Page 14 - HOH SEPT 15 2020
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A12   HEALTH
               Tuesday 15 sepTember 2020

             Experts: Revamped OxyContin hasn't curbed abuse, overdoses



            By MATTHEW PERRONE                                                                                                  possible to decipher wheth-
            AP Health Writer                                                                                                    er  those  positive  trends
            WASHINGTON  (AP)  —  A                                                                                              were due to the reformula-
            panel    of    government                                                                                           tion or a host of other fac-
            health  advisers  said  Friday                                                                                      tors affecting opioid use, in-
            there's  no  clear  evidence                                                                                        cluding government crack-
            that  a  harder-to-crush  ver-                                                                                      downs  on  pill  mills  and  an
            sion  of  the  painkiller  Oxy-                                                                                     influx  of  illegal  opioids  like
            Contin  designed  to  dis-                                                                                          heroin and fentanyl.
            courage  abuse  actually                                                                                            Several   studies   suggest
            resulted in fewer overdoses                                                                                         many people who abused
            or deaths.                                                                                                          OxyContin switched to ge-
            The  conclusion  from  the                                                                                          neric  pain  pills  or  illicit  opi-
            Food  and  Drug  Admin-                                                                                             oids, but patterns of switch-
            istration   advisory   panel                                                                                        ing varied widely across the
            comes  more  than  a  de-                                                                                           country  and  populations,
            cade after Purdue Pharma                                                                                            further  blurring  the  drug's
            revamped  its  blockbuster                                                                                          overall impact.
            opioid,  which  has  long                                                                                           Purdue said in a statement
            been  blamed  for  sparking                                                                                         following  the  meeting  it
            a  surge  in  painkiller  abuse                                                                                     would  continue  to  work
            beginning in the 1990s.                                                                                             with the FDA as it reviewed
            In  a  series  of  non-binding                                                                                      the  OxyContin  studies.  The
            votes, the FDA experts said   This Feb. 19, 2013 file photo shows OxyContin pills arranged for a photo at a pharmacy in Mont-  company  declared  bank-
            that the updated OxyCon-     pelier, Vt.                                                                            ruptcy  last  year  in  an  ef-
            tin appeared to cut down                                                                           Associated Press  fort  to  settle  thousands
            abuse  via  snorting  and  in-                                                                                      of  lawsuits  accusing  it  of
            jecting,  compared  to  the  quality  of  evidence  was  Purdue's  2010  revamped  multiple  studies  showed  over-promoting  OxyContin
            original  drug.  But  panel-  fairly poor."               OxyContin  was  the  first  of  the  updated  tablets  are  and  misleading  the  public
            ists  overwhelmingly  ruled  The long-acting OxyContin  several  opioids  developed  harder  to  crush  and  dis-   about its risks.
            that data from Purdue and  tablets can still be misused  by  drugmakers  to  help  solve, making them harder  U.S.  drug  overdose  deaths
            other  researchers  did  not  by simply swallowing them,  curb  abuse.  But  whether  to snort or inject. They said  hit a new high last year of
            show that the reformulation  which remains the most fre-  the drugs met that goal re-  those  changes  represent  71,000,  according  to  fed-
            curbed abuse overall or led  quent  route  among  those  mains unclear and the FDA  a  "meaningful  incremen-       eral  data,  driven  mainly
            to fewer overdoses.          with opioid addiction.       is reviewing their use.      tal   improvement,"   over  by fentanyl and similar syn-
            Panelists said the shortcom-  The  FDA  will  consider  the  These   so-called   abuse-  the   original   OxyContin  thetic  opioids  which  were
            ings  were  due,  in  part,  to  group's opinions as it weighs  deterrent  formulations  ac-  launched in 1996.     involved  in  about  half  of
            the  challenges  of  studying  whether  to  revisit  OxyCon-  count  for  just  2%  of  U.S.  Data  submitted  by  Purdue  all  deaths.  Deaths  tied  to
            overdoses,  which  often  in-  tin's terms of approval. That  opioid  prescriptions.  The  showed  both  prescribing  prescription  opioid  over-
            volve multiple drugs.        could include scaling back  vast  majority  of  opioids  and  illegal  trafficking  of  doses  have  plateaued  at
            "I  think  it's  very  difficult  to  the drug's prescribing label-  prescribed are generic ver-  OxyContin decreased after  around  15,000  annually.
            tease  out  cause  of  death  ing,  which  currently  states  sions of short-acting opioids  the  company  pulled  and  The slowdown follows years
            and  overdose,"  said  Dr.  that  it  is  "expected  to"  re-  like hydrocodone.       replaced  the  original  ver-  of  prescribing  restrictions
            Lewis Nelson of Rutgers Uni-  duce  abuse  via  injecting  Purdue representatives said  sion of the drug.           and  warnings  aimed  at
            versity.  "Overall,  I  think  the  and snorting.         during  the  meeting  that  But panelists said it was im-  physicians.q

             Study: Kids infected at day care spread coronavirus at home



                                                                      their  relatives,  according  those  places  and  then  be  In the new study, research-
                                                                      to a new report that under-  brought  home  by  kids.  So,  ers from Utah and the CDC
                                                                      scores  that  kids  can  bring  masks, disinfection and so-  focused on three outbreaks
                                                                      the germ home and infect  cial  distancing  are  need-    in Salt Lake City child care
                                                                      others.                      ed. And people who work  facilities between April and
                                                                      Scientists already know chil-  in such facilities have to be  July.  Two  were  child-care
                                                                      dren  can  spread  the  virus.  careful  and  get  tested  if  programs for toddlers, and
                                                                      But the study published Fri-  they think they may be in-  the  other  was  a  camp  for
                                                                      day by the Centers for Dis-  fected, experts said.        older  kids.  The  average
                                                                      ease  Control  and  Preven-  Earlier  research  from  the  age of kids at all three pro-
                                                                      tion  "definitively  indicates  U.S., China and Europe has  grams was about 7.
                                                                      —  in  a  way  that  previous  found that children are less  At  two  of  the  facilities,  in-
                                                                      studies   have   struggled  likely  than  adults  to  be  in-  vestigators  were  able  to
                                                                      to  do  —  the  potential  for  fected by the virus and are  establish  that  an  infected
                                                                      transmission to family mem-  less  likely  to  become  seri-  adult  worker  unknowingly
                                                                      bers," said William Hanage,  ously  ill  when  they  do  get  introduced the virus.
             In this Saturday, Sept. 5, 2020 file photo, children play "pin the   a  Harvard  University  infec-  sick.         The  study  concluded  12
            mask on Gov. Gary Herbert" during a "Trash Your Mask Protest"
            rally hosted by the Utah Business Revival at the Utah State Capi-  tious diseases researcher.  There  also  was  data  sug-  children  caught  the  coro-
            tol in Salt Lake City.                                    The  findings  don't  mean  gesting that young children  navirus at the facilities, and
                                                     Associated Press  that schools and child-care  don't spread the virus very  spread  it  to  at  least  12  of
                                                                      programs  need  to  close,  often,  though  older  kids  the  46  parents  or  siblings
            NEW YORK (AP) — Children  virus  at  day  cares  and  a  but  it  does  confirm  that  are believed to spread it as  that they came in contact
            who  caught  the  corona-    day  camp  spread  it  to  the virus can spread within  easily as adults.              at home.q
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