Flu more widespread in US; eases off in some areas

NEW YORK (AP) — Flu is now widespread in all but three states as the nation grapples with an earlier-than-normal season. But there was one bit of good news Friday: The number of hard-hit areas declined.

The flu season in the U.S. got under way a month early, in December, driven by a strain that tends to make people sicker. That led to worries that it might be a bad season, following one of the mildest flu seasons in recent memory.

The latest numbers do show that the flu surpassed an "epidemic" threshold last week. That is based on deaths from pneumonia and influenza in 122 U.S. cities. However, it's not unusual — the epidemic level varies at different times of the year, and it was breached earlier this flu season, in October and November.

And there's a hint that the flu season may already have peaked in some spots, like in the South. Still, officials there and elsewhere are bracing for more sickness

In Ohio, administrators at Miami University are anxious that a bug that hit employees will spread to students when they return to the Oxford campus next week.

"Everybody's been sick. It's miserable," said Ritter Hoy, a spokeswoman for the 17,000-student school.

Despite the early start, health officials say it's not too late to get a flu shot. The vaccine is considered a good — though not perfect — protection against getting really sick from the flu.

Flu was widespread in 47 states last week, up from 41 the week before, the Centers for Disease Control and Prevention said on Friday. The only states without widespread flu were California, Mississippi and Hawaii.

The number of hard-hit states fell to 24 from 29, where larger numbers of people were treated for flu-like illness. Now off that list: Florida, Arkansas and South Carolina in the South, the first region hit this flu season.

Recent flu reports included holiday weeks when some doctor's offices were closed, so it will probably take a couple more weeks to get a better picture, CDC officials said Friday. Experts say so far say the season looks moderate.

"Only time will tell how moderate or severe this flu season will be," CDC Director Dr. Thomas Frieden said Friday in a teleconference with reporters.

The government doesn't keep a running tally of adult deaths from the flu, but estimates that it kills about 24,000 people in an average year. Nationally, 20 children have died from the flu this season.

Flu vaccinations are recommended for everyone 6 months or older. Since the swine flu epidemic in 2009, vaccination rates have increased in the U.S., but more than half of Americans haven't gotten this year's vaccine.

Nearly 130 million doses of flu vaccine were distributed this year, and at least 112 million have been used. Vaccine is still available, but supplies may have run low in some locations, officials said.

To find a shot, "you may have to call a couple places," said Dr. Patricia Quinlisk, who tracks the flu in Iowa.

In midtown Manhattan, Hyrmete Sciuto got a flu shot Friday at a drugstore. She skipped it in recent years, but news reports about the flu this week worried her.

During her commute from Edgewater, N.J., by ferry and bus, "I have people coughing in my face," she said. "I didn't want to risk it this year."

The vaccine is no guarantee, though, that you won't get sick. On Friday, CDC officials said a recent study of more than 1,100 people has concluded the current flu vaccine is 62 percent effective. That means the average vaccinated person is 62 percent less likely to get a case of flu that sends them to the doctor, compared to people who don't get the vaccine. That's in line with other years.

The vaccine is reformulated annually, and this year's is a good match to the viruses going around.

The flu's early arrival coincided with spikes in flu-like illnesses caused by other bugs, including a new norovirus that causes vomiting and diarrhea, or what is commonly known as "stomach flu." Those illnesses likely are part of the heavy traffic in hospital and clinic waiting rooms, CDC officials said.

Europeans also are suffering an early flu season, though a milder strain predominates there. China, Japan, the West Bank, the Gaza Strip, Algeria and the Republic of Congo have also reported increasing flu.

Flu usually peaks in midwinter. Symptoms can include fever, cough, runny nose, head and body aches and fatigue. Some people also suffer vomiting and diarrhea, and some develop pneumonia or other severe complications.

Most people with flu have a mild illness. But people with severe symptoms should see a doctor. They may be given antiviral drugs or other medications to ease symptoms.

Some shortages have been reported for children's liquid Tamiflu, a prescription medicine used to treat flu. But health officials say adult Tamiflu pills are available, and pharmacists can convert those to doses for children.

___

Associated Press writers Dan Sewell in Cincinnati, Catherine Lucey in Des Moines, and Malcolm Ritter in New York contributed to this report.

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Online:

CDC flu: http://www.cdc.gov/flu/index.htm

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Getting comfortable with living on the edge

LONDON (Reuters) - Just as you learn to put up with a nagging toothache, this week is expected to provide fresh evidence that the U.S. economy is getting used to life on the edge of the fiscal cliff.

Of course, putting off that trip to the dentist is not necessarily wise. The longer Washington delays, the more painful it will become to narrow its gaping budget deficit.

But surveys of U.S. consumer confidence in January and of house builder sentiment in December are likely to show resilience, buttressing the argument of equity bulls that Wall Street's firm start to the year is more than a relief rally or a desperate search for higher returns on investment.

Bluford Puttnam, chief economist of CME Group, said the U.S. economy had managed to grow almost 2 percent last year and create about 1.8 million jobs despite stagnation in Europe, a slowdown in China and the deadlocked budget talks.

"So I see a lot of momentum going into 2013," Puttnam said. "If we can get past this fiscal cliff, the economy is poised to have a much more confident year."

Despite fiscal tightening, he said growth could reach 2.5 percent to 3.0 percent.

Puttnam said the next rounds in the budget battle later this quarter would again be bitterly fought and the resolution would again satisfy no one. But, as with the showdown at the end of 2012, the economy would quickly move on.

"There is a one-in-ten chance that the government may even shut down for a week. It's just going to be ugly. And then it will be over. There will be some kind of compromise, and by April it will fade quickly into the background," he said.

THREE GORGES

U.S. retail sales are likely to have increased only 0.2 percent in December, dampened by the budget worries, according to economists polled by Reuters.

But a pair of regional Federal Reserve surveys and the monthly Reuters/University of Michigan consumer poll are projected to improve, while housing starts, new building permits and builders' confidence should all show that the housing recovery stands on firm foundations.

"That's what's really encouraging consumers to feel that the economy is getting better and that the momentum is broadly positive," said Jerry Webman, chief economist at OppenheimerFunds in New York.

While the phrase fiscal cliff used by U.S. Federal Reserve chief Ben Bernanke conjured up an image of an immediate plunge at the start of this year, in truth any austerity was always likely to take effect on the economy gradually.

Bank of America Merrill Lynch describes the challenges the United States faces in coming months rather as three fiscal gorges it must leap over.

The government could hit the debt ceiling approved by Congress as early as mid-February; across-the-board spending cuts are due to kick in on March 1; and the ‘continuing resolution' to fund all discretionary government spending expires on March 27.

Ideally, investors would like Democrats and Republicans to resolve all three issues with an overarching agreement to slash the deficit by $4 trillion over the next decade.

Instead, given the dysfunctional state of politics, Webman said the best that could be hoped for was another short-term fix that cuts spending and ends some tax breaks.

"The U.S. doesn't move by grand bargains, by big deals. We move by incremental decisions, and I think we'll make some imperfect but improved decisions over the course of 2013," he said.

CHINA ON THE MEND, EUROPE EERILY CALM

Encouraging economic news from China, including stronger-than-expected exports and imports in December, has also supported the start-of-year move by financial market investors out of cash and into riskier assets.

Figures on Friday are expected to show that the world's second-largest economy grew 7.8 percent from a year earlier, rebounding from the 7.4 percent pace of the third quarter and further allaying fears of a hard landing.

"Given some of the bearish commentary on China a few months ago, this should be a relief for markets and it's good for the world economy," said Derry Pickford, macro analyst at investment managers Ashburton in London.

Continuing calm in the euro zone has also helped equities, even though full-year German GDP data on Tuesday will serve as a reminder of the area's economic malaise.

Europe's largest economy contracted last quarter as factories slashed output in response to weak demand from Germany's neighbors, the Economy Ministry said on Friday.

At a news conference a day earlier, European Central Bank President Mario Draghi said he expected a recovery in euro zone growth later this year. But he ruled out an early end to the ECB's crisis policy measures and cautioned that risks were still tilted to the downside. Markets shrugged.

In Europe as in the United States, investors seem to have got used to high levels of policy uncertainty, said Ethan Harris, chief U.S. economist at Bank of America Merrill Lynch.

"It appears that the markets will look past brinkmanship moments unless policy makers break new ground," he said.

In Europe, that might mean not just threatening to eject Greece from the euro zone but actually forcing the exit. In the United States, that might mean not just threatening to violate the debt ceiling but actually doing so, Harris said in a report.

As long as such extreme events do not occur, Harris expects periodic swoons in confidence but no acute crisis.

"This renewed resilience is important because we expect many brinkmanship moments in the months ahead. A now-regular pattern has been established where deals are only struck at the last minute and often under market pressure," he wrote.

(Editing by Patrick Graham)

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India Ink: Woman Raped by Seven Men in Punjab, India, Police Say

NEW DELHI — Police said Sunday that a  29-year-old woman had been raped by a bus driver, a bus conductor and five other men in the north Indian state of Punjab, in an incident that recalls the recent attack in Delhi that has caused widespread outrage.

The woman boarded a bus on Friday bound for Gurdaspur, to visit her in-laws, the police chief of Gurdaspur, Raj Jit Singh, said in a telephone interview. When she got off the bus, the driver offered her a ride on his motorcycle, perhaps to her in-laws village, the police said. Instead, he took her to a nearby village where he and six other men, including the bus conductor, raped her repeatedly through the night.

The next morning, the driver dropped her at her in-laws home, where the woman told her family members of the incident, and then reported it to the police, Mr. Singh said.

Six men, including the bus driver and conductor, have been arrested, he said. All of the men are their twenties.

Gurmesh Singh, the deputy superintendent of police for the  region, said it was unclear how or why the bus driver persuaded the woman to go with him on his motorcycle. She was in a state of distress during the bus ride, Mr. Singh said, and originally refused to get off of the bus when it reached its final destination.

The Press Trust of India reported that the bus driver did not stop at her stop when requested.

The gang-rape of a woman on a moving bus in New Delhi on Dec. 16, and her subsequent death from injuries sustained during the rape, has sparked widespread protests and calls for increased policing and tougher laws against sexual assault in India.

The case against five of the men arrested in that rape is being heard this month in a special fast-track court created just for incidents of sexual assault.

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“Storage Wars” porn lawsuit: alleged Brandi Passante video distributor found in contempt

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Britney Spears & Jason Trawick Split: What Went Wrong?

By Kevin O'Donnell

01/12/2013 at 04:00 PM EST

Britney Spears and Jason Trawick

Michael Kovac/Getty

Britney Spears and Jason Trawick mutually ended their engagement Friday, just over a year after he popped the question to the pop star in Las Vegas.

So what was behind the pair's decision to call off their engagement? According to a close source, Spears, 31, and Trawick, 41, both wanted "different things."

"There was no third party involved," says the source of the couple, who began dating in 2009. "Things haven't been ideal in their relationship for some time. There was a lot to work on before they could move forward and get married."

One of those things may have been Trawick's desire to maintain a life outside their relationship.

"Britney had a lot of issues with Jason doing his own thing – in business and seeing his friends," another source says. "In her perfect world he would have been home with her twenty-four/seven, so that was a point off contention; something they were always working on."

Though Spears recently purchased an $8.5 million mansion in L.A.'s Thousand Oaks neighborhood to live in with Trawick and her sons Sean, 7, and Jayden, 6, but another source says everything wasn't picture perfect. "They've been spending a lot of time apart in the last few months," says the source.

While the pair's relationship had become "frustrating," according to the close source, they've put up a united front. Spears told PEOPLE exclusively in a statement Friday that she and Trawick are committed to remaining "great friends."

After hearing news of the split, a source who saw the couple and her children in recent weeks says, "They both seemed happy. Especially Britney, I could tell that she was in a really great place. She smiled a lot. They were both really at ease with the boys."

As Spears ends her relationship with Trawick – he also resigned as co-conservator over her person, which gave him authority to make decisions about her general well-being – the singer and former X Factor judge will return to doing what she loves: music.

"It's time for me to get back in the studio," she said in a statement Friday. "Watching [The X Factor contestants] all do their thing up on that stage every week made me miss performing so much! I can't wait to get back out there and do what I love most."

• Reporting by JENNIFER GARCIA, RAHA LEWIS and AILI NAHAS

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Q&A: Scramble for vaccine as flu season heats up

WASHINGTON (AP) — Missed flu-shot day at the office last fall? And all those "get vaccinated" ads? A scramble for shots is under way as late-comers seek protection from a miserable flu strain already spreading through much of the country.

Federal health officials said Friday that there is still some flu vaccine available and it's not too late to benefit from it. But people may have to call around to find a clinic with shots still on the shelf, or wait a few days for a new shipment.

"We're hearing of spot shortages," said Dr. Thomas Frieden, director of the Centers for Disease Control and Prevention.

Colorado offers an example. Kaiser Permanente, which has 535,000 members in the state, stopped giving flu shots this week. But it expected to resume vaccinations when new shipments arrive, expected this weekend.

Some questions and answers about flu vaccines:

Q: Are we running out of vaccine?

A: It's January — we shouldn't have a lot left. The traditional time to get vaccinated is in the fall, so that people are protected before influenza starts spreading.

Indeed, manufacturers already have shipped nearly 130 million doses to doctors' offices, drugstores and wholesalers, out of the 135 million doses they had planned to make for this year's flu season. At least 112 million have been used so far.

The nation's largest manufacturer, Sanofi Pasteur, said Friday that it still has supplies of two specialty vaccines, a high-dose shot for seniors, and an under-the-skin shot for certain adults, available for immediate shipment. But it also is working to eke out a limited supply of its traditional shots — some doses that it initially hadn't packaged into syringes, said spokesman Michael Szumera. They should be available late this month.

And MedImmune, the maker of the nasal spray vaccine FluMist, said it has 620,000 extra doses available.

Q: Can't they just make more?

A: No. Flu vaccine is complicated to brew, with supplies for each winter made months in advance and at the numbers expected to sell. Although health officials recommend a yearly flu vaccination for nearly everybody, last year 52 percent of children and just 39 percent of adults were immunized. Most years, leftover doses have to be thrown out.

Q: Should I still hunt for a vaccine?

A: It does take two weeks for full protection to kick in. Still, health officials say it's a good idea to be vaccinated even this late, especially for older people, young children and anyone with medical conditions such as heart or lung diseases that put them at high risk of dangerous flu complications. Flu season does tend to be worst in January and February, but it can run through March.

Q: I heard that a new flu strain is spreading. Does the vaccine really work?

A: Flu strains constantly evolve, the reason that people need an updated vaccine every year. But the CDC says this year's is a good match to the types that are circulating, including a new kind of the tough H3N2 strain. That family tends to be harsher than other flu types — and health officials warned last fall that it was coming, and meant this winter would likely be tougher than last year's flu season, the mildest on record.

Q: But don't some people get vaccinated and still get sick?

A: Flu vaccine never is 100 percent effective, and unfortunately it tends to protect younger people better than older ones. But the CDC released a study Friday showing that so far this year, the vaccine appears 62 percent effective, meaning it's working about as well as it has in past flu seasons.

While that may strike some people as low, Frieden said it's the best protection available. "It's a glass 62 percent full," he said. "It's well worth the effort."

Q: What else can I do?

A: Wash your hands often, and avoid touching your eyes, nose and mouth. Viruses can spread by hand, not just through the air. Also, cough in your elbow, not your hand. When you're sick, protect others by staying home.

And people who are in those high-risk groups should call a doctor if they develop symptoms, added CDC spokesman Tom Skinner. They might be prescribed antiviral medication, which works best if given within the first 48 hours of symptoms.

___

AP Medical Writers Lindsey Tanner and Mike Stobbe contributed to this report.

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Wall Street Week Ahead: Attention turns to financial earnings

NEW YORK (Reuters) - After over a month of watching Capitol Hill and Pennsylvania Avenue, Wall Street can get back to what it knows best: Wall Street.

The first full week of earnings season is dominated by the financial sector - big investment banks and commercial banks - just as retail investors, free from the "fiscal cliff" worries, have started to get back into the markets.

Equities have risen in the new year, rallying after the initial resolution of the fiscal cliff in Washington on January 2. The S&P 500 on Friday closed its second straight week of gains, leaving it just fractionally off a five-year closing high hit on Thursday.

An array of financial companies - including Goldman Sachs and JPMorgan Chase - will report on Wednesday. Bank of America and Citigroup will join on Thursday.

"The banks have a read on the economy, on the health of consumers, on the health of demand," said Quincy Krosby, market strategist at Prudential Financial in Newark, New Jersey.

"What we're looking for is demand. Demand from small business owners, from consumers."

EARNINGS AND ECONOMIC EXPECTATIONS

Investors were greeted with a slightly better-than-anticipated first week of earnings, but expectations were low and just a few companies reported results.

Fourth quarter earnings and revenues for S&P 500 companies are both expected to have grown by 1.9 percent in the past quarter, according to Thomson Reuters I/B/E/S.

Few large corporations have reported, with Wells Fargo the first bank out of the gate on Friday, posting a record profit. The bank, however, made fewer mortgage loans than in the third quarter and its shares were down 0.8 percent for the day.

The KBW bank index <.bkx>, a gauge of U.S. bank stocks, is up about 30 percent from a low hit in June, rising in six of the last eight months, including January.

Investors will continue to watch earnings on Friday, as General Electric will round out the week after Intel's report on Thursday.

HOUSING, INDUSTRIAL DATA ON TAP

Next week will also feature the release of a wide range of economic data.

Tuesday will see the release of retail sales numbers and the Empire State manufacturing index, followed by CPI data on Wednesday.

Investors and analysts will also focus on the housing starts numbers and the Philadelphia Federal Reserve factory activity index on Thursday. The Thomson Reuters/University of Michigan consumer sentiment numbers are due on Friday.

Jim Paulsen, chief investment officer at Wells Capital Management in Minneapolis, said he expected to see housing numbers continue to climb.

"They won't be that surprising if they're good, they'll be rather eye-catching if they're not good," he said. "The underlying drive of the markets, I think, is economic data. That's been the catalyst."

POLITICAL ANXIETY

Worries about the protracted fiscal cliff negotiations drove the markets in the weeks before the ultimate January 2 resolution, but fear of the debt ceiling fight has yet to command investors' attention to the same extent.

The agreement was likely part of the reason for a rebound in flows to stocks. U.S.-based stock mutual funds gained $7.53 billion after the cliff resolution in the week ending January 9, the most in a week since May 2001, according to Thomson Reuters' Lipper.

Markets are unlikely to move on debt ceiling news unless prominent lawmakers signal that they are taking a surprising position in the debate.

The deal in Washington to avert the cliff set up another debt battle, which will play out in coming months alongside spending debates. But this alarm has been sounded before.

"The market will turn the corner on it when the debate heats up," Prudential Financial's Krosby said.

The CBOE Volatility index <.vix> a gauge of traders' anxiety, is off more than 25 percent so far this month and it recently hit its lowest since June 2007, before the recession began.

"The market doesn't react to the same news twice. It will have to be more brutal than the fiscal cliff," Krosby said. "The market has been conditioned that, at the end, they come up with an agreement."

(Reporting by Gabriel Debenedetti; editing by Rodrigo Campos)

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Plenty of Theories, and Enemies, in Killing of 3 Kurds in Paris

Joel Saget/Agence France-Presse — Getty Images

The brother of Sakine Cansiz (on poster), one of three Kurdish activists found shot on Thursday, said his family was convinced that it was a professional assassination.

PARIS — With her signature long hennaed hair, fiery resolve and olive-green military fatigues, Sakine Cansiz was a feminist, guerrilla fighter and former political prisoner as adept at wielding a machine gun as organizing political protests from a jail cell.

One day after she and two other Kurdish activists were killed in the heart of Paris, speculation abounded regarding Ms. Cansiz, 55, and whether she had been the main target.

One of her brothers, Metin Cansiz, and activists interviewed Friday said her main role in recent years was to raise money and provide political support for the separatist group she helped found, the Kurdistan Workers’ Party, or P.K.K. Ms. Cansiz may also still have been involved in providing arms for the rebels.

Echoing many analysts, Mr. Cansiz said the family was convinced that his sister had been the victim of a professional assassination. It was aimed, he said, at disrupting recently started peace talks that seek to end decades of bloody conflict between the Turkish government and the P.K.K., which is considered a terrorist organization by the United States and the European Union.

Ms. Cansiz was a close ally of a crucial player in the talks with Turkey, the P.K.K.’s imprisoned leader, Abdullah Ocalan.

“My sister supported the peace process, and she paid with her life,” Mr. Cansiz said as family members and hundreds of mourners gathered at a Kurdish cultural center not far from the locked, unlabeled office where Ms. Cansiz and the other two women, Fidan Dogan and Leyla Soylemez, were found fatally shot early Thursday. “Whoever did this wanted to kill the process.” 

Many Kurdish rebels said they believed that Turkish nationalists were behind the killings. But there were competing suspicions. Some rebels speculated that Iran  sponsored the attack as a way to destabilize Turkey, which has taken a stand against an Iranian ally, President Bashar al-Assad of Syria.

Turkey’s prime minister, Recep Tayyip Erdogan, said Friday that he believed that the killings bore the signs of an internal feud. In any case, the contours of Ms. Cansiz’s shortened life suggest that she would have had plenty of enemies.

Born to an Alevi Shiite family of eight brothers and sisters, Ms. Cansiz became politically active in her early 20s, her brother said. What she saw as the impoverishment and repression of the Kurdish community led her and a small group of revolutionaries to found the P.K.K. at a teahouse near Diyarbakir, in Turkey’s predominantly Kurdish southeast.

In 1980, after a coup in Turkey, she was arrested and imprisoned until 1991, enduring torture, according to Rusen Werdi, a Kurdish lawyer in Paris.

Her brother, who was imprisoned with her, recalled that she was one of the only prisoners to stand up to the authorities. Activists recalled that she spit in the face of the notorious prison director.

In interviews on Friday, activists said  Ms. Cansiz continued to organize demonstrations from behind bars. They said she had initially been attracted by the Marxist ideology of the Kurdish rights movement, which allowed women to escape from the tribal structures of Kurdish society and to take up arms alongside men.

Vahap Coskun, an expert on Kurdish movements at Dicle University in Diyarbakir, said that from its inception, the P.K.K. saw that Kurdish women could provide a powerful base for political organization and on the battlefield. Of the group’s 5,500 members, he said, about a quarter are women. In the mid-1990s, some joined suicide bombing attacks aimed at military and civilian targets, sometimes deflecting suspicion by dressing as though pregnant.

After Ms. Cansiz was released from prison, her brother said, she received military training, organized clandestine meetings, traveled to P.K.K. mountain outposts in southeastern Turkey and went underground to Germany to raise funds.

Ms. Cansiz spent time in Syria, where Mr. Ocalan was based, at the group’s training camp in Lebanon’s Bekaa region and in northern Iraq, Mr. Coskun said. She was eventually sent to Western Europe to work in logistics and fund-raising after the P.K.K. incurred losses in fighting with Turkish security forces, he said.

The German authorities questioned her in 2007 but turned down a Turkish request for her extradition, her friends and colleagues said. She then moved to Paris, and believed that she was under frequent surveillance, they said.

Her brother said that the two had recently celebrated the new year in Rotterdam, the Netherlands, and that Ms. Cansiz had betrayed no concerns about her safety. “She was never afraid,” he said. “She was happy.”

Sebnem Arsu contributed reporting from Istanbul.

This article has been revised to reflect the following correction:

Correction: January 12, 2013

An earlier version of this article misidentified the sect of Shiite Islam of which Sakine Cansiz was a member. She was an Alevi, not an Alawite. Among their differences, the Alevis are spread throughout Turkey, while most Alawites in Turkey live along the country’s border with Syria.

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Video game retail sales continued to slide in December, down 22% from 2011

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Poppy Montgomery Expecting Second Child

Mom & Babies
Celebrity Baby Blog

01/11/2013 at 04:00 PM ET

Gregg DeGuire/WireImage

There’s a baby on the way for Poppy Montgomery!

The Unforgettable star is expecting her second child this spring, a rep for Montgomery confirms to PEOPLE exclusively.

This will be the actress’ first child with Shawn Sanford, a Microsoft executive Montgomery began dating in late 2011. She’s already mom to son Jackson, 5, from her prior relationship with actor Adam Kaufman.

“Shawn and I are thrilled and Jackson is so excited to be a big brother!” Montgomery, who is also known for her series Without a Trace, tells PEOPLE.

In addition to writing her PEOPLE.com blog, Montgomery will continue work on Unforgettable when it returns to CBS this summer.

RELATED: Poppy Montgomery’s PEOPLE.com Blog Series

– Sarah Michaud

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