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A26    U.S. NEWS
                       Monday 11 May 2020
            Schumer calls on VA to explain use of unproven drug on vets



            By HOPE YEN and                                                                                                     experiment.   Researchers
            MICHAEL BALSAMO                                                                                                     analyzed  medical  records
            Associated Press                                                                                                    of 368 older male veterans
            WASHINGTON  (AP)  —  The                                                                                            hospitalized with confirmed
            Senate's   top   Democrat                                                                                           coronavirus infection at VA
            on  Sunday  called  on  the                                                                                         medical  centers  who  died
            Department  of  Veterans                                                                                            or were discharged by April
            Affairs to explain why it al-                                                                                       11.  The  VA  recently  said
            lowed  the  use  of  an  un-                                                                                        most  of  its  recent  bulk  or-
            proven  drug  on  veterans                                                                                          der for hydroxychloroquine
            for  the  coronavirus,  saying                                                                                      was  being  used  for  ap-
            patients  may  have  been                                                                                           proved uses, such as treat-
            put at unnecessary risk.                                                                                            ing  lupus  and  rheumatoid
            Sen.    Charles   Schumer                                                                                           arthritis, but it didn't provide
            of  New  York  said  the  VA                                                                                        breakdowns.
            needs to provide Congress                                                                                           Wilkie in recent weeks took
            more  information  about                                                                                            advocacy  of  the  drug
            a  recent  bulk  order  for                                                                                         even  further  than  Trump
            $208,000 worth of hydroxy-                                                                                          by  claiming  without  evi-
            chloroquine.      President                                                                                         dence  that  it  has  been
            Donald  Trump  has  heav-                                                                                           effective  for  young  and
            ily  promoted  the  malaria                                                                                         middle-aged  veterans  in
            drug, without evidence, as                                                                                          particular.  In  fact,  there
            a treatment for COVID-19.    President  Donald  Trump  watches  as  Veterans  Affairs Secretary  Robert  Wilkie  walks  away  after   is  no  published  evidence
            Schumer's  request  comes    speaking about protecting seniors, in the East Room of the White House, Thursday, April 30, 2020,   showing   that.   Veterans
            after a whistleblower com-   in Washington.                                                        Associated Press   are  "very  concerned  that
            plaint  filed  this  past  week                                                                                     we still do not have clarity
            by  former  Health  and  Hu-  peatedly  pushed  publicly  best  medical  interests  of  doctors  were  given  guid-  on the VA's past and pres-
            man  Services  official  Rick  by  Trump,  VA  Secretary  patients."                   ance  by  VA  headquarters  ent  use  of  hydroxychloro-
            Bright  alleged  that  the  Robert Wilkie must address  "VA only permits use of the  on specific scenarios when  quine  in  treating  veterans
            Trump  administration,  ea-  whether anyone at the de-    drug  after  ensuring  vet-  it should be used.           with  COVID-19,"  Jeremy
            ger  for  a  quick  fix  to  the  partment was pressured by  erans  and  caretakers  are  In a weekly call with veter-  Butler,  chief  executive  of-
            onslaught of the coronavi-   the White House or the ad-   aware  of  potential  risks  ans' groups this past week,  ficer  of  Iraq  and  Afghani-
            rus,  wanted  to  "flood"  hot  ministration to use hydroxy-  associated  with  it,  as  we  Wilkie continued to defend  stan  Veterans  of  America,
            spots in New York and New  chloroquine for COVID-19.      do  with  any  other  drug  or  VA's  use  of  hydroxychloro-  told the AP. "Now that the
            Jersey  with  the  drug.  Ma-  Schumer  said  Wilkie  also  treatment," she said.      quine. He dismissed the re-  federal government issued
            jor  veterans  organizations  should  answer  questions  Wilkie  in  recent  weeks  has  cent analysis of VA hospital  an  emergency  use  autho-
            have  urged  VA  to  explain  about  a  recent  analysis  denied that veterans were  data  showing  no  benefits  rization  for  remdesivir  to
            under what circumstances  of  VA  hospital  data  that  used  as  test  subjects  for  to patients, suggesting the  treat  COVID-19,  we  need
            VA  doctors  initiate  discus-  showed  there  were  more  the  drug  and  that  it  was  poor  outcomes  were  be-  answers to these questions
            sion of hydroxychloroquine  deaths  among  patients  instead  administered  at  cause  the  cases  involved  as  well  as  the  VA's  plans
            with  veterans  as  a  treat-  given  hydroxychloroquine  government-run  VA  hospi-   older, very sick veterans.   for  administering,  or  not
            ment option.                 versus  standard  care,  in-  tals  only  when  medically  "Use  of  this  medication  for  administering,  remdesivir,"
            "There  are  concerns  that  cluding how much patients  appropriate,  with  mutual  treatment  of  COVID-19  is  he said. That action by the
            they  are  using  this  drug  knew about the drug's risks  consent  between  doctor  considered  'off  label'  —  Food and Drug Administra-
            when  the  medical  evi-     before taking it.            and patient.                 perfectly  legal  and  not  tion came after preliminary
            dence  says  it  doesn't  help  In a statement Sunday, VA  Still, Wilkie and the depart-  rare," he wrote in an April 29  results from a government-
            and  could  hurt,"  Schumer  spokeswoman       Christina  ment have repeatedly de-     letter to veterans' groups.  sponsored  study  showed
            said in an interview with The  Noel  called  it  "preposter-  clined  to  say  how  widely  The  analysis  of  hospital  that  remdesivir  shortened
            Associated Press.            ous" for anyone to suggest  the drug was being used for  data,  done  by  indepen-     the  time  to  recovery  by
            He said given the fact the  that VA would make treat-     COVID-19,  including  how  dent  researchers  at  two  31%, or about four days on
            malaria  drug,  despite  be-  ment  decisions  based  on  many veterans were given  universities  with  VA  ap-     average,  for  hospitalized
            ing untested, had been re-   anything  other  than  "the  the drug, and whether VA  proval,  was  not  a  rigorous  COVID-19 patients.q

               Coast Guard taps cellphone location data to speed searches



               BOSTON (AP) — The U.S. Coast Guard is tap-    the first to test the system last year and it ex-  The system doesn't take the place of a VHF ra-
               ping into cellphone location data to quickly  panded on March 20 to the rest of the service.  dio, which remains the best way of communi-
               locate distressed boaters.                    The  i911  program  requires  someone  who's  in  cating in an emergency, she said. The system
               The  voluntary  i911  program  lets  the  Coast  need of help to provide a phone number, said  only works if mariners have enabled the loca-
               Guard  access  mariners'  cellphone  locations  Coast Guard Petty Officer Nicole Groll. Then  tion services on their phones, the Coast Guard
               to help rescue crews find them faster. The soft-  the mariner — whether a kayaker or commer-  said.
               ware is a free service for all first responders, in-  cial fishermen — receives a text message to  Depending on the cellphone service, i911 can
               cluding the Coast Guard.                      authorize  sharing  the  phone's  GPS  location  determine  locations  of  distressed  mariners
               "It greatly decreases the time we spend look-  services with the Coast Guard. Once that step  from up to 15 to 20 nautical miles (28 to 37 ki-
               ing  for  someone  and  gets  the  rescue  crews  is  completed,  the  Coast  Guard  can  access  lometers) offshore.
               out  faster,"  said  Chief  Petty  Officer  Andrew  detailed information to narrow a search.  During  the  pilot  period,  more  than  38,000
               Case from the Coast Guard center in Woods  "Now  we  know  where  you  are  and  we  can  search  and  rescues  across  the  contiguous
               Hole, Massachusetts.                          send our rescue services directly to you," Groll  United  States  were  analyzed,  and  89%  took
               The Coast Guard center in the Northeast was  said from Boston.                               place within 20 nautical miles of shore.q
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