Narrow Change

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He can afford it, she can't: Couple's health care dilemma

Janet and Richard Copeland say one of their few disagreements as a couple is over the Affordable Care Act.

STORY HIGHLIGHTS

Editor's note: Embed America is a partnership between CNN Radio and CNN iReport. This series tells the story of the 2012 U.S. presidential election through the people most critical to the campaigns: the voters. CNN Radio is traveling across the country to interview iReporters on election issues close to their hearts. These issues were named important by iReporters during phase 1 of the iReport Debate.

Mayflower, Arkansas (CNN) -- Janet Copeland and her husband, Richard, both say they agree almost all the time, with one exception: The Affordable Care Act, President Barack Obama's health care legislation.

"We're kind of split on that one," Janet says. "It's one of the few heated discussions we have. Right now, I'm at the point where I've already told (Richard) that 'OK, if the person you want gets elected, sit back and watch.' We're in a little standoff about that one. There's never blood drawn, but it gets interesting."

Richard Copeland, a 62-year-old retired Army veteran, just rolls his eyes.

"I did not like the way it was shoved down our throats," Richard responds. "What about the people that can't afford health insurance? What part of not being able to afford it doesn't our president understand? There are people out there working just to put bread on the table, and now he's saying 'I don't care if your family eats or not.' "

Richard's wife is having a hard time paying her health insurance.

According to Families USA, a liberal-leaning health insurance advocacy group, Janet Copeland's situation is common. Families USA reported that before the passage of the ACA, some 2.3 million American families lost their health care each year because of price. The group believes the ACA will help families from being priced out of health insurance coverage.

He says it's unfair to penalize his wife if she decides not to pay for coverage. He supports GOP candidate Mitt Romney. And Richard has health insurance through the Veterans Administration. But Janet, who is quickly using up her life savings to pay her monthly health premium, is fully supportive of Obamacare, and supports Democratic President Barack Obama in his re-election bid.

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He can afford it, she can't: Couple's health care dilemma

A Christian Alternative to Health Insurance

Exempt from regulation, taxation, and the individual mandate, Christian collectives called health care sharing ministries are paying for the care of their neediest members -- if they approve of the morality of their needs.

In 2006, Ray Carman's health insurance jumped from $600 to $1,000 a month. The reason? His first daughter was born five weeks premature. Though there were no complications during her birth, his daughter was dubbed "high risk" by his insurance company.

Carman, who is a real estate agent and auctioneer in Lafayette, TN, said the costs were simply too high. He began looking for alternatives.

A friend recommended he join a Christian health care sharing plan, a nonprofit in which members pay for each other's medical costs by agreeing to contribute a donation every month. After some research, he joined an organization called Medi-Share.

Since then, $50,000 of his family's medical costs have been taken care of. The care has ranged from an appendectomy, to health coverage for gall bladder complications and maternity costs associated with his wife's subsequent pregnancies and one miscarriage.

But to Carman and 140,000 others who have signed up for these ministries across the country, managing health costs is only part of the benefit. Patients receive notes in the mail or online from other members they have never met, but who share their beliefs, offering encouragement and prayer.

"A single mom diagnosed with breast cancer will not only be concerned about her medical bills, but also about her children and being confronted with mortality," said Tony Meggs, President and CEO of Medi-Share.

The ministries have been around for more than two decades as a creative approach to handling the growing costs of medical care. The largest players include Medi-Share, Samaritan Ministries International and Christian Healthcare Ministries. They market themselves as alternatives to health insurance, though they themselves are not insurance but nonprofits.

Christian Healthcare Ministries does not turn people away, cancel their membership or raise their monthly financial gift because of expensive illnesses, a spokeswoman said.

Medical costs are "shared," not pooled the way they are with insurance companies. Also, people can choose to leave the plan whenever they want. Members themselves vote on what medical procedures should be shared.

Follow this link:

A Christian Alternative to Health Insurance

Cuts to refugee claimant care costing Hamilton’s health system

Federal cuts that have left refugee claimants with little to no health coverage are expected to come at a high cost to Hamiltons health system.

Many area health care providers continue to care for refugee claimants at the expense of their bottom line since the cuts to the interim federal health program took effect June 30.

My background is to treat patients that need you regardless of whether they have funding or not, said Dr. Allen Greenspoon, a family doctor at the Hamilton Community Health Centre on Victoria Avenue North. My first and foremost commitment is to patients. We just see patients if they need our help.

Health Minister Deb Matthews estimates caring for refugees cost $1.3 million at one Toronto hospital alone. Hamilton is also bracing to be hit hard as one of Ontarios top destinations for newcomers.

Its not sustainable to continue to see patients without funding, said Greenspoon. There has to be a proper plan in place to treat patients as necessary.

Hamiltons hospitals and the Maternity Centre of Hamilton have all said they wont turn refugee claimants away. Theyll try to work out payment plans with them but are aware theyll likely end up absorbing a lot of bad debts. About 10 per cent of the maternity centres 800 patients a year are funded by the interim federal health program.

Its not going to unhinge us, said Claudia Steffler, the centres unit director. But it is something that factors into the big schemeof keeping things afloat.

Federal Health Minister Leona Aglukkaq said during her first trip to Hamilton this week that the health care system simply cant afford to care for refugee claimants.

We plan for our health-care system with our population, she said. What we dont do is plan for a health-care system of non Canadians. I think this is about fairness to Canadians and Canadians would expect that.

Ontarios health minister counters that the move only saves the federal government money while putting a tremendous burden on the provincial health care systems.

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Cuts to refugee claimant care costing Hamilton’s health system

Gene therapy for rare disease OK'd by EU regulator

The European Medicines Agency is recommending the first-ever approval of a gene therapy treatment in the EU, in a significant move for a type of treatment that has so far failed to deliver on its promise to cure diseases.

In a statement on Friday, the EMA said Glybera, made by Dutch company uniQure, should be approved across Europe for the treatment of an extremely rare disorder that leaves people unable to digest fat. The treatment consists of a gene that makes a protein to break down fat.

Gene therapy is an experimental technique that tries to cure diseases by replacing genes that don't work. It has never been approved in the U.S. and most trials over the past two decades have failed. China was the first country to approve a gene therapy treatment in 2003 for cancer.

Scientists have struggled to find ways to deliver the genes safely, often by using a harmless virus. There are also concerns that inserting a gene at the wrong spot could cause cancer or that the body's immune system might attack the new gene and the virus used to deliver it.

The EMA previously rejected Glybera three times but it was reconsidered at the request of the European Commission. The agency recommended approval under tough restrictions and will require the company to set up a registry to closely track patients. Previous trials of the treatment only tested it in 27 patients.

"It is only meant for patients with the greatest need," said Monika Benstetter, an EMA spokeswoman, explaining the gene therapy is intended for people with no other treatment options. She said only a handful of gene therapy treatments had been considered before one was recommended for approval but its manufacturer withdrew it before it was finalized.

Recommendations by the EMA are usually given final approval by the European Commission.

Patients with lipoprotein lipase deficiency, the inherited disease Glybera is intended to treat, often cannot eat a normal meal because it can lead to an extremely painful inflammation of the pancreas. Many patients with the disorder have a very restricted diet and only eat a fraction of their daily recommended calories. The condition affects only one to two people per million.

Jorn Aldag, CEO of uniQure, said the company was developing similar treatments for other diseases beyond rare conditions, including Parkinson's. "We believe that just like antibodies, gene therapy will one day be a mainstay in clinical practice," he said in a statement.

Benstetter said there are no other gene therapy treatments currently under consideration by the EMA and was unsure if the agency would get more applications based on Glybera's approval.

See the original post here:

Gene therapy for rare disease OK'd by EU regulator

UniQure’s Glybera Wins EU Backing as First Gene Therapy

By Naomi Kresge - 2012-07-20T19:16:23Z

Europe is on the cusp of approving the first gene therapy to be sold on the market in a western nation, a product from UniQure BV designed to treat a rare disease that disrupts fat production in the body.

The drug, called Glybera, won the backing of an advisory panel to the European Commission on its fourth attempt, the group said in a statement today. The Commission, which makes the final decision, usually follows the committees recommendation.

The move comes after 20 years of experimentation into a technology that in the past has been haunted by highly- publicized failures, including the death of 16-year-old Jessie Gelsinger in the U.S. in 1999. More recently, success in trials by Amsterdam-based UniQure and the U.S.-based companies Sangamo BioSciences Inc. (SGMO) and Neurologix Inc. (NRGXQ) are reviving the field.

This is good news for the field, definitely, said Savio Woo, a professor of genetics and genomic sciences at the Mount Sinai School of Medicine in New York. The technology has been really making a lot of progress, and a positive approval was more or less expected to come sometime.

UniQure began preparations a few weeks ago for meetings with the U.S. Food and Drug Administration to seek approval for Glybera, said Jorn Aldag, UniQures chief executive officer.

The treatment targets lipoprotein lipase deficiency, or LPLD, a rare fat-processing disorder that spurs severe or multiple pancreatitis attacks in about one or two people among every million in the population. The therapy is administered only once to be effective.

Glybera may have peak annual sales between 50 million euros ($61.1 million) and 300 million euros, depending on how its priced, Aldag said in an interview.

Its phenomenal because its the first gene therapy the EMA has approved, he said.

While two gene therapy products are sold in China, none are approved in Europe or the U.S., according to Mount Sinais Woo.

Read more:

UniQure’s Glybera Wins EU Backing as First Gene Therapy

UPDATE 1-European regulators back first gene therapy drug

* Glybera recommended for lipoprotein lipase deficiency

* First (OTC BB: FSTC.OB - news) gene therapy drug to reach market in West

* Green light follows three previous rejections

* Decision is victory for private Dutch biotech firm uniQure (Adds EMA comment, uniQure investors, more background on gene therapy)

LONDON, July 20 (Reuters) - European regulators have recommended approval of the Western world's first gene therapy drug -- after rejecting it on three previous occasions -- in a significant advance for the novel medical technology.

More than 20 years since the first experiments with the ground-breaking method for fixing faulty genes, scientists and drug companies are still struggling to apply gene therapy in practice.

Friday's decision by the European Medicines Agency (EMA) is a win for the drug's maker, the small Dutch biotech company uniQure, and a potential lifeline for patients with the ultra rare genetic disorder lipoprotein lipase deficiency (LPLD).

It comes too late, however, for investors in the previous listed firm Amsterdam Molecular Therapeutics (AMT (Taiwan OTC: 8271.TWO - news) ).

After the earlier rebuffs for its Glybera medicine, AMT was taken private by newly created uniQure in April because it could no longer fund itself in the public markets.

Patients with LPLD are unable to handle fat particles in their blood plasma and are afraid of eating a normal meal because it can lead to acute inflammation of the pancreas.

See more here:

UPDATE 1-European regulators back first gene therapy drug

First ever gene therapy treatment recommended by European regulator

The European Medicines Agency is recommending the first-ever approval of a gene therapy treatment in the EU, in a significant move for a type of treatment that has so far failed to deliver on its promise to cure diseases.

In a statement on Friday, the EMA said Glybera, made by Dutch company uniQure, should be approved across Europe for the treatment of an extremely rare disorder that leaves people unable to digest fat. The treatment consists of a gene that makes a protein to break down fat.

Gene therapy is an experimental technique that tries to cure diseases by replacing genes that don't work. It has never been approved in the U.S. and most trials over the past two decades have failed. China was the first country to approve a gene therapy treatment in 2003 for cancer.

Scientists have struggled to find ways to deliver the genes safely, often by using a harmless virus. There are also concerns that inserting a gene at the wrong spot could cause cancer or that the body's immune system might attack the new gene and the virus used to deliver it.

The EMA previously rejected Glybera three times but it was reconsidered at the request of the European Commission. The agency recommended approval under tough restrictions and will require the company to set up a registry to closely track patients. Previous trials of the treatment only tested it in 27 patients.

"It is only meant for patients with the greatest need," said Monika Benstetter, an EMA spokeswoman, explaining the gene therapy is intended for people with no other treatment options. She said only a handful of gene therapy treatments had been considered before - one was recommended for approval but its manufacturer withdrew it before it was finalized.

Recommendations by the EMA are usually given final approval by the European Commission.

Patients with lipoprotein lipase deficiency, the inherited disease Glybera is intended to treat, often cannot eat a normal meal because it can lead to an extremely painful inflammation of the pancreas. Many patients with the disorder have a very restricted diet and only eat a fraction of their daily recommended calories. The condition affects only one to two people per million.

Jorn Aldag, CEO of uniQure, said the company was developing similar treatments for other diseases beyond rare conditions, including Parkinson's. "We believe that just like antibodies, gene therapy will one day be a mainstay in clinical practice," he said in a statement.

Benstetter said there are no other gene therapy treatments currently under consideration by the EMA and was unsure if the agency would get more applications based on Glybera's approval.

Read more from the original source:

First ever gene therapy treatment recommended by European regulator

Europe nears gene therapy first

20 July 2012 Last updated at 11:11 ET By James Gallagher Health and science reporter, BBC News

Europe is on the cusp of approving a gene therapy for the first time, in what would be a landmark moment for the field.

Gene therapies alter a patient's DNA to treat inherited diseases passed from parent to child.

The European Medicines Agency has recommended a therapy for a rare genetic disease which leaves people unable to properly digest fats.

The European Commission will now make the final decision.

The idea of gene therapy is simple: if there is a problem with part of a patient's genetic code then replace that part of the code.

The reality has not been so easy. In one gene therapy trial a US teenager, Jesse Gelsinger, died, and other patients have developed leukaemia.

There are no gene therapies available outside of a research lab in Europe or the US.

The European Medicines Agency's Committee for Medicinal Products for Human Use has considered the use of Glybera to treat lipoprotein lipase deficiency.

One in a million people have the deficiency. They have damaged copies of a gene which is essential for breaking down fat.

View original post here:

Europe nears gene therapy first

First gene therapy in West, for a rare disease, on the horizon

The long-frustrated field of gene therapy is about to reach a major milestone: the first regulatory approval of a gene therapy treatment for disease in the West. The European Medicine Agency's Committee for Medicinal Products for Human Use said Friday that it is recommending approval of Glybera, a treatment for lipoprotein lipase deficiency manufactured by uniQure of Amsterdam. The European Commission generally follows the recommendations of the agency, and if it does so this time, the product could be available in all 27 members of the European Union by the end of the year.

Lipoprotein lipase deficiency is a rare disease, a so-called orphan disease, that affects one or two of every million people. As the name suggests, it is the result of a deficiency of an enzyme called lipoprotein lipase. This enzyme breaks down large, fat-carrying molecules, called chylomicrons, that circulate in the blood following meals. When the enzyme is defective, the chylomicrons accumulate, turning the blood almost milky white and blocking small blood vessels, producing severe inflammation of the pancreas -- called pancreatitis. The severe pain typically requires hospitalization. There is currently no treatment for the disease other than regulation of the diet.

Glybera is an active form of lipoprotein lipase that is injected into the patient's legs in a series of shots at one sitting. Clinical trials conducted in 27 people by Dr. Daniel Gaudet of the University of Montreal show that the injections are long-lasting and provide at least partial control of lipoprotein lipase deficiency with no apparent adverse effects. Bouts of pancreatitis are fewer and less severe following treatment.

The European agency had rejected Glybera three times in the past year, citing insufficient evidence of benefit, before unexpectedly reversing its decision and recommending approval. The approval decision was for patients with the most severe form of the disease, and the agency said that the company would be required to monitor patients and provide data to regulators.

UniQure said it will apply for approval in the United States, but is not sure when.

The only previous approval of a gene therapy product is a cancer treatment that has been approved in China.

LATimesScience@gmail.com

Twitter/@LATMaugh

Original post:

First gene therapy in West, for a rare disease, on the horizon

First Gene Therapy in Western World Receives Positive Opinion in Europe from CHMP

AMSTERDAM, The Netherlands, July 20, 2012 /PRNewswire/ --

uniQure announced today that the European Medicines Agency's Committee for Medicinal Products for Human Use (CHMP) has issued a positive opinion that recommends marketing authorization of Glybera (alipogene tiparvovec) as a treatment for lipoprotein lipase deficiency (LPLD) under exceptional circumstances. LPLD is a very rare, inherited disease. Patients with the disease are unable to handle fat particles in their blood plasma, which leads to recurring severe abdominal pain and pancreatitis.

The European Commission (EC) generally follows the recommendations of the CHMP. "We expect final approval from the EC within 3 months after the CHMP decision," says Jrn Aldag, CEO of uniQure. "After today's positive recommendation, Glybera is poised to become the first in a class of gene therapy products approved in Europe to treat orphan diseases, rare conditions with a very high unmet medical need." Marketing authorization covers all 27 European Union member states.

Mr. Aldag continued: "Patients with LPLD are afraid of eating a normal meal because it can lead to acute and extremely painful inflammation of the pancreas, often resulting in a visit to intensive care. Now, for the first time, a treatment exists for these patients that not only reduces this risk of getting severely sick, but also has a multi-year beneficial effect after just a single injection. The positive recommendation from the CHMP for Glybera therefore represents a major breakthrough for both LPLD patients and for medicine as a whole. Restoring the body's natural ability to break down fat particles in the blood in order to prevent pancreatitis and excruciating abdominal pain suffered by patients, is what gene therapy is all about: curing disease at the genetic level."

"At uniQure we are developing treatments for a number of other rare diseases as well, such as acute intermittent porphyria and Sanfilippo B. But the potential of gene therapy stretches far beyond rare diseases. As shown recently in a publication in the New England Journal of Medicine (N Engl J Med 2011; 365:2357-2365, December 22, 2011), hemophilia patients treated with our proprietary gene are showing a sustained clinical effect over several years, which has allowed prophylaxis treatment to be stopped. In addition, we are advancing programs in degenerative diseases such as Parkinson's. We believe that just like antibodies, gene therapy will one day be a mainstay in clinical practice," Mr Aldag added.

As part of the approval, treatment with Glybera will be offered through dedicated centers of excellence with expertise in treating LPLD and by specially trained doctors to ensure ongoing safety of this novel treatment paradigm. uniQure has also committed to building a patient registry for continued understanding of this devastating, under-researched disease. The Company is now preparing to apply for regulatory approval in the US, Canada, and other markets.

Glybera has been tested in three interventional clinical studies conducted in the Netherlands and in Canada, in which a total of 27 LPLD patients participated. In all three clinical trials, Glybera was well tolerated, with no relevant safety issues observed. Data from these clinical trials indicate that a single dose administration of Glybera resulted in a long-term biological activity of the LPL protein.

About Glybera

uniQure has developed Glybera as a therapy for patients with the genetic disorder lipoprotein lipase deficiency. LPLD is an orphan disease for which no treatment exists today. The disease is caused by mutations in the LPL gene, resulting in highly decreased or absent activity of LPL protein in patients. This protein is needed in order to break down large fat-carrying particles that circulate in the blood after each meal. When such particles, called chylomicrons, accumulate in the blood, they may obstruct small blood vessels. Excess chylomicrons result in recurrent and severe acute inflammation of the pancreas, called pancreatitis, the most debilitating complication of LPLD. Glybera has orphan drug designation in the EU and US. LPL Deficiency affects 1-2 persons per million. For further information on LPLD visit http://www.lpldeficiency.com.

About uniQure

See the rest here:

First Gene Therapy in Western World Receives Positive Opinion in Europe from CHMP

European regulators back first gene therapy drug

LONDON (Reuters) - European regulators have recommended approval of the Western world's first gene therapy drug -- after rejecting it on three previous occasions -- in a significant advance for the novel medical technology. More than 20 years since the first experiments with the ground-breaking method for fixing faulty genes, scientists and drug companies are still struggling to apply gene ...

See the article here:

European regulators back first gene therapy drug

European regulator: Gene therapy treatment OK

LONDON (AP) -- The European Medicines Agency is recommending the first-ever approval of a gene therapy treatment in the EU, in a significant move for a type of treatment that has so far failed to deliver on its promise to cure diseases.

In a statement on Friday, the EMA said Glybera, made by Dutch company uniQure, should be approved across Europe for the treatment of an extremely rare disorder that leaves people unable to digest fat. The treatment consists of a gene that makes a protein to break down fat.

Gene therapy is an experimental technique that tries to cure diseases by replacing genes that don't work. It has never been approved in the U.S. and most trials over the past two decades have failed. China was the first country to approve a gene therapy treatment in 2003 for cancer.

Scientists have struggled to find ways to deliver the genes safely, often by using a harmless virus. There are also concerns that inserting a gene at the wrong spot could cause cancer or that the body's immune system might attack the new gene and the virus used to deliver it.

The EMA previously rejected Glybera three times but it was reconsidered at the request of the European Commission. The agency recommended approval under tough restrictions and will require the company to set up a registry to closely track patients. Previous trials of the treatment only tested it in 27 patients.

"It is only meant for patients with the greatest need," said Monika Benstetter, an EMA spokeswoman, explaining the gene therapy is intended for people with no other treatment options. She said only a handful of gene therapy treatments had been considered before one was recommended for approval but its manufacturer withdrew it before it was finalized.

Recommendations by the EMA are usually given final approval by the European Commission.

Patients with lipoprotein lipase deficiency, the inherited disease Glybera is intended to treat, often cannot eat a normal meal because it can lead to an extremely painful inflammation of the pancreas. Many patients with the disorder have a very restricted diet and only eat a fraction of their daily recommended calories. The condition affects only one to two people per million.

Jorn Aldag, CEO of uniQure, said the company was developing similar treatments for other diseases beyond rare conditions, including Parkinson's. "We believe that just like antibodies, gene therapy will one day be a mainstay in clinical practice," he said in a statement.

Benstetter said there are no other gene therapy treatments currently under consideration by the EMA and was unsure if the agency would get more applications based on Glybera's approval.

See the rest here:

European regulator: Gene therapy treatment OK

Black Hat Marks 15th Anniversary By Bringing Back Experts Who Presented 15 Years Ago

SAN FRANCISCO, July 19, 2012 /PRNewswire/ -- Next week, Black Hat, producer of the world's premier information security events, will celebrate its 15th anniversary in Las Vegas with more than 6,500 high-level security experts, bringing together a community of public and private sector security professionals, academics and researchers. Experts from around the globe will be revealing the newest cyber security research, from breaking vulnerabilities to important findings that impact everything from global cyber espionage to personal computing. Black Hat is commemorating its storied history by bringing back five of the original 1998 speakers: Jeff Moss, Bruce Schneier, Marcus Ranum, Adam Shostack and Jennifer Granick, who will share their vision of security for the next 15 years with their panel, "Smashing the Future for Fun and Profit" on Wednesday, July 25th. For more information and to register before the online registration deadline of July 20th, please visit http://www.blackhat.com.

Over the past 15 years, a unique and neutral forum has been created at Black Hat, where the security community can come together public, private and independent practitioners to exchange research, theories and experiences with the common goal of managing the ever-evolving threat landscape. The first Black Hat "futurist panel", being held on July 25th at 10:15am, brings together these industry veterans to discuss today's cutting edge research and emergent technologies, while reflecting back on where the security community has come from.

"No matter which incidents you examineor which ones your enterprise must respond toone thing is clear: security is not getting easier. The industry relies upon the Black Hat community to bring them timely security research and education," explained Black Hat General Manager, Trey Ford. "Bringing back these renowned experts is our way to celebrate the security community's past, present and future."

Online registration for Black Hat USA 2012 ends Friday, July 20th. Register now to save $400 on this year's show, featuring nine tracks and forty-nine live, onstage demonstrations presented by more than one hundred of the community's most respected security researchers.

Sponsors of this year's Black Hat include Diamond Sponsors: Qualys, Microsoft and Lookingglass Cyber Solutions; Platinum Sponsors: Accuvant LABS, Blue Coat Systems, Core Security, Cisco, IBM, Lieberman Software, LogRhythm, Mykonos Software, RSA, Symantec, Trustwave and Verizon.

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Black Hat Marks 15th Anniversary By Bringing Back Experts Who Presented 15 Years Ago

Oprah’s Book Club 2.0 goes digital

When Oprah Winfrey, then the brightest star on daytime TV, began her book club in 1996, inexpensive e-books and e-readers seemed more futurist rumour than everyday reality. Social media could have meant friendly reporters.

Now, as Winfrey, co-owner of a struggling cable network, launches Oprahs Book Club 2.0, shes seeking a literary home on a digital landscape. Comparing todays fragmented do-it-yourself media with the world of 1996 is like comparing Winfreys 42-acre estate near Santa Barbara, Calif., with her birthplace amid the rural poverty of Kosciusko, Miss.

Publishers and booksellers cheer her clubs revival, despite questions whether the new Winfrey, with a much smaller TV audience, carries the influence of the old Winfrey, who turned 70 books into bestsellers.

On Sunday, Winfreys interview with memoirist Cheryl Strayed, the first author chosen for the new book club, airs on OWNs Super Soul Sunday (11 a.m. ET/PT) and simultaneously streams on Oprah Radio and on OWNS Facebook page. (OWN is short for Oprah Winfrey Network.)

Ratings show that the audience for Winfreys weekly show Super Soul averaged only 114,000 viewers in the past month a sliver of her more than five million to six million viewers when her daily syndicated show ended its 25-year run last year. At its peak, The Oprah Winfrey Show averaged 12 million viewers.

What hasnt changed is how Winfrey, Americas favourite reader, reacts when she loves a book.

This spring, she read Strayeds inspirational memoir, Wild, about the authors solo 1,100-mile hike on the Pacific Crest Trail after the death of her mother, the destruction of her marriage and experimentation with heroin.

Winfrey, who says she read Wild in part in hardcover and on her Kindle and iPad, writes in the July issue of O, the Oprah Magazine: I love this book. I want to shout it from the mountaintop. I want to shout it from the Web I knew I had to reinvent my book club.

On June 1, Winfrey announced an interactive and multi-platform book club that uses Twitter, Facebook, Storify and GroupMe. Readers can post questions that Winfrey and Strayed answer in videos. Print editions of Wild carry a new version of the familiar O book club logo. The special e-book includes Winfreys notes on her favourite passages.

Sales of Wild, which was well-reviewed upon its March release, spiked. Within two weeks of Winfreys announcement, Wild went from No. 165 on USA TODAYs Best-Selling Books list to No. 14. Its now No. 35.

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Oprah’s Book Club 2.0 goes digital

How the world is changing, from food trends to high tech

What is a futurist? Not a fortune teller, oracle or prophet. Futurists are simply people who take foresight seriously, applying past and emerging trends to envision how our lifestyles and industries will develop in the years ahead.

But the future isnt what it used to be: What was once a field dominated by experts such as Future Shock author Alvin Toffler or artificial-intelligence guru Ray Kurzweil is now becoming one that involves more amateurs, as large-scale information and the processing power to analyze it become more accessible. And thats a welcome development to most of the pros.

Really, anybody who has a prefrontal cortex is a futurist, says Patrick Tucker, communications director of the World Future Society. We spend the vast majority of our time thinking about the future. This is where we plan, where we create actions we are going to commit ourselves to.

Next weekend, Toronto will host the World Future Conference, bringing together people from disparate fields to discuss how the world is changing and how it ought to.

Next in food: Mass-produced fish and sub-Saharan flavours

Taking saltwater fish and raising them in a warehouse 500 kilometres away from the sea may not sound appetizing at first.

But putting [fish] indoors in higher-density areas, as unromantic as it sounds, has a lot of benefits, says Josh Schonwald, journalist and author of The Taste of Tomorrow. It eliminates a lot of the problems that have been associated with traditional aquaculture fish escaping and breeding with native populations, as well as unsightly coastlines and a general negative impact on marine ecosystems.

That may be how well get our protein, but what about the flavours of the future what global cuisine will be the next Thai? Mr. Schonwald says our hunger for ethnic exploration will lead us to the one area that has been off the radar for most North Americans: the foods of sub-Saharan Africa, such as chicken yassa, egusi soup, shrimp piri piri, jollof rice and baobab juice.

African fusion [is] already happening in the UK there's a small company called Bim's Kitchen that is introducing African-influenced condiments, like African ketchup spiced with distinctively African peppers, a curried egusi sauce and smoky baobab barbecue sauce.

Exposure to new cuisines can also alter our attractions or aversions to certain tastes, Mr. Schonwald says such as bitterness. In his book, he profiles a man who is trying to introduce radicchio, a bitter salad green enjoyed in Italy, to Americans.

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How the world is changing, from food trends to high tech

Freedom Front Plus to take on Transnet

Johannesburg - Freedom Front Plus (FF Plus) preparations for a class action against Transnet and its two pension funds are "at an advanced stage", its parliamentary spokesman Anton Alberts said on Friday.

"We are still waiting for information from the pension funds to finalise the application," he said in a statement.

The party planned to bring the application next month to force Transnet to implement annual increases equivalent to inflation, to compensate pensioners for a decade of below-inflation payments and to ensure the funds were sustainable.

Earlier this week the FF Plus sent legal letters to Transnet for information about its two pension funds, said Alberts.

The party sought the minutes of all meetings held since 1994, and all financial statements.

Transnet has two pension funds: the Transnet Pension Fund and the Transnet Second Defined Benefit Pension Fund.

These were created in 2000 from a predecessor fund with a history of financial hardship.

Since their inception, the pension funds had increased benefits by just 2% per year, well below the inflation rate. Over the years many pensioners had fallen into poverty as a result of the low increases.

"We are... working as fast as possible on the case given the desperate position of the pensioners," Alberts said.

"As soon as the application has been submitted we will be informing everybody, and also launch public protest action (on behalf) of the pensioners."

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Freedom Front Plus to take on Transnet

Freedom Park to host BMX state championship race

The BMX track at Camarillo's Freedom Park

BMX riders at Camarillo's Freedom Park

Camarillo's Freedom Park BMX Raceway will be hosting a state championship race Saturday.

Practice and race registration is 11 a.m. to 1 p.m., with racing to begin after 1.

Admission is free.

As part of the USA BMX Southern California State Championship Series, BMX racers from all over Southern California will be coming to race at Freedom Park for the event.

The weekend action then continues Sunday for the second of the area's state championship races at Santa Barbara's Elings Park BMX Raceway.

Practice and race registration is 11 a.m. to 1 p.m., with racing to begin after 1.

Richard and Andrea Huvard and partner Frank Marino operate both facilities and have recently partnered with Erick and Lea Kozin of Ventura-based ride and race apparel company, Nema Cycling, to bring yet a third track to the region in Ventura.

With BMX racing about to make its second appearance in the Olympics in London, there's no better time to head out to the tracks to check out the local talent.

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Freedom Park to host BMX state championship race