Study could spur wider use of prenatal gene tests

A new study sets the stage for wider use of gene testing in early pregnancy. Scanning the genes of a fetus reveals far more about potential health risks than current prenatal testing does, say researchers who compared both methods in thousands of pregnancies nationwide.

A surprisingly high number — 6 percent — of certain fetuses declared normal by conventional testing were found to have genetic abnormalities by gene scans, the study found. The gene flaws can cause anything from minor defects such as a club foot to more serious ones such as mental retardation, heart problems and fatal diseases.

"This isn't done just so people can terminate pregnancies," because many choose to continue them even if a problem is found, said Dr. Ronald Wapner, reproductive genetics chief at Columbia University Medical Center in New York. "We're better able to give lots and lots of women more information about what's causing the problem and what the prognosis is and what special care their child might need."

He led the federally funded study, published in Thursday's New England Journal of Medicine.

A second study in the journal found that gene testing could reveal the cause of most stillbirths, many of which remain a mystery now. That gives key information to couples agonizing over whether to try again.

The prenatal study of 4,400 women has long been awaited in the field, and could make gene testing a standard of care in cases where initial screening with an ultrasound exam suggests a structural defect in how the baby is developing, said Dr. Susan Klugman, director of reproductive genetics at New York's Montefiore Medical Center, which enrolled 300 women into the study.

"We can never guarantee the perfect baby but if they want everything done, this is a test that can tell a lot more," she said.

Many pregnant women are offered screening with an ultrasound exam or a blood test that can flag some common abnormalities such as Down syndrome, but these are not conclusive.

The next step is diagnostic testing on cells from the fetus obtained through amniocentesis, which is like a needle biopsy through the belly, or chorionic villus sampling, which snips a bit of the placenta. Doctors look at the sample under a microscope for breaks or extra copies of chromosomes that cause a dozen or so abnormalities.

The new study compared this eyeball method to scanning with gene chips that can spot hundreds of abnormalities and far smaller defects than what can be seen with a microscope. This costs $1,200 to $1,800 versus $600 to $1,000 for the visual exam.

In the study, both methods were used on fetal samples from 4,400 women around the country. Half of the moms were at higher risk because they were over 35. One-fifth had screening tests suggesting Down syndrome. One-fourth had ultrasounds suggesting structural abnormalities. Others sought screening for other reasons.

"Some did it for anxiety — they just wanted more information about their child," Wapner said.

Of women whose ultrasounds showed a possible structural defect but whose fetuses were called normal by the visual chromosome exam, gene testing found problems in 6 percent — one out of 17.

"That's a lot. That's huge," Klugman said.

Gene tests also found abnormalities in nearly 2 percent of cases where the mom was older or ultrasounds suggested a problem other than a structural defect.

Dr. Lorraine Dugoff, a University of Pennsylvania high-risk pregnancy specialist, wrote in an editorial in the journal that gene testing should become the standard of care when a structural problem is suggested by ultrasound. But its value may be incremental in other cases and offset by the 1.5 percent of cases where a gene abnormality of unknown significance is found.

In those cases, "a lot of couples might not be happy that they ordered that test" because it can't give a clear answer, she said.

Ana Zeletz, a former pediatric nurse from Hoboken, N.J., had one of those results during the study. An ultrasound suggested possible Down syndrome; gene testing ruled that out but showed an abnormality that could indicate kidney problems — or nothing.

"They give you this list of all the things that could possibly be wrong," Zeletz said. Her daughter, Jillian, now 2, had some urinary and kidney abnormalities that seem to have resolved, and has low muscle tone that caused her to start walking later than usual.

"I am very glad about it," she said of the testing, because she knows to watch her daughter for possible complications like gout. Without the testing, "we wouldn't know anything, we wouldn't know to watch for things that might come up," she said.

The other study involved 532 stillbirths — deaths of a fetus in the womb before delivery. Gene testing revealed the cause in 87 percent of cases versus 70 percent of cases analyzed by the visual chromosome inspection method. It also gave more information on specific genetic abnormalities that couples could use to estimate the odds that future pregnancies would bring those risks.

The study was led by Dr. Uma Reddy of the National Institute of Child Health and Human Development.

___

Online:

Medical journal: http://www.nejm.org

___

Marilynn Marchione can be followed at http://twitter.com/MMarchioneAP

Read More..

Occupy protests' ironic legacy: more restrictions on protesters

Life was upended briefly in affluent San Marino last year when a hundred or so Occupy-style protesters staged a demonstration on the lawn of a resident Wells Fargo executive.

The police chief declared the city's 28-member force "overwhelmed." So city leaders passed an ordinance that required protesters to stay 75 feet from the curb of targeted residences. Then they tightened parade permit requirements and added a measure to allow police to move obstructing protesters off sidewalks.

By the time they were finished, the only place left in San Marino where protesters could demonstrate without a permit was the median of Huntington Drive, a 60-foot-wide grassy space that runs through the center of the city.

San Marino isn't alone. Across California and the nation, Occupy protests have prompted cities to tighten restrictions on protesters and behavior in public space in ways that opponents say threaten free speech and worsen conditions for homeless people.

Governments now regulate with new vigor where protesters may stand and walk and what they can carry. Protest permits are harder to get and penalties are steeper. Camping is banned from Los Angeles parks by a new, tougher ordinance. Philadelphia and Houston tightened restrictions on feeding people in public.

It's an ironic legacy for a movement conceived as a voice for the downtrodden.

When Occupy protests first fanned across the country last year, the movement enjoyed widespread popularity, and politicians responded with resolutions of support. Mayor Antonio Villaraigosa even had ponchos delivered to Occupy Los Angeles when it rained.

But as demonstrations wore on and public sentiment shifted, cities got tougher with protesters.

As Occupy protests threatened to disrupt the May G-8 and NATO summits in Chicago, for example, lawmakers reduced park hours, installed more surveillance cameras, raised fees for protest permits and increased fines for violations. Large protest groups must now submit to a variety of conditions to get permission to demonstrate, including spelling out the dimensions of their placards and banners, and meeting insurance requirements.

About three weeks into Occupy Nashville's encampment in Legislative Plaza, Tennessee state authorities established a curfew, imposed new permit and insurance requirements, and promptly cleared the camp. In Sacramento, highly specific measures passed, making it illegal to wash dishes on the City Hall grounds and restricting use of tape and chalk.

In some cases, police "made up their own laws in the street," said Sarah Knuckey, a New York University Law Professor who worked with Occupy Wall Street.

After Occupy Wall Street was evicted from Zucotti Park, protesters were allowed to return only to face a long list of park rules that changed daily, Knuckey said. New York City police and park security refused entry to the park based on violations such as possessing food, musical instruments and yoga mats, Knuckey said.

In July, Los Angeles police arrested Occupy protesters drawing on the street with chalk during an Art Walk event on suspicion of vandalism — though the drawings were about as permanent as sand castles on a beach.

Free speech advocates say the trend is dismaying. "It reflects a hostility to protest," said Linda Lye, attorney for ACLU in Northern California. "What we've seen is a response not different from Bull Connor."

Mara Verheyden Hilliard, an attorney with the National Lawyer's Guild, said although city officials often deny any connection to Occupy in defending the new measures, she believes Occupy is their real target.

City officials defended the restrictions as legitimate attempts to protect public spaces, which they say were subjected to unprecedented new uses during the protests. Free speech, in Occupy's case, took the form of tent cities that required constant police attention and expensive cleanup. In Los Angeles, costs for police overtime and cleanup exceeded $4.7 million.

"The movement has a right to exercise speech, but the city has a right to regulate its public spaces," Los Angeles Deputy City Attorney William Carter said.

Homeless advocates say people living on the streets will suffer long after the last Occupy tent comes down.

"There are unhoused individuals that are the daily victims of these laws," said Neil Donovan, executive director for the National Coalition for the Homeless in Washington.

Though bans on camping in public spaces have existed for decades in many cities, dozens of new ordinances have come with "lightning speed," Donovan said. Since November 2011, camping bans have been adopted in Washington, D.C.; Charlotte, N.C., and Denver, and the states of Tennessee and Idaho, among many others, according the National Law Center on Homelessness and Poverty.

In Los Angeles, camping in parks was already banned. City leaders made an exception for Occupy Los Angeles, which lasted eight weeks. Citing health and safety concerns, the city evicted the protesters and passed a new, amended ordinance that specifically banned tents and sleeping bags after parks closed.

Western Regional Advocacy Project, a homeless outreach organization, has surveyed more than 800 homeless people in nine major cities across the nation in the last two years and found that 45% of those surveyed had been cited for sleeping.

Cheryl Aichele, an early member of Occupy Los Angeles, said it was never the movement's intention to prompt stiffer laws. "If Occupy made those things tougher, it was only because there was a pre-existing push against these things," Aichele said.

Not all the efforts have been successful: In Oakland, after repeated violent confrontations between police and Occupy Oakland, the city considered a protest ordinance that would have criminalized a long list of items, including sticks more than quarter of an inch thick. The measure never made it out of committee.

In Fresno County, police dismantled an Occupy camp by invoking seldom-used prohibitions on the distribution of literature and on gatherings without a permit. A federal judge found the codes unconstitutional.

But there are enough new restrictions to hobble the Occupy movement, said Todd Gitlin, a journalism professor at Columbia University and author of the book "Occupy Nation." Membership is declining and protests rarely make headlines now, Gitlin said.

When the San Marino City Council voted to confine protests to a city median in October, they made their arguments to an empty room. None of the groups who prompted the law could spare a member to speak against it.

frank.shyong@latimes.com

Read More..

32% of Young People Use Social Media in the Bathroom

Read More..

How Adriana Lima Got Her Body Back for the Victoria's Secret Fashion Show

Jennifer Graylock/JPI

With just eight weeks between the birth of daughter Sienna and the annual Victoria’s Secret Fashion Show, Adriana Lima wasted no time hitting the ring.

Taking three weeks off to recover from the delivery, Lima had the five remaining weeks to prepare — and she did, following an intense workout plan designed by her trainer of six years, Michael Olajide, Jr. of Aerospace NYC. According to the model’s fitness guru, Lima’s “working weight” varies depending on what project she’s working on but for the brand’s big event, “she wanted to be more defined and athletic.”

But before the bombshell could start Olajide’s cardio muscle aeroboxing endurance plan, “her doctor had [to give] her a clear pass to do everything we’d done together before,” he explains. ”Adriana’s metabolism had slowed down, and that’s what happens when you’re nesting, but we had to get her burning 24/7.”

He’s not kidding: “We were doing four to six hours every day, seven days a week,” Olajide shares.

Starting at 9 a.m., Lima’s twice-daily workouts included 20 to 30 minutes on an exercise bike, followed by 20 to 30 minutes of core work and a “quick-reflex” shadowboxing routine created by Olajide, a former middleweight boxing champion. Next, the mom-of two would don real boxing gloves and practice punching combinations to learn speed and power, followed by glute and leg sculpting exercises, and a rigorous jump-roping routine finished with stretching.

Sound exhausting? That’s just her morning workout. “She’d head home to be with the family and the babies and then, pow! She’d come back that night from 5 to 8 p.m.,” he marvels. “It was incredible to see that type of dedication and fortitude.”

Although Lima came under fire for her pre-show diet last year, Olajide ensures she’s responsible about her health.

“Adriana enjoys her food. She eats anything from chocolate mousse to steak and hamburgers,” he says. “But when it’s time to prepare for something, she has the discipline to prepare for it.”

This time around, that also meant working with a nutritionist to cut out salt and seasonings, and eating steamed dark greens and lean proteins. ”It was a roller coaster, but she’s a fighter. She just bit down on her mouthguard and got it done.”

The Victoria’s Secret Fashion Show airs Tuesday at 10 p.m. EST on CBS.

– Catherine Kast

Read More..

Study: Drug coverage to vary under health law

WASHINGTON (AP) — A new study says basic prescription drug coverage could vary dramatically from state to state under President Barack Obama's health care overhaul.

That's because states get to set benefits for private health plans that will be offered starting in 2014 through new insurance exchanges.

The study out Tuesday from the market analysis firm Avalere Health found that some states will require coverage of virtually all FDA-approved drugs, while others will only require coverage of about half of medications.

Consumers will still have access to essential medications, but some may not have as much choice.

Connecticut, Virginia and Arizona will be among the states with the most generous coverage, while California, Minnesota and North Carolina will be among states with the most limited.

___

Online:

Avalere Health: http://tinyurl.com/d3b3hfv

Read More..

L.A. police seek owners of 11,000 pieces of stolen jewelry

Gold earrings, diamond studs, wedding rings and designer watches sparkled like a jeweler's cabinet at a shopping mall — and there's more where that came from, police said.

On Tuesday, Los Angeles Police Department Sgt. Matt Plugge displayed more than 11,000 stolen items at the Valley Bureau headquarters, showing them off more like a high-end jeweler than a law enforcement official.

Plugge said he is now seeking to reunite some pieces with their rightful owners.

"They come from hundreds of homes," Plugge said. "It is not so much the value here but that sentimental value. We're talking wedding rings, pieces of family jewelry with all the emotions attached. These are special items to someone."

The valuables were stolen in hundreds of so-called knock-knock burglaries in which the brazen thieves would knock on the door and bust in when no one answered. They could ransack the home for valuables in a few minutes.

As the San Fernando Valley and L.A.'s Westside saw a surge in home burglaries early this year, authorities created a task force to help catch the crafty crooks.

Investigators have arrested more than 55 suspected burglars and more than a dozen alleged associates, including two suspected fences who knowingly bought the stolen merchandise, Police Det. Joe Esquivel said. Many of the suspects arrested are active gang members who also allegedly stole a variety of guns, police said.

In many cases, burglars turned the stolen booty into cash within hours, police said

"We'd catch them dividing up the cash in the parking lot of the fence," Plugge said. "The fences quickly split the jewels from the gold. We found multiple gold bars we suspect were once jewelry."

Informants and undercover surveillance led detectives to two suspected fences who owned several stores in downtown L.A. At Fine Silver Max's Jewelry and Guadalajara Jewelry on South Broadway, detectives in September recovered many items and arrested two store operators.

Burglary and armed robbery suspects were observed repeatedly engaging in hasty transactions that were so frequent that investigators said they saw one burglary crew finish up its business as another arrived.

Both stores ignored a city law requiring secondhand stores and pawnshops to obtain a fingerprint and record a form of identification when exchanging personal property for cash.

Fine Silver Max's operator, Ismael Monje, who owned two nearby electronic businesses, was also charged with nine counts, including identity theft and receiving of stolen property, said Sandi Gibbons, spokeswoman for the district attorney's office.

Farshad Yaghoobi, owner of Guadalajara Jewelry, was arrested on suspicion of receiving stolen goods at his Beverly Hills home but has not yet been charged.

About 50 people have come forward to identify their items since images were placed on the LAPD website.

"We are asking people to contact us and provide some proof it is their item," Plugge said.

That would include a police report, appraisal, a receipt or a picture of them wearing it.

Photos of the property can be found at http://www.lapdonline.org. Type "fence burglaries" into the search box and a link will appear to the hundreds of photos. If you see a piece that is yours, send an email to lapdvctf@lapd.lacity.org or call (818) 644-8091.

richard.winton@latimes.com

Read More..

Clinton Warns Syria Against Using Chemical Weapons

Narciso Contreras/Associated Press

 A kitchen in a home in Aleppo, Syria showed signs of heavy fighting Sunday.

WASHINGTON — President Obama warned Syria’s government on Monday that it would be “totally unacceptable” to use chemical weapons against its own people and vowed to hold accountable anyone who did, as American intelligence officials picked up signs that such arms might be deployed in the ongoing insurgency.

The White House said that some recent actions by the government of President Bashar al-Assad were indicators that Syrian forces were preparing to use such weapons, following earlier reports that intelligence agencies had noticed signs of activity at chemical weapons sites. Mr. Obama’s spokesman said the administration had “an increased concern” of possible use of chemical weapons.

In a speech later in the day that echoed earlier comments by Secretary of State Hillary Rodham Clinton, Mr. Obama sternly asserted again that he would punish Syria for using chemical weapons, although he did not say how. The administration has been preparing contingency plans that include the dispatch of tens of thousands of troops to secure such weapons, although it is not clear whether Mr. Obama would go that far.

“Today I want to make it absolutely clear to Assad and those under his command: The world is watching,” Mr. Obama said in a speech at the National Defense University in Washington. “The use of chemical weapons is and would be totally unacceptable. If you make the tragic mistake of using these weapons, there will be consequences and you will be held accountable.”

During an earlier briefing at the White House, Jay Carney, the president’s press secretary, hinted at possible military action in response, although he declined to specify what options Mr. Obama would consider. “We think it is important to prepare for all scenarios,” Mr. Carney said. “Contingency planning is the responsible thing to do.”

The president’s statements on Syria amplified similar warnings issued by Mrs. Clinton earlier in the day in Prague, the Czech capital, where she was stopping on her way to meetings in Brussels.

“This is a red line for the United States,” Mrs. Clinton said, using the same language that the White House later would use. “I am not going to telegraph in any specifics what we would do in the event of credible evidence that the Assad regime has resorted to using chemical weapons against their own people. But suffice it to say we are certainly planning to take action if that eventuality were to occur.”

There have been signs in recent days of heightened activity at some of Syria’s chemical weapons sites, according to American and Israeli officials familiar with intelligence reports. Mrs. Clinton did not confirm the intelligence reports or say what sort of activity was occurring.

The Syrian Foreign Ministry, in a swift response, said the government “would not use chemical weapons, if it had them, against its own people under any circumstances.” The statement was reported on Syrian state television and on the Lebanese channel LBC.

The crisis has been worsening in Syria, where about 40,000 people have been killed in 20 months of conflict that has also spilled into neighboring countries. The warning from the White House came as developments elsewhere suggested the political terrain could be shifting.

The spokesman for Syria’s foreign ministry, Jihad Makdissi, was reported by the Hezbollah-run television station, Al Manar, as having been fired, although Lebanese news Web sites reported the departure as a defection. Mr. Makdissi, one of the highest ranking Christians to defect, had been one of the most accessible Syrian officials for foreign journalists. Al Manar reported that he was fired for making statements that did not reflect the government’s point of view, though it was unclear what those statements might have been.

But in recent months he had not taken phone calls and had not made public statements, leading some to speculate that he had either fallen out of favor or had doubts about the government. A security source said Mr. Makdissi flew to London from Beirut on Monday morning with his family.

Michael R. Gordon reported from Brussels. Reporting contributed by Anne Barnard from Beirut, Lebanon, and Sebnem Arsu from Istanbul.

Read More..

Jon Bon Jovi Had 'No Idea' About His Daughter's Drug Trouble

By Dahvi Shira

12/03/2012 at 07:20 PM EST

Jon Bon Jovi and daughter Stephanie

Dave M. Benett/Getty

Jon Bon Jovi isn't just livin' on a prayer following the apparent heroin overdose that hospitalized his daughter Stephanie Rose Bongiovi last month.

Speaking out about the issue with his daughter, the legendary rocker, 50, says he's "confident" Bongiovi, 19, will be okay, telling the Associated Press, "You surround them with the best help and love and move on, and that's where we're at with it."

Although the musician and his family are getting past the Nov. 14 incident that occurred in Bongiovi's Hamilton College dorm room in Clinton, N.Y., the musician is still surprised it happened.

"I'm shocked as much as the next parent with this situation and had no idea," Bon Jovi explains. "Steph is a great kid. Great GPA. Cool school … everything about it is idyllic. She was doing great, then a sudden and steep decline."

Reflecting back, Bon Jovi says when he first became a father he wasn't sure how best to raise a little girl, but he and his wife provided a loving, stable home for their daughter.

"I didn't have any sisters," he says. "We bring home this girl the first day. Now what? Where's the manual? There was no manual. So you bring her up the best you can, you surround her with hugs and kisses and know that she may eventually fall down," he says. "I appreciate the outpouring of kindness in light of what happened in my household … No one knows the future. It is what it is."

Read More..

Fossil fuel subsidies in focus at climate talks

DOHA, Qatar (AP) — Hassan al-Kubaisi considers it a gift from above that drivers in oil- and gas-rich Qatar only have to pay $1 per gallon at the pump.

"Thank God that our country is an oil producer and the price of gasoline is one of the lowest," al-Kubaisi said, filling up his Toyota Land Cruiser at a gas station in Doha. "God has given us a blessing."

To those looking for a global response to climate change, it's more like a curse.

Qatar — the host of U.N. climate talks that entered their final week Monday — is among dozens of countries that keep gas prices artificially low through subsidies that exceeded $500 billion globally last year. Renewable energy worldwide received six times less support — an imbalance that is just starting to earn attention in the divisive negotiations on curbing the carbon emissions blamed for heating the planet.

"We need to stop funding the problem, and start funding the solution," said Steve Kretzmann, of Oil Change International, an advocacy group for clean energy.

His group presented research Monday showing that in addition to the fuel subsidies in developing countries, rich nations in 2011 gave more than $58 billion in tax breaks and other production subsidies to the fossil fuel industry. The U.S. figure was $13 billion.

The Paris-based Organization for Economic Cooperation and Development has calculated that removing fossil fuel subsidies could reduce carbon emissions by more than 10 percent by 2050.

Yet the argument is just recently gaining traction in climate negotiations, which in two decades have failed to halt the rising temperatures that are melting Arctic ice, raising sea levels and shifting weather patterns with impacts on droughts and floods.

In Doha, the talks have been slowed by wrangling over financial aid to help poor countries cope with global warming and how to divide carbon emissions rights until 2020 when a new planned climate treaty is supposed to enter force. Calls are now intensifying to include fossil fuel subsidies as a key part of the discussion.

"I think it is manifestly clear ... that this is a massive missing piece of the climate change jigsaw puzzle," said Tim Groser, New Zealand's minister for climate change.

He is spearheading an initiative backed by Scandinavian countries and some developing countries to put fuel subsidies on the agenda in various forums, citing the U.N. talks as a "natural home" for the debate.

The G-20 called for their elimination in 2009, and the issue also came up at the U.N. earth summit in Rio de Janeiro earlier this year. Frustrated that not much has happened since, European Union climate commissioner Connie Hedegaard said Monday she planned to raise the issue with environment ministers on the sidelines of the talks in Doha.

Many developing countries are positive toward phasing out fossil fuel subsidies, not just to protect the climate but to balance budgets. Subsidies introduced as a form of welfare benefit decades ago have become an increasing burden to many countries as oil prices soar.

"We are reviewing the subsidy periodically in the context of the total economy for Qatar," the tiny Persian gulf country's energy minister, Mohammed bin Saleh al-Sada, told reporters Monday.

Qatar's National Development Strategy 2011-2016 states it more bluntly, saying fuel subsides are "at odds with the aspirations" and sustainability objectives of the wealthy emirate.

The problem is that getting rid of them comes with a heavy political price.

When Jordan raised fuel prices last month, angry crowds poured into the streets, torching police cars, government offices and private banks in the most sustained protests to hit the country since the start of the Arab unrest. One person was killed and 75 others were injured in the violence.

Nigeria, Indonesia, India and Sudan have also seen violent protests this year as governments tried to bring fuel prices closer to market rates.

Iran has used a phased approach to lift fuel subsidies over the past several years, but its pump prices remain among the cheapest in the world.

"People perceive it as something that the government is taking away from them," said Kretzmann. "The trick is we need to do it in a way that doesn't harm the poor."

The International Energy Agency found in 2010 that fuel subsidies are not an effective measure against poverty because only 8 percent of such subsidies reached the bottom 20 percent of income earners.

The IEA, which only looked at consumption subsidies, this year said they "remain most prevalent in the Middle East and North Africa, where momentum toward their reform appears to have been lost."

In the U.S., environmental groups say fossil fuel subsidies include tax breaks, the foreign tax credit and the credit for production of nonconventional fuels.

Industry groups, like the Independent Petroleum Association of America, are against removing such support, saying that would harm smaller companies, rather than the big oil giants.

In Doha, Mohammed Adow, a climate activist with Christian Aid, called all fuel subsidies "reckless and dangerous," but described removing subsidies on the production side as "low-hanging fruit" for governments if they are serious about dealing with climate change.

"It's going to oil and coal companies that don't need it in the first place," he said.

___

Associated Press writers Abdullah Rebhy in Doha, Qatar, and Brian Murphy in Dubai, United Arab Emirates, contributed to this report

____

Karl Ritter can be reached at www.twitter.com/karl_ritter

Read More..

Girl, 12, held as sex slave, forced into prostitution by couple, police allege

An Oceanside couple are scheduled to be in court Monday to face accusations that they kept an underage
Mexican immigrant as a sex slave, forcing her into prostitution and
beating her severely.

Marcial Garcia Hernandez, 45, and Inez Martinez Garcia, 43, were
arrested Thursday on suspicion of 13 felony counts of aggravated sexual
assault of a child under age 14.

The girl had been smuggled into the U.S. at age 12, and the abuse by
Hernandez and Garcia occurred over a 21-month period, the Sheriff's
Department said.

Hernandez and Garcia forced the girl to care for their three children
and cook and clean for the family, as well as have sex with Hernandez,
according to Deputy G. Crysler, an investigator with the North County
Human Trafficking Task Force.

"When the girl victim refused to participate in the sex acts or did
not complete her tasks in a timely or correct manner, she was beaten,"
Crysler said.

The couple forced the victim into lying about her age so she could
work at a local restaurant, with Garcia and Hernandez keeping the money
she earned, according to the arrest documents. She was also forced into
having sex with older men, with Garcia and Hernandez keeping the money
paid by "johns," the documents said.

Authorities were called after the victim was allegedly beaten by
Garcia. Reunited with her family, she returned to Mexico. Recently,
she returned to the U.S. and is assisting in the criminal investigation,
according to the Sheriff's Department.

ALSO:

Lindsay Lohan is 'victim' despite criminal charges, lawyer says

Teacher pleads guilty to having sex with 17-year-old ex-student

Inmate charged in 1991 slaying, rape of 16-year-old Compton girl

-- Tony Perry in San Diego

Read More..