Posted on October 10, 2012
Reuters – by Tim McLaughlin and Toni Clarke
Posted: 10/10/2012 8:39 pm EDT
Updated: 10/10/2012 10:55 pm EDT
The number of people sickened by a deadly meningitis outbreak has
now reached 138 cases, including 12 deaths, according to the CDC. (AP
BOSTON, Oct 10 (Reuters) – A Massachusetts specialist pharmacy linked to
a company at the center of a major health scare closed temporarily on
Wednesday and a state regulator clamped down on such operations in the
wake of a meningitis outbreak that has claimed a dozen lives.
The Massachusetts Department of Public Health said Ameridose LLC, a
compounding pharmacy which shares ownership with the New England
Compounding Center (NECC) tied to the tainted steroid treatments, had
Massachusetts, which regulated the companies involved, also said it
would increase scrutiny of so-called compounding pharmacies, which
produce custom-made medications for doctors, as calls grew for a
Since the Sept. 25 recall of three lots of a steroid produced by
NECC, 138 people have contracted meningitis and 12 have died, according
to the latest tally from the U.S. Centers of Disease Control and
officials in 11 states where the outbreak has spread.
Idaho reported the first case discovered in the western United
States. The hardest hit state is Tennessee with 44 people sickened with
the rare disease.
The number of cases has grown rapidly as health practitioners
contacted some 13,000 people who received injections from a potentially
tainted supply of steroid medication shipped to 23 states.
Officials have expressed concern that NECC and other compounding
pharmacies may have violated laws that allow them to alter drugs based
on the needs of individual patients rather than produce large batches of
medication for sale. NECC shipped more than 17,000 vials of the steroid
methylprednisolone acetate, used mainly for back pain.
In one week, the meningitis outbreak has developed into a major
national health scare and threatens to become a scandal over what the
company was doing and who was supposed to be regulating its activities.
Congress has come under pressure to close what critics see as a
loophole in regulation that left the company linked to the tainted
product largely exempt from federal regulation.
The U.S. Food and Drug Administration regulates only the ingredients
and their suppliers, not the compounders, which are subject to a
patchwork of state oversight.
“We urge Congress to give FDA (the Food and Drug Administration) the
authority it needs to assure these kinds of outbreaks do not happen
again,” said an official of the U.S. Department of Health and Human
Services, who declined to be identified because of ongoing
Leading members of Congress and outside critics have begun to ask why the FDA did not step in anyway.
“They dropped the ball. They either didn’t follow up or have chosen
to look the other way or they have chosen to put resources toward other
things,” said Dr. Michael Carome, a health expert with the advocacy
group Public Citizen.
The FDA said in a statement that its “legal authority to regulate
compounded drugs is complex and has been challenged vigorously by the
compounding industry both in courts and Congress. FDA, along with
everyone involved, is focused on determining the cause of this outbreak
and preventing this kind of tragedy in the future.”
Massachusetts officials said the state would require all compounding
pharmacies to sign a statement saying they are complying with
regulations on their work.
Massachusetts Senator Scott Brown, a Republican, said on Wednesday
his re-election campaign would donate to charity the campaign
contributions received from the owners of NECC.
“Sen. Brown supports a full and thorough investigation to determine
responsibility for this tragedy and to ensure nothing like it ever
happens again,” the campaign said in a statement.
ANGER FROM FAMILIES
Some patients expressed anger that such a sensitive area as steroid medication was so lightly regulated.
George Cary, whose wife Lilian Cary is one of three people to die in
Michigan, said on Tuesday that Americans have a strong belief in their
medical and political system and the outbreak should be a wake-up call
to the nation.
“We don’t have expectations of a faulty regulatory medical system
that allows these types of mistakes to be made,” Cary told reporters on
his front lawn after a memorial for his wife. “So perhaps the message
is, wake up America.”
In five states – Tennessee, Michigan, Maryland, Virginia, and Florida
– the outbreak has claimed lives, with the latest victim a 70-year-old
man in Florida.
Thousands of people received the injections to relieve back pain and other complaints and are at risk of infection.
Approximately 5 percent of patients treated with the suspect
medication in Tennessee have contracted meningitis, said Dr. David
Reagan, chief medical officer for the Tennessee Department of Health.
The rate of infection overall is not known.
Meningitis is an infection of the membranes covering the brain and
spinal cord. Symptoms include headache, fever and nausea. Fungal
meningitis, unlike viral and bacterial meningitis, is not contagious.
Some of the thousands of people exposed may have to wait anxiously
for weeks because the incubation period of the disease is up to a month,
health experts said.
In Tennessee cases, officials said they had found the average
incubation period to be 16 days, but they caution that it could range
from six to 42 days for their patients.
Tennessee has been the hardest hit state, with six reported deaths
and 44 cases of meningitis, followed by Michigan with three deaths and
28 cases, Virginia with one death and 27 cases and Maryland with one
death and nine cases.
The other states with cases are Indiana (15), Florida (6), Minnesota
(3), North Carolina (2), Ohio (1), New Jersey (2) and Idaho (1).
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