  We include new data in an updated analysis of helium in low metallicity
extragalactic HII regions with the goal of deriving the primordial abundance of
He4 (Y_P). We show that the new observations of Izotov et al (ITL) are
consistent with previous data. However they should not be taken in isolation to
determine (Y_P) due to the lack of sufficiently low metallicity points. We use
the extant data in a semi-empirical approach to bounding the size of possible
systematic uncertainties in the determination of (Y_P). Our best estimate for
the primordial abundance of He4 assuming a linear relation between He4 and O/H
is Y_P = 0.230 \pm 0.003 (stat) based on the subset of HII regions with the
lowest metallicity; for our full data set we find Y_P = 0.234 \pm 0.002 (stat).
Both values are entirely consistent with our previous results. We discuss the
implications of these values for standard big bang nucleosynthesis (SBBN),
particularly in the context of recent measurements of deuterium in high
redshift, low metallicity QSO absorption-line systems.
