U.S. Supreme Court hands L.A. County a victory in water lawsuit

Los Angeles County got a reprieve in an ongoing dispute over who is responsible for pollution from storm water when the U.S. Supreme Court overturned a ruling won by environmentalists.

However, the court's 9-0 decision Tuesday did not deal with the larger question of how to regulate storm water and urban runoff flowing into the region's waterways.

Gary Hildebrand, assistant deputy director of the county's Department of Public Works, said the court's decision "validates the approach the flood control district has been taking to deal with water management."

The ruling allows the district to move forward with updated storm water regulations that the regional water board put in place in November, he said.

The Natural Resources Defense Council and Santa Monica Baykeeper — now Los Angeles Waterkeeper — sued the flood control district in 2008 alleging that it had violated its storm water permit. The lawsuit cited high pollution readings at monitoring stations in the county's rivers.

Last year, the U.S. 9th Circuit Court of Appeals ruled that the county was liable for pollution in the Los Angeles and San Gabriel rivers, and referred to the water flowing from the "concrete channels" into the natural part of the lower river as discharges of pollutants.

The Supreme Court said the 9th Circuit's opinion rested on a mistaken premise and reversed it. The water flowing from one "concrete" section of the river to another section cannot be deemed a "discharge" of pollutants, the court said. Justice Ruth Bader Ginsburg said "no pollutants are 'added' to a water body when water is merely transferred between different portions of that body."

Steve Fleischli, water program director and senior attorney with the National Resources Defense Council, said the question that the court decided was never in dispute between the parties. He called the ruling a "temporary setback" in efforts to hold the county accountable.

"It doesn't close the door on our enforcement efforts against the county, and it doesn't limit the county's obligation to comply with the Clean Water Act," he said.

County officials have also argued that the flood control district is not primarily to blame for the pollution in the rivers, because there are dozens of cities discharging polluted runoff upstream from the monitoring sites. With only one monitoring station in each river, it is difficult to find the original source of the pollution.

The Supreme Court did not weigh in on that point, but when the case was argued last month, the justices commented that the county needs a better means of monitoring storm water runoff.

In her opinion, Ginsburg noted that the renewed storm water permit put in place by the Los Angeles regional water board will include monitoring the water quality at "discharge points" where storm drains flow into the rivers, which will provide more localized data.

Hildebrand said the ruling will not have an impact on a parcel fee the county is pursuing to raise about $290 million a year for projects that would help clean up storm water pollution. A hearing on that proposal is set for Jan. 15, and the Board of Supervisors may vote then to place the proposed fee on the ballot.

abby.sewell@latimes.com

david.savage@latimes.com

Sewell reported from Los Angeles and Savage from Washington, D.C.

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Supporters Back Strike at Newspaper in China

James Pomfret/Reuters

Protesters gathered on Monday outside the headquarters of the relatively liberal newspaper Southern Weekend in Guangzhou, China.

BEIJING — Hundreds of people gathered outside the headquarters of a newspaper company in southern China on Monday, intensifying a battle over media censorship that poses a test of the willingness of China’s new leadership to tolerate calls for change.

The demonstration was an outpouring of support for journalists at the relatively liberal newspaper Southern Weekend, who erupted in fury late last week over what they called overbearing interference by local propaganda officials.

At the same time, the embattled newsroom received backing on the Internet from celebrities and other prominent commentators that turned what began as a local censorship dispute into a national display of solidarity.

“Hoping for a spring in this harsh winter,” Li Bingbing, an actress, said to her 19 million followers on a microblog account. Yao Chen, an actress with more than 31 million followers, quoted Aleksandr Solzhenitsyn, the Russian dissident: “One word of truth outweighs the whole world.”

Disputes between media organizations and local party leaders over the limits of reporting and expressions of opinion are common in China, but rarely emerge into public view. This time, calls to support the frustrated journalists spread quickly in Chinese online forums over the weekend, and those who showed up on Monday outside the media offices in Guangzhou, the capital of Guangdong Province, ran the gamut from high school and university students to retirees.

Many carried banners scrawled with slogans and white and yellow chrysanthemums, a flower that symbolizes mourning. One banner read: “Get rid of censorship. The Chinese people want freedom.” Police officers watched, but did not interfere.

The journalists at Southern Weekend have been calling for the ouster of Tuo Zhen, the top propaganda official in Guangdong Province, who took up his post last May.

They blame him for overseeing a change in a New Year’s editorial that originally called for greater respect for constitutional rights under the headline “China’s Dream, the Dream of Constitutionalism.”

The editorial went through layers of changes and ultimately became one praising the direction of the current political system, in which the Communist Party continues to exercise authority over all aspects of governance.

A well-known entrepreneur, Hung Huang, said online that the actions of Mr. Tuo had “destroyed, overnight, all the credibility the country’s top leadership had labored to re-establish since the 18th Party Congress,” the November gathering in Beijing that was the climax of the leadership transition installing Xi Jinping as Communist Party chief. Mr. Xi, who is also scheduled to assume the nation’s presidency in March, has raised expectations that he might pursue a more open-minded approach to molding China’s economic and political models during his planned decade-long tenure.

But more recently, he has said China must respect its socialist roots, which appeared to be a move to placate conservatives in the party.

One journalist for Southern Weekend said Monday night that talks between the various parties had taken place that afternoon, but there were no results to announce. “The negotiations did not go well at all,” the journalist said in a telephone interview.

Signs had emerged earlier that central propaganda officials were moving to dismantle support for the protest. A fiery editorial by Global Times, a populist newspaper, attacked the rebels at Southern Weekend and essentially accused them of conspiring against the government. Xinhua, the state news agency, and other prominent news sites published the editorial online, apparently at the orders of propaganda officials.

“Propaganda is still on the old road,” said an editor at a party media organization.

But by Tuesday morning, the news portals run by large Internet companies like Sina and Sohu rather than by the state had posted disclaimers with the Global Times editorial, saying the opinions did not reflect those of the companies.

It was on the Internet where the campaign to support the beleaguered journalists was reaching full bloom. Bloggers with large readerships, Han Han and Li Chengpeng, urged defiance of press censorship, and calls spread on microblogs for more rallies outside the newspaper offices on Tuesday.

It was unclear how many employees in the Southern Weekend newsroom had heeded calls by reporters for a strike to display their determination to resist censorship. A local journalist who went by the newspaper’s Beijing office on Monday said the building appeared to be open, but quiet. One employee at the site, where about 30 people work, told the journalist that the office was not on strike.

Jonathan Ansfield contributed reporting from Beijing. Mia Li contributed research from Guangzhou, China, and Shi Da from Beijing.

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Intel bets big on thin PCs and phones at Las Vegas show

LAS VEGAS (Reuters) – Top chipmaker Intel Corp on Monday announced shipments of a new low-power chip and showed off next-generation ultra thin laptops and convertible tablets in its latest bid to prove that the struggling PC industry still has a bright future.

At the 2013 Consumer Electronics Show in Las Vegas , Intel said new energy-efficient processors for tablets and laptops are available now, and it outlined features like voice recognition and drastically improved battery life on future PCs.

“Absolutely all-day battery life where you just don’t have to bring your power brick at all anymore,” Kirk Skaugen, corporate vice president and general manager of Intel’s PC Client Group, said of laptops built with the company’s upcoming Haswell processor.

While macroeconomic troubles have weighed on sales for several quarters, the growing popularity of tablets and smartphones is seen as an existential threat to the PC industry.

Anxious to breathe new life into PCs and prove a recent slump in sales is not permanent, Intel and PC manufactures in Las Vegas this week will display a range of ultra thin laptops, dubbed Ultrabooks, and hybrid devices that convert into tablets.

On a stage flanked by dozens of tablets and laptops with rotatable and detachable screens, Skaugen said Intel’s newly available chip based on its current Ivy Bridge architecture sips just 7 watts of energy, more efficient than a previously planned 10 watts of power.

NO-EXCUSES PHONE

The Santa Clara, California-based company has long been king of the PC chip market, particularly through its historic “Wintel” alliance with Microsoft Corp, which led to breathtakingly high profit margins and an 80 percent market share.

But it has struggled to adapt its powerful PC processors for battery-powered smartphones and tablets, a fast-growing market led by Qualcomm Inc, Samsung Electronics Co Ltd, ARM Holdings Plc and others.

Mike Bell, who co-heads Intel’s mobile and wireless business, introduced a new processor platform, code named Lexington, targeted at low-priced smartphones in emerging markets like Latin America and Asia.

“It’s designed to be a no-excuses multimedia phone,” he said.

Acer, Safaricom and Lava have already agreed to use the new chips in future phones, Bell said.

A handful of manufacturers and telecom carriers in Europe and Asia have already launched smartphones using Intel’s Medfield processors this year. Google’s Motorola Mobility in September launched the Razr i in Europe and Latin America as the first handset of a multi-device agreement between the two groups.

But Intel is fighting an uphill battle in a market where chips made using technology from ARM Holdings have become ubiquitous. Intel also has yet to release a chip for 4G telephone networks, keeping it out of the running for major smartphone design wins in the United States.

Sales of smartphone processors soared 58 percent in the third quarter, but Intel had just 0.2 percent of that market, according to a recent report from Strategy Analytics.

By comparison, worldwide PC shipments fell 8.6 percent in the third quarter, according to IDC.

Intel said 3D cameras would be integrated in future Ultrabooks to allow consumers to use gestures and facial recognition to control their devices. Upcoming Ultrabooks will also include voice interaction, Skaugen said.

“We’re basically going to give the PC the same human senses we’ve all had,” he said.

Intel and other tech companies are increasingly looking for ways to let PCs and other devices use cameras, GPS chips, microphones and other kinds of sensors to predict their users’ needs.

“It’s this combination of computer devices doing things before you ask them to do it, in that they’re smart enough to know based on their sensors,” said Patrick Moorhead, principal analyst at Moor Insights & Strategy.

(Reporting By Noel Randewich; Editing by Dan Grebler)

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Justin Bartha Is Dating Trainer Lia Smith

01/07/2013 at 07:00 PM EST

Lia and Justin in Hawaii New Years Day

Pacific Coast News

Justin Bartha's "mystery woman" is in fact his girlfriend, trainer Lia Smith, a source reveals to PEOPLE.

The pair recently enjoyed a cozy trip to Smith's native Hawaii and were snapped basking in the sun on Maui on New Year's Day, which got people buzzing about her identity.

"They were very cute with each other," says an eyewitness. "They had their arms around each other and were kissing."

The couple also spent time with Smith's parents on Oahu. Bartha, who currently stars on The New Normal, was previously linked to Scarlett Johansson and dated Ashley Olsen for two years before breaking up in 2011.

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Report: Death rates from cancer still inching down

WASHINGTON (AP) — Death rates from cancer are continuing to inch down, researchers reported Monday.

Now the question is how to hold onto those gains, and do even better, even as the population gets older and fatter, both risks for developing cancer.

"There has been clear progress," said Dr. Otis Brawley of the American Cancer Society, which compiled the annual cancer report with government and cancer advocacy groups.

But bad diets, lack of physical activity and obesity together wield "incredible forces against this decline in mortality," Brawley said. He warned that over the next decade, that trio could surpass tobacco as the leading cause of cancer in the U.S.

Overall, deaths from cancer began slowly dropping in the 1990s, and Monday's report shows the trend holding. Among men, cancer death rates dropped by 1.8 percent a year between 2000 and 2009, and by 1.4 percent a year among women. The drops are thanks mostly to gains against some of the leading types — lung, colorectal, breast and prostate cancers — because of treatment advances and better screening.

The news isn't all good. Deaths still are rising for certain cancer types including liver, pancreatic and, among men, melanoma, the most serious kind of skin cancer.

Preventing cancer is better than treating it, but when it comes to new cases of cancer, the picture is more complicated.

Cancer incidence is dropping slightly among men, by just over half a percent a year, said the report published by the Journal of the National Cancer Institute. Prostate, lung and colorectal cancers all saw declines.

But for women, earlier drops have leveled off, the report found. That may be due in part to breast cancer. There were decreases in new breast cancer cases about a decade ago, as many women quit using hormone therapy after menopause. Since then, overall breast cancer incidence has plateaued, and rates have increased among black women.

Another problem area: Oral and anal cancers caused by HPV, the sexually transmitted human papillomavirus, are on the rise among both genders. HPV is better known for causing cervical cancer, and a protective vaccine is available. Government figures show just 32 percent of teen girls have received all three doses, fewer than in Canada, Britain and Australia. The vaccine was recommended for U.S. boys about a year ago.

Among children, overall cancer death rates are dropping by 1.8 percent a year, but incidence is continuing to increase by just over half a percent a year. Brawley said it's not clear why.

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Former Cudahy official gets probation in bribery

A former official in the southeast Los Angeles County city of Cudahy was sentenced to five years probation Monday — far less than the prison term prosecutors recommended — for his part in taking $17,000 in bribes from a man who wanted to open a medical marijuana dispensary.

The federal court hearing for Angel Perales and documents filed in his case and that of former Mayor David Silva, also charged in the bribery case, added new details about the continuing federal investigation into widespread corruption in the working-class town.

Documents previously released revealed Cudahy as a place where bribes — sometimes passed along in a shoe box — were routine, city elections were fixed on orders from long-time City Manager George Perez, city workers served as armed bodyguards for council members and Perez sent city workers to bring him illegal pain pills.

Carlos Juarez, Perales' attorney, told Judge Manuel Real that the former city manager was "the mastermind behind the bribery scandal in Cudahy."

Perez's attorney, Stanley L. Friedman, has said his client denies any wrongdoing. Perez was fired without explanation in 2011, and is suing the city for $400,000 in back pay.

Juarez revealed that his client had been cooperating with the FBI since May 22, about a month before Perales, Silva and former Councilman Osvaldo Conde were arrested on bribery and extortion charges. His assistance in the federal investigation included wearing a recorder to tape conversations with city officials and recording phone calls, the attorney said.

Perales said in an interview that he had testified before a federal grand jury that is investigating wrongdoing in the city.

"Mr. Perales substantially assisted the government in its investigation," Assistant U.S. Atty. Joseph N. Akrotirianakis said in an interview. Akrotirianakis had recommended Perales serve 24 months in prison, a substantial reduction from the potential 30-year term he could have faced under federal sentencing guidelines. Real, however, disagreed.

Juarez also said several Cudahy employees and people who do business with the city paid bribes to city officials to get their jobs.

Perales, who served in several positions with the city during his 12 years in Cudahy, including interim city manager, said in an interview that he was directed to give city workers raises that they would kick back to Conde.

Documents recently filed with the court also pointed fingers at Perez. "As Perez's sidekick and driver, [Perales] was asked to pick up bribes from local businessmen and was compensated with a small percentage cut," Juarez wrote.

In a letter to the court in support of Silva, former city employee Gerardo Vallejo says he took drugs with Perez in the city manager's office.

"…we would be in his office so high, a council member would be knocking on the door, we would have the lights off, and wait for them to leave, often telling the council members we were in a meeting outside of City Hall, this went daily for years," he wrote.

Besides his probation, Real ordered Perales to pay $5,000 restitution and serve 1,500 hours of community service. "We're elated," Juarez said.

Silva was also scheduled to be sentenced Monday, but his attorney said he had the flu. He is scheduled for sentencing Jan. 28. Conde is set for sentencing Feb. 28.

jeff.gottlieb@latimes.com

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Syria President’s Defiant Words Dash Hopes for a Quick Peace

Agence France-Presse — Getty Images

In a battered neighborhood of Aleppo, Syria, residents propped up a masked and uniformed effigy of President Bashar al-Assad.

BEIRUT, Lebanon — Sounding defiant, confident and, to critics, out of touch with his people’s grievances, President Bashar al-Assad of Syria used his first public address in six months to justify his harsh crackdown, rally his supporters to fight against his opponents and inform on them — and leave in tatters recent efforts toward a political resolution to the country’s bloody civil war.

Mr. Assad offered what he called a peace plan, including a new cabinet, a new constitution to replace the one adopted just last year in a widely dismissed reform package, and talks with officially tolerated opposition groups. But he ruled out any negotiations with the armed Syrian opposition, and pointedly ignored its demands that he step down, making his proposal a nonstarter for most of his opponents.

He sounded much as he did at the start of the uprising 21 months ago, dictating which opposition groups were worthy and labeling the rest terrorists and traitors. He gave no acknowledgment that the rebels have come to control large parts of the north and east of the country, nor that many ordinary Syrians continue to demand change in the face of a crackdown that has laid waste to neighborhoods and killed tens of thousands, nor that even longtime allies like Russia have signaled that Mr. Assad may be unable to defeat the insurgency.

He even dismissed as foreign interference the mediation efforts of the United Nations envoy Lakhdar Brahimi, the senior Algerian diplomat who visited Damascus on Dec. 24, warning of national disintegration if the two sides did not negotiate a solution.

“Everyone who comes to Syria knows that Syria accepts advice but not orders,” Mr. Assad told a cheering, chanting crowd at the Damascus Opera House, on Umayyad Square in the center of the capital, where residents said the security forces were deployed heavily starting the night before.

“He doesn’t seem to have moved an inch since summer 2011,” said Yezid Sayigh, an analyst at the Carnegie Middle East Center in Beirut, noting that Mr. Assad gave “barely the slightest nod” to Mr. Brahimi’s proposals.

Coming after days of hints that Mr. Assad might at last be ready to negotiate, his defiant speech on Sunday promised trouble for both his friends and his enemies. Russia may find it harder to stave off international action against Syria, which it has done so far using its veto at the United Nations Security Council, as the chances for a political solution seem to recede.

Moreover, Mr. Assad’s defiance may prompt Mr. Brahimi to decline to continue his mission. That would present the “Friends of Syria,” the group of nations supporting the opposition — the United States and its Western allies, Turkey and some Arab countries — with an unpalatable choice: intervene more aggressively or risk allowing the conflict to drag on indefinitely.

“Assad is not letting the Friends of Syria off the hook by making it easy for them to declare victory and close the Syria file,” Mr. Sayigh said. “Now what will they do?”

The United Nations estimates that more than 60,000 people have died in the civil war, which began as a peaceful protest movement and turned into an armed struggle after security forces fired on demonstrators. Rebels have made gains in the north and east and in the Damascus suburbs, but Mr. Assad’s government has pushed back with deadly air and artillery strikes, and appears to be confident that it can hold the capital. Neither side appears ready to give up the prospect of military victory, though analysts say neither side is close to achieving it.

Mr. Assad’s defiant stance on Sunday “means we’re in for a long fight,” said Joshua Landis, a scholar on Syria and Mr. Assad’s minority sect, the Alawites, at the University of Oklahoma. “This is a dark, dark tunnel. There is no good ending to this. Assad believes he is winning.”

Victoria Nuland, the spokeswoman for the State Department, said in a statement that Mr. Assad’s speech was “yet another attempt by the regime to cling to power, and does nothing to advance the Syrian people’s goal of a political transition.” She said that even as Mr. Assad “speaks of dialogue, the regime is deliberately stoking sectarian tensions and continuing to kill its own people.”

Reporting was contributed by Hania Mourtada from Beirut; an employee of The New York Times from Damascus, Syria; Eric Schmitt from Washington; and Ellen Barry from Moscow.

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Alleged Ohio rapists may not get fair trial: defendant’s lawyer

(Reuters) – Two Ohio high-school football players accused of raping a teenage girl may not get a fair trial after a photo and video allegedly associated with the case were posted on the Internet by the computer hacking group Anonymous, a lawyer for one of the accused said on Friday.

Ma’lik Richmond and Trenton Mays, both 16 and members of the Steubenville High School football team, are charged with raping a 16-year-old fellow student last August, according to statements from their attorneys to local and national media.

Their juvenile court trial is scheduled for February in Steubenville, a city of 19,000 about 40 miles west of Pittsburgh.

The case shot to national prominence this week when Anonymous activists made public a picture allegedly of the rape victim, being carried by her wrists and ankles by two young men, and of a video that showed several other young men joking about an alleged assault.

Richmond’s lawyer, Walter Madison, said on CNN that his client was one of the young men in the photograph, but does not appear in the video.

But the picture “is out of context,” Madison said. “That young lady is not unconscious,” as has been widely reported.

“A right to a fair trial for these young men has been hijacked,” Madison said, adding that social media episodes such as this have become a major threat to a criminal defendant’s right to a fair trial.

“It’s very, very serious and fairness is essential to getting the right decision here,” he said.

Mays’ attorney Adam Nemann could not immediately be reached for comment on Friday. In an interview on Thursday with Columbus, Ohio, broadcaster WBNS-10TV, Nemann raised concerns about the effect the Anonymous postings could have on potential witnesses in the case.

“This media has become so astronomically ingrained on the Internet and within that society, I am concerned witnesses might not want to come forward at this point. I would be surprised now, if there weren’t witnesses now who might want to start taking the Fifth Amendment,” Nemann told the station.

The Fifth Amendment to the U.S. Constitution offers protection against self-incrimination in criminal proceedings.

The case has also been a challenge for local officials because of conflicts of interest. Both the local prosecutor and police have close ties to the school that the defendants attend.

As a result, the case is being investigated and prosecuted by Ohio Attorney General Mike DeWine’s office.

Interviewed on CNN on Friday, DeWine said it was not unusual for his office to prosecute or investigate cases in small towns where close ties within the community caused conflicts of interest to arise.

He also voiced concern about how social media may affect the case.

“This case needs to be tried not in the media, not in social media,” DeWine said.

He said Anonymous’ attempt to shame the alleged attackers had actually harmed the victim.

Not only is the victim hurt by the initial crime, but “every time something goes up on the Internet, the victim is victimized again,” DeWine said.

(Reporting by Dan Burns and Peter Rudegeair; Editing by Bernadette Baum)

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Jordana Brewster Is 'Enamored' with the Idea of Having Twins

01/06/2013 at 05:00 PM EST

Jordana Brewster has babies on the brain – yes, you read that right: plural.

The Dallas star, 32, who has been married to movie producer Andrew Form since 2007, tells Latina she "definitely" wants two kids and is "enamored" by the idea of having twins.

"My dad was a twin, so it runs in the family," she explains. "Fingers crossed. We're thinking about having kids but I don't know when it'll happen. I feel very ready now."

When the couple does eventually expand their family, the children will be raised in a loving home.

"We FaceTime all of the time," Brewster says, of keeping the romance alive long distance. "We love that. There are times when I just say, 'I need to see you now.' And so we FaceTime a lot, or I surprise him and visit him or he does the same. It's super important … Couples shouldn't be apart for too long. We've been married for five years now and we know how important that is because otherwise you just lose touch with each other."

A big part of their bond has come from the way Form inspires his wife on a professional level.

"It's so amazing to have a husband in the business who can challenge me and we can talk about his work and my work and understand each other in that way," Brewster says. "I love getting his feedback and he likes getting mine. And of course, that has pushed me more to consider producing in the future."

And she's not just talking about babies!

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Your medical chart could include exercise minutes

CHICAGO (AP) — Roll up a sleeve for the blood pressure cuff. Stick out a wrist for the pulse-taking. Lift your tongue for the thermometer. Report how many minutes you are active or getting exercise.

Wait, what?

If the last item isn't part of the usual drill at your doctor's office, a movement is afoot to change that. One recent national survey indicated only a third of Americans said their doctors asked about or prescribed physical activity.

Kaiser Permanente, one of the nation's largest nonprofit health insurance plans, made a big push a few years ago to get its southern California doctors to ask patients about exercise. Since then, Kaiser has expanded the program across California and to several other states. Now almost 9 million patients are asked at every visit, and some other medical systems are doing it, too.

Here's how it works: During any routine check of vital signs, a nurse or medical assistant asks how many days a week the patient exercises and for how long. The number of minutes per week is posted along with other vitals at the top the medical chart. So it's among the first things the doctor sees.

"All we ask our physicians to do is to make a comment on it, like, 'Hey, good job,' or 'I noticed today that your blood pressure is too high and you're not doing any exercise. There's a connection there. We really need to start you walking 30 minutes a day,'" said Dr. Robert Sallis, a Kaiser family doctor. He hatched the vital sign idea as part of a larger initiative by doctors groups.

He said Kaiser doctors generally prescribe exercise first, instead of medication, and for many patients who follow through that's often all it takes.

It's a challenge to make progress. A study looking at the first year of Kaiser's effort showed more than a third of patients said they never exercise.

Sallis said some patients may not be aware that research shows physical inactivity is riskier than high blood pressure, obesity and other health risks people know they should avoid. As recently as November a government-led study concluded that people who routinely exercise live longer than others, even if they're overweight.

Zendi Solano, who works for Kaiser as a research assistant in Pasadena, Calif., says she always knew exercise was a good thing. But until about a year ago, when her Kaiser doctor started routinely measuring it, she "really didn't take it seriously."

She was obese, and in a family of diabetics, had elevated blood sugar. She sometimes did push-ups and other strength training but not anything very sustained or strenuous.

Solano, 34, decided to take up running and after a couple of months she was doing three miles. Then she began training for a half marathon — and ran that 13-mile race in May in less than three hours. She formed a running club with co-workers and now runs several miles a week. She also started eating smaller portions and buying more fruits and vegetables.

She is still overweight but has lost 30 pounds and her blood sugar is normal.

Her doctor praised the improvement at her last physical in June and Solano says the routine exercise checks are "a great reminder."

Kaiser began the program about three years ago after 2008 government guidelines recommended at least 2 1/2 hours of moderately vigorous exercise each week. That includes brisk walking, cycling, lawn-mowing — anything that gets you breathing a little harder than normal for at least 10 minutes at a time.

A recently published study of nearly 2 million people in Kaiser's southern California network found that less than a third met physical activity guidelines during the program's first year ending in March 2011. That's worse than results from national studies. But promoters of the vital signs effort think Kaiser's numbers are more realistic because people are more likely to tell their own doctors the truth.

Dr. Elizabeth Joy of Salt Lake City has created a nearly identical program and she expects 300 physicians in her Intermountain Healthcare network to be involved early this year.

"There are some real opportunities there to kind of shift patients' expectations about the value of physical activity on health," Joy said.

NorthShore University HealthSystem in Chicago's northern suburbs plans to start an exercise vital sign program this month, eventually involving about 200 primary care doctors.

Dr. Carrie Jaworski, a NorthShore family and sports medicine specialist, already asks patients about exercise. She said some of her diabetic patients have been able to cut back on their medicines after getting active.

Dr. William Dietz, an obesity expert who retired last year from the Centers for Disease Control and Prevention, said measuring a patient's exercise regardless of method is essential, but that "naming it as a vital sign kind of elevates it."

Figuring out how to get people to be more active is the important next step, he said, and could have a big effect in reducing medical costs.

___

Online:

Exercise: http://1.usa.gov/b6AkMa

___

AP Medical Writer Lindsey Tanner can be reached at http://www.twitter.com/LindseyTanner

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