Flu shot doing a poor job of protecting elderly

ATLANTA (AP) — It turns out this year's flu shot is doing a startlingly dismal job of protecting senior citizens, the most vulnerable age group.

The vaccine is proving only 9 percent effective in people 65 and older against the harsh strain of the flu that is predominant this season, the Centers for Disease Control and Prevention said Thursday.

Health officials are baffled as to why this is so. But the findings help explain why so many older people have been hospitalized with the flu this year.

Despite the findings, the CDC stood by its recommendation that everyone over 6 months get flu shots, the elderly included, because some protection is better than none, and because those who are vaccinated and still get sick may suffer less severe symptoms.

"Year in and year out, the vaccine is the best protection we have," said CDC flu expert Dr. Joseph Bresee.

Overall, across the age groups studied, the vaccine's effectiveness was found to be a moderate 56 percent, which means those who got a shot have a 56 percent lower chance of winding up at the doctor with the flu. That is somewhat worse than what has been seen in other years.

For those 65 and older, the vaccine was only 27 percent effective against the three strains it is designed to protect against, the worst level in about a decade. It did a particularly poor job against the tough strain that is causing more than three-quarters of the illnesses this year.

It is well known that flu vaccine tends to protect younger people better than older ones. Elderly people have weaker immune systems that don't respond as well to flu shots, and they are more vulnerable to the illness and its complications, including pneumonia.

But health officials said they don't know why this year's vaccine did so poorly in that age group.

One theory, as yet unproven, is that older people's immune systems were accustomed to strains from the last two years and had more trouble switching gears to handle this year's different, harsh strain.

The preliminary data for senior citizens is less than definitive. It is based on fewer than 300 people scattered among five states.

But it will no doubt surprise many people that the effectiveness is that low, said Michael Osterholm, a University of Minnesota infectious-disease expert who has tried to draw attention to the need for a more effective flu vaccine.

Among infectious diseases, flu is considered one of the nation's leading killers. On average, about 24,000 Americans die each flu season, according to the CDC.

This flu season started in early December, a month earlier than usual, and peaked by the end of year. Hospitalization rates for people 65 and older have been some of the highest in a decade, at 146 per 100,000 people.

Flu viruses tend to mutate more quickly than others, so a new vaccine is formulated each year to target the strains expected to be the major threats. CDC officials have said that in formulating this year's vaccine, scientists accurately anticipated the strains that are circulating this season.

Because of the guesswork involved, scientists tend to set a lower bar for flu vaccine. While childhood vaccines against diseases like measles are expected to be 90 or 95 percent effective, a flu vaccine that's 60 to 70 percent effective in the U.S. is considered pretty good. By that standard, this year's vaccine is OK.

For senior citizens, a flu vaccine is considered pretty good if it's in the 30 to 40 percent range, said Dr. Arnold Monto, a University of Michigan flu expert.

A high-dose version of the flu shot was recently made available for those 65 and older, but the new study was too small to show whether that has made a difference.

The CDC estimates are based on about 2,700 people who got sick in December and January. The researchers traced back to see who had gotten shots and who hadn't. An earlier, smaller study put the vaccine's overall effectiveness at 62 percent, but other factors that might have influenced that figure weren't taken into account.

The CDC's Bresee said there is a danger in providing preliminary results because it may result in people doubting — or skipping — flu shots. But the figures were released to warn older people who got shots that they may still get sick and shouldn't ignore any serious flu-like symptoms, he said.

___

Online:

CDC report: http://www.cdc.gov/mmwr

Read More..

Wall Street ends lower on growth worries

NEW YORK (Reuters) - U.S. stocks fell for a second straight day on Thursday and the S&P 500 posted its worst two-day loss since November after reports cast doubt over the health of the U.S. and euro-zone economies.

But a late-day rally helped stocks erase some of their losses with most of the pullback concentrated in the technology- heavy Nasdaq. The move suggested investors were still willing to buy on dips even after the sharp losses in the last session.

In Europe, business activity indexes dealt a blow to hopes that the euro zone might emerge from recession soon, showing the downturn across the region's businesses unexpectedly grew worse this month.

"The PMI numbers out of Europe were really a blow to the market," said Jack De Gan, chief investment officer at Harbor Advisory in Portsmouth, New Hampshire. "The market was expecting signs that recovery is still there, but the numbers just highlighted that the euro-zone problem is still persistent."

U.S. initial claims for unemployment benefits rose more than expected last week while the Federal Reserve Bank of Philadelphia said its index of business conditions in the U.S. mid-Atlantic region fell in February to the lowest in eight months.

Gains in Wal-Mart Stores Inc shares helped cushion the Dow. The shares gained 1.5 percent to $70.26 after the world's largest retailer reported earnings that beat expectations, though early February sales were sluggish.

The Dow Jones industrial average <.dji> fell 46.92 points, or 0.34 percent, to 13,880.62 at the close. The Standard & Poor's 500 Index <.spx> lost 9.53 points, or 0.63 percent, to 1,502.42. The Nasdaq Composite Index <.ixic> dropped 32.92 points, or 1.04 percent, to close at 3,131.49.

The two-day decline marked the U.S. stock market's first sustained pullback this year. The Standard & Poor's 500 has fallen 1.8 percent over the period and just managed to hold the 1,500 level on Thursday. Still, the index is up 5.3 percent so far this year.

The abrupt reversal in markets, which started on Wednesday after minutes from the Federal Reserve's January meeting suggested stimulus measures may end earlier than thought, looks set to halt a seven-week winning streak for stocks that had lifted the Dow and the S&P 500 close to all-time highs.

Wall Street will soon face another test with the upcoming debate in Washington over the automatic across-the-board spending cuts put in place as part of a larger congressional budget fight. Those cuts, set to kick in on March 1 unless lawmakers agree on an alternative, could depress the economy.

Semiconductor stocks ranked among the weakest of the day, pressuring the Nasdaq as the Philadelphia Semiconductor Index <.sox> fell 1.8 percent. Intel Corp fell 2.3 percent to $20.25 while Advanced Micro Devices lost 3.7 percent to $2.60 as the S&P 500's biggest percentage decliner.

The Dow also got a helping hand from personal computer maker Hewlett-Packard Co , which rose 2.3 percent to end the regular session at $17.10. The company was scheduled due to report first-quarter results after the closing bell.

Shares of Boeing Co rose 1.6 percent to $76.01 as a senior executive was set to meet with the head of the U.S. Federal Aviation Administration on Friday and present a series of measures to prevent battery failures that grounded its 787 Dreamliner fleet, according to a source familiar with the plans.

In other company news, shares of supermarket operator Safeway Inc jumped 14.1 percent to $22.97 after the company reported earnings that beat expectations.

Shares of VeriFone Systems Inc tumbled nearly 43 percent to $18.24 after the credit-card swipe machine maker forecast first- and second-quarter profits well below expectations.

Of the 427 companies in the S&P 500 that have reported results so far, 69.3 percent have exceeded analysts' expectations, compared with a 62 percent average since 1994 and 65 percent over the past four quarters, according to Thomson Reuters data through Thursday morning.

Fourth-quarter earnings for S&P 500 companies are estimated to have risen 5.9 percent, according to the data, above a 1.9 percent forecast at the start of the earnings season.

Berry Petroleum Co jumped 19.3 percent to $46.02 after oil and gas producer Linn Energy LLC said it would buy the company in an all-stock deal valued at $4.3 billion, including debt. Linn Energy shares advanced 2.8 percent to $37.68.

About two stocks fell for everyone that rose on the New York Stock Exchange and Nasdaq. About 7.64 billion shares changed hands on the New York Stock Exchange, the Nasdaq and NYSE MKT, well above the 20-day moving average of around 6.6 billion shares.

(Editing by Jan Paschal)

Read More..

IHT Special: Lebanon Voting Plan Stirs Sectarian Fervor

BEIRUT — A controversial draft law to overhaul Lebanon’s electoral system gained traction Tuesday when a parliamentary joint committee supported it, raising the possibility that voters will in future be able to cast ballots only for candidates from their own sect.

Proponents say the law would protect their communities and ensure fairer elections. Opponents say it would further entrench sectarianism in a sharply divided country.

“Election law was one of the last things that wasn’t codified in sectarian terms,” said Emile Hokayem, an analyst with the International Institute for Strategic Studies, or I.I.S.S., in Bahrain.

The change, known as the Orthodox Proposal, was first supported by Christian parties that felt their communities were misrepresented in past elections.

Lebanon’s political system is largely governed by sectarian quotas and criteria. Under an agreement reached at independence in 1943, the president is always a Maronite Christian, the prime minister a Sunni Muslim and the speaker of Parliament a Shiite. Parliamentary seats are split evenly between Christians and Muslims: Each specific sect within these groups — for example Greek Orthodox Christians or Druze Muslims — is allocated a set number of seats.

The number of seats allocated to each group is now quite arbitrary since there has been no census in Lebanon since 1932. Quotas and electoral districts have been adjusted since, but the demographic base for the system remains the 80-year-old, and visibly obsolete, poll.

The system, intended to promote coexistence, has instead become a driving factor in Lebanon’s conflicts over the years, most notably its 15-year civil war.

In past elections, Lebanon was divided into electoral districts — 26 in 2009, up from 14 in the previous two elections, in 2000 and 2005. In each district, seats were allocated on a sectarian basis, but voters could cast ballots for any candidate, with one vote for every available seat, regardless of sect.

Christian parties have argued that the system allowed many seats reserved for their communities to be decided by Muslim votes.

In Lebanon’s second-largest city, Tripoli, for example, two parliamentary seats are reserved for Christian sects, but the overwhelming majority of residents are Sunni Muslims. Even if every Christian in the city voted en bloc for two candidates, the outcome could still be determined by Sunni voters.

In other districts, seats are only allocated to one sect despite the presence of other groups.

“There is a really deep feeling within the Christian community today in Lebanon that it’s time to stop this injustice,” said Farid El Khazen, a member of Parliament from the Free Patriotic Movement, a Christian party, who supports the draft law.

As well as limiting voters’ choices to candidates from their own sect, the proposal would replace local voting districts with a single, nationwide poll.

The parliamentary committee vote Tuesday showed support for the proposal from Amal and Hezbollah — the principle Shiite factions — as well as the main Christian parties. Among the plan’s harshest critics have been the Sunni-affiliated Future Movement, the Druze-backed Progressive Socialist Party and President Michel Suleiman.

Rhetoric for and against the law has been fervent. Opponents have called it unconstitutional and warned that it would encourage extremism. Saad Hariri, leader of the Future Movement and a former prime minister, took to Twitter to call Tuesday a “black day” for the Lebanese Parliament.

But Michel Aoun, head of the Free Patriotic Movement, said that Tuesday was the happiest day in Lebanon’s history.

Parliamentary elections are slated for June but could be delayed. The proposal needs to go before the entire Parliament, and if passed could be vetoed by the president. The outcome remains unclear.

Read More..

Can You Guess Which Star Was First To Wear Elizabeth Taylor's $6 Million Emerald Necklace?

Stylewatch
Style News Now

02/20/2013 at 11:15 AM ET

Nate Beckett/Splash News Online; Popperfoto/Getty

On Tuesday night, Julianne Moore did what few women would be able to: She did justice to one of Elizabeth Taylor‘s most prized pieces of jewelry.

The dazzling emerald-and-diamond necklace, purchased for Taylor by future husband Richard Burton while they were on location for Cleopatra in Rome, was a staple in the legendary star’s wardrobe; she even wore it to accept her Oscar in 1967.

It was one of eight Bulgari pieces that the jewelry house purchased from her 2011 Christie’s auction and now have on display at their Rodeo Drive flagship.

“The room absolutely stopped when [Moore] entered” in the necklace, a source at Bulgari’s pre-Oscars party, thrown to celebrate Taylor’s jewels, tells PEOPLE. “Kirsten Dunst exclaimed, ‘Are you wearing one of her pieces?’”

And Moore looked lovely in the necklace, which sold for more than $6 million at auction, though she went a distinctly non-Taylor route by offsetting it with sleek hair and a very simple Alexander McQueen dress. Regardless, we bet Taylor, who wore her fanciest jewelry to sit around the house, would have been pleased.

Tell us: What would you wear with Taylor’s $6 million emerald necklace?

–Alex Apatoff, reporting by Jennifer Garcia

PHOTOS: SEE MORE OF ELIZABETH TAYLOR’S JAW DROPPING JEWELRY HERE!

Read More..

Obama administration tackles colonoscopy confusion

WASHINGTON (AP) — It's one part of the new health care law that seemed clear: free coverage for preventive care under most insurance plans.

Only it didn't turn out that way.

So on Wednesday, the Obama administration had to straighten out the confusion.

Have you gone for a colonoscopy thinking it was free, only to get a hefty bill because the doctor removed a polyp?

No more.

Taking out such precancerous growths as part of a routine colon cancer screening procedure will now be considered preventive care.

"Polyp removal is an integral part of a colonoscopy," the Department of Health and Human Services said in guidance posted on its website. That conclusion has the backing of several leading medical societies, the department noted.

Also addressed in the notice was genetic testing for breast cancer, coverage of over-the-counter products such as aspirin for heart care and nicotine patches for smoking, and birth control for women. Unlike formal regulations, the guidance does not have the force of law, but advocates for patients say insurers would be ill-advised to ignore it.

President Barack Obama's health care law required most private health plans to cover preventive care at no additional charge to patients. It also expanded preventive coverage without copayments for Medicare recipients. For workers and their families, the expense is borne by the company health plan, which passes on some of those costs in the form of higher premiums. Advocates say preventive care saves the health care system money over time.

Colonoscopy is an expensive test that can cost more than $1,000. It's recommended for adults 50 and over, and has become a rite of passage for aging baby boomers.

News that it would be covered free under the health care law got attention, but that was followed quickly by a letdown when many insurers started charging if a polyp or two was discovered and removed during the procedure.

"Insurers were reclassifying it from a preventive test to a diagnostic procedure," said Stephen Finan, policy director for the American Cancer Society Cancer Action Network. "In some cases the cost-sharing was a significant amount of money."

His group was among several that complained to the administration.

Other free preventive services addressed in Wednesday's guidance:

—Insurers must cover testing, if ordered by a doctor, for rare BRCA genes that dramatically increase the risk of breast cancer. Such tests can cost as much as $3,000.

—Over-the-counter products such as aspirin for heart care and nicotine patches for smoking cessation are covered with a doctor's prescription.

—Insurers won't be able to fulfill the law's requirement to cover contraception as preventive care for women if they only pay for birth control pills. A full range of FDA-approved methods must be covered, including long-acting implant and intrauterine devices. Birth control methods for men are not covered as preventive care.

If a health plan does not have a network doctor who performs a particular preventive service, a patient can see a doctor out-of-network without facing copays or additional charges.

Also Wednesday, the government came out with final rules on the benefits that health plans catering to individuals and small businesses will have to offer starting next year, when new insurance markets called exchanges open in each state.

The coverage generally is better than what's now available to people buying individual policies, but close to what medium-size companies offer, with some important improvements in areas such as mental health care.

Benefits include hospital and outpatient care, emergency services, maternity and newborn care, prescriptions, prevention, rehabilitation and ongoing assistance for people with potentially disabling conditions, and dental and vision care for children.

All plans will have to cover the same benefits, but their premiums and cost sharing will vary. There will be four level of coverage — bronze, silver, gold and platinum. Bronze plans will cover 60 percent of expected costs while platinum plans will cover 90 percent.

___

Online:

Health and Human Services Department: http://tinyurl.com/au6lzeo

Read More..

Wall Street ends down sharply after Fed minutes

DEAR ABBY: My boyfriend, "Doug" (24), and I (22) have been in a long-distance relationship for a year, but we were friends for a couple of years before that. I had never had a serious relationship before and lacked experience. Doug has not only been in two other long-term relationships, but has had sex with more than 15 women. One of them is an amateur porn actress.I knew about this, but it didn't bother me until recently. Doug had a party, and while he was drunk he told one of his buddies -- in front of me -- that he should watch a certain porn film starring his ex-girlfriend. ...

Read More..

At War Blog: General Allen's Tenure in Afghanistan

Most Americans probably know of him only as a secondary character in the sweeping drama of David H. Petraeus’s affair with his biographer, Paula Broadwell. But Gen. John R. Allen, who announced Tuesday that he would retire from the Marine Corps rather than become the top commander of NATO, was for more than a year and a half the commander of NATO forces in Afghanistan. And when he said farewell to the job recently, he made clear that he wanted to be remembered for more than his bit role in that scandal.

After receiving a medal for his service, just before turning over his command to a fellow Marine, Gen. Joseph Dunford, General Allen surprised some in the audience by declaring unequivocally: “This campaign is successful. We are winning. We are winning.”

During a news conference with a small group of reporters later, General Allen expanded on his confident description of the war – one, polls suggest, that is not shared by many Americans.

“There is no, in the Napoleonic sense, there is no decisive battle,” he said. But he said he saw daily evidence that the Afghan National Security Forces, or A.N.S.F., were getting better. “I see it contributing to the end state, which ultimately is the A.N.S.F. moving into the lead and creating space ultimately for the government of Afghanistan to get up on its feet,” he said.

“We’re not done,” he added. “But I’m comfortable that the trajectory is moving us in the direction we ultimately want to go.”

Asked if widespread corruption by the Afghan government had irreparably undermined its credibility with the people and pushed them toward the Taliban, General Allen acknowledged concerns.

“I think we all have to recognize the limits of the capacity of the Afghan people and the government at this particular moment,” he said. “We’re coming out of 33 years of conflict. Coming out of an environment where the school system was largely decimated or devastated, whichever D-word you want to apply to it.”

The key to the government’s continued stability – and to an international willingness to continue providing it aid – will be its ability to hold a safe and credible presidential election in 2014, General Allen said.

“We’ve reached the point where the rhetoric, while it was encouraging, isn’t enough anymore,” he said. “The rhetoric has to be accompanied by action. The rhetoric has to be accompanied by real and meaningful reform. Reform that reduces the capacity of the criminal patronage networks to grip and weaken institutions of state. Reform that genuinely takes care of the rights of minorities, and particularly the rights of women.”

During his tenure, General Allen had more than his share of crises: a video of Marines urinating on Taliban corpses; the burning of Korans by American soldiers; civilian deaths in allied airstrikes; the massacre of 16 civilians, in which an American soldier has been charged; and a spate of insider attacks by Afghan forces on NATO troops.

He also had to work hard to repair frayed relationships with President Hamid Karzai, who clashed openly with Mr. Petraeus, General Allen’s predecessor as head of international forces in Afghanistan. As The Times’s Matthew Rosenberg noted in a recent article, General Allen established an amicable enough relationship that Mr. Karzai called him to offer condolences while the general was on home leave in Virginia last year for his mother’s funeral.

As Mr. Rosenberg tells it, General Allen had not told anyone in the Afghan government before flying home to bury her. Then, while eating with his family in the Shenandoah Valley, he got a phone call from President Karzai.

“So I’m in the parking lot, it’s just surreal,” General Allen said. “Talking to the president of Afghanistan, who is gripped with emotion saying words to the effect that our mothers are so precious to us.”

A transcript of the interview that accompanied that article, in which General Allen described how he dealt with the Koran burnings, the Panjwai massacre and other crises, can be found here.

As if juggling all that were not enough, General Allen’s reputation came under a cloud when e-mails between him and a socialite in Tampa, Fla., Jill Kelley, emerged during the investigation of General Petraeus’s affair with Ms. Broadwell. After a lengthy review of those e-mails, the Defense Department’s inspector general cleared General Allen of any wrongdoing. The decision allowed President Obama’s nomination of General Allen to become the top NATO commander and head of the United States European Command to proceed.

But during his farewell at his headquarters in Kabul on Feb. 10, General Allen sent what might have been a signal about his plans to retire. He closed his remarks with generous praise of his wife, noting that many generations of her family had served in the military and that she had patiently endured 29 moves with him during 35 years of marriage. General Allen told The Washington Post that he was retiring to help his wife, Kathy, cope with chronic health problems.

---

Read More..

Mindy McCready 'Really Loved Her Dog'

People Pets

02/19/2013 at 03:45 PM EST

When Mindy McCready was found dead on Sunday of an apparent suicide, the country singer was not alone: Her dog, who'd been fatally shot, was by her side.

But a source close to the star tells Fox News that her decision to end the animal's life would "not have been an act of malice."

"Mindy really loved her dog," the friend said. "It would have been more of a case where she just didn't want to leave the dog alone."

The troubled star, whose boyfriend, David Wilson, died of a self-inflicted gunshot wound in January, was reportedly under investigation at the time of her death. Police were concerned about details surrounding Wilson's passing.

Read More..

Costlier robotic surgery soars for hysterectomies

CHICAGO (AP) — Robotic surgery is increasingly being used for women's hysterectomies, adding at least $2,000 to the cost without offering much benefit over less high-tech methods, a study found.

The technique was used in just 0.5 percent of operations studied in 2007, but that soared to almost 10 percent by early 2010. Columbia University researchers analyzed data on more than 260,000 women who had their wombs removed at 441 U.S. hospitals for reasons other than cancer. The database covered surgeries performed through the first few months of 2010.

Women who had the robotic operations were slightly less likely to spend more than two days in the hospital, but hospital stays were shorter than that for most women. Also, complications were equally rare among robotic surgery patients and those who had more conventional surgeries. Average costs for robotic hysterectomies totaled nearly $9,000, versus about $3,000 for the least expensive method, a different type of minimally invasive technique using more conventional surgery methods.

Traditionally hysterectomies were done by removing the womb through a large abdominal incision. Newer methods include removing the uterus through the vagina and minimally invasive "keyhole" abdominal operations using more conventional surgery methods, or surgeon-controlled robotic devices.

Robotic operations involve computer-controlled long, thin robot-like "arms" equipped with tiny surgery instruments. Surgeons operate the computer and can see inside the body on the computer screen, through a tiny camera attached to the robotic arms. The initial idea was for surgeons to do these operations miles away from the operating room, but robotic operations now are mostly done with the surgeon in the same room as the patient.

Theoretically, robotic surgeries make it easier to maneuver inside the patient, and are increasingly used for many types of operations, not just hysterectomies.

The main explanation for the big increase "is that robotic surgery has been marketed extensively to not only hospitals and physicians, but also directly to patients. There is minimal data in gynecology that it is advantageous," said Dr. Jason Wright, an assistant professor of women's health and the study's lead author.

The study was published Tuesday in the Journal of the American Medical Association.

"Our findings highlight the importance of developing rational strategies to implement new surgical technologies," the researchers wrote.

They note that 1 in 9 U.S. women will undergo a hysterectomy, usually after the age of 40. Reasons include fibroids and other non-cancerous growths, abnormal bleeding, and cancer.

Traditional abdominal operations remain common and more than 40 percent of women studied had them, costing on average about $6,600.

A JAMA editorial says the study doesn't answer whether the robotic method might be better for certain women, and says more research comparing methods is needed. Still, it says doctors and hospitals have a duty to inform patients about costs of different surgery options.

Dr. Myriam Curet of manufacturer Intuitive Surgical of Sunnyvale, Calif., said surgical robots can help surgeons overcome the limitations of other minimally invasive methods for very overweight patients, those with scarring from other surgeries and other complexities.

___

JAMA: http://www.jama.ama-assn.org

Robotic surgery: http://tinyurl.com/byuljds

___

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

Read More..

M&A deals lift Wall Street shares nearer a record high

NEW YORK (Reuters) - U.S. stocks rose on Tuesday as this year's ongoing surge in merger activity suggested investors were still finding value in the market even as indexes closed in on all-time highs.

Office Depot Inc surged 9.4 percent to $5.02 after a person familiar with the matter said the No. 2 U.S. office supply retailer was in advanced talks to merge with smaller rival OfficeMax Inc , which jumped more than 20 percent.

News of the potential move came just days after Berkshire Hathaway and a partner agreed to acquire H.J. Heinz Co for $23 billion, and following a revised $20 billion takeover of Mexican brewer Grupo Modelo by Anheuser-Busch InBev .

Deal activity has helped equities resist a pullback as investors use dips in stocks as buying opportunities. The S&P is up about 7 percent so far in 2013 and has climbed for the past seven weeks in its longest weekly winning streak since January 2011, though most of the weekly gains have been slim.

The Dow industrials closed 0.9 percent away from their record high while S&P 500 was 2.2 percent off its peak.

"Deals are good for the market," said Frank Lesh, a futures analyst and broker at FuturePath Trading LLC in Chicago. "The fact that they're being done is a positive."

More than $158 billion in deals has been announced so far in 2013, more than double the activity in the same period last year and accounting for 57 percent of global deal volumes, according to Thomson Reuters Deals Intelligence.

The Dow Jones industrial average <.dji> gained 53.91 points, or 0.39 percent, to 14,035.67. The Standard & Poor's 500 Index <.spx> gained 11.15 points, or 0.73 percent, to 1,530.94. The Nasdaq Composite Index <.ixic> gained 21.56 points, or 0.68 percent, to 3,213.59.

Other stocks in the office supplies sector also rose. Larger rival Staples Inc shot up 13.1 percent to $14.65 as the best performer on the S&P 500.

"Equity investors have to be encouraged by M&A since, if the number crunchers are offering large premiums, that shows how much value is still in the market," said Mike Gibbs, co-head of the equity advisory group at Raymond James in Memphis, Tennessee.

On the downside, health insurance stocks tumbled, led by a 6.4 percent drop in Humana Inc to $73.01. The company said the government's proposed 2014 payment rates for Medicare Advantage participants were lower than expected and would hurt its profit outlook.

UnitedHealth Group lost 1.2 percent to $56.66. The Morgan Stanley healthcare payor index <.hmo> dropped 1.2 percent.

Wall Street's strong start to the year was fueled by better-than-expected corporate earnings, as well as a compromise in Washington that temporarily averted automatic spending cuts and tax hikes that are predicted to damage the economy.

The compromise on across-the-board spending cuts postponed the matter until March 1, at which point the cuts take effect. Ahead of the debate over the cuts, known as sequestration, further gains for stocks may be difficult to come by.

Some investors say the debate could be the catalyst for a long anticipated sell-off after the market's recent strong run.

Carter Worth, a technical analyst at Oppenheimer, pointed to the "especially complacent action of the past six weeks," noting that, as of Friday, stocks have gone 33 sessions without a dip of more than 1.5 percent.

"We would be selling aggressively into the market's current strength," he said in a research note.

Economic data showed the NAHB/Wells Fargo Housing Market index unexpectedly edged down to 46 in February from 47 in the prior month as builders faced higher material costs.

According to the Thomson Reuters data through Monday morning, of the 391 companies in the S&P 500 that have reported results, 70.1 percent have exceeded analysts' expectations, compared with a 62 percent average since 1994 and 65 percent over the past four quarters.

Fourth-quarter earnings for S&P 500 companies have risen 5.6 percent, according to the data, above a 1.9 percent forecast at the start of the earnings season.

Express Scripts rose 2.5 percent to $56.98 after the pharmacy benefits manager posted fourth-quarter earnings.

About two stocks rose for everyone that fell on the New York Stock Exchange and Nasdaq. About 6.48 billion shares changed hands on the New York Stock Exchange, the Nasdaq and NYSE MKT, in line with the daily average so far this year.

(Additional reporting by Chuck Mikolajczak Ryan Vlastelica and Rodrigo Campos; Editing by Chizu Nomiyama, Kenneth Barry and Nick Zieminski)

Read More..