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Friday, February 17, 2012
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Counterfeit drugs becoming big business worldwide
This product image provided by Genentech shows a vial and package for the cancer drug Avastin. The maker of Avastin is warning doctors and patients about counterfeit vials of the product distributed in the U.S. Roche's Genentech unit says the fake products do not contain the key ingredient in Avastin, which is used to treat cancers of the colon, lung, kidney and brain. (AP Photo/Genentech)
This product image provided by Genentech shows a vial and package for the cancer drug Avastin. The maker of Avastin is warning doctors and patients about counterfeit vials of the product distributed in the U.S. Roche's Genentech unit says the fake products do not contain the key ingredient in Avastin, which is used to treat cancers of the colon, lung, kidney and brain. (AP Photo/Genentech)
This undated photo provided by Genentech shows a counterfeit package for the cancer drug Avastin. The maker of Avastin is warning doctors and patients about counterfeit vials of the product distributed in the U.S. Roche's Genentech unit says the fake products do not contain the key ingredient in Avastin, which is used to treat cancers of the colon, lung, kidney and brain. (AP Photo/Genentech)
This undated photo provided by Genetech shows a counterfeit vial of the cancer drug Avastin. The maker of the best-selling cancer drug Avastin is warning doctors and patients about counterfeit vials of the product distributed in the U.S. Roche's Genentech unit says the fake products do not contain the key ingredient in Avastin, which is used to treat cancers of the colon, lung, kidney and brain. (AP Photo/Genetech)
WASHINGTON (AP) ? The discovery that a fake version of the widely used cancer medicine Avastin is circulating in the United States is raising new fears that the multibillion-dollar drug-counterfeiting trade is increasingly making inroads in the U.S.
The criminal practice has largely been relegated to poor countries with lax regulations. But with more medicines and drug ingredients for sale in the U.S. being manufactured overseas, American authorities are afraid more counterfeits will find their way into this country, putting patients' lives at risk.
The Avastin discovery follows other recent instances in the U.S. of counterfeiting, involving such drugs as Viagra, the cholesterol medicine Lipitor and the weight-loss pill Alli.
"We do know there are counterfeits continuing to try and make their way onto the U.S. supply chain," said Connie Jung, an associate director in the Food and Drug Administration's office of drug security.
The FDA announced Tuesday it is investigating fake vials of Avastin that were sold to at least 19 doctors and clinics, including 16 sites in California, two in Texas and one in Chicago. Tests showed the vials did not contain the active ingredient in Avastin, which is given intravenously in hospitals, clinics and doctors' offices to treat several types of cancer.
The contents of the vials are still being analyzed, and the FDA said it has not received any reports of patients who were harmed.
FDA officials said the counterfeit Avastin was imported from Britain and distributed by Volunteer Distribution, a wholesaler based in Gainesboro, Tenn. British regulators notified the FDA about the products in December, but the agency didn't confirm they were fake until last week.
The FDA gave assurances Wednesday that the U.S. remains one of the most secure pharmaceutical markets in the world. But the news sent cancer doctors scrambling to check their records.
Mary Mathias, a nurse who orders drugs for one doctor on the FDA list ? Dr. Phillip L. Chatham in Granada Hills, Calif., ? said they had stopped using the company in question at least a year ago.
Because Avastin treatments are spaced one to two weeks apart, it is not likely that someone would get more than one infusion from the same vial. And because these are people facing a life-threatening disease, it is hard to say whether missing one treatment with the real drug would compromise their care.
Gauging harm from a counterfeit cancer treatment is nearly impossible, said Dr. Robert C. Young, former president of the Fox Chase Cancer Center in Philadelphia and now a consultant to cancer centers.
A colon cancer patient, for example, might receive 18 to 20 Avastin infusions over six months. Missing one dose seems unlikely to have a dramatic effect on survival odds, but it's not provable either way because cancer's course and a patient's response to treatment are not predictable, he said.
Counterfeits have traditionally been more of a concern in developing regions like Asia and Latin America, where as many as 30 percent of drugs sold are fake, according to the World Health Organization. The group estimates just 1 percent of drugs dispensed in the U.S. and other developed nations are fake.
But incidents of counterfeiting reported by drugmakers have increased steadily over the decade to more than 1,700 worldwide last year, though only 6 percent of those were in the U.S. There are few reliable estimates on the value of the global counterfeit drug trade, though most place it in the tens of billions.
Counterfeiting has become more prevalent as pharmaceutical supply chains increasingly stretch across continents. Over 80 percent of the active ingredients used in U.S. pharmaceuticals are now manufactured overseas, according to a recent congressional report, and experts say this has made it easier to move counterfeit products into this country.
"With today's transportation networks, it's no longer a stretch to move these materials from a source in Pakistan or India to the U.S." said Tom Kubic, president of Pharmaceutical Security Institute, a trade association set up by two dozen pharmaceutical companies.
In 2005, federal prosecutors indicted 11 employees of a Missouri business on charges of conspiring to sell $42 million in counterfeit Lipitor. It was manufactured in Costa Rica and illegally imported to the U.S., where it was sold to wholesalers.
Industry experts also say a combination of big profits and low penalties has made drug counterfeiting an increasingly attractive business for criminals in the U.S. and abroad.
A single vial of Avastin sells for $2,400, and the drug had nearly $2.7 billion in U.S. sales last year, while the sentence for drug counterfeiting in the United States is about three years in prison. That compares with 15 years for counterfeiting money.
John Clark, head of global security for Pfizer Inc., said counterfeiters can make several million dollars quickly and, if they're caught, get off with as little as six months in jail. He also said counterfeiters can set up an operation at a fairly low cost ? perhaps $50,000, including about $20,000 for a pill press.
"It's a no-brainer for criminal organizations that it's worth a gamble," Clark said.
Clark said Pfizer's anti-counterfeiting team around the world has seen a number of fake vaccines and biologic drugs sold in developing countries, not just pill-based drugs.
"They're getting much more sophisticated," often getting ahold of legitimate vials that had held such medicines, from patients, trash cans or recycling operations, and then filling them with oil or water.
___
AP writers Linda A. Johnson in Trenton, N.J., and Marilynn Marchione in Milwaukee contributed to this story
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BONNAROO MUSIC AND ARTS FESTIVAL ANNOUNCES 2012 ...
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BONNAROO MUSIC AND ARTS FESTIVAL ANNOUNCES 2012 LINEUP
ESPN?S John Anderson announces Bonnaroo Music and Arts Festival 2012.
John
Anderson of ESPN announces the Lineup of
Bonnaroo Music And Arts
Festival 2012
Superfly Presents and A.C. Entertainment are excited
to announce the initial lineup for the 2012 Bonnaroo Music and Arts
Festival. The 11th annual four-day camping and music festival will be
held on June 7 ? 10 on the same beautiful 700-acre farm in
Manchester, Tennessee, 60 miles south of Nashville. A full list of
confirmed acts follows, and more will be announced in the coming
weeks. The final Bonnaroo 2012 lineup will total over 125 bands and
over 20 comedians performing on 13 stages over four days. Tickets for
the event will go on sale on this Saturday, February 18, 2012 at 12
noon EST exclusively at bonnaroo.com.
After an unforgettable 10th year celebration in 2011, festival
organizers have come back with one of the most eclectic and striking
lineups to date, drawing from an astounding range of music scenes to
create what is sure to be another incomparable weekend for the ages.
The breadth of the programming is consistently innovative each year
and has become one of the key signature aspects of this legendary
festival, whose uniquely open minded yet discerning and passionate
community thrives on its intelligent diversity. A consistent power in
music discovery, Bonnaroo once again will expose its fan-base to
legends, current favorites as well as new artists who are about to
break. Featured acts in 2012 include: Radiohead, Red Hot Chili
Peppers, Phish, The Beach Boys Featuring Brian
Wilson, Mike Love, Al Jardine, Bruce Johnston and David Marks,
Bon Iver, The Shins, The Avett Brothers, Skrillex, Black Star, Alice
Cooper, Feist, Flogging Molly, Childish Gambino, Ben Folds Five, The
Roots, Bad Brains, The Civil Wars, St. Vincent, Alabama Shakes,
tUnE-yArDs, Punch Brothers, Flying Lotus, Dawes, The Joy Formidable,
Das Racist, Grouplove, Gary Clark, Jr., Kurt Vile The
Violators, Big Freedia and more.
As the only round-the-clock major U.S. music festival, Bonnaroo
packs an unparalleled amount of entertainment options into its four
days. The event has offered its attendees the amenities and community
spirit of a small city, with 24 hours of activities including a
comedy theater, cinema festival, broo?ers festival, silent disco,
salon, sustainable gardening lessons, arcade, Internet cafes,
restaurants, yoga classes and hundreds of high quality food and craft
vendors. Rolling Stone magazine called the 2011 event ?epic,?
saying the weekend was full of ?surprise and wonder.? Stephen
Stills of Buffalo Springfield intoned, ?If Woodstock were like this,
we never would have left.?
Festival organizers are also excited to announce their new
partnership with YouTube creating Bonnaroo365, a new entertainment
channel on YouTube featuring original programming, daily content and
legendary live festival performances all created and curated by the
Bonnaroo producers. Bonnaroo365 will be an unprecedented destination
for the community to celebrate ?Good Stuff,? the literal definition
of Bonnaroo. This extension of Bonnaroo represents its transition
from being mainly an annual terrestrial event to having a presence in
the day-to-day life of like-minded entertainment fans worldwide.
Specific programming details and schedules will be released in the
coming months.
Click
Here for a preview of the Bonnaroo?s 2012 lineup playlist on
Spotify
Official festival website is www.bonnaroo.com
2012 Bonnaroo Music and Arts Festival Confirmed Artists:
Radiohead
Red Hot Chili Peppers
Phish
The Beach Boys Featuring Brian Wilson, Mike Love, Al Jardine,
Bruce Johnston and David Marks
Bon Iver
The Avett Brothers
The Shins
Foster The People
Skrillex
Aziz Ansari
Dispatch
Feist
The Roots
Alice Cooper
SuperJam
Black Star
The Word featuring John Medeski, Robert
Randolph and North Mississippi Allstars
Ludacris
Ben Folds Five
Flogging Molly
Spectrum Road featuring Cindy Blackman Santana, Jack Bruce,
John Medeski, and Vernon Reid
Mac Miller
Childish Gambino
Major Lazer
tUnE-yArDs
Afrocubism
Flying Lotus
Umphrey?s McGee
Little Dragon
St. Vincent
City and Colour
The Civil Wars
Young The Giant
Two Door Cinema Club
Punch Brothers
NEEDTOBREATHE
Fitz The Tantrums
Bad Brains
Yelawolf
Dawes
Battles
Danny Brown
The Black Lips
SBTRKT
Phantogram
Kendrick Lamar
Charles Bradley and his Extraordinaires
The Kooks
The Joy Formidable
The Antlers
Kathleen Edwards
Mimosa
Kurt Vile The Violators
Alabama Shakes
Das Racist
Delta Spirit
Gary Clark Jr.
Ivan Neville?s Dumpstaphunk
Laura Marling
Trampled by Turtles
Mogwai
The War On Drugs
Ben Howard
Grouplove
Blind Pilot
ALO
The Devil Makes Three
White Denim
EMA
Here We Go Magic
K-Flay
The Lonely Forest
Mariachi El Bronx
Big Freedia
Dale Earnhardt Jr. Jr.
The Soul Rebels
Kvelertak
SOJA
Steven Bernstein?s MTO Allstars Plays Sly
Big Gigantic
Sarah Jarosz
Orgone
Darondo
Fruit Bats
Moon Taxi
More artists to be announced soon.
Source: Big Hassle Media
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Source: http://www.primalamusica.net/bonnaroo-music-and-arts-festival-announces-2012-lineup.html
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Arizona's plan to fire teachers for swearing… outside the classroom (The Week)
New York ? A group of conservative lawmakers say their bill will protect kids from profanity in the classroom. But critics say they're going way too farPublic school teachers might soon have to be extra careful about what they say both in and out of class. A group of Republican state lawmakers is trying to pass a bill requiring teachers to avoid using offensive language in front of their students. Free speech advocates, predictably, aren't crazy about the idea and point out that the bill is so poorly written that it inadvertently puts limits on what teachers could say in their own homes. Here, a brief guide:
What words do the lawmakers want to ban?
The bill would bar teachers from using any words that the Federal Communications Commission regulations bar from TV and radio, which generally include both the F-word and milder terms like "shit." The standards, however, are a bit vague, as the FCC says words that might be OK in some contexts aren't in others. The agency defines profanity as "language so grossly offensive to members of the public who actually hear it as to amount to a nuisance."
SEE MORE: 'If Fred got two beatings per day...': The 'outrageous' slavery-themed math quiz
?
How would teachers who break the rule be punished?
As the bill is currently written, a first offense would trigger a one-week suspension (although the penalty might be reduced to a simple warning). A second offense would result in a two-week suspension. Any teacher busted for a third offense would be fired.
Is profanity a big problem in the classroom?
One of the bill's sponsors, state Rep. Lori Klein, says constituents have been complaining about high school teachers using inappropriate language in front of students. "Students are young and impressionable and teachers should not be using four-letter words in the classroom," she says. But a veteran high-school French teacher, Chris Maza, says teachers already know to keep classrooms G-rated. "I don't find this to be such a significant issue that we would have to have a law," Maza tells The Arizona Republic.
SEE MORE: Should there be national standards for sex ed?
?
But, wait, what about free speech?
That's the biggest problem critics have with this proposal. It's bad enough that this "absurd" law would prohibit high school teachers from exposing students to great works of literature that happen to include "salty language," says Erin Gloria Ryan at Jezebel, but the proposed ban extends even to college professors. And that's not the worst of it, says Angus Johnston at Student Activism. The bill is so badly worded that, in its current form, it would ban swearing in scholarly articles, private emails, and even, technically, make it a no-no for teachers to swear ? or take off his or her clothes ? anywhere, even at home. "Just when you thought the Arizona legislature was out of bad ideas."
Sources: Addicting Info,? Arizona Republic,?Jezebel, Student Activism
View this article on TheWeek.com
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Thursday, February 16, 2012
The Write Stuff: Stars' New Memoirs
From Taylor Armstrong to Kris Jenner, this season’s crop of celeb tell-alls has got scandal, drama, laughs and heart to spare
Source: http://www.ivillage.com/celebrity-memoirs/1-b-339831?dst=iv%3AiVillage%3Acelebrity-memoirs-339831
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Equine Supplement Plus Good Reasons To Breastfeed | New ...
A good equine supplement should be added to an expectant or nursing mare?s diet to make them better. Also it could help increase its milk manufacturing. For pregnant women who?re thinking about nursing their babies, they should understand that it will benefit both her as well as her baby in a lot of ways. Breastfeeding is the best bonding period for mother and baby.
Apart from this, breast milk is also the very best food for the baby in the first 6 months. For many years, researchers have been playing out the things that make breast milk the best food for babies. They?ve found out today over two hundred close compounds to fight infection, help the immune system develop fully, aid in digestion, and support brain development ? nature made attributes that science simply cannot copy. The first milk that comes from the mother is known as colostrum and it is filled with antibodies and vitamins which will help your newborn fight disease and also strengthen their defense mechanisms. This is the best vaccine that you can give to your child.
The key long term benefits of breast feeding include reduced chance of asthma, allergies, weight problems, and some types of childhood cancer. The more that scientists continue to learn, the much better breast milk looks. In addition to making your baby healthier, breast feeding may also cause him to be smarter. Many scientific studies have proved that breast given infants are usually smarter than children who were fed with formula or some other methods. Breast feeding helps with nutrition and the support of brain growth, which is something every mother should think about. Don?t assume all milk supplements can provide exactly the same nutrition that the breast milk can.
The advantages for the nursing mom are just as good as they are for your child. The hormones which are released in the course of nursing will suppress blood loss post delivery and assist to shrink the uterus back to it?s normal size. Long-term, the breast feeding mother will have a lower risk for premenopausal cancer of the breast, which is the kind that hits before the age of 50. The advantages will begin to show with three to six months of breast feeding and increase the longer that breastfeeding carries on.
A good equine supplement must be used by breastfeeding and pregnant animals. This is really advantageous specifically for their foals. For nursing mothers, you should understand that breast milk is one energy packed fluid. It provides more for the baby as compared to formula, or some other scientific creation for that matter. As you start to plan for the future of your baby, make a commitment to breast feeding him for as long as you possibly can ? as it will do both your bodies good. Breastfeeding may also make you benefit from the time that you have with your baby. You get to share a part of yourself for the protection and health of your child. This is one of the best and supreme sacrifices a mom can give to show her passion for her child.
Equine Supplement specialists have various advice and expert opinions on how you take proper care of your favorite equines when using the supreme equine supplements inside their day-to-day diet program.

Source: http://newhealthandfitness.org/2012/02/15/equine-supplement-plus-good-reasons-to-breastfeed/
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Barbara Coombs Lee: The Schiavo Case Seven Years Later
New Messaging From Politicians
Sometimes progress toward human dignity seems agonizingly slow, especially affirming the role of choice at the end of life. So it's heartening when evidence of seismic change shows up. Last week's presidential debate lifted our hearts for this reason.
Contenders for the Republican nomination were in Tampa, and questioners brought up Terri Schiavo. Mrs. Schiavo, you'll recall, had been in a permanent vegetative state for fifteen years in 2005, when the family's conflict over whether she would want continued artificial feeding rocked the state of Florida and riveted the nation. State courts had already ruled repeatedly and consistently that the tube feeding should be discontinued, consistent with her expressed wishes prior to the event that rendered her insensate.
Politicians in Florida and Washington, D.C., were convinced voters wanted them to intervene in the tragic deliberations of the divided family. Procedural manipulations and governmental excesses stoked a spectacle of controversy for years. The litany of hearings, re-hearings and appeals is too long to recite here. Toward the end Congress went to extraordinary lengths to override Florida state courts. They issued a subpoena for the vegetative Mrs. Schiavo to appear at a hearing and passed a special law to override jurisdiction of the state, placing the case back in the federal court that had repeatedly deferred to its state counterpart. All the lawmakers believed in states' rights, of course.
Senator Frist, a cardiac surgeon, assessed Mrs. Schiavo's neurological function from the Senate floor via a short video clip of her head movements. Posturing, sanctimonious politicians of all stripes declared their devotion to life and their outrage that a feeding tube could be considered futile medical treatment.
On March 20, 2005, the New York Times front page reported, "Congress Ready to Approve Bill in Schiavo Case," and detailed the fervor that had seized that august body. Mine was a lone voice of alarm in the article. "'In this political climate, with this kind of thing going on in Congress, everyone must take steps to protect themselves -- making an advance directive, documenting their wishes, making sure their loved ones know about them,' said Barbara Coombs Lee, CEO of Compassion & Choices. ... 'The greatest fear of our constituents is that other people -- complete strangers -- will make end-of-life decisions for them,' Ms. Lee added. 'And God forbid that it would be politicians.'"
I've always been proud of that quote. Because as it turned out, most of the nation agreed with me. Congress did pass the bill, in the middle of the night on Palm Sunday, and President Bush flew overnight from Texas in his jammies to sign it 30 minutes later. Nevertheless, federal courts followed the law, refrained from intervening, and Schiavo died peacefully on March 31.
One month later Harris polled Americans on how they viewed the Schiavo debacle. Congress fared worst, with 58 percent of respondents saying they disapproved of Congress's behavior. Only 35 percent approved. Florida lawmakers fared almost as badly, with 57 percent disapproval, 33 percent approval. The president and governor came off little better.
In May 2005, The New York Times Magazine published an in-depth profile of Rick Santorum. It reported that Santorum was one of the lead senators urging federal intervention in the Terri Schiavo case. He told the author that he informed Bill Frist, the majority leader, that he (Santorum) would keep the Senate in session through its Easter break if lawmakers tried to adjourn without first intruding in the Schiavo case. Santorum is quoted, ''I said to the leader: 'We're not leaving here until we pass this.'"
Fast-forward to last month's debate in Tampa. The political calculation has changed drastically in seven years, and Santorum backs away substantially from his enthusiasm of 2005. In Tampa he asserted that he "did not call for congressional intervention." Rather, "I called for judicial intervention on behalf of the parents."
Oh, I see the difference! But after seven years, 14 appeals, five federal lawsuits and three denials from the U.S. Supreme Court, only an Act of Congress could have prolonged the courtroom circus any further. That is what Santorum fought for, and that is what the people judged unseemly meddling. In contrast, last month Santorum even affirmed the morality of refusing resuscitative efforts, adding, "I think that's a decision that people should be able to make."
Santorum's fellow debaters chimed in with updated political messaging. Newt Gingrich went so far as to say the whole Schiavo controversy "has nothing to do with whether or not you as a citizen have a right to have your own end-of-life prescription, which is totally appropriate for you to do as a matter of your values in consultation with your doctor." It's anybody's guess whether Gingrich really supports the medical practice of aid in dying; but on its face, his statement would resonate with the 70 percent of Americans who do.
Ron Paul said the Schiavo case was "way out of proportion" and he would have preferred to see the decision made at the state level, which, of course, is where it was ultimately made.
I don't pull up this history to accuse politicians of insincerity or point out inconsistencies. I just want folks to notice that our nation has changed, and expectations of our politicians have changed when it comes to end-of-life decisions.
Seven years ago it was different. But today we expect politicians to stay out of the personal end-of-life choices we make, in consultation with our physicians and consistent with our own beliefs and values. We expect the people we elect to show some respect for the heartbreaking decisions families make every day at the bedsides of their loved ones. Politicians should not limit those choices arbitrarily and should never seek to impose their own moral judgment on complex deliberations in a religiously diverse nation.
?
Follow Barbara Coombs Lee on Twitter: www.twitter.com/@bcoombslee
Source: http://www.huffingtonpost.com/barbara-coombs-lee/the-schiavo-case-seven-ye_b_1269187.html
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