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Codeine prescriptions for children who have had their tonsils and adenoids removed have decreased since the Food and Drug Administration began requiring a black box warning on the products four years ago, according to a new report from the American Academy of Pediatrics. However, some children continue to be prescribed codeine, and other opioid prescriptions for children have continued to rise since then.Between 2010 and 2015, doctors collected data on more than 350,000 privately insured children up to 18 years old who had undergone those surgical procedures. They monitored the children's prescriptions for codeine and alternative opioids.Codeine, an opioid pain reliever, came under scrutiny due to its adverse effects on children. According to the FDA, it led to serious breathing troubles, including 24 deaths, in children from January 1969 to May 2015.In August 2012, the FDA launched an investigation into the safety of codeine use in children. Afterward, in 2013, it announced a requirement for a black box warning to be added to packaging to call attention to these risks.RELATED: Opioid-addicted babies have quadrupled in numbers 1152

CVS hears the Amazon footsteps -- and the pharmacy giant is wasting no time trying to get ahead of any Jeff Bezos plan to disrupt the drug store business the way that he has the rest of retail.CVS said Monday that it plans to offer next day delivery of prescription drugs nationwide in 2018. In some urban markets, CVS will even deliver on the same day.A program to deliver both medications and a select offering of other CVS products from the front of the store will begin in Manhattan on December 4.CVS CEO Larry Merlo made the announcements during the company's earnings conference call with analysts.The news comes just a few weeks after reports surfaced that Amazon had received wholesale pharmacy licenses in a dozen states.That move would potentially allow Amazon to sell prescription medications online.The speculation caused the shares of CVS and rival Walgreens to fall, as did pharmacy benefits manager company Express Scripts, a competitor of the CVS-owned PBM Caremark.The stocks of drug distributors Cardinal Health, AmerisourceBergen and McKesson all fell too.This is because investors are worried that Amazon, which is already changing the dynamics of the grocery business thanks to its acquisition of Whole Foods, may look to do the same for drug stores.But Merlo said during the call with analysts Monday that he still sees Amazon as more of a potential ally than threat."You would never close the door on any type of partnership," Merlo said, when asked by an analyst about possibly working with Amazon.Still, CVS seems to recognize that the health care landscape is changing rapidly, and it needs to adjust. There have even been recent rumors that CVS may look to buy health insurer Aetna.Aetna scrapped plans to merge with rival Humana earlier this year due to intense regulatory scrutiny. Another insurer merger proposed by Anthem and Cigna died as well.Since then, the lines between health insurers and the pharmacy giants have grown increasingly blurred and incestuous.Anthem recently started up its own PBM, called IngenioRX, and has partnered with CVS.And Walgreens has partnered with a Blue Cross-backed PBM Prime Therapeutics to form a new mail order pharmacy company.Merlo and other CVS executives did not address any of the Aetna chatter on the conference call.But if the rumors are true -- and if an Aetna deal passed antitrust scrutiny -- then CVS appears to be on its way towards building a formidable health care/retail giant that may avoid getting Amazon-ed.  2507

CLEVELAND, Ohio - Like any other case, President Donald Trump’s positive COVID-19 test will set into motion a series of events designed to determine who the president might have been in close contact with. That investigation—called contact tracing—is considered by many experts to be one of the best ways of handling new outbreaks and potential COVID-19 clusters.President Trump announced early Friday morning that he and the first lady had tested positive for the virus. The president had been in Cleveland earlier in the week for the first presidential debate. The incubation period for COVID-19 is anywhere between two to 14 days, although in many cases the period is between three to five days. It remains unclear where and how President Trump was infected with the virus.Members of the small crowd that attended the debate in person were required to be tested for the virus. Anyone with a positive test was not allowed inside.In typical cases, once a person has tested positive for the virus, contact tracers—which act almost like disease detectives—will ask the patient a series of questions about their activities prior to the positive test. Eventually, the contact tracers will work to find out who the patient might have been in close contact with.Generally, close contact is defined as another person who may have been within six feet of the patient for at least 10 minutes. The people identified as close contacts will be alerted by the contact tracers of their possible exposure and risk of infection. All parties are then asked to self-quarantine for at least 14 days.Although the close contacts are not apprised of the identity of the person who tested positive for the virus, sometimes they are not forthcoming with information to contact tracers.“When we call the contacts, you get a variety of responses. Sometimes people hang up, sometimes they cuss us out,” said Romona Brazile of the Cuyahoga County Board of Health.The contact tracers will also ask the close contacts about any possible pre-existing conditions and advise them on how to keep the virus from spreading in their homes. The goal of contact tracing is to determine who might have been exposed in order to keep the virus from spreading uncontrollably.Whether it be SARS, HIV, or Ebola, contact tracing has been used by epidemiologists and virologists for decades. It is considered by many to be one of the best ways to prevent further spread of diseaseThe Cuyahoga County Board of Health has had anywhere from 60 to 75 contact tracers and can activate more as they are needed, officials said. Additionally, the state has dozens of contact tracers that can help assist those working on the local level.This story was first reported by Jordan Vandenberge at WEWS in Cleveland, Ohio. 2770

CORONADO, Calif. (KGTV) -- Dozens of sailors are set to return to North Island Sunday morning following a months-long deployment.Six helicopters and 40 to 50 pilots, aircrew and maintainers from Helicopter Sea Combat Squadron 6 will arrive at the Naval Air Station North Island after a six-month deployment.The squadron is part of the San Diego-based Third Fleet and supports aircraft carrier operations with the Fifth Fleet in the Persian Gulf and Seventh Fleet in Japan.Also returning this week in the USS Theodore Roosevelt which will arrive Monday.The aircraft carrier departed in October and made port calls in the United Arab Emirates, Bahrain, Singapore and the Philippines.   696

Cleveland Browns fans at 10 bars in the northern Ohio city could be treated to free beer when the team wins a game.Bud Light is inside the Browns Victory Fridges, according to ESPN. The 8-foot fridges are in bars that purchased them and are filled with bottles of the beer, which is the official beer of 28 of 32 NFL teams.At the end of the next win by the Cleveland Browns, which haven't won a game since Week 16 in 2016 against the San Diego Chargers, the electromagnet that keeps the refrigerators locked will be turned off through a WiFi connection, ESPN reports.Bud Light is making this happen to reward fans who are loyal to the Cleveland Browns, its VP of marketing told ESPN. 691