Poisoned Lottery Winner's Kin Were Suspicious

Urooj Khan had just brought home his $425,000 lottery check when he unexpectedly died the following day. Now, certain members of Khan's family are speaking publicly about the mystery -- and his nephew told ABC News they knew something was not right.

"He was a healthy guy, you know?" said the nephew, Minhaj Khan. "He worked so hard. He was always going about his business and, the thing is: After he won the lottery and the next day later he passes away -- it's awkward. It raises some eyebrows."

The medical examiner initially ruled Urooj Khan, 46, an immigrant from India who owned dry-cleaning businesses in Chicago, died July 20, 2012, of natural causes. But after a family member demanded more tests, authorities in November found a lethal amount of cyanide in his blood, turning the case into a homicide investigation.

"When we found out there was cyanide in his blood after the extensive toxicology reports, we had to believe that ... somebody had to kill him," Minhaj Khan said. "It had to happen, because where can you get cyanide?"

In Photos: Biggest Lotto Jackpot Winners

Authorities could be one step closer to learning what happened to Urooj Khan. A judge Friday approved an order to exhume his body at Rosehill Cemetery in Chicago as early as Thursday to perform further tests.

Lottery Winner Murdered: Widow Questioned By Police Watch Video

Moments after the court hearing, Urooj Khan's sister, Meraj Khan, remembered her brother as the kind of person who would've shared his jackpot with anyone. Speaking at the Cook County Courthouse, she hoped the exhumation would help the investigation.

"It's very hard because I wanted my brother to rest in peace, but then we have to have justice served," she said, according to ABC News station WLS in Chicago. "So if that's what it takes for him to bring justice and peace, then that's what needs to be done."

Khan reportedly did not have a will. With the investigation moving forward, his family is waging a legal fight against his widow, Shabana Ansari, 32, over more than $1 million, including Urooj Khan's lottery winnings, as well as his business and real estate holdings.

Khan's brother filed a petition Wednesday to a judge asking Citibank to release information about Khan's assets to "ultimately ensure" that [Khan's] minor daughter from a prior marriage "receives her proper share."

Ansari may have tried to cash the jackpot check after Khan's death, according to court documents, which also showed Urooj Khan's family is questioning if the couple was ever even legally married.

Ansari, Urooj Khan's second wife, who still works at the couple's dry cleaning business, has insisted they were married legally.

She has told reporters the night before her husband died, she cooked a traditional Indian meal for him and their family, including Khan's daughter and Ansari's father. Not feeling well, Khan retired early, Ansari told the Chicago Sun-Times, falling asleep in a chair, waking up in agony, then collapsing in the middle of the night. She said she called 911.

"It has been an incredibly hard time," she told ABC News earlier this week. "We went from being the happiest the day we got the check. It was the best sleep I've had. And then the next day, everything was gone.

"I am cooperating with the investigation," Ansari told ABC News. "I want the truth to come out."

Ansari has not been named a suspect, but her attorney, Steven Kozicki, said investigators did question her for more than four hours.

Read More..

Quest: U.S. economy to dominate Davos

The United States and the sorry state of its political and budgetary process will be the center of attention at Davos, writes Quest

STORY HIGHLIGHTS

• Quest: Davos is a chance to see where the political and economic landmines are in 2013


• Quest: People will be speculating about how dysfunctional the U.S. political process has become


• Quest: Davos has been consumed by eurozone sovereign debt crises for three years

Editor's note: Watch Quest Means Business on CNN International, 1900pm GMT weekdays. Quest Means Business is presented by CNN's foremost international business correspondent Richard Quest. Follow him on Twitter.

(CNN) -- It is that time of the year, again. Come January no sooner have the Christmas trees been taken down, as the winter sales are in full vicious flood the world of business start thinking about going to the world economic forum, better known as Davos.

For the past three years Davos has been consumed by the eurozone sovereign debt crises.

As it worsened the speculation became ever more frantic.....Will Greece leave the euro? Will the eurozone even survive? Was this all just a big German trick to run Europe? More extreme, more dramatic, more nonsense.

Can China be the biggest engine of growth for the global economy. Round and round in circles we have gone on these subjects until frankly I did wonder if there was anything else to say short of it's a horrible mess!

This year there is a new bogey man. The US and in particular the sorry state of the country's political and budgetary process will, I have little doubt, be the center of attention.

Read more: More 'cliffs' to come in new Congress

Not just because Congress fluffed its big test on the fiscal cliff, but because in doing so it created many more deadlines, any one of which could be deeply unsettling to global markets... There is the $100 billion budget cutbacks postponed for two months by the recent agreement; postponed to the end of February.

At exactly the same time as the US Treasury's ability to rob Peter to pay Paul on the debt ceiling crises comes to a head.

Read more: Both Obama, GOP set for tough talks ahead

The Treasury's "debt suspension period" is an extraordinary piece of financial chicanery that if we tried it with our credit cards would get us locked up!! Then there is the expiration of the latest continuing resolution, the authority by which congress is spending money.

There is the terrifying prospect that all these budget woes will conflate into one big political fist fight as the US faces cutbacks, default or shutdown!!

I am being alarmist. Most rational people believe that the worst sting will be taken out of this tail....not before we have all been to the edge...and back. And that is what Davos will have on its mind.

People will be speculating about how dysfunctional the US political process has become and is it broken beyond repair (if they are not asking that then they should be...)

They will be pondering which is more serious for risk...the US budget and debt crises or the Eurozone sovereign debt debacle. A classic case of between the devil and the deep blue sea.

The official topic this year is Resilient Dynamism. I have absolutely no idea what this means. None whatsoever. It is another of WEF's ersatz themes dreamt up to stimulate debate in what Martin Sorrell has beautifully terms "davosian language" In short everyone interprets it as they will.

What I will enjoy, as I do every year, is the chance to hear the global players speak and the brightest and best thinkers give us their take on the global problems the atmosphere becomes febrile as the rock-stars of finance and economics give speeches, talk on panels and give insight.

Of course comes of these musings, it never does at Davos. That's not the point. This is a chance to take stock and see where the political and economic landmines are in 2013. I like to think of Davos as the equivalent of Control/Alt/Delete. It allows us to reboot.

We leave at least having an idea of where people stand on the big issues provided you can see through the panegyrics of self congratulatory back slapping that always takes place whenever you get like minded people in one place... And this year, I predict the big issue being discussed in coffee bars, salons and fondue houses will be the United States and its budgetary woes.

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Money talks at Obama's inauguration

WASHINGTON: As hundreds of thousands of Americans crowd the National Mall for President Barack Obama's second inauguration on January 21, the best seats will already be filled -- sold for a hefty price.

Obama limited individual donations to $50,000 for his first inaugural in 2009, and banned corporate donors as he sought to distance himself from special interests amid the historic swearing-in of the country's first black president.

His reticence over money did little to stop the flow of cash, however, and the new US leader racked up a record $53 million in private donations, much of it coming from the 1.8 million people who packed Washington for the event.

This second time around, such lofty intentions -- and Obama's pledge to have the most transparent US administration ever -- appear to have been shelved in advance, with companies invited to join in -- and fund -- the proceedings.

For the White House is throwing open the gates of largesse for supporters to contribute as much as $1 million for special access. The money could buy much more than a coveted seat near the president as he takes the oath of office.

"This is an avenue for special interests, especially wealthy corporations, to get their last chance to throw money at the feet of the president," Craig Holman, an expert on campaign finance reform, told AFP.

"The real intent is for the corporations to buy access and influence with the White House," added Holman, from consumer advocacy group Public Citizen.

In this year's invitations, copies of which were posted online by the Sunlight Foundation, an accountability group, the Presidential Inaugural Committee (PIC) formalized four different donation levels -- each with a name of one of the nation's founding fathers.

For $10,000 from individuals and $100,000 from business entities, "Madison" benefactors receive an invitation to a finance committee "road ahead" meeting, two tickets to a candlelight celebration on the eve of the inauguration, and a pair of tickets to the inaugural ball.

"Washington" contributors -- individuals who pay $250,000 and corporations that shell out $1 million -- gain "premium partner access" that also includes attendance at VIP receptions, seats for the inaugural parade, four ball tickets and passes to a concert with Stevie Wonder and Katy Perry.

Just who exactly will be buying in to such events, and how much will they be paying? Right now, it is a mystery.

In 2009, donors and their offerings were published on the Internet, but this year only the names are being disclosed in the short term. The amounts given will be published within 90 days of the inauguration.

A PIC spokesman said the lavish perks were offered to donors to get them to open their wallets one more time to help fund the inaugural festivities, after many of them contributed to the most expensive political race in US history.

The 2012 presidential campaign exceeded $2 billion, partly due to a Supreme Court case that lifted a cap on independent political spending by corporations.

Ironically, inauguration day will coincide with the second anniversary of the landmark Citizens United ruling, but funding fatigue may be setting in with the inaugural committee reportedly struggling to meet its $50 million target.

Private donations cover the party element of the inauguration, while taxpayers foot the bill for security.

According to a congressional report, more than 30,000 police were mobilized for the record inaugural crowd that jammed Washington's National Mall in 2009.

Authorities expect fewer people this year but security remains paramount -- dozens of streets will be closed to traffic and metal detectors will be used to scan the thousands ticketed guests.

The exact number of VIP donors is unknown, but a Department of Homeland Security report indicated that four years ago at least 750 were transported to the west front of the Capitol, where seats were reserved near the podium.

One donor perk that the Washington Post identified as a security breach in 2009 and will likely not be repeated this time around: some VIPs arranged to have their photo taken near the presidential limousine.

- AFP/ck

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Making job stress worth enduring

Defense Secretary Leon Panetta swears in reenlisting troops in Turkey. A survey found that military jobs tend to be the most stressful.

STORY HIGHLIGHTS

• Marci Alboher: Annual list of most stressful jobs drew attention


• She says the right issue is whether job rewards compensate for stress


• People who take on stressful jobs that help others report satisfaction, she says

Editor's note: Marci Alboher, is a Vice President of Encore.org, a nonprofit making it easier for people to pursue second acts for the greater good. Her latest book is, "The Encore Career Handbook: How to Make a Difference and a Living in the Second Half of Life" (Workman: January 2013).

(CNN) -- A recent study with a catchy headline about the most stressful jobs of 2013 found its way to the soft hour of news this week.

The annual study by careercast.com created some buzz in the online water cooler and I was asked to appear on the "Today" show to talk about it. Colleagues e-mailed me and posted on my Facebook page about where their chosen professions ranked. My media friends couldn't help noticing that public relations professionals, reporters and photojournalists all made it into the top 10 for stress.

The "study," referred to in quotes in some of the commentary, considered some logical criteria to come up with these rankings. Proximity to risk of death (yours or others'), travel, deadlines, working in the public eye and physical demands all racked up points on the stress scale. And there's no arguing that military personnel, firefighters and police officers -- all high-rankers on the most-stressed list -- are exposed to higher stakes than your typical seamstress (holder of the second-least stressful job slot).

Marci Alboher

The job that snagged the "least stressful" slot, according to the survey, was "university professor," a designation that caused outrage among people who actually hold that job. One commenter conceded that most academic jobs don't put you in personal danger (though you can argue that point), but anyone who's ever been around professors knows that faculty politics, difficult students and pressure to "publish or perish" can cause even the most calm character to crack.

We could debate whether these designations make any sense. And whether every police officer, firefighter and member of the military faces the same amount of stress.

But let's make sure we are having the right conversation. How many people choose a profession based on how high the stress level is? And how can you measure stress objectively? If you're prone to stress, perhaps you're just as likely to feel stressed out whether you work as a librarian, a massage therapist or a commercial airline pilot (No. 4 on the stress list).

People choose their line of work for a lot of reasons. For those who are committed to making our communities and the world safer and healthier for the rest of us, minimizing stress is probably not so high on their list of criteria. And it shouldn't be. Folks who choose helping jobs that may have a high level of stress are fueled by other motivators, like wanting their work to have meaning.

They aren't deterred by the fact that their job will likely come with stress. And some people are simply by their own nature and personalities drawn to work that may be to others, dauntingly stressful. How many FBI agents do you think would prefer a gig as an audiologist (sixth-least stressful job)?

When I talk to men and women in their 50s and 60s who've decided to take on encore careers as teachers, they tell me that the work is often exhausting and stressful. They are on their feet all day, often with inadequate resources, with kids who are themselves highly stressed; even those who come from leadership roles in other sectors say they've never worked harder. Yet they almost always tell me that doing something that matters to others -- and that puts them in touch with young people every day -- compensates for the added stress.

The same is true of those tackling some of the world's most intractable problems. When I talk to Stephen and Elizabeth Alderman, whose foundation trains health-care professionals around the world to work with victims of trauma, or Judith Broder, who founded The Soldiers Project, which works with returning veterans, they rarely talk about stress. Instead they talk about how they are compelled to do what they do, because moving the needle even a fraction is better than doing nothing.

Rather than discouraging people to take on jobs that might have a lot of stress, let's instead encourage those who are designed for those jobs to do them. And let's make sure to support our friends and family members who go down these paths.

It's hard to grab headlines in the crowded space of morning television, but a good survey with a catchy title will always do that. So let's use these kinds of surveys to have the right kinds of conversations. Like why so many jobs that keep us safe and healthy, and that care for our children and the environment rarely show up on lists of the most highly compensated jobs. Now there's a conversation I'd most like to be having.

Follow us on Twitter @CNNOpinion

Join us on Facebook/CNNOpinion

The opinions expressed in this commentary are solely those of Marci Alboher.

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Haiti quietly marks 3rd anniversary of quake

PORT-AU-PRINCE, Haiti President Michel Martelly urged Haitians to recall the tens of thousands of people who lost their lives in a devastating earthquake three years ago, marking the disaster's anniversary Saturday with a simple ceremony.

Martelly also thanked other countries and international organizations for their help after the Jan. 12, 2010 disaster.

"Haitian people, hand in hand, we remember what has gone," Martelly said as a gigantic Haitian flag flew half-mast before him on the front lawn of the former National Palace, a pile of tangled steel reinforcement bars nearby. "Hand in hand, we're remembering, we're remembering Jan. 12."

Clad in black, several dozen senior government officials gathered where the elegant white palace had stood before it collapsed in the temblor and was later demolished. Foreign diplomats and Czech supermodel Petra Nemcova, earlier named by Martelly as one of Haiti's goodwill ambassadors, were also there.

Haiti's President Michel Martelly, left, U.N. special envoy to Haiti and former President Bill Clinton (center), and Haiti's first lady Sophia Martelly attend a memorial service for victims of the 2010 earthquake, at Titanyen, a mass burial site north of Port-au-Prince, Haiti, Saturday, Jan. 12, 2013.

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AP Photo/Dieu Nalio Chery

In the speech, Martelly announced a government contest seeking designs for a monument to honor those who died in the quake. He also said the government had just released a new construction code aimed at ensuring new buildings are seismically resistant but didn't provide details.

Later in the day, Martelly, Prime Minister Laurent Lamothe and former U.S. president Bill Clinton placed a wreath at a mass burial site north of the capital of Port-au-Prince. Crosses that once spiked the makeshift grave have since vanished.

Haiti's previous presidential administration said 316,000 people were killed but no one really knows how many died. The disaster also displaced more than a million others.

A man sweeps an exposed tiled area of the earthquake-damaged Santa Ana Catholic church, where he now lives, in Port-au-Prince, Haiti, Saturday, Jan. 12, 2013.

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AP Photo/Dieu Nalio Chery

Most of the rubble created by the quake has since been carted away but more than 350,000 people still live in grim displacement camps.

Many people had hoped the reconstruction effort would have made more headway by now, but progress has been stymied by political paralysis, the scale of devastation and a trickle of aid.

Jan. 12 was observed as a national holiday the last two years to remember the quake. This year, the government said the day would no longer be a holiday but called for the Haitian flag to be flown at half-mast and for nightclubs and "similar establishments" to close.

The anniversary this year has been used by Haiti observers to criticize the reconstruction process and by foreign aid groups to promote their work and raise money.

But for some Haitians, it was just another day.

"We can't remain focused on Jan. 12th," said Asaie St. Louis, a 56-year-old teacher and devout church-goer, Bible in hand. "It's passed already."

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Poisoned Lottery Winner's Kin Were Suspicious

Urooj Khan had just brought home his $425,000 lottery check when he unexpectedly died the following day. Now, certain members of Khan's family are speaking publicly about the mystery -- and his nephew told ABC News they knew something was not right.

"He was a healthy guy, you know?" said the nephew, Minhaj Khan. "He worked so hard. He was always going about his business and, the thing is: After he won the lottery and the next day later he passes away -- it's awkward. It raises some eyebrows."

The medical examiner initially ruled Urooj Khan, 46, an immigrant from India who owned dry-cleaning businesses in Chicago, died July 20, 2012, of natural causes. But after a family member demanded more tests, authorities in November found a lethal amount of cyanide in his blood, turning the case into a homicide investigation.

"When we found out there was cyanide in his blood after the extensive toxicology reports, we had to believe that ... somebody had to kill him," Minhaj Khan said. "It had to happen, because where can you get cyanide?"

In Photos: Biggest Lotto Jackpot Winners

Authorities could be one step closer to learning what happened to Urooj Khan. A judge Friday approved an order to exhume his body at Rosehill Cemetery in Chicago as early as Thursday to perform further tests.

Lottery Winner Murdered: Widow Questioned By Police Watch Video

Moments after the court hearing, Urooj Khan's sister, Meraj Khan, remembered her brother as the kind of person who would've shared his jackpot with anyone. Speaking at the Cook County Courthouse, she hoped the exhumation would help the investigation.

"It's very hard because I wanted my brother to rest in peace, but then we have to have justice served," she said, according to ABC News station WLS in Chicago. "So if that's what it takes for him to bring justice and peace, then that's what needs to be done."

Khan reportedly did not have a will. With the investigation moving forward, his family is waging a legal fight against his widow, Shabana Ansari, 32, over more than $1 million, including Urooj Khan's lottery winnings, as well as his business and real estate holdings.

Khan's brother filed a petition Wednesday to a judge asking Citibank to release information about Khan's assets to "ultimately ensure" that [Khan's] minor daughter from a prior marriage "receives her proper share."

Ansari may have tried to cash the jackpot check after Khan's death, according to court documents, which also showed Urooj Khan's family is questioning if the couple was ever even legally married.

Ansari, Urooj Khan's second wife, who still works at the couple's dry cleaning business, has insisted they were married legally.

She has told reporters the night before her husband died, she cooked a traditional Indian meal for him and their family, including Khan's daughter and Ansari's father. Not feeling well, Khan retired early, Ansari told the Chicago Sun-Times, falling asleep in a chair, waking up in agony, then collapsing in the middle of the night. She said she called 911.

"It has been an incredibly hard time," she told ABC News earlier this week. "We went from being the happiest the day we got the check. It was the best sleep I've had. And then the next day, everything was gone.

"I am cooperating with the investigation," Ansari told ABC News. "I want the truth to come out."

Ansari has not been named a suspect, but her attorney, Steven Kozicki, said investigators did question her for more than four hours.

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Saudi execution: Brutal and illegal?

STORY HIGHLIGHTS

• Saudi authorities beheaded Rizana Nafeek, a Sri Lankan woman


• She was convicted of killing a baby of the family employing her as a housemaid


• This was despite Nafeek's claims that the baby died in a choking accident


• Becker says her fate "should spotlight the precarious existence of domestic workers"

Jo Becker is the Children's Rights Advocacy Director for Human Rights Watch and author of 'Campaigning for Justice: Human Rights Advocacy in Practice.' Follow Jo Becker on Twitter.

(CNN) -- Rizana Nafeek was a child herself -- 17 years old, according to her birth certificate -- when a four-month-old baby died in her care in Saudi Arabia. She had migrated from Sri Lanka only weeks earlier to be a domestic worker for a Saudi family.

Although Rizana said the baby died in a choking accident, Saudi courts convicted her of murder and sentenced her to death. On Wednesday, the Saudi government carried out the sentence in a gruesome fashion, by beheading Rizana.

Jo Becker

Read more: Outrage over beheading of Sri Lankan woman by Saudi Arabia

Rizana's case was rife with problems from the beginning. A recruitment agency in Sri Lanka knew she was legally too young to migrate, but she had falsified papers to say she was 23. After the baby died, Rizana gave a confession that she said was made under duress -- she later retracted it. She had no lawyer to defend her until after she was sentenced to death and no competent interpreter during her trial. Her sentence violated international law, which prohibits the death penalty for crimes committed before age 18.

Rizana's fate should arouse international outrage. But it should also spotlight the precarious existence of other domestic workers. At least 1.5 million work in Saudi Arabia alone and more than 50 million -- mainly women and girls -- are employed worldwide according to the International Labour Organization (ILO).

Read more: Indonesian maid escapes execution in Saudi Arabia

Again according to the ILO, the number of domestic workers worldwide has grown by more than 50% since the mid-1990s. Many, like Rizana, seek employment in foreign countries where they may be unfamiliar with the language and legal system and have few rights.

When Rizana traveled to Saudi Arabia, for example, she may not have known that many Saudi employers confiscate domestic workers' passports and confine them inside their home, cutting them off from the outside world and sources of help.

It is unlikely that anyone ever told her about Saudi Arabia's flawed criminal justice system or that while many domestic workers find kind employers who treat them well, others are forced to work for months or even years without pay and subjected to physical or sexual abuse.

Passport photo of Rizana Nafeek

Read more: Saudi woman beheaded for 'witchcraft and sorcery'

Conditions for migrant domestic workers in Saudi Arabia are among some of the worst, but domestic workers in other countries rarely enjoy the same rights as other workers. In a new report this week, the International Labour Organization says that nearly 30% of the world's domestic workers are completely excluded from national labor laws. They typically earn only 40% of the average wage of other workers. Forty-five percent aren't even entitled by law to a weekly day off.

Last year, I interviewed young girls in Morocco who worked 12 hours a day, 7 days a week for a fraction of the minimum wage. One girl began working at age 12 and told me: "I don't mind working, but to be beaten and not to have enough food, this is the hardest part."

Many governments have finally begun to recognize the risks and exploitation domestic workers face. During 2012, dozens of countries took action to strengthen protections for domestic workers. Thailand, and Singapore approved measures to give domestic workers a weekly day off, while Venezuela and the Philippines adopted broad laws for domestic workers ensuring a minimum wage, paid holidays, and limits to their working hours. Brazil is amending its constitution to state that domestic workers have all the same rights as other workers. Bahrain codified access to mediation of labor disputes.

Read more: Convicted killer beheaded, put on display in Saudi Arabia

Perhaps most significantly, eight countries acted in 2012 to ratify -- and therefore be legally bound by -- the Domestic Workers Convention, with more poised to follow suit this year. The convention is a groundbreaking treaty adopted in 2011 to guarantee domestic workers the same protections available to other workers, including weekly days off, effective complaints procedures and protection from violence.

The Convention also has specific protections for domestic workers under the age of 18 and provisions for regulating and monitoring recruitment agencies. All governments should ratify the convention.

Many reforms are needed to prevent another tragic case like that of Rizana Nafeek. The obvious one is for Saudi Arabia to stop its use of the death penalty and end its outlier status as one of only three countries worldwide to execute people for crimes committed while a child.

Labor reforms are also critically important. They may have prevented the recruitment of a 17 year old for migration abroad in the first place. And they can protect millions of other domestic workers who labor with precariously few guarantees for their safety and rights.

Read more: Malala, others on front lines in fight for women

The opinions expressed in this commentary are solely those of Jo Becker.

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Facebook tests steep fees to message strangers

SAN FRANCISCO: Facebook confirmed Friday it was dabbling with charging members as much as $100 to get messages to the inboxes of strangers such as social network co-founder and chief Mark Zuckerberg.

"We are testing some extreme price points to see what works to filter spam," Facebook said in response to an AFP inquiry regarding the costly delivery fees.

In December, Facebook began testing the feasibility of charging to guarantee that messages from strangers make it into inboxes of intended recipients.

At its launch, the Facebook Messages test, limited to the United States, let a sender pay a dollar to make sure an electronic missive is routed to someone's "inbox" even when the person is not in their circle of friends.

In a spin revealed by Mashable and other technology news websites, the test includes evaluating whether ratcheting up delivery prices for high-profile members such as Zuckerberg helps ensure that only messages truly of interest get to inboxes.

The Facebook messaging system was billed as being designed to deflect seemingly unwanted correspondence into an "other" folder that can be ignored.

Facebook said it wanted to determine whether adding a "financial signal" improves its formula for delivering "relevant and useful" messages to members' inboxes.

Facebook already uses social cues, such as connections between friends, and algorithms that identify spam messages.

Dabbling with getting people to pay to connect with Facebook members comes as the social network strives to tap the potential to make money from its membership base of more than a billion people.

Facebook stock has been climbing since the end of last year and was trading at $31.72 a share on the Nasdaq exchange at the closing bell on Friday.

- AFP/al

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Why death comes sooner in America

A report finds that Americans have "shorter lives and poorer health," coming in last in key areas behind 16 other rich nations

STORY HIGHLIGHTS

• Aaron Carroll: New study shows U.S. health and lifespan worst of 17 rich countries


• He says it's because of personal choices, systemic woes. Poverty high, health care uneven


• He says this particularly affects youth, plagued by sickness, violence, high mortality


• Carroll: Don't make it political. The richest country in the world must improve public health

Editor's note: Dr. Aaron E. Carroll is an associate professor of pediatrics at the Indiana University School of Medicine and the director of the university's Center for Health Policy and Professionalism Research. He blogs about health policy at The Incidental Economist and tweets at @aaronecarroll.

(CNN) -- A just-released report from the Institute of Medicine and National Research Council is making news by clearly illustrating that Americans have "shorter lives and poorer health." This is somewhat shocking, given how much we spend on health care each year — more than any of the 16 other rich countries surveyed in the study. What's even more upsetting is that this report focused quite heavily on people who are young. In the United States, even that group fared poorly.

Aaron Carroll

Why is this?

Some of the reasons involve choices make at a personal level. We eat too much, abuse drugs too often, wear seat belts too rarely and commit violence against each other to often.

Systemic issues are also to blame. We have higher levels of poverty than comparable countries, and our safety net programs are less capable of catching people when they fall. And too many also have too much trouble accessing the health care system, resulting in inefficient, ineffective and often absent care.

It's far too easy to let these dreadful statistics become obscured in a politically charged argument. Let's avoid that. This report is so stark that it's going to take a concerted effort on the part of the government, the media, the health care system and everyday citizens to turn things around. Our personal choices are bad. Our safety nets are bad. Our health care system is bad. It's all bad. How bad?

When compared with peer countries, the United States was the absolute worst with respect to still births, infant mortality and low birth weight. Some have tried to blame this on "coding" differences. In other words, they will claim that other countries will refuse to define a premature birth as we do, resulting in artificially high numbers in the United States. But when this report recalculated the rates to exclude such births equally in all countries, we still ranked last.

Things don't get better after birth. The chance that a child in the United States will die before age 5 is higher than in any of the other 16 peer countries. Injuries are the most common cause of death, but the United States also has the highest rate of deaths caused by negligence or abuse.

And violence is decidedly an American problem. Homicide is the third most common cause of death in children age 1-4.

From age 5-19, the trend continues. Kids this age in the United States have the worst health ranking of the 17 studied countries. More than one-third of U.S. children age 5-17 are obese or overweight, the highest of any peer country. The adolescent pregnancy rate in the United States is about 3.5 times the average of others. Additionally, the rates of sexually transmitted infections, including syphilis, gonorrhea and chlamydia are the worst compared to peer countries.

Nor are these children exempt from death. Injury deaths are more common in 15- to 19-year-olds in the United States than in any other studied country. Homicide claims the second highest number of lives in 15- to -24-year-olds, and 4 in 5 of those deaths involve guns. Males between the ages of 15 and 19 are five times as likely to die from violence in the United States than in other countries.

Even as young adults, ages 25-34, mortality remains consistently upsetting and preventable. Unintentional injuries remain the No. 1 cause of death. The risk of dying by violence remains seven times higher for males in the United States ages 20-24 than in other countries.

We have to work together to make these numbers better. Some of them can be improved with public health measures. We need to help Americans be less obese, to have fewer accidents and to commit less violence. There are lots of local studies and initiatives that propose ways to fix these things, but our public health system is woefully underfunded, and translating any promising findings to meaningful societal change poses a huge challenge.

We also need to improve our safety nets to help children at the lowest end of the socioeconomic ladder do better, even before they are born. Pregnant women, babies and children suffer from hunger and malnutrition far too often in the richest country in the world. Yet we still debate the merits of the federally funded WIC (Womens, Infants and Children) program, school lunches and food assistance to needy families.

Finally, we need to find a way to improve access to the health care system. The Medicaid program covers one in every three births and one in every three children in the United States, and it's still not enough. As some states balk at expanding Medicaid to cover many of the poorest uninsured, some are still talking about reducing funding to the already stretched program. There's no question that we have the capability, the knowledge and the resources to care for people. It's just a matter of doing it better.

There will be some who deny these results. Others will try to use them for political gain. That would be a mistake. We have to accept these findings and begin to work holistically to improve them. Being last just isn't the American way.

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The opinions expressed in this commentary are solely those of Aaron Carroll.

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CDC: Flu grips 47 states; vaccine found 62% effective

Flu activity continues to rise in the U.S., according to new surveillance statistics released by the Centers for Disease Control and Prevention on Friday.

Forty-seven states have now reported widespread influenza activity, according to the CDC's latest FluView report, three more states than officials estimated Wednesday. Two more children have died since last week's report, raising the total to 20 kids who have succumbed to the virus. It is still too soon to predict the severity of this flu season compared to previous ones, CDC director Dr. Tom Frieden told reporters during a conference call Thursday.

"The only thing predictable about flu is that it's unpredictable," said Frieden.

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Flu season in U.S. strikes early

The report covers the week of Dec. 30 through Jan. 5, and the CDC releases a revision every Friday.

Twenty-four states and New York City have experienced high influenza activity, with 16 states reporting moderate activity. Last week's report showed high activity in 29 states. The CDC hopes this means that some states have already seen flu peaks and cases are waning, however, Frieden said that trends are harder to predict during the holiday season, when people may be less likely to see a doctor. Data in coming weeks may provide a clearer picture that some states are over the worst. CDC officials however did note that the West coast has not shown high flu activity and may be on the upswing, and in the South and Southeast -- where flu activity was reported early -- the disease may have already peaked and data now show declines in cases. A complete look at how your state stacks up can be found on the CDC's website.

From Oct. 1 of 2012 through the report, an estimated 13.3 per 100,000 people were hospitalized with flu. The hardest hit group were adults ages 65 and older. Adults with underlying conditions such as diabetes, heart disease, obesity and lung disease (excluding asthma) were more likely to be hospitalized.

Underlying conditions like asthma, neurological disorders or diseases that weaken the immune system were commonly reported in hospitalized kids; however, more than 40 percent of them did not have an underlying medical condition.

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Flu outbreak swamps hospitals nationwide

Hospitals around the country have reported influxes of flu patients. In Chicago, several hospitals had to divert ambulances while one Pennsylvania hospital had to set up tents to deal with the extra patients.

Dr. Robert Glatter, an emergency medicine physician at Lenox Hill Hospital in New York City, told CBSNews.com Friday that his hospital set up additional treatment areas for flu patients.

"Many patients seem to have more severe illness this year as opposed to last year," Glatter said in an email. "In fact, a number of patients have required mechanical ventilation (respirator) due to difficulty breathing. We have also seen a number of children under the age of 5 with severe symptoms including muscle aches along with vomiting."

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Mass. hospital nearing full capacity with flu patients

The CDC does not track adult death rates -- state health departments do -- but about 24,000 die each year from influenza.

The CDC said the predominant virus causing flu nationwide is influenza A (H3N2), followed by influenza B viruses. Cases of H1N1, or "swine flu," -- the virus behind a 2009 pandemic -- have rarely been seen.

The CDC also released a new study Jan. 11 in its journal Morbidity and Mortality Weekly Report, that found this year's flu vaccine is about 62 percent effective. That means a person who takes the shot is 62 percent less likely to have to go to a doctor to get treated for flu. That's based on test results collected from 1,155 children and adults who reported to doctors with respiratory infections.

The agency still says this year's vaccine matches well to 90 percent of the strains that are out there, and recommends everyone over the age of 6 months gets a flu shot.

"Today, the flu vaccine is still by far the best prevention we have," said Frieden.

"However, these early [vaccine effectiveness] estimates underscore that some vaccinated persons will become infected with influenza," wrote the CDC researchers. "Therefore, antiviral medications should be used as recommended for treatment in patients, regardless of vaccination status."

Prescription drugs such as Tamiflu (generic name oseltamivir) and Relenza (generic name zanamivir) are usually prescribed for about five days, although people who are hospitalized may need to take the medicine longer. The drugs can reduce symptoms and shorten the time people are sick by one to two days, in addition to helping prevent more serious flu complications like pneumonia, according to the CDC.

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