EU drug regulator OKs Novartis' meningitis B shot

LONDON (AP) — Europe's top drug regulator has recommended approval for the first vaccine against meningitis B, made by Novartis AG.

There are five types of bacterial meningitis. While vaccines exist to protect against the other four, none has previously been licensed for type B meningitis. In Europe, type B is the most common, causing 3,000 to 5,000 cases every year.

Meningitis mainly affects infants and children. It kills about 8 percent of patients and leaves others with lifelong consequences such as brain damage.

In a statement on Friday, Andrin Oswald of Novartis said he is "proud of the major advance" the company has made in developing its vaccine Bexsero. It is aimed at children over two months of age, and Novartis is hoping countries will include the shot among the routine ones for childhood diseases such as measles.

Novartis said the immunization has had side effects such as fever and redness at the injection site.

Recommendations from the European Medicines Agency are usually adopted by the European Commission. Novartis also is seeking to test the vaccine in the U.S.

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Israel hits Hamas buildings, shoots down Tel Aviv-bound rocket

GAZA/JERUSALEM (Reuters) - Israeli aircraft bombed Hamas government buildings in Gaza, and the "Iron Dome" defense system shot down a Tel Aviv-bound rocket on Saturday as Israel geared up for a possible ground invasion.

Hamas, the Palestinian Islamist group that runs the Gaza Strip, said Israeli missiles wrecked the office building of Prime Minister Ismail Haniyeh - where he had met on Friday with the Egyptian prime minister - and struck a police headquarters.

Along the Tel Aviv beachfront, volleyball games came to an abrupt halt and people crouched as sirens sounded. Two interceptor rockets streaked into the sky. A flash and an explosion followed as Iron Dome, deployed only hours earlier near the city, destroyed the incoming projectile in mid-air.

With Israeli tanks and artillery positioned along the Gaza border and no end in sight to hostilities now in their fourth day, Tunisia's foreign minister travelled to the enclave in a show of Arab solidarity.

In Cairo, a presidential source said Egyptian President Mohamed Mursi would hold four-way talks with the Qatari emir, the prime minister of Turkey and Hamas chief Khaled Meshaal in the Egyptian capital on Saturday to discuss the Gaza crisis.

Egypt has been working to reinstate calm between Israel and Hamas after an informal ceasefire brokered by Cairo unraveled over the past few weeks. Meshaal, who lives in exile, has already held a round of talks with Egyptian security officials.

Officials in Gaza said 43 Palestinians, nearly half of them civilians including eight children, had been killed since Israel began its air strikes. Three Israeli civilians were killed by a rocket on Thursday.

Israel unleashed its massive air campaign on Wednesday with the declared goal of deterring Hamas from launching rockets that have plagued its southern communities for years.

The Israeli army said it had zeroed in on a number of government buildings during the night, including Haniyeh's office, the Hamas Interior Ministry and a police compound.

Taher al-Nono, a spokesman for the Hamas government, held a news conference near the rubble of the prime minister's office and pledged: "We will declare victory from here."

Hamas's armed wing claimed responsibility for Saturday's rocket attack on Tel Aviv, the third against the city since Wednesday. It said it fired an Iranian-designed Fajr-5 at the coastal metropolis, some 70 km (43 miles) north of Gaza.

"Well that wasn't such a big deal," said one woman, who had watched the interception while clinging for protection to the trunk of a baby palm tree on a traffic island.

In the Israeli Mediterranean port of Ashdod, a rocket ripped into several balconies. Police said five people were hurt.

Among those killed in airstrikes on Gaza on Saturday were at least four suspected militants riding on motorcycles.

Israel's operation has drawn Western support for what U.S. and European leaders have called Israel's right to self-defense, along with appeals to avoid civilian casualties.

Hamas, shunned by the West over its refusal to recognize Israel, says its cross-border attacks have come in response to Israeli strikes against Palestinian fighters in Gaza.

RESERVIST CALL-UP

At a late night session on Friday, Israeli cabinet ministers decided to more than double the current reserve troop quota set for the Gaza offensive to 75,000, political sources said, in a signal Israel was edging closer to an invasion.

Around 16,000 reservists have already been called up.

Asked by reporters whether a ground operation was possible, Major-General Tal Russo, commander of the Israeli forces on the Gaza frontier, said: "Definitely."

"We have a plan ... it will take time. We need to have patience. It won't be a day or two," he added.

A possible move into the densely populated Gaza Strip and the risk of major casualties it brings would be a significant gamble for Prime Minister Benjamin Netanyahu, favorite to win a January national election.

Hamas fighters are no match for the Israeli military. The last Gaza war, involving a three-week long Israeli air blitz and ground invasion over the New Year period of 2008-09, killed over 1,400 Palestinians, mostly civilians. Thirteen Israelis died.

But the Gaza conflagration has stirred the pot of a Middle East already boiling from two years of Arab revolution and a civil war in Syria that threatens to spread beyond its borders.

"Israel should understand that many things have changed and that lots of water has run in the Arab river," Tunisian Foreign Minister Rafik Abdesslem said as he surveyed the wreckage from a bomb-blast site in central Gaza.

One major change has been the election of an Islamist government in Cairo that is allied with Hamas, potentially narrowing Israel's manoeuvering room in confronting the Palestinian group. Israel and Egypt made peace in 1979.

"DE-ESCALATION"

Netanyahu spoke late on Friday with U.S. President Barack Obama for the second time since the offensive began, the prime minister's office said in a statement.

"(Netanyahu) expressed his deep appreciation for the U.S. position that Israel has a right to defend itself and thanked him for American aid in purchasing Iron Dome batteries," the statement added.

The two leaders have had a testy relationship and have been at odds over how to curb Iran's nuclear program.

A White House official said on Saturday Obama called Turkish Prime Minister Tayyip Erdogan to discuss how the two countries could help bring an end to the Gaza conflict.

Ben Rhodes, White House deputy national security adviser, told reporters that Washington "wants the same thing as the Israelis want", an end to rocket attacks from Gaza. He said the United States is emphasizing diplomacy and "de-escalation".

In Berlin, a spokesman for German Chancellor Angela Merkel said she had spoken to Netanyahu and Egypt's Mursi, stressing to the Israeli leader that Israel had a right to self-defense and that a ceasefire must be agreed as soon as possible to avoid more bloodshed.

U.N. Secretary-General Ban Ki-moon is expected to visit Israel and Egypt next week to push for an end to the fighting in Gaza, U.N. diplomats said on Friday.

The Israeli military said 492 rockets fired from Gaza have hit Israel since the operation began. Iron Dome intercepted another 245.

In Jerusalem, targeted by a Palestinian rocket on Friday for the first time in 42 years, there was little outward sign on the Jewish Sabbath that the attack had any impact on the usually placid pace of life in the holy city.

Some families in Gaza have abandoned their homes - some of them damaged and others situated near potential Israeli targets - and packed into the houses of friends and relatives.

(Additional reporting by Dan Williams and Douglas Hamilton in Tel Aviv, Allyn Fisher-Ilan in Jerusalem, Jeff Mason aboard Air Force One, Writing by Jeffrey Heller; editing by Crispian Balmer)

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Pakistan releases son of Afghan militant leader

PESHAWAR, Pakistan (AP) — The son of a legendary Afghan mujahedeen leader was among a group of Taliban prisoners released by Pakistan to help jumpstart peace negotiations with the militant group, the man's cousin and a family friend said Friday.

The decision to release the prisoners is seen as a signal to neighboring Afghanistan that Pakistan might be willing to take concrete steps to revive efforts to lure the group to the negotiating table.

Pakistan released Anwarul Haq Mujahid on Thursday, and he joined his family in the northwestern Pakistani city of Peshawar, said the cousin and family friend, speaking on condition of anonymity because they were not authorized to talk to the media.

Mujahid is the son of the late Maulvi Mohammad Yunus Khalis who fought against the Soviets in Afghanistan in the 1980s. Khalis, who was once invited to the White House by former President Ronald Regan, died in 2006.

Afghan officials said Thursday that Pakistan freed eight Taliban prisoners and agreed to release many more. Mujahid was not among the eight listed by the Afghan officials, which means at least nine prisoners have been freed.

The most prominent prisoner freed was former Justice Minister Nooruddin Turabi who served when the Taliban ruled Afghanistan.

The U.S. and its allies fighting in Afghanistan are pushing to strike a peace deal with the Taliban so they can withdraw most of their troops by the end of 2014. The prisoner release could help, but considerable obstacles remain. It is unclear whether the Taliban even intend to take part in the process, rather than just wait until foreign forces withdraw.

Pakistan is seen as key to the peace process. Islamabad has ties to the Taliban that date back to the 1990s, and many of the group's leaders are believed to be based on Pakistani territory, having fled there following the U.S.-led invasion of Afghanistan in 2001.

Also Friday, a Pakistani lawyer accused the military of sending thugs to beat him up after he challenged the army chief in court.

Inam Ur Raheem, a retired military lawyer, said three vehicles surrounded his taxi Wednesday night in the garrison city of Rawalpindi. Several unidentified men jumped out and attacked him with sticks, leaving him with cuts and bruises. He claimed they said they were there to teach him a lesson.

The attack came a day after Raheem filed a petition in the Islamabad High Court challenging the validity of a three-year extension given to army chief Gen. Ashfaq Parvez Kayani in 2010.

The army denied any role in the attack Friday, calling Raheem's allegations baseless.

The New York Times first reported the attack Thursday.

____

Associated Press writer Munir Ahmed contributed to this report from Islamabad.

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Judge grants Miley Cyrus civil restraining order

LOS ANGELES (AP) — A judge has granted Miley Cyrus a three-year civil restraining order against a man convicted of trespassing at her home in Los Angeles.

The stay-away order was granted Friday against Jason Luis Rivera by Superior Court Judge William D. Stewart.

The 40-year-old Rivera was convicted in October of trespassing at the singer's home and sentenced to 18 months in jail.

He is scheduled to be released in May. Authorities said at the time of Rivera's arrest in September that he was carrying scissors and ran into the wall of Cyrus' home as if trying to break in.

Rivera did not respond to Cyrus' petition.

The 20-year-old former star of "Hannah Montana" did not attend the hearing. Her attorney Bryan Sullivan declined comment.

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EU drug regulator OKs Novartis' meningitis B shot

LONDON (AP) — Europe's top drug regulator has recommended approval for the first vaccine against meningitis B, made by Novartis AG.

There are five types of bacterial meningitis. While vaccines exist to protect against the other four, none has previously been licensed for type B meningitis. In Europe, type B is the most common, causing 3,000 to 5,000 cases every year.

Meningitis mainly affects infants and children. It kills about 8 percent of patients and leaves others with lifelong consequences such as brain damage.

In a statement on Friday, Andrin Oswald of Novartis said he is "proud of the major advance" the company has made in developing its vaccine Bexsero. It is aimed at children over two months of age, and Novartis is hoping countries will include the shot among the routine ones for childhood diseases such as measles.

Novartis said the immunization has had side effects such as fever and redness at the injection site.

Recommendations from the European Medicines Agency are usually adopted by the European Commission. Novartis also is seeking to test the vaccine in the U.S.

Read More..

Blast rocks Gulf oil rig, at least two missing

Ships and helicopters are searching for two oil rig workers who disappeared when an explosion rocked a gulf oil rig off the coast of Louisiana and set it on fire, Coast Guard officials said.

Eleven other crew members were flown to hospitals, and four of them are listed in critical condition. No one has been confirmed dead.

Earlier reports by the Coast Guard that as many as 15 people were unaccounted for were resolved as the workers were located.

Among the injured were four who were airlifted for medical treatment to the West Jefferson Medical Center, where they are in critical condition after suffering serious burns. All four are intubated and will be evacuated to Baton Rouge Burn Center when they are stabilized, according to West Jefferson spokesman Taslin Alfonzo.

Three helicopters and two rescue boats are scouring the water looking for the missing crew members, according to Ed Cubanski, chief of the U.S. Coast Guard response.

The Coast Guard said that a Black Elk Energy Co. oil and natural gas platform caught fire after workers using a torch cut a line that had 28 gallons of oil in it, causing an explosion.

Black Elk's CEO, John Hoffman, said that the wrong tool was used in cutting the line. Contract workers should have used a saw instead of a torch, which caught vapors and caused the blast. The workers were employees of Grand Isle Shipyard, not Black Elk, he said. All of the individuals were men.

The rig was offline for maintenance and was scheduled to go back online for production later this month.

There were 22 people on board at the time of the explosion, according to the Coast Guard.

An oil sheen a half mile long and 200 yards wide has spread over the water surrounding the platform, which sits in 56 feet of water. The platform was shut down for the work at the time of the accident, Cubanski said.

The platform was located about 20 nautical miles southeast of Grand Isle, La., when the explosion happened, Vega said.

The explosion and fire comes the day after BP agreed to a $4 billion settlement for the 2010 Deepwater Horizon explosion in the gulf, triggering the worst offshore oil spill in the country's history.

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Afghan officials: Pakistan frees Taliban detainees

KABUL, Afghanistan (AP) — Pakistan has freed eight Taliban prisoners and has agreed to release many more to help kick start a peace process that could lead to a political resolution of the 11-year-old Afghan war, Afghan officials said Thursday.

The decision to release the prisoners, including the former justice minister from when the repressive Taliban ruled Afghanistan, is seen as a signal that neighboring Pakistan might be willing to take concrete steps to revive efforts to lure the group to the negotiating table.

The three Afghan officials, who spoke on condition of anonymity as they are not yet authorized to discuss the results of the sensitive meetings in Islamabad, are familiar with the four-day trip that the Afghan government's peace council made there this week.

The U.S. and its allies fighting in Afghanistan are pushing to strike a peace deal with the Taliban so they can withdraw most of their troops by the end of 2014. But considerable obstacles remain, and it is unclear whether the Taliban even intend to take part in the process, rather than just wait until foreign forces withdraw.

Pakistan is seen as key to the peace process. Islamabad has ties to the Taliban that date back to the 1990s, and many of the group's leaders are believed to be based on Pakistani territory, having fled there following the U.S.-led invasion of Afghanistan in 2001.

The officials said the first group of prisoners was released on Wednesday as a goodwill gesture, and that Pakistani officials had agreed to free anywhere from 15 to 32 more prisoners in the future to help build traction for formal talks with the Taliban.

Two of the officials said former Taliban Justice Minister Nooruddin Turabi was among those released on Wednesday. Turabi, a native of Kandahar who is in his late 40s or early 50s, is missing an eye and has only one leg. He is believed to have played a role in the destruction of two, 1,500-year-old sandstone Buddha statues that once towered some 180 feet high in central Afghanistan. The Taliban, who considered them symbols of paganism, destroyed them in 2001.

A joint statement issued by Pakistan and Afghanistan on Wednesday said "a number of Taliban detainees are being released" to support the peace process at the request of the Afghan government. It also called on the Taliban and other armed opposition groups to participate in peace talks and sever links with al-Qaida. Neither the Pakistani nor Afghan governments have officially confirmed the identities of the prisoners released.

However, one of the officials familiar with the peace process gave The Associated Press a list of the Taliban prisoners — some identified by only one name — that Pakistan agreed to release. The eight prisoners on the list were:

—Turabi.

—Jahangirwal, who was a special assistant for the Taliban's top leader, Mullah Omar.

—Qutub, a Taliban leader.

—Abdul Salaam, the Taliban's former governor of Baghlan province.

—Maulvi Matiullah, who was director of the customs house in Kabul under the Taliban regime;

—Mahamad, the Taliban's former governor of Kunduz province.

—Sayed Saduddin Agha, a former Taliban commander.

—Allah Dad, the Taliban's former deputy minister of communication.

The eight are among 40 Taliban prisoners that the Afghan government has asked Pakistan to release.

Also on the list of 40 is the Taliban's former deputy leader, Mullah Abdul Ghani Baradar, who was captured in Pakistan in 2010.

Baradar is seen by some as crucial to the peace process. Baradar was reportedly conducting talks with the Afghan government that were kept secret from the Pakistanis, and his arrest in the sprawling southern port city of Karachi reportedly angered Afghan President Hamid Karzai.

Pakistan helped the Taliban seize control of Afghanistan in the 1990s — providing funding, weapons and intelligence — and the Afghan government and the U.S. have accused Islamabad of continuing to support the group. Pakistan has denied the allegations, but many analysts believe the country continues to see the militant group as an important ally in Afghanistan to counter archenemy India.

However, Pakistan is also worried about instability in Afghanistan following the planned withdrawal of foreign forces. If civil war breaks out again as it did in the 1990s, hundreds of thousands of Afghan refugees could stream across the border into Pakistan. Violence could also give greater cover to Pakistani militants who are at war with Islamabad.

These concerns have made a peace deal more urgent in the minds of Pakistanis.

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Associated Press writers Kathy Gannon in Islamabad, Pakistan, and Deb Riechmann in Kabul contributed to this report.

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Belize prime minister says McAfee “bonkers,” should help in murder case

BELIZE CITY (Reuters) – Belize‘s prime minister on Wednesday urged anti-virus software pioneer John McAfee to help the country’s police with a murder inquiry, calling McAfee “bonkers” for recent media statements.

“I don’t want to be unkind, but he seems to be extremely paranoid – I would go so far as to say bonkers,” Prime Minister Dean Barrow said in Belize City. “He ought to man up and respect our laws and go in and talk to the police.”

Belizean police want to question McAfee, 67, about the murder of his neighbor and fellow U.S. citizen, Gregory Viant Faull, 52, with whom McAfee had quarreled.

Police have been unable to track down McAfee since finding Faull dead on Sunday in his house on Ambergris Caye, an island off the coast. In an interview on Tuesday, McAfee said he had gone into hiding because he believed Belizean authorities were trying to frame him for Faull’s murder.

“You can say I’m paranoid about it, but they will kill me, there is no question. They’ve been trying to get me for months,” Wired magazine’s website quoted McAfee as saying. “I am not well liked by the prime minister.

According to the magazine, which has published details of several interviews with the entrepreneur, McAfee says he has been riding in boats, hunkering down on the floorboards of taxis, and sleeping in a bed that he said was infested with lice.

Since he went into hiding, McAfee has repeatedly told Wired he had nothing to do with Faull’s death. Explaining his actions, McAfee said he does not want to give himself up because he is afraid the authorities will torture or kill him.

But McAfee said they would track him down in the end. On Wednesday, the magazine said that McAfee claimed to have dyed his hair, eyebrows, beard, and mustache jet black.

“I’ll probably look like a murderer, unfortunately,” it quoted him as saying.

PUBLIC SPOTLIGHT

Barrow called McAfee’s statements “nonsense,” noting he had “never met the man” and that the media attention McAfee had attracted was offering him “the best possible safeguard.”

“It’s not as if the police have said he is a suspect and certainly there is no question at this point of charges pending,” Barrow said. “The fact that this is smeared across international headlines means the police would have to act extremely cautiously in the full glare of the public spotlight.”

McAfee, who invented the anti-virus software that bears his name, has homes and businesses in Belize, and is believed to have settled around 2010 in the tiny Central American nation bordered by Mexico and Guatemala.

There is already a case pending in Belize against McAfee for possession of illegal firearms, and police previously suspected him of running a lab to make the synthetic drug crystal meth.

On Wednesday, Belizean police said they had charged McAfee’s British bodyguard William Mulligan, 29, and Mulligan’s wife, Stefanie, 22, for having unlicensed weapons and ammunition.

Barrow rejected statements made by McAfee and an associate that the software pioneer was being targeted for refusing to donate to Belize’s ruling United Democratic Party (UDP) to help fund its successful re-election bid in March.

“I know of no individual in the UDP who has spoken to McAfee about contributions,” Barrow said.

McAfee was one of Silicon Valley’s first entrepreneurs to build an Internet fortune. The ex-Lockheed systems consultant started McAfee Associates in 1989. He now has no relationship with the company, which was sold to Intel Corp.

(Writing by Gabriel Stargardter; Editing by Dave Graham and Eric Walsh)

Internet News Headlines – Yahoo! News

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Holidays become a cable TV industry

NEW YORK (AP) — If the holidays still seem a long way off, you clearly haven't done much television channel surfing lately.

The Hallmark channel has already begun two months of wall-to-wall holiday programming. Lifetime has ramped up its seasonal selections with 10 new made-for-TV movies, the first one airing last weekend. ABC Family's annual "25 Days of Christmas" programming isn't enough, so they do a "Countdown to 25 Days of Christmas," starting Sunday.

This is in addition to all the old favorites, from Charlie Brown to Frosty the Snowman, that will fill broadcast network schedules during the next month. An already popular television genre is growing in power, judging by the 22 new movies Hallmark and Lifetime are rolling out between them, and a new Disney holiday musical.

"This is a strategy that developed naturally from demand," said Rob Sharenow, executive vice president of programming at the Lifetime networks. "It's really giving people what they want."

A sneak preview of the movie "Christmas Song" on Hallmark Nov. 3 was a hit that left the network second behind ESPN in cable viewership at that time, the Nielsen company said. Hallmark's 2006 movie, "The Christmas Card," is still the network's most-watched original movie and will be repeated again this season.

"Others try and emulate and replicate and copy what we do, but because of our brand, no one can do it like we do," said Bill Abbott, president and CEO of the Hallmark Channels.

Lifetime's aggressive investment makes it the relative newcomer in this area. The longtime maker of TV movies that appeal to women is coming off its biggest success in years, October's "Steel Magnolia" remake with Queen Latifah, which surprised even network executives with its potency.

Its movies feature Mira Sorvino, Shelley Long, George Wendt and Lea Thompson. Wendt and Long play Mr. and Mrs. Santa Claus as they're about to meet their future daughter-in-law, Ralph Macchio is a former dance champion who comes back to win a Christmas Eve dance contest, and Thompson is featured in "Love at the Christmas Table."

Happy endings abound. Don't expect any holiday shootouts.

Beyond the new originals, Lifetime is airing more than 50 seasonal films, the biggest commitment in its history.

"In the times we're in, people want to feel good," Sharenow said. "People are definitely gravitating toward feel-good escapism and having fun and that's what these movies do. They're like little Christmas gifts."

Hallmark, part of a company that also sells Christmas cards, is a natural for holiday programming. This is the fourth year that the network essentially shuts down its regular programming for two full months to devote itself to the genre. The holiday focus began on Nov. 9 and ends Jan. 2.

There's a risk both in overkill and having fans get out of the habit of watching the network's regular shows, Abbott said, "but we have found over the years that our viewers really look forward to it and really want it."

Hallmark's original movies are premiering every Saturday and Sunday night heading into Christmas.

With titles like "Hitched for the Holidays," ''A Bride for Christmas," ''Matchmaker Santa," ''Come Dance With Me" and "Love at the Thanksgiving Day Parade," the focus is pretty clear.

While confident of the programming strategy's ultimate success, Abbott said it is clear that Hallmark has more competition. "We sleep with one eye open," he said.

ABC Family's holiday focus is primarily on movies that started in theaters, like "Home Alone" and "Elf." Its own production is "The Mistle-Tones," about a woman who creates her own Christmas singing group after being turned down for a spot in a well-known group.

The network's "countdown" programming includes the premiere of the movie "Home Alone: The Holiday Heist" on the Sunday after Thanksgiving.

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Diabetes rates rocket in Oklahoma, South

NEW YORK (AP) — The nation's diabetes problem is getting worse, and the biggest jump over 15 years was in Oklahoma, according to a new federal report issued Thursday.

The diabetes rate in Oklahoma more than tripled, and Kentucky, Georgia and Alabama also saw dramatic increases since 1995, the study showed.

The South's growing weight problem is the main explanation, said Linda Geiss, lead author of the report by the Centers for Disease Control and Prevention study.

"The rise in diabetes has really gone hand in hand with the rise in obesity," she said.

Bolstering the numbers is the fact that more people with diabetes are living longer because better treatments are available.

The disease exploded in the United States in the last 50 years, with the vast majority from obesity-related Type 2 diabetes. In 1958, fewer than 1 in 100 Americans had been diagnosed with diabetes. In 2010, it was about 1 in 14.

Most of the increase has happened since 1990.

Diabetes is a disease in which the body has trouble processing sugar; it's the nation's seventh leading cause of death. Complications include poor circulation, heart and kidney problems and nerve damage.

The new study is the CDC's first in more than a decade to look at how the nationwide boom has played out in different states.

It's based on telephone surveys of at least 1,000 adults in each state in 1995 and 2010. Participants were asked if a doctor had ever told them they have diabetes.

Not surprisingly, Mississippi — the state with the largest proportion of residents who are obese — has the highest diabetes rate. Nearly 12 percent of Mississippians say they have diabetes, compared to the national average of 7 percent.

But the most dramatic increases in diabetes occurred largely elsewhere in the South and in the Southwest, where rates tripled or more than doubled. Oklahoma's rate rose to about 10 percent, Kentucky went to more than 9 percent, Georgia to 10 percent and Alabama surpassed 11 percent.

Several Northern states saw rates more than double, too, including Washington, Idaho, Montana, Wyoming, South Dakota, Minnesota, Missouri, Ohio and Maine.

The study was published in CDC's Morbidity and Mortality Weekly Report.

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