up, during which he answered what he said were reporters’ questions.


His comments were sometimes contradictory. McAfee is an acknowledged practical joker who has dabbled in yoga, ultra-light aircraft and the production of herbal medications.


The British-born McAfee first said that returning to the United States “is my only hope now.” But he later added, “I would be happy to go to England, I have dual citizenship.”


He was emphatic that “I cannot ever return to Belize …. there is no hope for my life if I am ever returned to Belize.”


“If I am returned,” he said, “bad things will clearly happen to me.”


He descibed the health problems that had him briefly hospitalized earlier this week after Guatemalan authorities detained him for entering the country illegally. He apparently snuck in across a rural, unguarded spot along the border.


“I did not eat for two days, I drank very little liquids, and for the first time in many years I’ve been smoking almost non-stop,” he said. “I stood up, passed out hit my head on the wall, came to,” though he now said he was feeling better.


McAfee praised the role his 20-year-old Belizean girlfriend, Samantha Vanegas, played in his escape from Belize, where he claims he is being persecuted by corrupt politicians. Authorities in Belize deny that they are persecuting him and have questioned his mental state.


“Sam saved the day many times” during their escape, he said, and suggested he would take her with him to the United States if he is allowed to go there.


He confirmed that journalists from Vice magazine who accompanied him on his escape after weeks of hiding in Belize had unwittingly posted photos with embedded data that revealed his exact location.


“It was an error anyone could make,” he said, noting they were under a lot of pressure at the time.


McAfee has led an eccentric life since he sold his stake in the anti-virus software company named after him in the early 1990s and moved to Belize about three years ago to lower his taxes.


He told The New York Times in 2009 that he had lost all but $ 4 million of his $ 100 million fortune in the U.S. financial crisis. However, a story on the Gizmodo website quoted him as describing that claim as “not very accurate at all.”


McAfee’s Guatemalan attorney, Telesforo Guerra, says that he has filed three separate legal appeals in the hope that his client can stay in Guatemala, where his political asylum request was rejected.


Guerra said he filed an appeal for a judge to make sure McAfee’s physical integrity is protected, an appeal against the asylum denial and a petition with immigration officials to allow his client to stay in this Central American country indefinitely.


The appeals could take several days to resolve, Guerra said. He added that he could still use several other legal resources but wouldn’t give any other details.


Fredy Viana, a spokesman for the Immigration Department, said that before the agency looks into the request to allow McAfee to stay in Guatemala, a judge must first deal with the appeal asking that authorities make sure McAfee’s physical integrity is protected.


“We won’t look into (allowing him to stay) until the other appeal is resolved,” Viana said. “The law gives me 30 days to resolve the issue.”


McAfee went on the run last month after Belizean officials tried to question him about the killing of Gregory Viant Faull, who was shot to death in early November.


McAfee acknowledges that his dogs were bothersome and that Faull had complained about them, but denies killing Faull. Faull’s home was a couple of houses down from McAfee’s compound in Ambergris Caye, off Belize’s Caribbean coast.


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Hug It Out: Public Charter and District Schools Given $25 Million to Get Along

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If you need a loan, ask Bill and Melinda Gates. Or better yet, ask one of the seven cities that are splitting a new $ 25 million grant courtesy of the couple’s philanthropic foundation.


The funds are going to promote cross collaboration between charter and district schools, which have previously operated in a strict and contentious independence from one another.






The foundation announced the award this week, and the cities benefiting are Boston, Denver, Hartford (CT), New Orleans, New York City, Philadelphia and Spring Branch (TX).


How did they get so lucky? They’re among a group of 16 communities that signed the Gates-sponsored “District-Charter Collaboration Compacts” pledging for an open-source collaboration between public charter and district public schools.


Communication between these two models is unusual to say the least; they’ve had a long and illustrious history of battling each other over tax dollars, students and even building space.


But when charter schools first opened 20 years ago, their original purpose was to create an experimental educational space which would then share its best methods with public district schools. Instead, the two grew into rivals and critics of each are vehemently opposed to the other.


Among the complaints, charter schools are seen as selfishly siphoning off the most motivated students from the district while upholding a rich-poor educational divide and failing to live up to the promise of a better education. Others say its district schools that are the issue for their unionized teacher complacency and a consistent inability to keep a large margin of students from falling through the cracks.


In truth, neither system is a slam-dunk, and both are experiencing closures nationwide due to underperformance.


The goal of the District-Charter Collaboration Compacts is to restore the original relationship of the two camps, effectively establishing a regular protocol of sharing their best practices, innovations and resources.


Don Shalvey, the deputy director at teh Gates Foundation told The New York Times, “It took Microsoft and Apple 10 years to learn to talk. So it’s not surprising that it took a little bit longer for charters and other public schools. It’s pretty clear there is more common ground than battleground.”


But what will this grand collaboration yield? If all goes according to plan, students from both camps will benefit from new teacher effectiveness practices, college-ready tools and supports, and innovative instructional delivery systems.


According to the Gates Foundation, only one-third of students meet the criteria of college ready by the time they graduate. And most of the kids who don’t are often minority students from lower income areas. By creating collaborative aims with charter and district, kids from all over can have access to a wider swath of teaching frameworks and curriculums. 


Related Stories on TakePart:


• Public Dollars for Private Schools? Voices from the Voucher Debate


• School Vouchers: The Debate Heats Up Across the U.S.


• Howard Fuller: One of the Most Powerful Educators in America



A Bay Area native, Andri Antoniades previously worked as a fashion industry journalist and medical writer.  In addition to reporting the weekend news on TakePart, she volunteers as a webeditor for locally-based nonprofits and works as a freelance feature writer for TimeOutLA.com. Email Andri | @andritweets | TakePart.com


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Springsteen, Lady Gaga join Stones concert in NJ

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NEW YORK (AP) — Bruce Springsteen, Lady Gaga and The Black Keys will join the Rolling Stones on Saturday for the final concert marking the band’s 50th anniversary.


The concert will be held at the Prudential Center in Newark, N.J.






The band said Monday the concert will be telecast live on pay-per-view.


The Stones have played in London and New York on their “50 and Counting” tour. They will also play in Newark on Thursday.


The Stones will perform Wednesday at the “12-12-12″ concert at Madison Square Garden in New York City to raise money for victims of Superstorm Sandy.


___


Online:


http://www.rollingstones.com/


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UK chooses doctor as new head of NICE

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LONDON (Reuters) – Britain’s health ministry named a former practising doctor, David Haslam, as the preferred candidate to chair the country’s healthcare cost-effectiveness watchdog NICE on Monday.


Haslam will take over as chairman of the renamed National Institute for Health and Care Excellence (NICE) from Michael Rawlins, assuming he passes scrutiny by a committee of MPs.






Rawlins, who has chaired NICE since its creation in 1999, is due to step down in March 2013.


During his time at the helm of the agency, Rawlins has made NICE a powerful force in the pharmaceutical industry with its hard-nosed approach to deciding whether or not pricey new drugs should be used on the state health service.


Haslam, who already leads the NICE Evidence Accreditation Advisory Board, is the immediate past president of the British Medical Association.


NICE will change its official title from the National Institute for Health and Clinical Excellence next year.


(Reporting by Ben Hirschler; editing by Kate Kelland)


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SEAL Team Six member dies in rescue of American doctor

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One of the Special Operations troops involved in the raid to free an
American doctor from the Taliban in eastern Afghanistan died of his
wounds today.

A U.S. official confirmed the service member killed in the raid was a member of SEAL Team Six, the same unit that killed Osama bin Laden in May 2011.



"I was deeply saddened to learn that a U.S. service member was killed in the operation, and I also want to extend my condolences to his family, teammates and friends," Defense Secretary Leon Panetta said in a statement released today. "The special operators who conducted this raid knew they were putting their lives on the line to free a fellow American from the enemy's grip. They put the safety of another American ahead of their own, as so many of our brave warriors do every day and every night. In this fallen hero, and all of our special operators, Americans see the highest ideals of citizenship, sacrifice and service upheld. The torch of freedom burns brighter because of them."



President Obama also praised the Special Operations force for their bravery.



"Yesterday, our special operators in Afghanistan rescued an American citizen in a mission that was characteristic of the extraordinary courage, skill and patriotism that our troops show every day," he said today.



"Tragically, we lost one of our special operators in this effort," he said. "Our thoughts and prayers go out to his family, just as we must always honor our troops and military families. He gave his life for his fellow Americans, and he and his teammates remind us once more of the selfless service that allows our nation to stay strong, safe and free."



Dr. Dilip Joseph and two colleagues were kidnapped Dec. 5 by a group of armed men while returning from a visit to a rural medical clinic in eastern Kabul Province, according to a statement from their employer, Colorado Springs-based Morning Star Development. The statement said the three were eventually taken to a mountainous area about 50 miles from the border with Pakistan.



Morning Star's crisis management team in Colorado Springs was in contact with the hostages and their captors almost immediately, the statement said.



On Saturday evening in Afghanistan, two of the three hostages were released. Morning Star did not release their names in order to protect their identities. Dr. Joseph remained in captivity.



Gen. John R. Allen, the commander of U.S. forces in Afghanistan, ordered the mission to rescue Joseph when "intelligence showed that Joseph was in imminent danger of injury or death", according to a military press release.



Morning Star said Joseph was in good condition and will probably return home to Colorado Springs in the next few days.



A Defense Department official told ABC that Joseph can walk, but was beaten up by his captors.



Joseph has worked for Morning Star Development for three years, the organization said, and travels frequently to Afghanistan.



"Morning Star Development does state categorically that we paid no ransom, money or other consideration to the captors or anyone else to secure the release of these hostages," the organization said.

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Peru’s capital highly vulnerable to major quake

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LIMA, Peru (AP) — The earthquake all but flattened colonial Lima, the shaking so violent that people tossed to the ground couldn’t get back up. Minutes later, a 50-foot (15-meter) wall of Pacific Ocean crashed into the adjacent port of Callao, killing all but 200 of its 5,000 inhabitants. Bodies washed ashore for weeks.


Plenty of earthquakes have shaken Peru‘s capital in the 266 years since that fateful night of Oct. 28, 1746, though none with anything near the violence.












The relatively long “seismic silence” means that Lima, set astride one of the most volatile ruptures in the Earth’s crust, is increasingly at risk of being hammered by a one-two, quake-tsunami punch as calamitous as what devastated Japan last year and traumatized Santiago, Chile, and its nearby coast a year earlier, seismologists say.


Yet this city of 9 million people is sorely unprepared. Its acute vulnerability, from densely clustered, unstable housing to a dearth of first-responders, is unmatched regionally. Peru’s National Civil Defense Institute forecasts up to 50,000 dead, 686,000 injured and 200,000 homes destroyed if Lima is hit by a magnitude-8.0 quake.


“In South America, it is the most at risk,” said architect Jose Sato, director of the Center for Disaster Study and Prevention, or PREDES, a non-governmental group financed by the charity Oxfam that is working on reducing Lima’s quake vulnerability.


Lima is home to a third of Peru’s population, 70 percent of its industry, 85 percent of its financial sector, its entire central government and the bulk of international commerce.


“A quake similar to what happened in Santiago would break the country economically,” said Gabriel Prado, Lima’s top official for quake preparedness. That quake had a magnitude of 8.8.


Quakes are frequent in Peru, with about 170 felt by people annually, said Hernando Tavera, director of seismology at the country’s Geophysical Institute. A big one is due, and the chances of it striking increase daily, he said. The same collision of tectonic plates responsible for the most powerful quake ever recorded, a magnitude-9.5 quake that hit Chile in 1960, occurs just off Lima’s coast, where about 3 inches of oceanic crust slides annually beneath the continent.


A 7.5-magnitude quake in 1974 a day’s drive from Lima in the Cordillera Blanca range killed about 70,000 people as landslides buried villages. Seventy-eight people died in the capital. In 2007, a 7.9-magnitude quake struck even closer, killing 596 people in the south-central coastal city of Pisco.


A shallow, direct hit is the big danger.


More than two in five Lima residents live either in rickety structures on unstable, sandy soil and wetlands that amplify a quake’s destructive power or in hillside settlements that sprang up over a generation as people fled conflict and poverty in Peru’s interior. Thousands are built of colonial-era adobe.


Most quake-prone countries have rigorous building codes to resist seismic events. In Chile, if engineers and builders don’t adhere to them they can face prison. Not so in Peru.


“People are building with adobe just as they did in the 17th century,” said Carlos Zavala, director of Lima’s Japanese-Peruvian Center for Seismic Investigation and Disaster Mitigation.


Environmental and human-made perils compound the danger.


Situated in a coastal desert, Lima gets its water from a single river, the Rimac, which a landslide could easily block. That risk is compounded by a containment pond full of toxic heavy metals from an old mine that could rupture and contaminate the Rimac, said Agustin Gonzalez, a PREDES official advising Lima’s government.


Most of Lima’s food supply arrives via a two-lane highway that parallels the river, another potential chokepoint.


Lima’s airport and seaport, the key entry points for international aid, are also vulnerable. Both are in Callao, which seismologists expect to be scoured by a 20-foot (6-meter) tsunami if a big quake is centered offshore, the most likely scenario.


Mayor Susana Villaran’s administration is Lima’s first to organize a quake-response and disaster mitigation plan. A February 2011 law obliged Peru’s municipalities to do so. Yet Lima’s remains incipient.


“How are the injured going to be attended to? What is the ability of hospitals to respond? Of basic services? Water, energy, food reserves? I don’t think this is being addressed with enough responsibility,” said Tavera of the Geophysical Institute.


By necessity, most injured will be treated where they fall, but Peru’s police have no comprehensive first-aid training. Only Lima’s 4,000 firefighters, all volunteers, have such training, as does a 1,000-officer police emergency squadron.


But because the firefighters are volunteers, a quake’s timing could influence rescue efforts.


“If you go to a fire station at 10 in the morning there’s hardly anyone there,” said Gonzalez, who advocates a full-time professional force.


In the next two months, Lima will spend nearly $ 2 million on the three fire companies that cover downtown Lima, its first direct investment in firefighters in 25 years, Prado said. The national government is spending $ 18 million citywide for 50 new fire trucks and ambulances.


But where would the ambulances go?


A 1997 study by the Pan American Health Organization found that three of Lima’s principal public hospitals would likely collapse in a major quake, but nothing has been done to reinforce them.


And there are no free beds. One public hospital, Maria Auxiliadora, serves more than 1.2 million people in Lima’s south but has just 400 beds, and they are always full.


Contingency plans call for setting up mobile hospitals in tents in city parks. But Gonzalez said only about 10,000 injured could be treated.


Water is also a worry. The fire threat to Lima is severe — from refineries to densely-backed neighborhoods honeycombed with colonial-era wood and adobe. Lima’s firefighters often can’t get enough water pressure to douse a blaze.


“We should have places where we can store water not just to put out fires but also to distribute water to the population,” said Sato, former head of the disaster mitigation department at Peru’s National Engineering University.


The city’s lone water-and-sewer utility can barely provide water to one-tenth of Lima in the best of times.


Another big concern: Lima has no emergency operations center and the radio networks of the police, firefighters and the Health Ministry, which runs city hospitals, use different frequencies, hindering effective communication.


Nearly half of the city’s schools require a detailed evaluation to determine how to reinforce them against collapse, Sato said.


A recent media blitz, along with three nationwide quake-tsunami drills this year, helped raise consciousness. The city has spent more than $ 77 million for retention walls and concrete stairs to aid evacuation in hillside neighborhoods, Prado said, but much more is needed.


At the biggest risk, apart from tsunami-vulnerable Callao, are places like Nueva Rinconada.


A treeless moonscape in the southern hills, it is a haven for economic refugees who arrive daily from Peru’s countryside and cobble together precarious homes on lots they scored into steep hillsides with pickaxes.


Engineers who have surveyed Nueva Rinconada call its upper reaches a death trap. Most residents understand this but say they have nowhere else to go.


Water arrives in tanker trucks at $ 1 per 200 liters (52 gallons) but is unsafe to drink unless boiled. There is no sanitation; people dig their own latrines. There are no streetlamps, and visibility is erased at night as Lima’s bone-chilling fog settles into the hills.


Homes of wood, adobe and straw matting rest on piled-rock foundations that engineers say will crumble and rain down on people below in a major quake.


A recently built concrete retaining wall at the valley’s head lies a block beneath the thin-walled wood home of Hilarion Lopez, a 55-year-old janitor and community leader. It might keep his house from sliding downhill, but boulders resting on uphill slopes could shake loose and crush him and his neighbors.


“We’ve made holes and poured concrete around some of the more unstable boulders,” he says, squinting uphill in a strong late morning sun.


He’s not so worried if a quake strikes during daylight.


“But if I get caught at night? How do I see a rock?”


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Associated Press writer Franklin Briceno contributed to this report.


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Frank Bajak on Twitter: http://twitter.com/fbajak


Latin America News Headlines – Yahoo! News


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