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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 state of Kentucky announced Feb. 13 it would begin paying relatives who provide care for displaced children the same stipend as foster parents -- about 0 per month per child.Norma Hatfield, who has cared for her two grandchildren since 2014, welcomed the news. Although she was able to provide for the pair without state assistance, she said Monday that few grandparents in her position have the same financial resources."We didn't get a phone call," Hatfield said, when her grandchildren were removed from their parents' care after the youngest ingested meth from a spoon. She found out when she arrived at their home the next day and discovered it empty. She had been planning to take them to Disney World."That's when my whole world changed," she said. While the Hatfield family's case winded its way through the courts, "I started meeting all these grandparents that were struggling -- taking in kids and, financially, they are going broke. There were heavily in debt and had court fees."Moved by her experiences watching other men and women struggle to raise children for whom they had never expected to be responsible, Hatfield began petitioning the state to bring back kinship care, which would specifically create an allowance for those permanently caring for their relatives' children. "It's so the kids stay with that family instead of foster care," she said.The United States 6th Circuit Court of Appeals ruled in October 2017 that Kentucky would be required to pay relatives who temporarily house children the same fee as foster parents.Although only 16 families will have received such payments by the end of February, the Kentucky Cabinet for Health and Family Services estimated by June 2019 the payments could affect 1,590 children and total about .3 million."It's a start," Hatfield said, although she would still prefer the establishment of a fund for relatives who will care for their kin permanently -- not just on a temporary basis. "It's something families would be grateful to have." 2034

The Trump administration asked the Supreme Court on Monday to take up a case concerning the government's decision to phase out an Obama-era initiative that protects from deportation young undocumented immigrants who came to the United States as children.In doing so, government lawyers sought to bypass federal appeals courts that have yet to rule definitively on the Deferred Action for Childhood Arrivals program.In court papers, Solicitor General Noel Francisco asked the justices to take up the case this term and argued that district judges who had issued opinions against the administration were "wrong" to do so. Francisco pointed out that back in 2012 the Obama administration allowed some "700,000 aliens to remain in the United States even though existing laws provided them no ability to do so."Francisco said that "after a change in administrations" the Department of Homeland Security ended the policy "based on serious doubts about its legality and the practical implications of maintaining it."The filing came the night before the midterm elections as President Donald Trump has repeatedly brought up immigration to rally his base in the final hours before the vote.In September 2017, the government announced plans to phase out the program, but lower court judges blocked the administration from doing so and ordered that renewals of protections for recipients continue until the appeals are resolved.The legality of the program is not at issue in the case. Instead, lower courts are examining how the government chose to wind it down.Supporters of the roughly 700,000 young immigrants who could be affected by the end of DACA say the administration's actions were arbitrary and in violation of federal law. 1736

The Special Counsel's Office is hoping to deny an attempt by several media organizations, including CNN, to unseal documents in the Russia probe, by arguing that the documents need to remain private because of the breadth of still-secret parts of the ongoing investigation."The Special Counsel's investigation is not a closed matter, but an ongoing criminal investigation with multiple lines of non-public inquiry. No right of public access exists to search warrant materials in an ongoing investigation," Robert Mueller's team wrote in a filing Wednesday night.The prosecutors wrote in the firmest language yet about how their yearlong investigation into Russian interference in the 2016 US election continues and includes several interconnected parts, some of which may link back to searches of the belongings of former Trump campaign chairman Paul Manafort that were also used to build cases against him unrelated to his work for the campaign.Manafort faces criminal indictments in Virginia and DC federal courts related to his foreign lobbying business from before the campaign. He's pleaded not guilty in both.Prosecutors have previously revealed that the Justice Department directed Mueller to look into allegations that Manafort coordinated with Russians during the campaign, yet they have not previously hinted that others besides Manafort could be central to the Russia probe. Wednesday's court filing acknowledges multiple relationships that are part of investigative threads."The investigation consists of multiple lines of inquiry within the overall scope of the Special Counsel's authority. Many aspects of the investigation are factually and legally interconnected: they involve overlapping courses of conduct, relationships, and events, and they rely on similar sources, methods, and techniques. The investigation is not complete and its details remain non-public," prosecutors wrote.If they were to be unsealed, "warrant materials reveal investigative sources and methods, preliminary factual and legal theories, and evidence that has already been gathered -- including from grand jury processes. They show what has been searched -- including electronic facilities where the search itself is protected by a non-disclosure order -- and indicate what has not been searched. And the dates and volume of warrants reveal an investigation's direction."The Special Counsel's Office said it wouldn't oppose formally unsealing two search warrants that were made public through recent court filings in Manafort's case, though parts of them remain heavily redacted.CNN, along with The Associated Press, Politico, The Washington Post and The New York Times, initially asked the court to unseal all the search warrants used in the investigations and other sealed documents related to Manafort's two federal criminal cases. 2838

The Senate is set to move forward with its version of the annual defense policy bill known as the National Defense Authorization Act -- marking the latest step for a key piece of legislation that has been passed by Congress for 55 straight years.At a time where passing bills is often challenged by the deep partisan divide and competing political factions on Capitol Hill, it can be difficult to understand why the NDAA would be any different.But as the measure that sets military policy on issues such as Guantanamo Bay, buying weapons, pay raises for service members and even the endangered status of the Sage Grouse, the NDAA is considered of one the few must-pass bills left in Congress.So what makes it so important?One of the most obvious reasons is the money.The NDAA authorizes levels of defense spending -- an amount between that will total between 0 and 0 billion for the next fiscal year that begins on October 1 -- and sets the Pentagon policies under which that money will be spent.This year's bill is expected to authorize a major hike in military spending and even exceed the billion defense budget increase requested by President Donald Trump for 2018 that aimed for more aircraft and ships.In July, the House of Representatives passed their 6 billion version of the bill which included billion more in defense spending than the Trump administration requested.The Senate's bill is expected to authorize a similar amount based on the mark up completed by the armed services committee, led by Arizona Republican Sen. John McCain, in June.If the Senate's bill passes as expected then both houses of Congress will come together to vote on a final version. A vote in the Senate is scheduled Monday.But the fight over the size of the defense budget is just getting started, however, as Senate Democrats have vowed to block major increases to defense spending without equal increases to domestic programs.That fight will occur later this year over the defense appropriations bill, which is a separate piece of legislation that allocates spending for the Pentagon.In addition to authorizing increased military spending, the NDAA will set Pentagon policy on several key issues including troop level increases for the service branches and render a decision on a controversial new "Space Corps" program that was included in the House version of the bill but left out by the Senate.The program was also opposed by the White House and the Air Force.There will also be several controversial issues that will likely be left out of the NDAA including an amendment that would block Trump's ban on transgender service members and the proposed repeal of the 2001 and 2002 war authorizations that the US military uses to fight terrorism across the globe. 2776

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