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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 U.S. surpassed 200,000 deaths linked to COVID-19 on Tuesday, according to a database kept by Johns Hopkins University.The deaths — all of which have occurred since February — out-total the number of Americans lost to World War I, the Korean War, the Vietnam War, the War in Afghanistan and the Iraq War combined.The 200,000 deaths are the most of any country around the world. Brazil currently ranks behind the U.S., with about 137,000 deaths.According to Johns Hopkins the U.S. also has among the highest COVID-19 mortality rates in the world. About 61 Americans per 100,000 have died of COVID-19. That ranks sixth in the world and in the company of countries like Spain (65.27) and Mexico (58.24)The U.S. also leads the world with 6.8 million confirmed cases of COVID-19. India (5.5 million), Brazil (4.5 million) and Russia (1.1 million) are the only other countries with at least 1 million confirmed cases of the virus.Johns Hopkins reports that daily confirmed cases of COVID-19 dropped throughout the month of August. However, case rates have ticked up throughout September, and top health experts like Dr. Anthony Fauci are bracing for a difficult winter.Earlier this month, Fauci warned that a wintertime surge could be possible as weather forces Americans indoors and cities begin relaxing COVID-19 lockdown restrictions. Health officials have warned that large indoor gatherings can result in COVID-19 superspreader events.The Institute for Health Metrics and Evaluation at the University of Washington — a model often used by the White House — currently projects that an additional 175,000 Americans will die of the virus by Jan. 1. That projection could drop to as little as 65,000 additional deaths with a universal mask mandate and could increase to as many as 225,000 additional deaths with easing restrictions. 1838

The US Olympic Committee wants to revoke USA Gymnastics' status as the sport's governing body as the organization struggles to recover from the sex abuse scandal involving?Larry Nassar.USOC CEO Sarah Hirshland has offered USA Gymnastics the option of surrendering its status voluntarily.In an open letter Monday to the United States gymnastics community, Hirshland wrote, "We believe the challenges facing the organization are simply more than it is capable of overcoming in its current form."She told the athletes they "deserve better."CNN has reached out to USA Gymnastics for reaction.The announcement comes amid turmoil for the current governing body. Nassar is the former team doctor for USA Gymnastics.Last month, USA Gymnastics lost its second president in two months when former US Rep. Mary Bono stepped down as interim president.Bono had taken over just a month after embattled president and CEO Kerry Perry quit. Perry, who held the job for nine months, was criticized for what many people characterized as inadequate action during the Nassar abuse fallout.Bono came under fire in her first few days. In one instance, a September tweet surfaced of Bono defacing a Nike logo after Nike featured former NFL quarterback and civil rights activist Colin Kaepernick in its advertising campaign. (Nike is a major sponsor of Olympic champion Simone Biles, a megastar for USA Gymnastics.)Biles was critical of Bono. She tweeted: "don't worry, it's not like we needed a smarter usa gymnastics president or any sponsors or anything," Biles tweeted. Others also criticized Bono's tweet as being tone-deaf, saying the suppression of athletes' voices allowed Nassar's abuse to continue.Days after Bono's resignation, former USA Gymnastics head Steve Penny was arrested in connection with accusations he removed documents linked to the Nassar sexual abuse case from the Karolyi Ranch gymnastics training facility in Texas, authorities said. A judge set Penny's bail at ,000.Nassar was already serving 40 to 175 years in Michigan for sexually abusing women and girls under the guise of performing medical treatment when he was indicted in June on charges linked to allegations at the Karolyi Ranch.He faces six counts of sexual assault of a child. Meanwhile, former?USA Gymnastics trainer Deborah Van Horn is facing one count of sexual assault of a child in Texas, prosecutors said. 2403
The Seattle City Council unanimously approved a law on Tuesday that will raise the minimum pay for Uber and Lyft drivers.In a statement on the Seattle mayor's website, Mayor Jenny Durkan celebrated the city council passing her Fare Share Plan that would make ride-hailing companies pay their drivers the minimum hourly wage, which will go into effect Jan. 1, 2021."The pandemic has exposed the fault lines in our systems of worker protections, leaving many front line workers like gig workers without a safety net," Mayor Durkan said. "It is more important than ever that we add to the economic resilience of our community of drivers. The Fare Share plan guarantees that drivers will receive fair pay and can provide for themselves and their families."The ordinance guarantees drivers will earn at least The weekslong search for Mollie Tibbetts, a 20-year-old Iowa student who disappeared while jogging, came to a grisly end Tuesday when a man guided investigators to a body in a cornfield.While authorities have yet to confirm the body is Tibbetts, they arrested Cristhian Bahena Rivera, 24, on first-degree murder charges.The discovery dashed the hopes of family and friends who had scoured Poweshiek and nearby counties as rewards grew to nearly 0,000. Tibbetts, officials said, is believed to have been abducted on July 18 as she went out for an evening jog.Rivera, who's an undocumented immigrant, told them Monday that he saw and pursued her, getting out of his car and running beside Tibbetts. She warned him she would call police, officials told reporters Tuesday.The suspect, who said he blacked out at some point, led authorities to the field Tuesday morning, they said. A body, dressed in Tibbetts' clothing, was covered in corn leaves.It is unclear why Rivera killed Tibbetts, said Rick Rahn, special agent in charge at the Iowa Division of Criminal Investigation."I can't really speak to you about the motive," Rahn said. "I can just tell you it seems that he followed her and seemed to be drawn to her on that particular day and for whatever reason he chose to abduct her." 1294.56 per minute and .33 per mile driven while transporting passengers.The measure uses a formula for drivers' compensation so they would be paid fairly when they're less busy. 994
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