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A28    SCIENCE
                 Thursday 23 January 2020























            A box of masks imported from Japan sits inside a Yifeng Phar-
            macy in Wuhan, China, Wednesday, Jan. 22, 2020.
                                                     Associated Press
            Science Says: What to


            know about the viral


            outbreak in China                                         This Dec. 18, 2019 photo shows generic acetaminophen capsules in Santa Ana, Calif.
                                                                                                                                            Associated Press


            By The Associated Press      ited or worked at the Hua-   California considers declaring
            Health    authorities   are  nan  Seafood  Wholesale
            break  of  respiratory  illness  has  since  been  closed  for  common pain killer carcinogen
            closely  watching  an  out-
                                         Market  in  Wuhan,  which
            caused by a new virus that  an  investigation.  Chinese
            originated  in  China.  Gov-  health officials say they be-  By ADAM BEAM              been  difficult  to  examine  law.
            ernments  are  stepping  up  lieve the illness first spread   SACRAMENTO,  Calif.  (AP)  because it is hard to isolate  A  panel  of  scientists  ap-
            surveillance  of  airline  pas-  from  animals  to  people.   — A fight is coming to Cali-  it from other variables that  pointed  by  the  governor
            sengers from central China  They now say it can spread    fornia  over  whether  to  list  could  contribute  to  can-  can add chemicals to this
            and  taking  other  steps  to  between people.            one  of  the  world’s  most  cer, such as smoking.        list. In 2011, the panel voted
            try to control the outbreak.   HOW WIDESPREAD IS IT?      common  over-the-counter  A state law known as Prop-      to  make  acetaminophen
            Here's  what  you  should  China  has  identified  more   drugs  as  a  carcinogen,  osition  65  says  California  a  “high  priority”  for  con-
            know about the illness:      than  500  cases  and  17    echoing recent high-profile  must  warn  people  of  any  sideration  because  it  be-
            WHAT IS THE NEW VIRUS?       deaths, most of the illnesses   battles  over  things  like  al-  chemical  known  to  cause  lieved  there  was  relevant
            Scientists  have  identified  and all of the deaths in Hu-  cohol and coffee.          cancer  or  reproductive  evidence  to  consider,  ac-
            it  as  a  new  coronavirus.  bei  province.  Cases  have   The  drug  is  acetamino-  toxicity.  The  state’s  list  has  cording  to  Sam  Delson,
            The  name  comes  from  also  been  confirmed  in         phen,  known  outside  the  grown to about 900 chemi-     spokesman  for  the  Califor-
            the  Latin  word  for  crowns  Thailand,  South  Korea,  Ja-  U.S.  as  paracetamol  and  cals,  including  toxic  pesti-  nia Office of Environmental
            or  halos,  which  corona-   pan,  the  U.S.  and  Taiwan.   used to treat pain and fe-  cides and flame retardants,  Health Hazard Assessment.
            viruses  resemble  under  a  The  outbreak  coincides     vers. It is the basis for more  and is more extensive than  The  review  process  has
            microscope. The coronavi-    with  China's  busiest  travel   than  600  prescription  and  any in the U.S. Some critics  been slow, but the panel is
            rus  family  has  many  types  season as people visit their   over-the-counter  medica-  say  California  regulators  scheduled to have a pub-
            that  affect  people.  Some  families  or  go  abroad  for   tions  for  adults  and  chil-  have  been  overzealous,  lic  hearing  on  the  listing
            cause  the  common  cold  the  Lunar  New  Year  holi-    dren,  found  in  well-known  requiring  warning  labels  this  spring  after  the  public
            while  others  originating  in  day.  That  travel  rush  is  ex-  brands  like  Tylenol,  Exce-  for countless products that  comment period closes on
            bats,  camels  and  other  pected  to  spread  the  dis-  drin,  Sudafed,  Robitussin  confuse  instead  of  inform  Jan. 27.
            animals have evolved into  ease more widely.              and Theraflu.                consumers when the risk of  “It’s  a  difficult  issue  be-
            more  severe  illnesses  such  WHAT ARE THE SYMPTOMS?     Acetaminophen  has  been  cancer is disputed.             cause  it’s  a  very  com-
            as  SARS  —  severe  acute  Common  symptoms  in-         available in the U.S. without  Supporters  of  Prop  65  say  monly  used  drug.  But  that
            respiratory  syndrome  —  or  clude a runny nose, head-   a  prescription  since  1955.  it protects not only Califor-  doesn’t  make  any  differ-
            MERS  —  Middle  East  respi-  ache,  cough  and  fever.   Concerns  about  its  poten-  nians  but  consumers  na-  ence.  That’s  not  what  our
            ratory syndrome.             Shortness  of  breath,  chills   tial  link  to  cancer  come  tionwide  by  compelling  mandate  is,”  said  Thomas
            WHERE DID IT COME FROM?      and body aches are asso-     from  its  relationship  to  an-  manufacturers  to  make  Mack,  chairman  of  the
            The  first  cases  appeared  ciated  with  more  danger-  other  drug:  phenacetin.  products safer.                Carcinogen  Identification
            last month in Wuhan, a city  ous  kinds  of  coronavirus,   That drug, once a common  Evidence  for  acetamino-     Committee  and  a  profes-
            in  central  China's  Hubei  according to the U.S. Cen-   treatment  for  headaches  phen’s  link  to  cancer  has  sor of preventive medicine
            province. Many of the first  ters for Disease Control and   and  other  ailments,  was  been  weak  enough  that  at the University of Southern
            people  infected  had  vis-  Prevention. q                banned by the FDA in 1983  the  International  Agency  California.
                                                                      because it caused cancer.    for  Research  on  Cancer  Adding  a  chemical  to  the
                                                                      State  regulators  have  re-  declined to list it as a pos-  list can have broad reper-
                                                                      viewed  133  studies  about  sible  carcinogen  following  cussions.  After  the  state
                                                                      acetaminophen,      all   of  reviews  in  1990  and  1999.  listed glyphosate — widely
                                                                      which  were  published  in  The  U.S.  Food  and  Drug  known  as  the  weed  killer
                                                                      peer-reviewed      journals.  Administration  has  warned  Roundup  —  as  a  carcino-
                                                                      Some  studies  reported  an  state  officials  that  label-  gen in 2017, a jury ordered
                                                                      increased risk of some types  ing   acetaminophen    as  the  company  that  makes
                                                                      of cancers, while others did  cancer-causing  would  be  Roundup  to  pay  a  Cali-
                                                                      not.  Overall,  the  review  “false and misleading” and  fornia  couple  with  cancer
                                                                      noted acetaminophen has  also  illegal  under  federal  more than $2 billion. q
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