Statin side effects: How common are memory loss, diabetes, and muscle aches?

 

When the US Food and Drug Administration told the makers of cholesterol-lowering statins to add new side effect warnings to their labels last week, many of the 40 million statin users may have been unaware of the extent of the risks associated with these drugs that have been touted by some cardiologists to be safer than aspirin. No question, statins -- which include Lipitor (atorvastatin), Zocor (simvastatin), and Crestor (rosuvastatin) -- are relatively safe drugs, and they’ve saved thousands of lives over the past 20 years, particularly in men with established heart disease. But like any drug they can cause problems in some, including muscle aches, an increased risk of diabetes, and, gaining recent attention, memory loss. University of California-San Diego researcher Beatrice Golomb published a paper two years ago describing 171 statin users who reported that they had developed memory problems and dementia-like symptoms that the statin users attributed to their use of the medications. The vast majority experienced an improvement in their symptoms after stopping the drugs and many saw their symptoms return after going back on statins. Robert Grindell, a state employee from Makinen, Minn., told me his short-term memory began to deteriorate after he started taking Zocor in his early 50s. (He contacted Golomb after hearing about her research.) “My co-workers told me I was coming in to ask them the same question three times in one day,” he said. “I had a CT scan to determine if I had a stroke, but it came back fine; the next day, I couldn’t even remember where I had the test performed.” After learning that Zocor caused memory problems, Grindell decided to go off it and said within a few days he noticed an improvement in his memory, not having to glance down several times at a printed phone number as he dialed it to remember the digits. Unfortunately, the exact incidence of these memory problems isn’t known. Manufacturer-sponsored clinical trials show that they occur in fewer than 1 percent of users, but statin researcher Dr. Paul Thompson, chief of cardiololgy at Hartford Hospital, said the real incidence is probably much higher. He has a study expected to be published sometime this year that measured cognitive effects in statin users compared with those on placebos that he said will provide a better estimate; the findings can’t be disclosed until the study is published. The diabetes risks of statins are more well-established. One review study published last year calculated an extra two cases of type 2 diabetes in every 1,000 patients who took a high-dose statin (80 milligrams per day) compared with those who took a lower dose (20 to 40 milligrams). And one clinical trial found that statin users had about a 25 percent increased risk of developing diabetes over a two-year period compared with those who took placebos. Experts, though, agree that in people at high risk for heart disease, the increased diabetes risk is outweighed by the statin’s protection against heart attacks and deaths from any cause. The danger of muscle destruction from statins -- which can damage the liver and kidneys -- is also clear but slight. According to Thompson, about 1 in every 1,000 statin users will develop severely elevated levels of the enzyme creatine kinase, which indicates muscle death, and only 1 in 10 million die from developing an extremely severe case of the condition called rhabdomyolysis. Muscle aches are far more common: occuring in about 1 in 10 users, according to Thompson. “It seems to be more common in people who do a lot of exercise.” In fact, a study he conducted found that marathon runners taking statins developed a greater increase in creatine kinase right after their race compared with runners who weren’t on statins. “We also see more muscle aches in older people and women since they have less muscle mass,” he said. Lowering the statin dose or switching to a different statin doesn’t always help, Thompson said. “In our studies, those who develop statin myalgia tend to get it again and again; they’re body may get sensitized to statins.” There may also be a genetic component, with statin muscle aches occuring more often in those whose parents also had them. And there may be a link between memory loss and muscle aches. “In our database, the majority of patients who had cognitive problems also had muscle problems,” Golomb said. She recommends that those who are having memory loss or muscle aches speak to their doctor about going off statins -- especially if they’re not in a high-risk group for heart attacks. Those who get the most benefits are men under 65 who’ve already had a heart attack, she said. Women, elderly people, and those without heart disease get much smaller benefits from statins, and it’s unclear whether the drugs extend their lives. “Many patients have told me that their doctor said going off statins would kill them,” Golomb said, “but that’s not an accurate representation of the evidence.”

Health board owed £130k for treatment of foreign nationals

FOREIGN nationals not entitled to free treatment are said to owe Swansea Bay's ABM University Health Board more than £130,000 — the second highest figure in Wales. According to figures obtained by the Welsh Conservatives, only Cardiff and Vale UHB is owed more, at just over £200,000. ​ Darren Millar AM The Welsh Government has now said it is looking at further measures to help health boards recoup their costs. Figures obtained by the Tories following a Freedom of Information request show the money owed to the NHS in Wales more than doubled between 2008 and 2011. Of the £380,000 that was unpaid, at least £199,311 is still outstanding to Wales's seven health boards, while a minimum of £185,700 was written off after bosses exhausted efforts to be reimbursed. Shadow Health Minister Darren Millar AM expressed concern at the figures, arguing the Welsh NHS was in no position to be owing substantial sums of money. He said: "There are strict guidelines in place for explaining details of charges to patients who are required to pay. "The Welsh Government should look carefully at how well these rules are followed. "Any money written off by the NHS is regrettable when budgets are being squeezed so hard. The big rise evident in these figures is of great concern." The figures show that, in 2008/09, £70,815 had not been paid back. In 2010/11 that had increased to £257,713. And the Tories also claim there was been a downward trend in the rate of collecting money owed, down from 71 per cent in 2008/09 to 43 per cent in 2010/11. Some treatments, such as medical emergencies at A&E or compulsory psychiatric care, remain free of charge for everyone in Wales — regardless of where they are from or how long they have lived in the country. Other procedures, which include non-life-threatening outpatient care, are supposed to be paid for by non-EU residents. But the process and guidelines are far from straightforward as some countries have signed healthcare agreements with the UK. This makes its citizens exempt from some charges. ABM officials could not be contacted for comment. A Welsh Government spokesman said: "All visitors to Wales requiring NHS treatment are assessed as to their eligibility for free NHS treatment. "All treatment received in an accident and emergency department is free to all. "We have issued clear guidance to NHS organisations which states that they should recover the cost of caring for overseas patients who are not entitled to free care. "We are looking at what further measures can be introduced to support NHS organisations recover costs."

Spanish state will need outside help – or even go bankrupt.

 

If the negative development in the Spanish housing market continues, it can – worst case – lead to renewed concern over that the Spanish state will need outside help – or even go bankrupt. Banks might face several hundred billion Euros in losses on the Spanish real estate market. This will mean a recapitalization of the Spanish banks – capital that can only come from the Spanish state. Now there is nothing new in that; but what is interesting is the free admission of a need to nationalize the Spanish banks. If you glace at the graph you will see the Danish housing market has dropped between 22% and 30% from the top – time and actual drop depending on market segment. As Danske Bank is roughly half the Danish finance sector it is hard to escape the conclusion that Danske Bank is in at least as big trouble as the banks in one of the more notorious frivolous and irresponsible economies in Europe. Danske Bank will presumably peg their flag to the difference in unemployment figure (Spain hovers around 20%). True as that may be; but unemployment figures are notoriously difficult to compare between countries. Not only do criteria differ; but the criteria differs over time – according to political convenience. It is kind of discussing distress on board the Titanic: “It’s only your end that is under water! I’m fine!!” That is the nearest to a Freudian slip admission of life threatening financial distress we can expect from Danske Bank. But it is time to bust a few myths before they come too much of age – and be established as “truths” – and draw some conclusions. 1)    Looking at the graph again prices on condominiums/flats/apartments had begun to drop way before the collapse of Lehman Brothers. Two years in fact. That was more due to a temporary rise in interest rates that made the calculations of monthly payments  – even to the least lunatic bank manager – clearly unrealistic. 2)    Generally sales were falling from mid 2007 – I trust the reader is can see through the regular seasonal variation to distinguish the trend. 3)    The collapse of Lehman Brothers and the perhaps inept handling of the resulting Credit Default Swap disaster had indeed nothing to do with the much deeper issue of banking irresponsibility and incompetence. Alan Greenspan has been quoted for saying that what surprised him was that banks had not taken preventive measures in their own interest. The forces of the free market self-regulating controls do NOT apply in the financial sector. 4)    The next major meltdown – which clearly is underway (Spain will not be able to meet the budget target agreed upon by Rajoy) – will in essence have nothing to do with the Greek debacle. Greece was/is – all things considered – handled more effectively than the collapse of Lehman Brother. To be fair: There was more advance warning and the cacophony of idiotic optimism had been quenched by German lack of sentimentality. 5)    You can see the lack of linkage to the Greek situation by the fact that the Danish and Spanish drop in housing prices (and lack of trade) is simultaneous. Danish banks were not exposed to Greek sovereign debt to ANY appreciable extend. Furthermore Denmark has a reasonably healthy export which is more than can be said about Spain. Still a near similar and at least simultaneous price drop in Denmark and Spain points to a factor nobody has wished to mention: The banks of both countries are to all intents and purposes deceased and with no future without state ownership.

Shisha cafes should have prominent notices saying, “Smoking shisha can kill” - just like you would on a cigarette packet

 puffing on a Turkish waterpipe is the latest trend to hit British bars and cafes.

The flavoured tobacco, which is smoked via a long pipe connected to a vessel filled with water, is particularly fashionable among young people, with the number of specialist bars rising 210 per cent since 2007.

But the World Health Organisation has warned that a one-hour shisha session can be as harmful as smoking 100 cigarettes.

Trend: Zaky Ali ,40, owner of Marhaba Cafe in Birmingham, with a hookah pipe for smoking shisha, which is becoming more popular among the young. But experts warn it can do more damage than cigarettes because users take more puffs of smoke

This is because a cigarette smoker typically takes between eight and 12 puffs, inhaling 0.5 to 0.6 litres of smoke.

But during hour-long shisha sessions smokers may take up to 200 drags, ranging from 0.15 to 1 litre of smoke each. 

 

 

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• Britain's drink death capital: How more people die from alcohol in Sunderland than anywhere else

 

‘Shisha smoking is a growing concern because people aren’t aware of the risks like they are with cigarette smoking,’ says Professor Robert West, director of tobacco studies at University College London.

‘The greater the exposure in terms of duration and amount smoked, the greater the risk to your health’

That’s because although shisha tobacco tastes nicer than cigarettes, it contains all the same toxicants known to cause lung cancer and heart disease.

Risk: Smokers typically take in 12 puffs on a cigarette compared to up to 200 for hookah pipes

Among the risks are heart disease, respiratory problems, lung and mouth cancer and problems during pregnancy.

‘Smoke from tobacco contains a number of carcinogens which damage the DNA in cells,’ explains Professor West. ‘Just one damaged cell can divide and multiply uncontrollably and quite quickly develop into a large tumour. This is what causes lung cancer,’ explains Professor West

Enthusiasts claim that as the smoke passes through water most of the harmful chemicals are absorbed, however there is no evidence to support this.

‘If people think it’s safer than cigarettes, when it’s not, they need to be informed otherwise,’ said Professor West.

There are other risks. As the mouthpiece is passed around from person to person, this raises the risk of transmitting diseases such as tuberculosis and hepatitis.

The waterpipe has been used to smoke tobacco for centuries, primarily in Africa, Asia and the Middle East.

A rise in travel to countries such as Egypt and Turkey has seen the pipe transported to the UK.

The waterpipe is heavily sold as a souvenir, and is popular with tourists who like to take it back home as a gift or decorative object.

The waterpipe can also be purchased in various shops in London for as little as £20, with shisha tobacco costing £5-£10.

The tobacco is burned with charcoal in a bowl that sits above the vessel.

The smoke it produces passes through the water in the container and goes down the pipe so the user can sit by the vessel and an inhale it with their mouth. 

Middle Eastern inspired: A shisha user in Iraq, the pipe's traditional home

The smoke is cooled by the water and makes it feel less ‘harsh’ - and experts warn that as a result people inhale it more deeply into their lungs, which increases the risks even further.

Shisha tobacco is flavoured with fruit molasses such as apple and strawberry, so the residual redolent smoke is sweet.

Because it doesn’t taste like a cigarette, people often think of it as being safer or better. Many young people who don’t usually smoke are attracted to this seemingly harmless activity.

It’s also a cheaper option than buying a round at the pub. One shisha usually costs between £7-£20, and is often shared by two or three people throughout an evening.

In the borough of Westminster, London, the number of shisha cafes have gone up approximately by 68 per cent since 2007.

The smoking ban hasn’t stopped this trend from growing. Restaurant and café owners offering shisha have been able to flout the ban by creating garden terraces or patio seating outdoors.

But as the weather gets warmer, and shisha becomes more and more fashionable, experts are calling for better health warnings.

Professor West suggests: ‘Shisha cafes should have prominent notices saying, “Smoking shisha can kill” - just like you would on a cigarette packet.’

Having a cocaine binge at the weekend followed by three or four diazepam to get to sleep on Sunday messes up the brain's chemistry

 

Having a cocaine binge at the weekend followed by three or four diazepam to get to sleep on Sunday messes up the brain's chemistry, a consultant psychiatrist says.Many people who use drugs recreationally also take prescription medicines such as tranquillisers, sleeping pills and painkillers to deal with the effects of a weekend high and get back to work on Monday, new research reveals. An international survey carried out by the Guardian and Mixmag magazine found that about a third of the 7,700 people from the UK who revealed their illegal drug use also took prescription sleeping pills – 22.4% had taken benzodiazepines such as temazepam in the last year and 7.2% had taken the newer "z-drugs" – zopiclone and zolpidem. Those taking part in the survey were predominantly well-educated working people who felt they were in control of their lives. But Dr Richard Bowskill, consultant psychiatrist and medical director of the Priory rehabilitation centre in Brighton, said he saw the fallout years later from this pattern of illegal and prescription drug-taking among "highly functioning" clients. "People think they are being their own pharmacist. They have a major binge of cocaine over the weekend and three or four diazepam to get to sleep on Sunday night. They think they understand what it is doing to their body and they think they are in control, but their brain chemistry is getting messed up," he said. "They know the effects of the drug. It's often being used following cocaine to self-medicate for the downswing and it causes chaos. It's a really common scenario. Then they can't get to sleep on Monday and they take some more sleeping tablets." While recreational drug users think prescription medicines are safe, because GPs hand them out and the tablets are what they purport to be, benzodiazepines and opioid painkillers are highly addictive if taken regularly for any length of time. Anna, who had a high-pressured job requiring her to make frequent long-haul flights, was not a recreational drug taker but started taking zopiclone to help her sleep on the plane or when she arrived in a different time zone and needed to be fresh for work in the morning. "Your body gets accustomed to the drugs. I didn't really understand their addictive nature," she said. "They weren't having an effect so I was having to up the dosage." She ended up taking five tablets at a time, but they just made her more anxious, irritable and sleepless. "I lost a lot of friends." She talked of the societal "pressure to perform" and her regret that there was so little help. GPs did not want to know, she said. With the help of the Council for Information on Tranquillisers, Antidepressants and Painkillers (CITA), a support group, she had been switched to a different drug and was slowly cutting down. Against expectations, most people in the Guardian/Mixmag survey did not get their prescription drugs from the internet, but from their own GP or a friend who had been prescribed them. GPs were in a bind, said Dr Peter Swinyard, national chairman of the Family Doctor Association. When people arrived in the surgery complaining of pain or insomnia "we are predisposed to believe what people tell us", he said. "We always work from the premise that they are being honest with us." Nonetheless, a survey the association did last summer showed that 52% of GPs were worried about prescription drug abuse in their area. Eight out of 10 of the 197 GPs who responded to the survey said they were aware of prescribing to people who they thought were addicted. Half were aware of occasions when prescriptions had been sold on. "People tell us they lose their prescription or it got eaten by the dog. A lot of general practices have systems like a book at reception recording those who say they have lost their prescription," Swinyard said. But there are people who GPs would not characterise as liars or cheats. "There is the traditional little old lady who is taking her sleeping pill prescription and selling it down the pub. I'm sure there is a cohort of elderly people supplementing their pension by selling their prescription drugs," he said. Although the Guardian/Mixmag survey responders mostly said they used sleeping tablets for sleep and painkillers for pain, they had often tried them to get high – 57.8% in the case of the anti-hyperactivity drug Ritalin, nearly 40% in the case of the benzos and 28% who had taken opioid painkillers. In the US, prescription opioids have caused a huge problem since oxycodone – better known by its brand name OxyContin – was licensed for use outside cancer treatment in the mid-1990s. In 2008, 15,000 Americans died from overdosing on prescription opiates, according to the Centres for Disease Control (CDC), which is more than on heroin and cocaine combined. The opioid epidemic appears not to have hit the UK. "There has been a rise in oxycodone deaths, but it is pretty small," said James Bell, addiction consultant at the South London and Maudsley NHS trust. "I have been trying to look for evidence here and it is not a big problem." Demand was fuelled in the US by direct advertising to the public. In the UK this is not allowed and most people are registered with a single NHS GP so cannot shop around. The Guardian/Mixmag study, which was conducted by Global Drug Survey, shows that a quarter of responders had taken prescription opioid painkillers and 9% had taken other painkillers. More than three-quarters said they took them for pain relief, 24% said they took them to get to sleep and 18% said they took them for mood-changing purposes.

Police plans to fire rubber bullets in London

 

Scotland Yard authorised the deployment of rubber bullets ready for use on the streets of London 22 times in the past two years, The Independent can reveal. The figure suggests the Metropolitan Police had considered ordering its officers to open fire during public disorder incidents far more frequently than previously thought. The Yard yesterday refused to say on what dates and during which situations it ordered some of the nearly 3,000 baton rounds it possesses to be distributed to firearms teams. It said the release of such information could endanger future policing operations. The revelation that the Met authorised the distribution of the non-lethal rounds on average almost once a month in 2010 and 2011 follows the disclosure earlier this week that senior officers wanted to fire rubber bullets at rioters in south London last summer – but firearms specialists could not reach the trouble spots in time. The Met has now promised to make "more agile use" of the weapons. Although they have been used in Northern Ireland for many years, baton rounds have never been fired on the British mainland. Even in the extreme circumstances of last August's riots their use would have been seen as a significant escalation in police tactics and a move away from Britain's consensual policing model. The figures, obtained by the Liberal Democrat peer Dee Doocey, are an indication of an increasingly muscular response to what police believe is the increased threat to officers and the public from gangs or individuals bent on violent disorder. But campaigners argue that the use of non-lethal firearms in crowd control has no place in policing on the British mainland. The Yard was criticised last year when it released a statement saying that baton rounds – referred to by police as attenuating energy projectiles (AEPs) – might be deployed if extreme disorder occurred during a protest in London against tuition fees. In a written answer to a question last month from Baroness Doocey, the London Mayor, Boris Johnson, confirmed on behalf of the Met Commissioner, Bernard Hogan-Howe, that the force had "authorised the movement" of rubber bullets 22 times in 2010 and 2011. But he said details of the incidents would only be given under conditions of secrecy because, if made public, they could compromise future operations. Lady Doocey, a member of the Greater London Authority and the Metropolitan Police Authority until it was replaced with a new body in January, said the disclosure of the precise dates was in the public interest. She told The Independent: "I have long believed rubber bullets have no role in policing demonstrations in London. This secrecy over their potential use merely confirms that view. It is simply wrong for the Met to be silent when on so many occasions the use of rubber bullets was being considered." Rubber bullets are designed to offer a non-lethal alternative to conventional firearms and police argue modern AEPs pose less threat of serious injury. Between 2006 and October 2011, the Met Police bought 2,700 AEP rounds. It said it could not produce figures for baton round deployments in previous years, adding that it followed strict guidelines designed to protect life and prevent serious injury. Opinion about rubber bullets remains divided within police ranks. A Met Police review of last summer's riots revealed officers dealing with violence in Enfield and Brixton decided against deploying the weapons because they believed it would escalate the confrontation. During the rioting, Sir Hugh Orde, president of the Association of Chief Police Officers, said he did not consider the deployment of rubber bullets in London to be sensible in "any way, shape or form".

Spain Approves Canary Islands Oil Exploration

The Spanish government approved Friday a controversial permit to explore for oil offshore the Canary Islands, in an area that could become by far the largest source of oil production in a country heavily dependent on crude imports. Approval of an exploration license marks the latest move in Spain's shift away from a policy of subsidy-dependent renewable energy projects as it seeks ways to improve its trade balance and steady its budget, but will likely face opposition from environmentalists and local government officials concerned about the threat of damage to the island's tourist-friendly, white-sand beaches.

Spain's public debt soars to record high

Spain's public debt soared to a record high at the end of 2011, Bank of Spain figures showed Friday, as Madrid struggled to slash costs and escape the eurozone debt crisis. Public debt amounted to 734.96 billion euros ($960 billion), equal to 68.5 percent of annual economic output at the end of 2011 -- up from 66 percent three months earlier and 61.2 percent at the end of 2010. The accumulated debts breached the European-Union agreed limit of 60 percent of gross domestic product (GDP) but was still below the eurozone average, which approached 90 percent in the third quarter last year. It was the highest public debt ratio recorded in Spain since statistics in the current format were first published in 1995. Spain's public debt is rising fast because of runaway annual public deficits that have shot past EU-agreed targets, in part owing to high spending by regional governments. The previous Socialist government, ousted by the conservative Popular Party in November elections, had forecast a debt of 67.2 of GDP for the end of 2011, aiming to curb it to less than 70 percent in 2014. But the European statistics unit Eurostat was not so optimistic. It forecast a public debt of 69.6 percent in 2011, 73.8 percent in 2012 and 78 percent in 2013. Spain's conservative government, which took power in December, has yet to announce a new public debt target. The public debt ratio has grown without interruption since the first quarter of 2008 when, after nearly a decade of fast growth and budget surpluses, which trimmed the debt, it amounted to 35.8 percent of GDP. The situation in the 17 regions is particularly worrying: at the end of 2011 their accumulated debt rose to 140.1 billion euros, or a record 13.1 percent of national GDP, from 11.4 percent a year earlier. Municipal debts, however, eased over the year to 35.4 billion euros or 3.3 percent of GDP. Regional governments enjoy a high level of autonomy, prompting concerns in financial markets that their spending could compromise the central government's deficit-cutting goals. Spain had agreed to cut its annual public deficit to 6.0 percent of GDP in 2011 but it overran that target by a wide margin and ended up reporting a deficit of 8.51 percent of GDP. After winning a slight relaxation from Brussels in its goals for this year, Spain is now aiming for an annual deficit of 5.3 percent in 2012 and 3.0 percent in 2013. But the regions are not entirely to blame. The central government's finances also deteriorated in 2011, as its public debt rose to 52.1 percent of GDP at the end of the year from 46.4 percent a year earlier.

Cadíz second bridge delayed until at least 2013

The Ministry for Development has announced a delay in the opening of the second road bridge into Cádiz which will now not be open to traffic until 2013. Minister, Ana Pastor, said that not with all the money in the world could a 2012 opening be achieved. 2012 was the target date so that it coincided with the bicentenary of the 1812 Spanish Constitution which was signed in the city on March 19 1812. The General Courts of Spain were transferred there while in refuge from the Peninsular War. The Minister added, ‘It will take at least another 15 months, and that only if there is no wind’. The Ministry of Development says the suspension bridge is now 75% complete, but a fundamental part of the project, linking to the 13 pivot bases which are already showing in the middle of the Cádiz Bay is still to be done. The bridge is the largest road infrastructure project in Spain and has a cost of about 300 million € and will link Cádiz with Puerto Real. It will be known as the Puente de la Constitución de 1812, and not the ‘Puente de la Pepa’ which was the name given by the previous Minister, Magdalena Álvarez.

Place your bets on Euro Vegas

IT MAY just be the single largest contrarian bet in the euro zone. Sheldon Adelson, a casino tycoon, is expected soon to choose between Madrid and Barcelona for a €16 billion ($21 billion) gambling resort. The euro-zone turmoil does not faze him: “It will take us four to five years,” he told Forbes magazine. “By then everything will be solved.” Mr Adelson’s Las Vegas Sands (LVS) hopes to create a “Euro Vegas”, capable of attracting the 1 billion people who live in the 50 countries within a five-hour flight from Spain. He chose the country because of the weather and because its unemployment rate, now at 23%, “assures us the support of the government”. The numbers are certainly eye-popping. LVS would invest €6 billion in a first phase to build four hotel strips—eventually reaching 12—as well as casinos, shops, restaurants, golf courses and convention centres. LVS says the project could create 260,000 indirect and direct jobs, enough for nearly half the unemployed in Madrid. Spain is already the fourth-largest holiday destination in the world, but LVS reckons Euro Vegas would attract 11m new tourists on top of the 57m a year Spain already gets, increasing tourism spending by €15.5 billion over the next ten to 15 years. In this section News of the world Good for you, not for shareholders Zimplats happens Watch this space »Place your bets on Euro Vegas Luxury on the cheap Nazis in space The view from Liverpool Reprints Related topics Gambling Barcelona Madrid Spain Madrid and Barcelona, used to battling it out on the football pitch, have won a promise of neutrality from the central government. Barcelona admits that Madrid has the edge so far, since it has been talking to Mr Adelson on and off since 2007. But Barcelona has not given up. Mr Adelson recently visited a beach-front site near the city’s El Prat airport, which like Madrid’s Barajas has plenty of spare capacity. National and local leaders are keen on the project but opponents are sceptical of LVS’s claims about job creation, and worry that the casino will become a “fiscal and legal paradise” of tax breaks and exemptions from labour laws—a charge which regional officials deny. However, LVS is thought to be seeking a relaxation of Spain’s ban on smoking in public places, and lower gambling levies. Whichever city won would also have to bear the cost of such things as transport links to the resort. Given Spain’s precarious public finances, and considering that, as Mr Adelson puts it, there are “tens of billions to be made” from the resort, the authorities ought to resist any temptation to splash out taxpayers’ money to win the deal. They will have to assuage public fears of encouraging gambling addiction, infiltration by organised crime and the environmental impact of such a giant construction project. As in Singapore, where LVS recently opened a big casino resort, Spanish officials play down gambling as a small part of the overall package. Another worry is that the project will not happen at all. Spain has had its share of unrealised property developments. A €17 billion casino complex in the desert of Aragon, proposed in 2007, remains unbuilt. But LVS has withstood the global downturn pretty well, and the success of its Macao and Singapore operations gives it plenty of financial firepower. LVS boasts that its Marina Bay Sands development has “moved the needle” in Singapore, with record tourism figures one year after its opening. Euro Vegas would be much larger. A casino resort may lack the prestige of, say, a technology cluster, but Spain will have to take a few gambles to get its soaring unemployment under control.

55 security guards arrested with fake qualifications

 

55 false security guards working in sensitive positions have been arrested in Madrid, Toledo, Cuenca and Badajoz. The National Police arrested the 55 who have all be established to have been working fraudulently, and some with jobs looking after explosives or acting as bodyguards. A statement from the National Police said those arrested lacked the necessary preparation for the work and were employed because of falsified qualifications. Some of them have a previous criminal record.

The Spanish Government is to increase the tax on diesel vehicles

 

The Spanish Government has revealed that it wants to increase the tax on diesel vehicles because they ‘contaminate more’. The change will be a modification on the vehicle matriculation tax. The Secretary of State for the Environment, Federico Ramos, gave the news after meeting with the environment experts and said that in principle the regional administrations are in agreement. The local City and Town Halls say they now want to first analyse the financial consequences for them. Diesel vehicles not only pollute with CO2 but also emit Nitrogen Dioxide, and particles in suspension.

The ex Mayor of Alcaucín in Málaga, José Manuel Martin Alba, who was arrested for a second time with seven other people

The ex Mayor of Alcaucín in Málaga, José Manuel Martin Alba, who was arrested for a second time with seven other people on Tuesday in the ‘Tristan case’, which comes from the ‘Arcos operation’, made a statement on Wednesday to the investigators of the UCO central operations unit of the Guardia Civil. La Opinión de Málaga reports that he denied knowing the land registry civil servants that he allegedly manipulated with false data to obtain the classification of building land. These plots were often purchased by foreign investors with the idea of building on them. However, the Guardia Civil has said that the land was not buildable and therefore a crime of fraud had taken place, and this part of the investigation is still under reporting restrictions. The declarations continue from the arrested civil servants from the land registry, some in payments, others in Hacienda, as well as three management auxiliaries. The Guardia Civil says that the civil servants, ‘coordinated by a lawyer, modified the data base of the land registry with the end of introducing the false information to give legal coverage to the construction of homes on non-buildable land. The Guardia Civil contends that in exchange they received illegal commissions. Rafael Yus from the Nature Studies Group GENA said that he was not surprised by the ex-Mayor’s new arrest. He said the modification to the land registry was ‘part of what they do here’ and claimed it was ‘a corruption which extends to other municipalities, but which it difficult to demonstrate’.

Card firm in breast implant refund

 

A Midlands woman who was given PIP breast implants that ruptured has recouped the full cost of the surgery from her credit card company. She said Lloyds TSB refunded her £3,700 on the grounds that she was sold faulty goods. The British Association of Aesthetic Plastic Surgeons (BAAPS) said the move should offer a "ray of hope" to other patients with PIP implants. The woman, a hairdresser in her 40s from the Midlands who does not want to be identified, underwent a breast enlargement operation in 2008. She discovered she had been given PIP implants last September when she found a lump and went to a breast cancer clinic. "I was quite worried, but I was told it was just a rupture of my implants. It was only later I realised there was a health risk. I was really quite poorly with it," she said. The woman had the implants removed on the NHS in October, and contacted a firm of solicitors to see if she could get her money back. Because the company that performed the surgery had gone into administration, she was advised to check if she paid by credit card. Having discovered that she did use plastic to pay for the procedure, she applied to Lloyds TSB for a refund and received the money in full three months later. The woman said the credit card company were "wonderful" and stressed that she only had to fill in one form to get the reimbursement. "If I had gone through the solicitors they would have taken a sizeable part of it. Women need to be aware they can easily do it themselves," she said. Fazel Fatah, a consultant plastic surgeon and president of BAAPS, said: "We're delighted that at least a proportion of women who chose this method of payment should now have recourse to securing reimbursement for what are clearly defective, substandard goods." Around 40,000 women in the UK received implants manufactured by the now-closed French company Poly Implant Prostheses (PIP), mostly in private UK clinics. The implants were filled with non-medical grade silicone intended for use in mattresses. Lloyds TSB said it could not comment on the woman's individual case. But a spokeswoman for the bank said: "One of the advantages of using a credit card to pay for goods and services is that consumers can make a Section 75 claim if there has been a misrepresentation or breach of contract, providing the cost is above £100 and less than £30,000. Every Section 75 claim is different and each one will be reviewed on a case-by-case basis."

Families in Spain face eviction over stranger loans

 

Fighting eviction for failing to pay the mortgage on his home in Spain's capital, Nelson Castillo is now grappling not only with his own debts but also those of a family he does not know. The 39-year-old and his wife acted as guarantors of another Ecuadoran family's loan under a programme run by an agency that negotiated loans for immigrants. In return, that family acted as the guarantor for Castillo's loan. Now, both families are in arrears. And each of them is legally responsible for its own loan and for the loan it guaranteed. "We were two families and we did not know each other. Ecuadorans are like that. We had to sign the papers and that's it. Goodbye, and each side went its own way," said Castillo. Dozens of anti-eviction activists had gathered outside his Madrid apartment building on Tuesday to prevent court clerks and bank officials from ejecting Castillo and his family from their home. Inside the apartment a volunteer psychologist tried to comfort Castillo's wife, 40-year-old Kelly Herrera, who sat in distress on the couch while the couple talked to police. The couple were given until March 30 to pay their debt of 222,000 euros ($291,000) claimed by the bank. And they are still liable for the loan given to the other family. "Today they are demanding my loan. But later on they will demand the second," said Castillo. The couple's lawyer Rafael Mayoral had requested that the eviction be blocked for "humanitarian reasons" because their two children are minors and a knee injury prevents Herrera from working at the moment. But above all the lawyer argued that the couple are "victims of a swindle". The couple and nine other families are suing an agency, Central Hipotecaria del Inmigrante, which ran a system of "cross guarantors" for loans among people that did not always know each other. "It was a pyramid scheme of financial risk management," said Mayoral. Despite the investigation under way into the agency, the courts have refused to issue a moratorium on evictions. Last week the government approved a voluntary "code of conduct" for banks that aims to help poor homeowners settle their debts and reduce a wave of evictions brought on by Spain's economic crisis. For families whose members are all out of work and have no other source of income, the code obliges signatory banks to restructure their mortgage debt by for example lengthening the term of the loan or reducing its interest rate. The goal is to reduce the number of evictions in Spain, which amount to about 300,000 since the collapse of a property bubble in 2008. But the new code will not help Castillo and his family. "The bank did not give me any option, I wanted to give them the apartment in exchange for clearing my debt but they were not interested," he said. Castillo, a waiter, said with pride that he "only spent a few months out of work" since he moved to Spain in 1996. In 2006 he and his wife decided to buy an apartment while Spain was still in the midst of a property boom. The couple took out a mortgage with a variable rate that started out with a monthly payment of 900 euros. But as Euribor interest rates rose, their monthly mortgage payment shot up to 1,420 euros. "It became impossible to pay. I earned 1,000 euros a month and my wife also did not earn much. Things became complicated. I tried to reach an agreement with the bank but it was not possible. I stopped paying," said Castillo. Castillo said he did not know if the family which signed as the guarantor of his loan has suffered any consequences because he stopped making his mortgage payments. "I only met them the day we signed the papers," he said.

Troubled Spain, Portugal now desperate for rain

 

Fernando Luna, a burly Spanish farmer, yanks a barley sprout from a field as dry as powder. He examines its roots, which are mostly dead, then tosses the stunted shoot away in disgust. "Worthless! This is worthless!" Luna shouts. Spain is facing its driest winter in more than 70 years and bailed-out Portugal next door is in similar straits. Thousands of jobs and many millions in agricultural output are in jeopardy. Both nations are desperately short of so much: tax revenues, bank credit, jobs, hope for the future. Now, it won't even rain. The landscape in northern Spain is now a palette in shades of ugly. Pale brown fields without crops or pasture stretch off into the distance. A pond for watering sheep has shriveled into a dustbowl. An irrigation canal down the road holds only stagnant water, murky from so much sediment and so little flow. Luna waves this way and that, distraught over fields he says are doomed to yield zero harvest. He has given up his winter crop for lost. "Imagine, the color of vinegar! They should be green, green, green," he says of the barley fields that lack shoots. Stalks should be reaching halfway up the shin at this point. Spain got less than 30 percent of its normal precipitation from December through February. There is a slim window of 10 days or so for it to rain and help farmers like Luna salvage at least part of their winter crops of wheat, barley and oats. And not all regions are as bad off as Huesca, a northern province where the Pyrenees lie and where Luna is president of a chapter of the ASAJA farmers association. But the March weather forecast is not good for farmers — just more blue skies, says Fermin Elizaga of the national weather service. "Out in the countryside, the situation is probably going to get worse," he says. A key concern is how full Spain's reservoirs will be for watering the lucrative fruit and vegetable crops that are the pride and joy of the country's euro40 billion ($52 billion) agriculture and livestock industry. Nationwide, reservoirs are at an average 62 percent of capacity — not that bad — but in Huesca they are just 20 percent. That means farmers get only 20 percent of the water they are normally allotted for irrigation and will have to leave much of their land idle. ASAJA estimates this will cost Huesca province around euro1.3 billion ($1.7 billion) in lost revenue from drastically smaller harvests of peaches, cherries, almonds and grapes. In a good year, 6,000 people work in the Huesca harvest and another 2,000 in canning, packaging and related services. It could be a lean year for them, as it will be for much of Spain, with its nearly 23 percent jobless rate — the highest in the 17-nation eurozone — and an economy expected to slip into its second recession in three years. In Galicia, Spain's lushly green northwestern corner where it usually rains all the time, pastures have no grass this year. Farmers there and elsewhere are being forced to ship in fodder for sheep and cattle at a cost of euro2 million ($2.6 million) a day, according to ASAJA national spokesman Gregorio Juarez. "They're all burned up," says Juarez. Being so used to plentiful rain, Galicia and other parts of northern Spain have fewer reservoirs, so they are less prepared than the often blazingly hot south, where places like Andalusia and Extremadura on the border with Portugal catch every drop of precious rain. In Huesca, one reservoir built in the 1950s is now so low you can see the ruins of a submerged village, Mediano. At the best of times, the tip of its 16th-century church belltower peeks out of the water and boaters row up and touch it. These days, the water is so low you could walk into the church itself if the front door were not sealed up. In Portugal, Joao Dinis, a spokesman for Portugal's National Farms Confederation, said the drought has added to hardships caused by the country's acute financial crisis, which forced it to ask for a euro78 billion ($102 billion) bailout last year, making credit scarce. Farmers are enduring "a very, very difficult" period, with cereal crops badly hit and grazing land in short supply. "It's the worst situation in living memory," Dinis said. He says Portuguese farmers need emergency aid of euro25 million ($33 million). The Farm Ministry is calculating the damages and negotiating exceptional grants for farmers with the European Union. In Robres, a speck of a village in Huesca, barley farmer Jose Manuel Allue is taking the rare step of watering his crop, grains like wheat and barley that are normally fed by rain alone. And he is blowing his entire irrigation quota in just two days, using 6-foot-high (2-meter) sprinklers to soak a piece of land as big as 40 football fields. The pole-like devices shower water with a pleasant, rhythmic spritzing sound. "After that is gone, it is just a matter of looking to the sky and hoping," Allue said, taking long drags on a strong, thick Spanish cigarette as the earthy smell of a pig farm wafts by. Seconds later, something does appear in the sky, but it's not clouds: three water-dumping fire planes returning from a mission further north. Forest fires — a staple of Spanish summers — have broken out in recent weeks because of the dry conditions, awfully early in the year for such blazes. Ditto for Portugal. Allue checks the weather forecast on the Internet or TV first thing each morning and hears talk of little else at the town tavern, but he has a herd of 1,100 pigs to tide him over if his barley crop proves worthless. Juarez, of ASAJA's Madrid office, says a drought is the last thing Spain needs now on top of its economic distress. He used a Spanish adage that when a stray dog is emaciated and mangy, it probably has other problems too. "For a skinny dog, it's all fleas," he says. Translation: When it rains, it pours.

Spanish House Prices Tumble

 

Spanish house prices tumbled at their fastest pace on record in the fourth quarter, a sign that a long-running property bust will continue to weigh on Spanish households and banks. House prices fall over 11.2% in the fourth-quarter of 2011-the fastest contraction on record. WSJ's Sara Schaefer Munoz has been looking at the data and analyzes how this affects its efforts to deal with its debt crisis. House prices fell on average by 11.2% in the fourth quarter from the same period a year earlier, well below the 7.4% decline in the third quarter, while prices of used homes was down 13.7% in the period, the country's statistics agency INE said Thursday. Both readings are by far the worst since INE started recording countrywide prices in 2007, the peak year for Spain's decade-long property boom. Previously, annual price declines had bottomed out at 7.7% in 2009, and analysts say house prices have only rarely fallen year-to-year since at least the 1970s. The drop indicates Spanish property prices are now correcting at a similar pace to that seen in the U.S. soon after the 2008 financial crisis, and may fall further at least this year. In previous quarters, price drops were somewhat contained, the result of support efforts by the government and banks, fearful of the effect of a housing collapse. Spanish banks hold more than €400 billion ($521.32 billion) worth of loans to the construction and real-estate sector, backed by collateral that loses value as property prices slide further. The amount is equivalent to around 40% of Spain's gross domestic product. TK Raj Badiani, an economist at IHS Global Insight, said government data indicates Spanish house prices are down more than 20% from the 2007-2008 peak, even though other evidence points to a possible drop of more than 30%. "The continued imbalance between the supply and demand of housing suggests that house prices will continue to fall throughout 2012," Mr. Badiani said. "The outlook remains bleak, with the demand for housing expected to shrink throughout 2012 with debt-laden households struggling to cope with a devastated labor market and limited access to credit." Last month, Spain's Finance Minister Luis de Guindos presented a clean-up plan that will force banks to set aside an additional €50 billion this year to cover losses from souring loans, mostly property-related. The plan also seeks to allow a faster correction of the property market this year, so that lower prices trigger some demand in the moribund sector. Earlier this week, INE data showed Spain's property sales continued their recent slide in January, with a 26% annual decline. Last year, just over 361,000 homes were sold in Spain, less than half the number sold in 2007. The clean-up plan and other reforms may only have a delayed effect on the euro zone's fourth-largest economy, the Ernst & Young consultancy said in a report. A lack of demand amid an economic contraction that may stretch until 2014 should keep house prices falling for the next three years, Ernst & Young added. Meanwhile, Spain's bond auction was a mixed bag Thursday, with the Treasury selling slightly less than the maximum targeted amount but paying mostly lower yields to investors. The infusion of cheap cash from the European Central Bank has buttressed bond markets across the 17-nation euro zone, but not always equally. Spain's government bond market hasn't kept pace, while Italy, which at the end of last year had been lumped together with Spain as possibly becoming the "next domino," has swapped places with Spain as the country having to pay less of a premium on its debt. The contrasting fortunes also reflects the market's confidence in Italy's ability to make progress on the fiscal front while Spain falters. Italy's economy is likely to record a primary surplus in 2012. Spain unilaterally revised its budget deficit targets and analysts are skeptical if even those targets will be met.

The former chief reporter of the News of the World was arrested yesterday by police investigating the phone hacking scandal, on suspicion of intimidating a witness.

Neville Thurlbeck, 50, who was also news editor on the defunct Sunday tabloid, was detained by appointment at a central London police station by officers from Operation Weeting a day after his former editor, Rebekah Brooks, was arrested with five others on suspicion of conspiring to pervert the course of justice. He was later released on bail. Yesterday's arrest came as James Murdoch used a letter to the House of Commons media select committee to distance himself once more from any wrongdoing inside News International (NI). He blamed two former trusted lieutenants, Colin Myler and Tom Crone, claiming there were "inconsistencies" in their evidence to MPs. Mr Thurlbeck has been a central figure in the unfolding phone-hacking saga since being named in the so-called "for Neville" email. This showed voicemail interception went beyond a single "rogue" reporter at the NOTW. He was arrested last year on suspicion of conspiring to hack phones and eavesdropping voicemail messages. During recent months, he has adopted a higher media profile, with broadcast appearances and the launch of a blog commenting on developments in the crisis enveloping NI. In a blog entry last week, Mr Thurlbeck revealed how Will Lewis, a key member of News Corp's Management and Standards Committee, which has been marshalling millions of internal NI emails to Scotland Yard, had hired a private security company to provide security at his home. Mr Thurlbeck published the name of the security company, noting that it had spent several hours at Mr Lewis's home, and gave the name of the street where the NI executive lives. In a subsequent blog, Mr Thurlbeck, who is suing his former employer for unfair dismissal, said his story had prompted approaches from lawyers and a public relations company representing Mr Lewis, asking for the removal of his posting. He claimed it was suggested to him that the details he had provided about the security company "somehow implied I had put [Mr Lewis's] home under surveillance. Bonkers!". He added: "I accepted their point that printing the name of his street was distressing to his family and took this down immediately as I have absolutely no wish to do this. Although I have not been asked to do so, I would like to apologise to Mrs Lewis for any distress." A spokesman for the Management and Standards Committee declined to comment last night on Mr Thurlbeck's arrest. Meanwhile Mr Murdoch has sought to influence the parliamentary report into phone hacking, which is expected to be published before the Easter recess, by telling the committee that he did not mislead them, that he never tried to hide wrongdoing at the NOTW, and that when he did ask questions about what was going on, he was given "false assurances" by senior executives at Wapping. In a personal letter to John Whittingdale, chair of the media select committee, the former executive chairman of NI initially takes responsibility "for not uncovering wrongdoing earlier". However, the limited apologetic tone of his seven page letter, in which he accepts that it "would have been better if I had asked more questions", also contains evidence of anger directed at former trusted lieutenants inside NI. He says he relied too much on people who assured him that investigations had been carried out and who claimed that further inquiries were unnecessary. The former NOTW editor, Colin Myler, and News Group Newspaper's former legal manager, Tom Crone, are named repeatedly and described as offering "inconsistencies" to Parliament, while Mr Murdoch says his own evidence "has always been consistent". The letter states: "The truth is that incomplete answers and what now appears to be false assurances were given to the questions that I asked." In summaries of earlier evidence to the committee, he says he was "never intimately involved with the workings of the NOTW"; and on key meetings that discussed how senior executives were dealing with the emerging hacking culture, he says: "I was given a narrower set of facts than I should have been given..." He also says that if "Messrs Crone and Myler" had given him the highly critical private opinion offered in 2008 by NI's leading counsel, Michael Silverleaf QC, which described "widespread wrongdoing", then he would have "acted differently". He ends his letter by repeating that he neither knew about, nor attempted to hide, wrongdoing, and tells MPs: "The evidence does not support any other conclusion." James Murdoch: What he wrote "I take my share of responsibility for not uncovering wrongdoing earlier. However, I have not misled Parliament. I did not know about, nor did I try to hide, wrongdoing. I do not believe the evidence before you supports any other conclusion..." "It has been said I did not ask enough questions. However, the truth is that incomplete answers and what now appears to be false assurances were given to the questions that I asked."

James Murdoch pleads innocence ahead of committee report

James Murdoch has written to an influential parliamentary committee, investigating a phone hacking scandal at his company, to apologise and restate his innocence ahead of a potentially damaging report that could determine his future in Britain. The 39-year-old son of Rupert wrote to the committee to accept responsibility for failing to uncover the criminal behaviour, which has damaged the reputation of the News Corp media empire, British politicians and police. At stake is his role as chairman of British pay-TV group BSkyB and potentially his future at News Corp, where he had for years been marked out as the heir apparent to his father Rupert as chief executive.   "I did not know about, nor did I try to hide, wrongdoing," he said in the letter published by the committee on Wednesday. "Whilst I accept my share of responsibility for not uncovering wrongdoing sooner, I did not mislead parliament and the evidence does not support any other conclusion." Analysts and some shareholders believe Murdoch would struggle to remain at BSkyB if he is singled out for particular criticism as it could impact his ability to negotiate with the government and regulators on behalf of one of Britain's most powerful media firms. The all-party committee summoned James and his father Rupert to a hearing at the height of the scandal last July, for a three-hour often testy grilling that was watched live by millions on television in both Britain and the United States. Just four months later, the younger Murdoch had to return to answer further detailed questions over what he knew and when after two former colleagues publicly contradicted his evidence. News Corp's British newspaper arm News International had long argued that the hacking of voicemails to generate stories was the work of a single rogue reporter and private investigator who had already gone to jail for the crime. But as more people came forward to accuse the company of hacking their phones, that defence crumbled and attention turned to those at the top of the company and it was asked why they had not pushed further to discover the truth. "Clearly, with the benefit of hindsight, I acknowledge that wrongdoing should have been uncovered earlier," Murdoch said in his letter. The parliamentary committee had originally planned to publish its report before Christmas but due to the sensitivity of the material it is having to write the document by committee and is now aiming for the Easter holiday in April.

British man, wife killed at Thai resort

 

POLICE say a British man and his Thai wife have been robbed and beaten to death at a seaside resort south of Bangkok. Police Major General Wichean Tantawiriya says three Thai men - a security guard and chef at the resort and their friend - were arrested today and had confessed to killing the couple and taking a mobile phone and 5000 baht ($155). Wichean says the bodies of Michael Raymond, 68, and Suchada Bowkamdee, 52, were discovered yesterday in their bungalow at the Jack Beach Resort in Prachuap Khiri Khan province, 350km south of Bangkok. He says they had checked in a day earlier. Wichean says two of the three suspects were addicted to methamphetamine, a stimulant, and needed money to buy drugs.