Study: People worldwide living longer, but sicker

LONDON (AP) — Nearly everywhere around the world, people are living longer and fewer children are dying. But increasingly, people are grappling with the diseases and disabilities of modern life, according to the most expansive global look so far at life expectancy and the biggest health threats.

The last comprehensive study was in 1990 and the top health problem then was the death of children under 5 — more than 10 million each year. Since then, campaigns to vaccinate kids against diseases like polio and measles have reduced the number of children dying to about 7 million.

Malnutrition was once the main health threat for children. Now, everywhere except Africa, they are much more likely to overeat than to starve.

With more children surviving, chronic illnesses and disabilities that strike later in life are taking a bigger toll, the research said. High blood pressure has become the leading health risk worldwide, followed by smoking and alcohol.

"The biggest contributor to the global health burden isn't premature (deaths), but chronic diseases, injuries, mental health conditions and all the bone and joint diseases," said one of the study leaders, Christopher Murray, director of the Institute of Health Metrics and Evaluation at the University of Washington.

In developed countries, such conditions now account for more than half of the health problems, fueled by an aging population. While life expectancy is climbing nearly everywhere, so too are the number of years people will live with things like vision or hearing loss and mental health issues like depression.

The research appears in seven papers published online Thursday by the journal Lancet. More than 480 researchers in 50 countries gathered data up to 2010 from surveys, censuses and past studies. They used statistical modeling to fill in the gaps for countries with little information. The series was mainly paid for by the Bill & Melinda Gates Foundation.

As in 1990, Japan topped the life expectancy list in 2010, with 79 for men and 86 for women. In the U.S. that year, life expectancy for men was 76 and for women, 81.

The research found wide variations in what's killing people around the world. Some of the most striking findings highlighted by the researchers: — Homicide is the No. 3 killer of men in Latin America; it ranks 20th worldwide. In the U.S., it is the 21st cause of death in men, and in Western Europe, 57th.

— While suicide ranks globally as the 21st leading killer, it is as high as the ninth top cause of death in women across Asia's "suicide belt," from India to China. Suicide ranks 14th in North America and 15th in Western Europe.

— In people aged 15-49, diabetes is a bigger killer in Africa than in Western Europe (8.8 deaths versus 1 death per 100,000).

— Central and Southeast Asia have the highest rates of fatal stroke in young adults at about 15 cases per 100,000 deaths. In North America, the rate is about 3 per 100,000.

Globally, heart disease and stroke remain the top killers. Reflecting an older population, lung cancer moved to the 5th cause of death globally, while other cancers including those of the liver, stomach and colon are also in the top 20. AIDS jumped from the 35th cause of death in 1990 to the sixth leading cause two decades later.

While chronic diseases are killing more people nearly everywhere, the overall trend is the opposite in Africa, where illnesses like AIDS, malaria and tuberculosis are still major threats. And experts warn again shifting too much of the focus away from those ailments.

"It's the nature of infectious disease epidemics that if you turn away from them, they will crop right back up," said Jennifer Cohn, a medical coordinator at Doctors Without Borders.

Still, she acknowledged the need to address the surge of other health problems across Africa. Cohn said the agency was considering ways to treat things like heart disease and diabetes. "The way we treat HIV could be a good model for chronic care," she said.

Others said more concrete information is needed before making any big changes to public health policies.

"We have to take this data with some grains of salt," said Sandy Cairncross, an epidemiologist at the London School of Hygiene and Tropical Medicine.

He said the information in some of the Lancet research was too thin and didn't fully consider all the relevant health risk factors.

"We're getting a better picture, but it's still incomplete," he said.

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Online:

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State population rises in signs of economic recovery

California's population has grown to 37.8 million, continuing the state's trend of slowing but steady growth — about 1% annually — over the last decade, according to new population estimates released by the state Department of Finance.

The population increased by 256,000 people since July 2011, a growth rate of 0.7%. It's roughly the same growth rate as last year, but some experts pointed to an uptick in the number of people moving in and out of California and between counties as a sign of economic recovery.

"We've been mired in this deep slump, economically and demographically, and we're all looking for signs of revival," said USC demography and urban planning professor Dowell Myers. "During the recession, everyone froze. People didn't move as fast as normal."

In Los Angeles County, more people moved out than into the county in 2011, but at a significantly slower rate than in 2010, the state numbers show.

"Overall, movements are speeding up in both directions, but L.A.'s attraction is winning the war," said Myers, who also noticed an increase in movement in the entire western region, particularly among young adults. "It means the system is unfreezing, it's loosening up....This is the beginning."

Recent estimates by the American Community Survey showed that about 100,000 more Californians left the state than moved here. Most of those who left headed to Texas, Arizona and Oregon.

But state demographers cautioned that the out-of-state migration numbers may appear misleading because immigrants often enter through California before settling in other states.

"People see that so many people are leaving the state, and they think 'oh, it's because California business is bad,' " said Bill Schooling, chief of demographics research for the state Department of Finance. "It's more that California, particularly with counties like L.A., is a huge gateway state."

Los Angeles remains the state's most populous county, with more than 9.9 million residents. More than 26% of the state's entire population lives within the Los Angeles County limits.

Schooling noted that much of the state's population growth was concentrated in coastal counties, where people tend to be younger and more mobile.

Economists also said that job growth has been much stronger along the coast, particularly with growth in foreign trade, technology and tourism.

"The state recovery really started in the Bay Area, spread to Orange County and San Diego, and in the last six months, has spread to L.A. County," said Stephen Levy, director of the Center for Continuing Study of the California Economy. "Slow population growth is consistent with the early phase of recovery."

Births helped maintain the population growth, with 503,000 babies born in California between July 2011 and July 2012. There were 234,000 deaths in the state during the same time, a slight increase from past years, according to the state estimates.

Until the state becomes more stable economically, it is difficult to make long-term population projections, experts said.

"This is a step in the right direction," Myers said. "And we will, we should, have much better news next year."

rosanna.xia@latimes.com

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North Koreans Launch Rocket in Defiant Act

KCNA, via Reuters

This photo released by the state-run Korean Central News Agency shows North Korean technicians monitoring the launch of an Unha-3 rocket carrying the satellite Kwangmyongsong-3, or Shining Star-3, into orbit on Wednesday.

WASHINGTON — The United States and its Asian allies began an effort on Wednesday to impose additional sanctions on North Korea after its largely successful rocket launching, but this time Washington added a warning to China: Failure to rein in Kim Jong-un, the North’s new leader, will result in an even greater American military presence in the Pacific.

The Chinese government, which sent a delegation to Pyongyang last month to warn against the missile test, said it “regrets” the launching, which put a 200-pound earth surveillance satellite into orbit.

The Chinese Foreign Ministry spokesman, Hong Lei, said that North Korea’s right to a peaceful space program was subject to “limitations” by United Nations Security Council resolutions. But he declined to say whether North Korea had failed to live up to those obligations, which include a prohibition on launchings like the one on Wednesday morning that could be used to advance missile technology.

In fact, after a preliminary meeting of the Security Council members in New York, it was far from clear how far the Chinese are willing to go in further punishing an ally they once called as close as “lips and teeth.” Beijing’s biggest fear has always been destabilizing North Korea, and setting off a collapse that could put South Korean forces, and perhaps their American allies, on China’s border.

But the essence of the American strategy, as described Wednesday by administration officials, was to force the Chinese into an uncomfortable choice.

“The kinds of things we would do to enhance the region’s security against a North Korean nuclear missile capability,” one senior administration official said in an interview, “are indistinguishable from the things the Chinese would view as a containment strategy” aimed at Beijing.

They would include increased patrols in waters the Chinese are trying to claim as part of their exclusive zone, along with military exercises with allies in the region. “It’s the right approach, but whether it works is another matter,” said Christopher R. Hill, who was the chief negotiator with North Korea during President George W. Bush’s second term, and is now dean of the Korbel School of International Studies at the University of Denver, on Wednesday. “The approach of thickening up the antimissile effort is something that would get China’s attention.”

Many of those efforts are planned anyway as part of President Obama’s “rebalancing” strategy to ensure a continued American presence in Asia. The president has repeatedly said he has neither the desire nor the ability to contain China’s rise, but the rebalancing is clearly intended to keep the Chinese from nudging the United States out of the region.

Already, the Chinese believe that America’s antimissile efforts from Alaska to the Pacific are designed to counter their own nuclear arsenal.

Administration officials said that while the launching was successful — and advanced the North’s missile program — it was hardly a threat to the United States, despite a warning by Robert M. Gates in 2011, when he was secretary of defense, that the North would have a missile capable of reaching the United States by 2016.

“I am not disparaging this demonstration of 1950s Sputnik-quality technology,” the administration official said, referring to the Soviet satellite that prompted the space race during the cold war. He then went on to disparage it, noting that Mr. Kim “is in the family business, like his daddy before him, and it’s a form of extortion.”

South Korean officials sounded similar themes, saying that the North’s effort was to extract a higher price — in aid, investment and diplomatic concessions — for restraining future launchings or nuclear tests.

Riki Ellison, chairman of the Missile Defense Advocacy Alliance, a private group in Washington, called the North Korean satellite launching “a fundamental breakthrough” that showed the main elements of an intercontinental ballistic missile.

David E. Sanger reported from Washington, and William J. Broad from New York. Choe Sang-hun contributed reporting from Seoul, South Korea.

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New Flickr iPhone app to compete with Instagram and Twitter with 16 filters

Hot on the heels of its email redesign, Yahoo (YHOO) announced on Wednesday that it has completely redesigned the Flickr iPhone app. The new app borrows heavily from Instagram and focuses on what makes Flickr special: photos and communities. Yahoo’s new Flickr app also includes 16 filters with their own fancy names to go head-on with Instagram and Twitter’s recently updated app that added eight filters. Users can now access the Flickr app with numerous accounts including Facebook (FB) and Google (GOOG) and photos can be shared to Facebook, Twitter, Tumblr or via email. The new Flickr app is available for free on iPhone but to our disappointment, there isn’t an iPad-optimized version.

Ellis Hamburger from The Verge penned an interesting editorial on how Twitter misses the mark by simply adding filters to its app without having the close community that makes Instagram so addictive. Led by CEO Marissa Mayer, Yahoo seems aware that mobile apps thrive on the communities that sprout up. The new Flickr app’s emphasis on how the images are displayed and shared in visually appealing and digestible thumbnails suggests Yahoo finally understands mobile.

Get more from BGR.com: Follow us on Twitter, Facebook

Social Media News Headlines – Yahoo! News

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Tevin Hunte Is 'So Happy' After His Voice Elimination

TV Watch

The Voice

By Jessica Herndon and Julia Haskins

12/12/2012 at 07:45 PM EST

Team Cee Lo's Trevin Hunte was eliminated on Tuesday's episode of The Voice, but the soulful singer isn't letting the end of this journey hold him back.

"I feel like the best person on the planet Earth. I am so happy and excited to be honest," Hunte told PEOPLE after the show. I feel like a weight has been lifted. Being away from family and friends and what you're used to was definitely a hard thing for me."

Hunte is looking forward to his mom's cooking and seeing his friends back home, and he won't waste a second wondering what if he'd made it further.

"I have no regrets. I am glad that I took a leap of faith and auditioned," he said. "I auditioned for American Idol and told my family I didn't have the strength to do it again. But I am definitely happy and excited that I made it this far."

And he still has a long way to go. "I'm only 18," he said. "I'm just really excited."

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Congress examines science behind HGH test for NFL

WASHINGTON (AP) — A congressional committee has opened a hearing to examine the science behind a human growth hormone test the NFL wants to start using on its players.

Nearly two full seasons have passed since the league and the players' union signed a labor deal that set the stage for HGH testing.

The NFL Players Association won't concede the validity of a test that's used by Olympic sports and Major League Baseball, and the sides haven't been able to agree on a scientist to help resolve that impasse.

Among the witnesses before the House Oversight and Government Reform Committee on Wednesday is Pro Football Hall of Fame member Dick Butkus. In his prepared statement, Butkus writes: "Now, let's get on with it. The HGH testing process is proven to be reliable."

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Jerry Brown being treated for prostate cancer

SACRAMENTO — Gov. Jerry Brown is receiving radiation treatment for early stage prostate cancer, his office announced Wednesday.

The 74-year-old governor is undergoing "conventional radiotherapy" and maintaining a full work schedule during the treatment, according to a statement released by the governor's office.

"Fortunately, this is early stage localized prostate cancer," Dr. Eric Small, Brown's oncologist at UC San Francisco, said in the statement. "The prognosis is excellent, and there are not expected to be any significant side effects."

The governor's office said the treatment will be completed the week of Jan. 7, about the time Brown is expected to unveil his proposed budget and deliver a State of the State address.

Brown's spokesman Gil Duran declined to provide details about when the governor was diagnosed, what form of radiotherapy he is receiving and the stage of his cancer.

"We have no further comment," Duran said.

This is the governor's second bout with cancer during his return engagement as California's chief executive. Last year, he had a cancerous growth removed from the right side of his nose and some reconstructive surgery. He had been treated for the same type of cancer — basal cell carcinoma — in 2008, when he had a small spot removed near his right ear.

Although it was one of the most common, curable forms of skin cancer, Brown's office did not disclose that the governor had it last year until after he had been treated. Reporters had earlier asked about a bandage on Brown's nose following a biopsy, and his wife, Anne Gust Brown, had denied it was cancer.

Brown's most recent diagnosis is a blow to his healthy image. At 74, he is California's oldest governor and has gone out of his way to show that his age and health are of no concern. He has challenged reporters to pull-up contests — and won — jogs in the Oakland hills and around the Capitol, and he boasts of his running time.

He made headlines in August after challenging New Jersey Gov. Chris Christie to "a three-mile race, a push-up contest and a chin-up contest." "Whatever he wants to bet," Brown said, "I have no doubt of the outcome."

Medical experts said the information provided by Brown's office Wednesday suggests he has an excellent chance of recovery, with minimal disruption to his normal schedule.

Besides skin cancer, prostate cancer is the most common cancer in U.S. men, according to the American Cancer Society. The organization estimates that about one out of six men will be diagnosed with the disease during his lifetime, and most cases occur in older men.

Nearly all men diagnosed with early stage prostate cancer have high "cure" rates, meaning they will be disease-free after five years.

The fact that Brown's cancer is localized means that it has not invaded other organs, making it easier to treat, said Dr. Israel De Alba, an assistant clinical professor of medicine at UC Irvine. An external beam of radiation will probably be focused on the cancer for a few minutes a day, as opposed to more invasive therapy that involves putting radioactive material inside the prostate, physicians said.

Possible side effects include nausea, vomiting and pain in the treated area.

"Most patients that we see have a normal life and continue with their usual activities," De Alba said.

Other doctors agreed, noting the early stage of the disease.

"It won't affect his function as governor," said Dr. David B. Agus, a prostate cancer expert who is a professor of medicine and engineering at USC. "He will be able to function in his job and reduce our deficit."

Doctors also praised Small, Brown's oncologist, whom they described as one of the world's premier experts on prostate cancer.

"He's in very good hands," said Stuart Holden, director of the Warschaw Prostate Cancer Center at Cedars-Sinai Medical Center in Los Angeles. "I would say his chances of living 10 to 15 years is in excess of 80%, assuming nothing else gets him."

michael.mishak@latimes.com

patrick.mcgreevy@latimes.com

Times staff writer Chris Megerian contributed to this report.

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Hugh Hefner's Engagement Ring to Crystal Harris Revealed

By Mike Fleeman

12/11/2012 at 07:00 PM EST

The wedding's back on – though it may be a good idea to save that gift receipt.

Hugh Hefner, 86, officially confirms that he is once again engaged to Crystal Harris, 26, telling his Twitter followers, "I've given Crystal Harris a ring. I love the girl."

And to prove it, Harris posted photos of the big diamond sparkler, calling it "my beautiful ring."

Neither announced a wedding date, though sources tell PEOPLE they're planning to tie the knot at the Playboy Mansion in Los Angeles on New Year's Eve.

Whether that still happens remains to be seen.

This is the plan they had in 2011 – a wedding at the mansion – except that Harris called it off just days before the nuptials were scheduled to happen in front of 300 invited guests.

Hugh Hefner and Crystal Harris

David Livingston / Getty

The onetime Playmate of the Month then ripped Hef's bedroom skills, calling him a two-second man, to which Hefner replied, "I missed a bullet" by not marrying her.

A year later, Hefner's "runaway bunny" bounded back to him.

• Reporting by JENNIFER GARCIA

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DA investigating Texas' troubled $3B cancer agency

AUSTIN, Texas (AP) — Turmoil surrounding an unprecedented $3 billion cancer-fighting effort in Texas worsened Tuesday when its executive director offered his resignation and the state's chief public corruption prosecutor announced an investigation into the beleaguered agency.

No specific criminal allegations are driving the latest probe into the Cancer Prevention and Research Institute of Texas, said Gregg Cox, director of the Travis County district attorney's public integrity unit. But his influential office opened a case only weeks after the embattled agency disclosed that an $11 million grant to a private company bypassed review.

That award is the latest trouble in a tumultuous year for CPRIT, which controls the nation's second-largest pot of cancer research dollars. Amid the mounting problems, the agency announced Tuesday that Executive Director Bill Gimson had submitted his letter of resignation.

"Unfortunately, I have also been placed in a situation where I feel I can no longer be effective," Gimson wrote in a letter dated Monday.

Gimson said the troubles have resulted in "wasted efforts expended in low value activities" at the agency, instead of a focused fight against cancer. Gimson offered to stay on until January, and the agency's board must still approve his request to step down.

His departure would complete a remarkable house-cleaning at CPRIT in a span of just eight months. It began in May, when Dr. Alfred Gilman resigned as chief science officer in protest over a different grant that the Nobel laureate wanted approved by a panel of scientists. He warned it would be "the bomb that destroys CPRIT."

Gilman was followed by Chief Commercialization Officer Jerry Cobbs, whose resignation in November came after an internal audit showed Cobbs included an $11 million proposal in a funding slate without a required outside review of the project's merits. The lucrative grant was given to Dallas-based Peloton Therapeutics, a biomedical startup.

Gimson chalked up Peloton's award to an honest mistake and has said that, to his knowledge, no one associated with CPRIT stood to benefit financially from the company receiving the taxpayer funds. That hasn't satisfied some members of the agency's governing board, who called last week for more assurances that no one personally profited.

Cox said he has been following the agency's problems and his office received a number of concerned phone calls. His department in Austin is charged with prosecuting crimes related to government officials; his most famous cases include winning a conviction against former U.S. House Majority Leader Tom DeLay in 2010 on money laundering charges.

"We have to gather the facts and figure what, if any, crime occurred so that (the investigation) can be focused more," Cox said.

Gimson's resignation letter was dated the same day the Texas attorney general's office also announced its investigation of the agency. Cox said his department would work cooperatively with state investigators, but he made clear the probes would be separate.

Peloton's award marks the second time this year that a lucrative taxpayer-funded grant authorized by CPRIT instigated backlash and raised questions about oversight. The first involved the $20 million grant to M.D. Anderson Cancer Center in Houston that Gilman described as a thin proposal that should have first been scrutinized by an outside panel of scientific peer-reviewers, even though none was required under the agency's rules.

Dozens of the nation's top scientists agreed. They resigned en masse from the agency's peer-review panels along with Gilman. Some accused the agency of "hucksterism" and charting a politically-driven path that was putting commercial product-development above science.

The latest shake-up at CPRIT caught Gilman's successor off-guard. Dr. Margaret Kripke, who was introduced to reporters Tuesday, acknowledged that she wasn't even sure who she would be answering to now that Gimson was stepping down. She said that although she wasn't with the agency when her predecessor announced his resignation, she was aware of the concerns and allegations.

"I don't think people would resign frivolously, so there must be some substance to those concerns," Kripke said.

Kripke also acknowledged the challenge of restocking the peer-review panels after the agency's credibility was so publicly smeared by some of the country's top scientists. She said she took the job because she felt the agency's mission and potential was too important to lose.

Only the National Institutes of Health doles out more cancer research dollars than CPRIT, which has awarded more than $700 million so far.

Gov. Rick Perry told reporters in Houston on Tuesday that he wasn't previously aware of the resignation but said Gimson's decision to step down was his own.

Joining the mounting criticism of CPRIT is the woman credited with brainstorming the idea for the agency in the first place. Cathy Bonner, who served under former Texas Gov. Ann Richards, teamed with cancer survivor Lance Armstrong in selling Texas voters in 2007 on a constitutional amendment to create an unprecedented state-run effort to finance a war on disease.

Now Bonner says politics have sullied an agency that she said was built to fund research, not subsidize private companies.

"There appears to be a cover-up going on," Bonner said.

Peloton has declined comment about its award and has referred questions to CPRIT. The agency has said the company wasn't aware that its application was never scrutinized by an outside panel, as required under agency rules.

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Follow Paul J. Weber on Twitter: www.twitter.com/pauljweber

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California workers misused $613,000 in taxpayer funds, report finds

SACRAMENTO — State employees misused $613,000 in taxpayer funds through bribery schemes, mail fraud, waste, and improper billings for travel and pay, officials said Tuesday.

The misdeeds were detailed in a report by state Auditor Elaine Howle on whistle-blower investigations concluded by her office in the last two years. "This report details nine substantiated allegations involving several state departments,'' Howle wrote to Gov. Jerry Brown.

The biggest loss occurred in the bribery case, in the Los Angeles offices of the state Franchise Tax Board and the Secretary of State. In each office, an employee engaged in a kickback scheme with the owner of a courier service that shorted the state of nearly $250,000 in public money overall, the report said.

The employees' job required them to issue letters or certificates that let businesses know whether they were in good standing with the state agencies. The workers were supposed to charge a $15 to $20 processing fee for each one. Instead, they waived the fees and took bribes from the courier in exchange for the documents.

"To avoid paying this fee, the courier paid $300 to $400 a week to Employee 1 to supply him with letters for his clients," the audit report said, adding that the employee used Franchise Tax Board computers to create up to seven letters daily for the courier's clients from 2007 through 2009.

Howle said both of the state employees and the business owner were convicted of bribery. One employee received a seven-day jail sentence, the other received three years' probation and the courier was sentenced to 14 days in jail.

The three were also ordered to pay $227,000 in restitution, but prosecutors said they could not immediately determine whether any of it has been paid. The two state employees were fired.

Margarita Fernandez of the auditor's office cited state whistle-blower laws in declining to identify the two state workers. But the Los Angeles County district attorney's office said those who pleaded guilty to one felony count each of accepting a bribe were Franchise Tax Board employee Terri Denise Hudgies, 49, and Secretary of State program technician Rosa Cordova-Miller, 56.

Howle said loose controls on office operations contributed to the thefts.

The auditor's investigators found that two other employees participated in the scheme and were fired but not criminally charged. Two more were disciplined for knowing about the fraud but not reporting it, and a fifth was disciplined for telling others about the investigation.

Other findings in the report included:

• A former accounting technician for the state Employment Development Department and two accomplices were convicted of conspiracy to commit mail fraud for illegally directing nearly $93,000 in unemployment insurance benefits to the two accomplices.

• The state Athletic Commission overpaid nearly $118,700 to 18 employees for two years by inappropriately paying them overtime.

• A Fish and Game Department supervisor improperly directed the use of state funds to purchase more than $53,800 in goods and services and spent an additional $5,000 without being able to show that the expenditures were for a state purpose.

• The California Correctional Health Care Services improperly paid 23 employees $55,000 in travel benefits after a manager approved reimbursements for their commutes and for expenses incurred near their homes and headquarters.

• An official in the office of the president at the University of California wasted $6,000 on improper travel, including unnecessary expenses during a five-day trip to a conference in England. The conference was held in Birmingham for five days, but the official billed the state for three of the days in London, saying he stayed there to get a better airline fare home.

• An employee at the California Department of Education misused state time and equipment when he posted nearly 4,900 comments on the Sacramento Bee's website during state time. Investigators said he averaged about 25 comments a day but posted up to 70 comments one day.

"The employee claimed that for the majority of 2011, he had a significant amount of available time because he had no assigned tasks to complete,'' the auditor's report said.

The worker voluntarily left the department, according to spokeswoman Tina Jung, who declined to identify the employee.

patrick.mcgreevy@latimes.com

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