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The US Food and Drug Administration expanded?the list of drugs being recalled that contain valsartan. The drug is used as a component in a set of drugs used to treat heart failure and blood pressure.New to the list are some valsartan products manufactured by Hetero Labs Ltd. in India, which are labeled as Camber Pharmaceuticals Inc. Test results show that some of the products may be tainted.The FDA announced a valsartan recall in July after lab tests revealed that some drugs could have been tainted with a substance linked to higher risk of cancer. The drug had been recalled in 22 other countries. The expanded recall includes some drugs that contain valsartan and hydrochlorothisazide. Not all of the drugs containing valsartan were affected.N-nitrosodimethylamine or NDMA, the impurity the lab tests found, is considered a?possible carcinogen by the US Environmental Protection Agency. It is an organic chemical that has been used to make liquid rocket fuel, and it can be unintentionally introduced through certain chemical reactions. It's a byproduct of the manufacturing of some pesticides and fish processing.The medicines that are now a part of this expanded list?in the recall are tablets sold by AvKare, A-S Medication Solutions LLC, Bryant Ranch Prepack Inc, Camber Pharmaceuticals, Inc. H J Harkins Company, Northwind Pharmaceuticals, NuCare Pharmaceuticals Inc., Prinston Pharmaceutical Inc. (labeled as Solco Healthcare LLC), Proficient Rx LP, Remedy Repack, Teva Pharmaceuticals (labeled as Major Pharmaceuticals), Teva Pharmaceuticals USA (labeled as Actavis).The FDA also published a list of valsartan products that are not currently recalled. Only the drugs suspected of being tainted with NDMA are on the recall list. If you are taking a valsartan drug, look for the company name on your prescription bottle. If the information isn't on the label, you can call your pharmacy for those details.The recalled medicine is linked to a manufacturer in China. The substances were supplied by Zhejiang Huahai Pharmaceuticals, based in Linhai, in eastern China, which said it notified authorities as soon as it identified the impurity."We published our recall notice at midday on July 13 in China and overseas, and published the US market recall notice on July 14 Beijing time ... all the drug materials for the Chinese market were recalled by July 23," the company said in a statement to the Shanghai stock exchange last month.The FDA said on its website that it's working with drug manufacturers "to ensure future valsartan active pharmaceutical ingredients are not at risk."If you are worried that your drug could be on the recall list, talk with your doctor or pharmacist before changing any routine with your medicine. Because not all valsartan drugs are involved in the recall, they might be able to switch you to a version of the drug made by another company.If you know your drug is on the recall list, the FDA suggests you continue taking it until your doctor or pharmacist provides a replacement.To get a sense of what taking a tainted drug could mean, FDA scientists estimated that if 8,000 people took the highest dose of valsartan (320 milligrams) from the recalled batches every day for four years, there may be one additional case of cancer."The key with this is, patients should not stop taking their medication abruptly, that definitely can be harmful," Dr. Mary Ann Bauman, a representative for the American Heart Association, said in July. "You don't want to jump to any conclusions on your own about this medication, or any medication for that matter. Definitely talk with your doctor first." 3690

The virus has seniors trapped, stuck inside for their own safety. But even quarantined inside nursing homes, the novel coronavirus still managed to find a way in.Tonya Dubois is the director of nursing for the Hillsborough County Nursing Home in Goffstown, New Hampshire. At one point back in May, 150 residents here were infected with COVID-19. By the time the outbreak was over, 50 seniors had died from complications related to COVID-19.The staff was heartbroken.“What people had to see, it was very hard,” Dubois recalled as she held back tears. “These staff members stayed and held patients' hands; they never died alone.”Limiting the virus spread has been hard. Months later, only two people in the nursing home now have COVID-19. That’s thanks in part to a no-visitor policy here and across the country in other senior care facilities. Isolating for safety though has also come at the expense of senior’s mental health.“A lot of them don’t get to talk to people all day. Some have families, and some don’t,” said Tammie Richard, who also works as a nurse at Hillsborough.Through much of the spring, Richard noticed how depressed residents were getting without haircuts. Because of the virus, the facility’s beauty parlor had to be been shut down. Richard, who's also a cosmetologist, decided to take her show on the road.Or at least down the hallway.She found a way to do trims, cuts, and color safely. While wearing PPE and sanitizing her equipment, she able to cut residents' hair one room at a time.“The touching, touching, and talking to somebody, the hour, the half-hour they love getting their hair done. I just want them to feel comfortable, relaxed, and happy,” Richard added.With residents here cut off from the outside world, a simple cut is doing wonders for these seniors’ mental health. Because Richard is a licensed nursing assistant, she's considered essential. She and another cosmetologist on staff can check the resident’s vital signs, while at the same time taking a little more off the top.Nursing homes nationwide are now adopting similar ideas.“It makes them not feel as depressed. It makes them have a different level of comfort. It makes them feel normal again,” Richard said about the cuts she’s been giving.Not only is she keeping seniors looking young, but she's also helping them stay young at heart. 2343

The showdown over mail-in ballots is expected to heat up this week.Democrats are calling back Congress to vote on legislation to prevent the U.S. Postal Service from changing any of its operations. A House committee also called an emergency hearing for next week to address mail delays and concerns the White House is interfering.The USPS is removing hundreds of mail processing machines across the country and has warned 46 states that it may not be able to process all mail-in ballots in time to be counted for the election.“Are we going to force people to have to choose between their fundamental right to vote and their health?” asked Shaundra Scott with the South Carolina Democratic Party. “The American voters are going to be very frustrated that we may not know who the winner is until frankly December.”Political experts agree the presidential race, pandemic and mail-in voting will all lead to massive increases in voter turnout and probably a lot of contested results.Some states have streamlined mail-in and absentee voting for years. However, other states are rushing to change their voting process because of the pandemic.“When things like that happen, it doesn't inspire confidence. It leads to the fear that people who shouldn't be voting may potentially be voting or people that should vote are not going to get ballots because of a snafu,” said Matt Klink, a GOP strategist with Klink Campaigns.For example, New York changed the rules to make it easier to vote by mail ahead of the primary, and it provided pre-paid envelopes. But those envelopes were not postmarked, or they were returned late. And there were other issues like ballots that weren't signed. That led to one out of four mail-in ballots being disqualified.But voting by mail could close the gap on inequities.“Yes, there are rules and regulations that say your employer should give you two hours to be able to vote but if you’re working hourly and you’re working on a job that is shift based, even though voting is extremely important, taking away that two hours of pay from someone and them having to make that decision is huge,” said Scott.Some expert say Republicans fear mail-in ballots would capture new Democratic voters, but seniors also benefit from absentee and mail-in voting. They often skew red, according to the Brookings Institute.A major study of California, Utah, and Washington state's elections between 1996 and 2018 found there was no partisan advantage to voting by mail. 2482

The situation with Saudi Arabia right now is complicated: A journalist who most recently wrote for "The Washington Post" and who was a supporter of gender equality and freedom of personal expression in the country went missing in October 2018.Jamal Khashoggi was last seen Oct. 2 entering the Saudi Arabia consulate in Istanbul, Turkey, where he had gone to obtain papers for his planned marriage. He was reported missing when no CCTV recorded him leaving the consulate and there were rumors he had been killed and dismembered. 550

The showdown over mail-in ballots is expected to heat up this week.Democrats are calling back Congress to vote on legislation to prevent the U.S. Postal Service from changing any of its operations. A House committee also called an emergency hearing for next week to address mail delays and concerns the White House is interfering.The USPS is removing hundreds of mail processing machines across the country and has warned 46 states that it may not be able to process all mail-in ballots in time to be counted for the election.“Are we going to force people to have to choose between their fundamental right to vote and their health?” asked Shaundra Scott with the South Carolina Democratic Party. “The American voters are going to be very frustrated that we may not know who the winner is until frankly December.”Political experts agree the presidential race, pandemic and mail-in voting will all lead to massive increases in voter turnout and probably a lot of contested results.Some states have streamlined mail-in and absentee voting for years. However, other states are rushing to change their voting process because of the pandemic.“When things like that happen, it doesn't inspire confidence. It leads to the fear that people who shouldn't be voting may potentially be voting or people that should vote are not going to get ballots because of a snafu,” said Matt Klink, a GOP strategist with Klink Campaigns.For example, New York changed the rules to make it easier to vote by mail ahead of the primary, and it provided pre-paid envelopes. But those envelopes were not postmarked, or they were returned late. And there were other issues like ballots that weren't signed. That led to one out of four mail-in ballots being disqualified.But voting by mail could close the gap on inequities.“Yes, there are rules and regulations that say your employer should give you two hours to be able to vote but if you’re working hourly and you’re working on a job that is shift based, even though voting is extremely important, taking away that two hours of pay from someone and them having to make that decision is huge,” said Scott.Some expert say Republicans fear mail-in ballots would capture new Democratic voters, but seniors also benefit from absentee and mail-in voting. They often skew red, according to the Brookings Institute.A major study of California, Utah, and Washington state's elections between 1996 and 2018 found there was no partisan advantage to voting by mail. 2482