{"id":26641,"date":"2019-11-10T16:57:08","date_gmt":"2019-11-10T22:57:08","guid":{"rendered":"http:\/\/huewhite.com\/umb\/?p=26641"},"modified":"2020-04-01T15:10:01","modified_gmt":"2020-04-01T20:10:01","slug":"from-one-end-health-the-other-ctd-2","status":"publish","type":"post","link":"https:\/\/huewhite.com\/umb\/2019\/11\/10\/from-one-end-health-the-other-ctd-2\/","title":{"rendered":"From One End Health, The Other \u2026, Ctd"},"content":{"rendered":"<p><a href=\"https:\/\/i0.wp.com\/huewhite.com\/umb\/wp-content\/uploads\/2019\/11\/allopurinol.jpg?ssl=1\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\" wp-image-26642 alignright\" src=\"https:\/\/i0.wp.com\/huewhite.com\/umb\/wp-content\/uploads\/2019\/11\/allopurinol.jpg?resize=239%2C179&#038;ssl=1\" alt=\"\" width=\"239\" height=\"179\" srcset=\"https:\/\/i0.wp.com\/huewhite.com\/umb\/wp-content\/uploads\/2019\/11\/allopurinol.jpg?w=160&amp;ssl=1 160w, https:\/\/i0.wp.com\/huewhite.com\/umb\/wp-content\/uploads\/2019\/11\/allopurinol.jpg?resize=150%2C113&amp;ssl=1 150w\" sizes=\"auto, (max-width: 239px) 100vw, 239px\" \/><\/a>Getting back to <a href=\"https:\/\/huewhite.com\/umb\/2019\/07\/28\/from-one-end-health-the-other-ctd\/\" target=\"_blank\" rel=\"noopener noreferrer\">this thread<\/a> on pharma and its production overseas where environmental standards are laxer than here in the States, <em><strong>WaPo<\/strong><\/em> has a <a href=\"https:\/\/www.washingtonpost.com\/science\/a-tiny-pharmacy-is-identifying-big-problems-with-common-drugs-including-zantac\/2019\/11\/08\/6dd009ca-eb76-11e9-9c6d-436a0df4f31d_story.html?wpisrc=nl_most&amp;wpmm=1\" target=\"_blank\" rel=\"noopener noreferrer\">report<\/a> on the valiant efforts of a tiny pharmacy named Valisure to ensure the drugs it dispenses to customers are actually what they&#8217;re ordering.<\/p>\n<div>\n<blockquote>\n<p class=\"font--body font-copy color-gray-darkest ma-0 pad-bottom-md undefined\">The pharmacy, Valisure, is a start-up with only 14 full-time employees. But since its scientists alerted American regulators that Zantac and its generic form, ranitidine, contained a chemical thought to cause cancer, more than 40 countries from\u00a0<a title=\"www.tga.gov.au\" href=\"https:\/\/www.tga.gov.au\/alert\/ranitidine-0\">Australia<\/a>\u00a0to\u00a0<a title=\"vietnamnews.vn\" href=\"https:\/\/vietnamnews.vn\/society\/536420\/drug-administration-withdraws-medicines-over-cancer-fears.html\">Vietnam<\/a>\u00a0have either stopped sales, launched investigations or otherwise stepped in to protect consumers from possible health risks.<\/p>\n<\/blockquote>\n<\/div>\n<div>\n<blockquote>\n<p class=\"font--body font-copy color-gray-darkest ma-0 pad-bottom-md undefined\">In the United States, the Food and Drug Administration this month confirmed unacceptable levels of the chemical, N-nitrosodimethylamine (NDMA), in some ranitidine products \u2014 including in some syrups taken by babies. FDA officials have urged people not to panic, because the levels of NDMA are similar to the amount found in grilled and smoked meats. The agency is still investigating and asking companies to recall ranitidine and a similar drug, nizatidine, if they discover unacceptable amounts of NDMA. The agency\u2019s testing suggests Pepcid, Tagamet, Nexium, Prevacid and Prilosec do not contain the chemical.<\/p>\n<\/blockquote>\n<p>The item catching my eye was this:<\/p>\n<blockquote><p>For Valisure\u2019s scientists, finding NDMA in ranitidine was a particularly dramatic example of the kind of discovery they make routinely. Valisure checks the chemical makeup of drugs before it ships them to consumers, and rejects more than 10 percent of the batches because their tests detect contaminants, medicine that didn\u2019t dissolve properly or pills that contain the wrong dose, among other issues. Since late 2018, Valisure has reported more than 50 problems directly to drug companies. Occasionally \u2014 as in the case of Zantac \u2014 their scientists find a problem so urgent they play the role of watchdog.<\/p><\/blockquote>\n<p>Yeow! 10% is way more than I want to hear, now that I&#8217;ve become old, decrepit, and dependent on the health system to stay upright and pretend to be vital. But connecting to this thread is this:<\/p>\n<blockquote><p>Much of the concern over the quality and safety of the drug supply has been propelled by a massive movement of drug production to foreign factories in recent years, \u201cdriven by the pharmaceutical industry\u2019s desire for cost savings and less stringent environmental regulations,\u201d Woodcock said in\u00a0<a title=\"energycommerce.house.gov\" href=\"https:\/\/energycommerce.house.gov\/sites\/democrats.energycommerce.house.gov\/files\/documents\/Testimony-Woodcock-API_103019.pdf\">testimony<\/a>\u00a0submitted to Congress in October.<\/p>\n<div>\n<p class=\"font--body font-copy color-gray-darkest ma-0 pad-bottom-md undefined\">The FDA rigorously evaluates drugs for effectiveness and safety before approval, including visits by inspectors, who review records to ensure compliance with requirements \u2014 including that companies test batches of medicine before distributing them, Kahn said.<\/p>\n<\/div>\n<div>\n<p class=\"font--body font-copy color-gray-darkest ma-0 pad-bottom-md undefined\">A\u00a0<a title=\"www.gao.gov\" href=\"https:\/\/www.gao.gov\/assets\/690\/681689.pdf\">2016 Government Accountability Office report<\/a>\u00a0found that almost a third of 3,000 foreign drug establishments licensed by the FDA may never have been inspected, although the FDA said it has now caught up on the backlog.<\/p>\n<\/div>\n<\/blockquote>\n<div>\n<blockquote>\n<p class=\"font--body font-copy color-gray-darkest ma-0 pad-bottom-md undefined\">Sen. Charles E. Grassley (R-Iowa), has sent\u00a0<a title=\"www.finance.senate.gov\" href=\"https:\/\/www.finance.senate.gov\/imo\/media\/doc\/2019-08-06%20CEG%20to%20HHS%20FDA%20(Importation%20Plan).pdf\">letters\u00a0<\/a><a title=\"www.finance.senate.gov\" href=\"https:\/\/www.finance.senate.gov\/imo\/media\/doc\/2019-06-27%20CEG%20to%20FDA%20(Foreign%20Manufacturing%20Facility%20Inspections).pdf\">to the FDA<\/a> questioning the adequacy of its foreign drug inspection program.<\/p>\n<\/blockquote>\n<p>It sounds like neglect of product safety in favor of profits to me. So how to punish companies who are single source suppliers of drugs that many consider critical to their life styles, and sometimes even lives?<\/p>\n<p>I suppose you could hang <em>Forfeit of patent<\/em> over the heads of the pharma company, although it&#8217;s a bit of a buzzkill for those who develop drugs for profit. Would it work? I&#8217;m not sure.<\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Getting back to this thread on pharma and its production overseas where environmental standards are laxer than here in the States, WaPo has a report on the valiant efforts of a tiny pharmacy named Valisure to ensure the drugs it dispenses to customers are actually what they&#8217;re ordering. The pharmacy, \u2026 <a class=\"continue-reading-link\" href=\"https:\/\/huewhite.com\/umb\/2019\/11\/10\/from-one-end-health-the-other-ctd-2\/\"> Continue reading <span class=\"meta-nav\">&rarr; <\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-26641","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/huewhite.com\/umb\/wp-json\/wp\/v2\/posts\/26641","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/huewhite.com\/umb\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/huewhite.com\/umb\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/huewhite.com\/umb\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/huewhite.com\/umb\/wp-json\/wp\/v2\/comments?post=26641"}],"version-history":[{"count":3,"href":"https:\/\/huewhite.com\/umb\/wp-json\/wp\/v2\/posts\/26641\/revisions"}],"predecessor-version":[{"id":28191,"href":"https:\/\/huewhite.com\/umb\/wp-json\/wp\/v2\/posts\/26641\/revisions\/28191"}],"wp:attachment":[{"href":"https:\/\/huewhite.com\/umb\/wp-json\/wp\/v2\/media?parent=26641"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/huewhite.com\/umb\/wp-json\/wp\/v2\/categories?post=26641"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/huewhite.com\/umb\/wp-json\/wp\/v2\/tags?post=26641"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}