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Symptoms include high fever, headache, eye pain, shortness of breath and extreme fatigue with rapid progression of symptoms to severe respiratory distress in about five days, the Canadian agency said. A "high proportion" of cases require mechanical respiration, it said. The four males and three females in San Diego County and Imperial County, California, and in San Antonio, Texas, diagnosed with swine flu had mild flu-like symptoms. The patients, 9 to 54 years old, included a father-daughter pair and two boys attending the same Texas school. Human-to-Human Spread The virus is contagious and spreading from human to human, the CDC said in a statement on its Web site. The patients began feeling sick from March 28 to April 19.

20 deaths, including two in the state of Baja California Norte, which borders California. The Mexican cases include five health- care workers, the Ottawa-based agency said in an e-mail today. Tests in Mexico found patients were infected with H1N1 and type-B influenza strains and the parainfluenza virus, the agency said. In the U.S., doctors discovered a new strain of H1N1 swine influenza in patients in San Diego County and Imperial County, California, and in San Antonio, the Centers for Disease Control and Prevention in Atlanta said today. "It will be critical to determine whether or not the strains of H1N1 isolated from patients in Mexico are also swine flu," Donald Low, an infectious diseases specialist at Toronto's Mount Sinai Hospital, told the Canadian Press. Canada's National Microbiology Lab received 51 specimens from Mexico yesterday and will be testing them for a range of pathogens, the public health agency said.

The report indicated economic outlooks do not look good and Bockman and Sirotnik agreed based on the reactions of purchasing managers.

The report indicated economic outlooks do not look good and Bockman and Sirotnik agreed based on the reactions of purchasing managers.

emember how Republican Scott P. Brown's victory in January's Senate race in Massachusetts was supposed to represent a mortal blow to health-care reform? "Probably back to the drawing board," Sen. Russell Feingold (D-Wis.) declared the next day. "Might be dead," Rep. Anthony Weiner (D-N.Y.) surmised. "We're back to where we were maybe even years ago," concluded Rep. Barney Frank (D-Mass.). But rather than dooming the effort, Brown's win appears to have helped Democrats refocus the legislation and their strategy for selling it. Once on track to produce a bill that Republicans were prepared to depict as partisan and laden with special-interest perks, Democrats now expect to unveil legislation that costs less and more aggressively tackles health-care inflation -- a package they say could leave them less vulnerable in November. It drops the "Cornhusker Kickback" that so infuriated voters, and includes a few Republican ideas tacked on by President Obama. "There's no government takeover of health care; there's an expansion of the private market, subsidies, more choice -- I mean, it's so much of what many of us had hoped for from the very beginning," said Sen. Mary Landrieu (D-La.), a moderate and reluctant supporter of the original Senate bill. The House and Senate will launch the final legislative phase this week, with the aim of holding votes before the end of the month. The action will come in two phases. First the House will vote on the bill the Senate approved on Christmas Eve. Then each chamber is expected to consider a package of "fixes" offered under a budget rule known as reconciliation that will protect it from a GOP filibuster in the Senate. Democrats could still fail to pass the overhaul for any number of reasons, and Republicans are vowing an epic showdown on the Senate floor to derail the reconciliation package. Sen. Judd Gregg (N.H.), the senior Republican on the Senate Budget Committee, which holds jurisdiction over reconciliation bills, has called the

The real Tuscany, as locals have been telling me over the years, is found in the dead of winter, when the crowds are thinner and the rooms, flights and restaurants are pleasantly cheaper.