Tuesday, December 23, 2008

Avoid festive fare food poisoning

Avoid festive fare food poisoning

Many people will be indulging in festive fare over the coming days and, with this in mind, the Agency would like to remind particular groups of people about the importance of avoiding certain foods in order to minimise the risk of food poisoning, especially listeriosis.

One cause of food poisoning is Listeria monocytogenes, which can lead to listeriosis. Although listeriosis isn’t common, it can be life-threatening in people with reduced immunity.

It usually affects people in vulnerable groups, such as pregnant women and people with weakened immunity, particularly those over 60. People with weakened immunity could include those who’ve had transplants, are taking drugs that weaken the immune system, or who have cancers that affect their immune system, such as leukaemia or lymphoma.

Vulnerable people should avoid soft mould-ripened cheeses, such as Camembert and Brie, blue-veined cheeses and pâté of any type, including vegetable.

Other foods that can sometimes contain listeria include chilled ready-to-eat foods, such as prepacked sandwiches, butter, cooked sliced meats and smoked salmon. Keeping these foods
refrigerated and observing use-by dates are important.

Monday, December 22, 2008

FDA Obtains Injunction to Stop Production of Illegally Medicated Animal Feed

FDA Obtains Injunction to Stop Production of Illegally Medicated Animal Feed

Milbank Mills Repeatedly Violated Manufacturing Regulations

The U.S. Food and Drug Administration announced today that the District Court for the Western District of Missouri entered a Consent Decree on Dec. 15, 2008, prohibiting Milbank Mills, an animal feed mill in Chillicothe, Mo., from manufacturing, processing, or distributing medicated animal feed. Milbank Mills and its officers Edward P. Milbank and Darrell L. Allen, face these restrictions until they comply with current Good Manufacturing Practice (cGMP) requirements for medicated animal feeds.

FDA has cited the defendants for numerous deviations from cGMP over the last five years. FDA inspected Milbank Mills four times during this period, and found gross deviations from cGMP that resulted in voluntary recalls of medicated animal feeds. Despite repeated warnings from FDA, the defendants have continued to manufacture medicated animal feeds in violation of the Federal Food, Drug, and Cosmetic Act and its regulations.

Medicated animal feeds include specific types and amounts of drugs to prevent disease in food-producing animals, and failure to comply with cGMP requirements when manufacturing such feeds renders the product adulterated (or illegal). Among other cGMP violations, Milbank Mills repeatedly failed to store and handle drugs properly to maintain their effectiveness, did not maintain records of drug inventory and use, and did not adequately test its feed products to ensure that they contained the correct amounts of drugs. In addition, Milbank Mills did not accurately label its medicated feed products or provide adequate directions for their use.

Under the consent decree, failure to comply with the terms could result in civil or criminal penalties. Consumers who may have purchased adulterated feed from Milbank Mills should contact the company directly.

Update on beef from Northern Ireland

Update on beef from Northern Ireland

The Food Standards Agency is today advising consumers not to be concerned about eating beef from Northern Ireland. Dioxin results from three Northern Irish herds affected by contaminated feed have been received, they exceed permitted limits but the risk to public health remains very low. Any cattle and beef that have been withheld since Tuesday 9 December will not enter the food chain.

This action mirrors the approach of the Republic of Ireland, which announced the trade withdrawal of some meat from the food chain on Friday 19 December, following test results showing dioxin levels above permitted limits present in meat.

The results of dioxin tests for the remaining five herds are still awaited. In the meantime, the cattle and meat from these animals will continue to be held on the relevant farms and at meat processing plants.

Meat processors have informed the Agency that there is no longer any affected meat in the shops, although some may have reached consumers before the notification of this incident. People should not worry as the risk to health from this incident is very low and retailers are not required to take any action to withdraw or recall products. The actual number of cattle farms affected represents less than 0.03% of the total number of cattle farms in Northern Ireland.

Dioxins are chemicals that get into food from the environment and are associated with a range of health effects when there is a long term exposure to them at relatively high levels.

The UK will continue to work with local authorities, the wider enforcement community and European Union member states to protect UK consumers.

Friday, December 19, 2008

FDA Continues To Receive Complaints about Chicken Jerky Products for Dogs and Cautions Consumers

Preliminary Animal Health Notification

FDA Continues To Receive Complaints about Chicken Jerky Products for Dogs and Cautions Consumers

The Food and Drug Administration (FDA) continues to caution consumers of a potential association between the development of illness in dogs and the consumption of chicken jerky products also described as chicken tenders, strips or treats. FDA continues to receive complaints of dogs experiencing illness that their owners or veterinarians associate with consumption of chicken jerky products. The chicken jerky products are imported to the U.S. from China. FDA issued a cautionary warning to consumers in September 2007.
Australian news organizations report the University of Sydney is also investigating an association between illness in dogs and the consumption of chicken jerky in Australia. At least one firm in Australia has recalled their chicken jerky product and the recall notification stated the chicken jerky product was manufactured in China.

FDA believes the continued trend of consumer complaints coupled with the information obtained from Australia warrants an additional reminder and animal health notification.

Chicken jerky products should not be substituted for a balanced diet and are intended to beused occasionally and in small quantities. Owners of small dogs must be especially careful to limit the amount of these products.

FDA, in addition to several veterinary diagnostic laboratories in the U.S, is working to determine why these products are associated with illness in dogs. To date, scientists have not been able to determine a definitive cause for the reported illnesses. FDA has conducted extensive chemical and microbial testing but has not identified any contaminant.

FDA is advising consumers who choose to feed their dogs chicken jerky products to watch their dogs closely for any or all of the following signs which may occur within hours to days of feeding the product: decreased appetite, although some may continue to consume the treats to the exclusion of other foods; decreased activity; vomiting; diarrhea, sometimes with blood; and increased water consumption and/or increased urination. If the dog shows any of these signs, stop feeding the chicken jerky product. Owners should consult their veterinarian if signs are severe or persist for more than 24 hours. Blood tests may indicate kidney failure (increased urea nitrogen and creatinine). Urine tests may indicate Fanconi syndrome (increased glucose).

Although most dogs appear to recover, some reports to the FDA have involved dogs that have died.

The FDA continues to actively investigate the problem. Many of the illnesses reported may be the result of causes other than eating chicken jerky. Veterinarians and consumers alike should report cases of animal illness associated with pet foods to the FDA Consumer Complaint Coordinator http://www.fda.gov/opacom/backgrounders/complain.html in their state.

Health Canada Releases Decision on the Labelling of Cough and Cold Products for Children

Health Canada Releases Decision on the Labelling of Cough and Cold Products for Children

Advisory2008-184

OTTAWA - Health Canada is advising consumers of the outcome of its review of cough and cold medicines for children under the age of 12.

Health Canada is requiring manufacturers to relabel over-the-counter cough and cold medicines
that have dosing information for children to indicate that these medicines should not be used in children under 6. The products affected are those containing any of the active ingredients listed below that are given orally:

Table 1: Active Ingredients Affected by Health Canada's Decision on Cough and Cold Products for Children Therapeutic Category (Purpose) Active Ingredients Antihistamines in cough and cold medicines(used to treat sneezing, runny nose) brompheniramine maleate chlorpheniramine maleate clemastine hydrogen fumerate dexbrompheniramine maleate diphenhydramine
hydrochloride diphenylpyraline hydrochloride doxylamine succinate pheniramine maleate phenyltoloxamine citrate promethazine hydrochloride pyrilamine maleate triprolidine hydrochloride Antitussives(used to treat cough) dextromethorphan dextromethorphan hydrobromide diphenhydramine hydrochloride Expectorants (used to loosen mucus) guaifenesin (glyceryl guaiacolate) Decongestants (used to treat congestion) ephedrine hydrochloride/sulphate phenylephrine hydrochloride/sulphate pseudoephedrine hydrochloride/sulphate

The relabelling of these medicines will be completed by fall 2009, in time for the next cough and cold season. During the current cough and cold season, medicines will remain on store shelves and in homes with the current labelling, which could include dosing information for children under 6, because many of these products also have dosing information for adults and older children on the same label. As a result, for this cough and cold season, parents or caregivers should consult a pharmacist or a health care practitioner when buying or using these products.

These medicines can still be used in children 6 and older, and adults.

This decision is the result of a Health Canada review of these medicines, including the input of a Scientific Advisory Panel convened in March 2008. Health Canada has concluded that while cough and cold medicines have a long history of use in children, there is limited evidence supporting the effectiveness of these products in children. In addition, reports of misuse, overdose and rare side-effects have raised concerns about the use of these medicines in children under 6. The rare but serious potential side-effects include convulsions, increased heart rate, decreased level of consciousness, abnormal heart rhythms and hallucinations. The Scientific Advisory Panel's conclusions and details of the new Health Canada recommendations are posted on the Health Canada Web site.

Health Canada previously issued advice on the use of these medicines in an October 2007 Public Advisory. Based on a preliminary review, Health Canada at that time recommended not using over-the-counter cough and cold medicines in children under 2 years of age, unless instructed to do so by a health care practitioner. The current decision expands on those preliminary recommendations.

Until the relabelling of these products is completed, Health Canada advises parents and caregivers to follow these important guidelines:

Do not use these over-the-counter cough and cold medicines in children under 6 years of age.

With children older than 6, always follow all the instructions carefully, which includes the dosing and length-of-use directions, and use the dosing device if one is included. Do not give children medications labelled only for adults. Do not give more than one kind of cough and cold medicine to a child. Cough and cold medications often contain multiple ingredients. Combining products with the same ingredient(s) could cause an overdose that may result in harm to a child. Talk to your health care practitioner (doctor, pharmacist, nurse, etc.) if you have questions about the proper use of over-the counter cough and cold medicines. The common cold is a viral infection for which there is no cure. Cough and cold medicines offer only temporary relief of symptoms such as runny nose, cough, or nasal congestion Symptoms can also be managed using a variety of non-medicinal measures such as adequate rest, increased fluid intake and a comfortable environment with adequate humidity. For babies and young children, it is important to rule out serious illnesses that have cold-like signs and symptoms (for example, pneumonia, ear ache or other infections). This is especially important if symptoms do not improve, or if the child's condition worsens.

If you are concerned about the child's health (such as if symptoms worsen, last for more than a week, or are accompanied by a fever higher than 38 C or the production of thick phlegm), consult a health care practitioner for a medical evaluation. For more information about Health Canada's decision and the use of cough and cold products in children, consult the Health Canada Web site or call toll free at 1-866-558-2946.

For advice on how to properly dispose of medications, see the "It's Your Health" article entitled
The Proper Use and Disposal of Medication.

For more information on the safe use of medicines, see the "It's Your Health" article entitled Safe Use of Medicines.

You can report any adverse reactions associated with the use of health products to the Canada Vigilance Program by one of the following three ways:
Report online at the MedEffect™ Canada Web site Call toll-free at 1-866-234-2345 Complete a Canada Vigilance Reporting Form and either: Fax toll-free to 1-866-678-6789 Mail to:
Canada Vigilance Program Health CanadaAL 0701COttawa, ON K1A 0K9 To have postage pre-paid, download the postage paid label from the MedEffect™ Canada Web site.

Wednesday, December 17, 2008

FDA Announces New Recommendations on Evaluating Cardiovascular Risk in Drugs Intended to Treat Type 2 Diabetes

FDA Announces New Recommendations on Evaluating Cardiovascular Risk in Drugs Intended to Treat Type 2 Diabetes

The U.S. Food and Drug Administration recommended today that manufacturers developing new drugs and biologics for type 2 diabetes provide evidence that the therapy will not increase the risk of such cardiovascular events as a heart attack. The recommendation is part of a new guidance for industry that applies to all diabetes drugs currently under development.

"We need to better understand the safety of new antidiabetic drugs. Therefore, companies should conduct a more thorough examination of their drugs' cardiovascular risks during the product's development stage," said Mary Parks, M.D., director, Division of Metabolism and Endocrinology Products, Center for Drug Evaluation and Research (CDER), FDA. "FDA's guidance outlines the agency's recommendations for doing such an assessment."

More than 23 million people in the United States have been diagnosed with type 2 diabetes or diabetes mellitus, a chronic metabolic disorder characterized by abnormally high blood sugar levels known as hyperglycemia.

Patients with diabetes have a two- to four-times greater risk of heart disease than their non-diabetic counterparts, and none of the currently approved antidiabetic therapies has been convincingly proven to reduce that risk. Because diabetes often requires life-long treatment, prescribers and patients need to know more about whether their antidiabetic therapies put patients at increased risk of heart attack. This is the purpose of today's guidance, which has benefited from the July 2008 recommendation from FDA's Endocrinologic and Metabolic Drugs Advisory Committee.

The guidance, which is effective immediately, defines more robust and adequate design and data collection approaches for Phase 2 and Phase 3 clinical trials than were previously required.

Specifically, the guidance recommends that these studies demonstrate that new antidiabetic therapies do not increase cardiovascular risk in comparison with existing therapies -- especially when the drugs are used by patients of advanced age or by those with advanced diabetes or renal impairment.

The FDA also recommends that manufacturers have any cardiovascular events in their clinical trials analyzed by committees of outside cardiologists who are unaware of which patients received the tested products and which were on placebo. Based on these evaluations, the FDA can better ensure that product labeling includes comprehensive information on safety and effectiveness. This will enable prescribers and patients to make better-informed decisions on the management of type 2 diabetes.

The FDA remains confident that currently marketed antidiabetic therapies are safe and effective when used according to approved labeling and advises patients to work with their healthcare professionals to select the most appropriate therapy to achieve adequate blood glucose control.

The FDA is continuing to evaluate how today's recommendations will be applied to already approved antidiabetic drugs and expects to release further guidance on this issue in the future.

The FDA's guidance and its ongoing evaluation of this issue supports our approach to drug regulation throughout the product life-cycle, by evaluating a drug's safety before and after its approval," said Janet Woodcock, M.D., director, CDER, FDA.

"Diabetes Mellitus – Evaluating Cardiovascular Risk in New Antidiabetic Therapies to Treat Type 2 Diabetes" is posted on FDA's website at http://www.fda.gov/cder/guidance/8576fnl.pdf.

It will be published in the Federal Register on December 19, 2008. In addition, the FDA has provided written notice of the recommendations from this guidance to more than 100 manufacturers who have submitted investigational new drug applications for type 2 diabetes treatment.

Internet Explorer enables hackers to steal users' passwords

Internet Explorer Has Serious Security Flaw

Exploit enables hackers to steal users' passwords

If you're browsing the Internet with Microsoft's Internet Explorer, you could be vulnerable to hackers. That's the warning from computer experts, who say the browser has a security flaw that allows criminals to take control of consumers' computers and steal passwords.

Until Microsoft fixes the problem, experts suggest using another browser.

The technology security firm Trend Micro said its engineers detected a malicious JavaScript called JS_DLOAD.MD on several Web sites that exploits a zero-day vulnerability in Internet Explorer 7 through a heap spray on SDHTML.

After a successful exploit, it triggers a series of redirections to multiple URLs, then finally connects to one of several different domains.

"Unfortunately, since Microsoft's security updates failed to provide protection against this vulnerability, users of Internet Explorer are at risk even while surfing the Web on fully patched Windows XP and Windows 2003 systems," Trend Micro said in an advisory.

Microsoft says seven versions of Internet Explorer, which is used by most of the world's computers, are vulnerable to this security flaw. Microsoft is now at work trying to find a security patch.

"Microsoft is continuing its investigation of public reports of attacks against a new vulnerability in Internet Explorer," the company said.

Security experts say those still using Internet Explorer should be very careful about which Web sites they visit, since compromised Web sites can download the Trojan. They say the rule about never clicking on a link in a spam email is especially important to follow in this case, since hackers may be using spam to direct victims to compromised sites.

Once a hacker gains access to your computer, the keylogger software can capture your key strokes, stealing user names and passwords to your bank and other secure online accounts.

Tuesday, December 16, 2008

Health Canada Advises Diabetic Patients About the Risk of Inaccurate Blood Glucose Readings With Certain Types of Glucose Meters

Health Canada Advises Diabetic Patients About the Risk of Inaccurate Blood Glucose Readings With Certain Types of Glucose Meters

Advisory2008-183

OTTAWA - Health Canada is advising Canadians who rely on blood glucose meters that some medical products may interfere with test results and lead to falsely elevated glucose readings. Diabetic patients who may be exposed to the medical products described below are encouraged to determine what type of meter they are using to better understand the reliability of their glucose readings.

There are two types of glucose meters available on the Canadian market based on the test method they use: “glucose-specific” and “glucose non-specific.” The manufacturer of your glucose meter can assist you in determining your model type.

Meters that use a glucose-specific test method are not at risk of interference from medical products. However, meters that use a glucose non-specific test method are at an increased risk of inaccurately high glucose readings in diabetic patients who have recently had surgery, who have recently had certain diagnostic tests performed in the hospital, or who are on peritoneal dialysis.

This risk is because some medical products used in hospitals, including intravenous immune globulin preparations and xylose and galactose tolerance tests, contain substances that can interfere with glucose readings. The Extraneal™ peritoneal dialysis solution, used to treat kidney failure, can also lead to false high glucose readings. Health Canada has previously informed diabetics using Extraneal™ of this risk.

Health Canada advises diabetic patients that if they are using a glucose non-specific meter and they are getting unusually high blood glucose readings, this may be the result of interference from hospital or peritoneal dialysis treatments. These patients should talk to their physician or health care professional to determine whether the reading is false.

Diabetics who get a false high glucose reading may then take an excessive dose of insulin, which could in turn lead to low blood sugar. Similarly, cases of low blood sugar could go untreated if masked by glucose readings that are falsely elevated into the normal range. Patients with low blood sugar might feel unwell, confused, hungry, nervous, dizzy or irritable. Low blood sugar should be recognized and treated promptly to avoid serious complications such as coma.

Patients using a glucose non-specific meter who are exposed to the above-mentioned medical products may want to consider purchasing a glucose-specific model in the future to prevent the risk of inaccurate readings. Information about glucose-specific models can be obtained from manufacturers.

Health Canada also reminds Canadians using blood glucose monitors to only use test strips specified for their meter, as use of the wrong strip may also lead to inaccurate blood sugar readings.

Information for health care professionals out the risk of inaccurate blood glucose readings with certain types of glucose meters is available on the Health Canada Web site.

Consumers requiring more information about this advisory can contact Health Canada's public inquiries line at (613) 957-2991, or toll free at 1-866-225-0709.

To report a suspected adverse event related to glucose monitoring systems, please contact the Health Products and Food Branch Inspectorate

Study Finds Much of Private-Sector Consumer Medication Information Not Consistently Useful

Study Finds Much of Private-Sector Consumer Medication Information Not Consistently Useful

A study released today by the U.S. Food and Drug Administration found that the printed consumer medication information (CMI) voluntarily provided with new prescriptions by retail pharmacies does not consistently provide easy-to-read, understandable information about the use and risks of medications.

The study, Expert and Consumer Evaluation of Consumer Medication Information, showed that while most consumers (94 percent) received CMI with new prescriptions, only about 75 percent of this information met the minimum criteria for usefulness as defined by a panel of stakeholders. In 1996, Congress called for 95 percent of all new prescriptions to be accompanied by useful CMI by 2006.

"The current voluntary system has failed to provide consumers with the quality information they need in order to use medicines effectively and safely," said Janet Woodcock, M.D., director of the FDA's Center for Drug Evaluation and Research. "Because the congressional goals have not been met, the FDA intends to seek public comment on initiatives that can be used to meet the goals."

CMI has been defined as being useful if it includes scientifically accurate, unbiased information that is presented in an understandable and legible format. Specifically, CMI should include the drug name and uses, how to monitor for improvement in the condition being treated, contraindications (situations when the medicine should not be used), symptoms of serious or frequent adverse reactions and what to do, and certain general information, including statements encouraging patients to talk to their health care professional.

"We need to work with pharmacy operators, drug manufacturers, health care professionals, and consumers to come up with a sensible, comprehensive and more effective solution," said Woodcock.

In early 2009, the FDA Risk Communication Advisory Committee will hold a public meeting to discuss the study's findings. In addition, the FDA has created a Web site to receive public comment on the study and solicit feedback on the best ways to provide useful prescription information to consumers.

The FDA regulates prescription drug labeling written for health care professionals and Medication Guides and Patient Package Inserts written for consumers, but the agency does not review or approve CMI leaflets. The agency's role, as set forth by Congress, has been to encourage the private sector to provide this information, supply the companies with the necessary guidance and evaluate the private sector's progress.

The FDA-sponsored study was conducted by the National Association of Boards of Pharmacy through a subcontract with researchers at the University of Florida, College of Pharmacy.

Shoppers trained to simulate patients visited pharmacies randomly selected throughout the United States. The shoppers gave the pharmacists prescriptions for two commonly prescribed drugs, metformin and lisinopril, and collected the CMI provided with the prescriptions. Expert and consumer panels evaluated the quantity and quality of this information.

There were some improvements shown by the new study when compared to a similar evaluation of CMI in 2001, Evaluation of Written Prescription Information Provided in Community Pharmacies, 2001. That study revealed that 89 percent of patients received written information when their new prescriptions were filled, but only about 50 percent of the CMI met minimal criteria for usefulness.

For information: Expert and Consumer Evaluation of Consumer Medication Information, 2008 http://www.fda.gov/cder/news/CMI/default.htm

Failure to comply with Pool And Spa Safety Law can result in closure

Release #09-065

CPSC Recall Hotline: (800) 638-2772CPSC Media Contact: (301) 504-7908

Pool And Spa Safety Law Aimed At Preventing Drain Entrapments of Children Goes Into Effect

This Week:Failure to comply with Congressionally-enacted law can result in closure

WASHINGTON, D.C. - The U.S. Consumer Product Safety Commission (CPSC) is again reminding public pool and spa owners and operators nationwide that the Virginia Graeme Baker Pool and Spa Safety Act becomes effective on December 19, 2008. This law requires installation of anti-entrapment drain covers and other systems as outlined in the Act.

The Pool and Spa Safety Act was enacted by Congress and signed by President Bush on December 19, 2007, and is designed to prevent the tragic and hidden hazard of drain entrapments and eviscerations in pools and spas. Under the law, all public pools and spas must have ASME/ANSI A112.19.8-2007 compliant drain covers installed and a second anti-entrapment system installed, when there is only a single main drain. Congress gave all affected pool and spa operators one year to comply with this law.

Public pools and spas that operate year-round are expected to be in compliance by December 19, 2008. CPSC staff has taken the position that seasonal public pools and spas that are currently closed must be in compliance with the law on the day that they reopen in 2009.

"Our mission at the CPSC is to keep American families safe," said Nancy Nord, CPSC Acting Chairman. "CPSC will enforce the requirements of this pool and spa safety law with a focus on where the greatest risk of drain entrapment to children exists, such as wading pools, pools designed specifically for toddlers and young children, and in-ground spas, particularly where these types of pools and spas have flat drain grates and single main drain systems."
Nord added, "State health and enforcement agencies share the responsibility to ensure this law is properly enforced. I recommend these agencies take the same approach as CPSC concerning enforcement priorities."

Pool and spa operators are encouraged to continue working as diligently as possible to come into compliance, as the agency and state Attorneys General are empowered to close down any pool or spa that fails to meet the Act's requirements.

For more information about the Pool and Spa Safety Act, how to comply, and which companies have been certified to manufacturer drain covers and safety vacuum release systems, please log on to: www.cpsc.gov/whatsnew.html#pool

To see this release on CPSC's web site, please go to: http://www.cpsc.gov/cpscpub/prerel/prhtml09/09065.html

Health Advisory- PPD In "Black Henna" Temporary Tattoos Is Not Safe

PPD In "Black Henna" Temporary Tattoos Is Not Safe

ISBN: 978-1-100-10414-0

Cat. No.: H128-1/08-547E

The Issue"Black henna" temporary tattoos are often sold and applied by artisans at markets, fairs and amusement parks in Canada and holiday or foreign travel destinations. Natural henna is redbrown in colour and is safe to use directly on skin, whereas "black henna" is produced when a colourant is added to natural henna. Some colourants are safe to add, but others, such as paraphenylenediamine (PPD), are not. PPD may be added to "black henna" ink by mixing it with hair dye. In some cases, hair dye is applied directly to the skin instead of a henna paste.

The use of PPD in cosmetics that are applied directly to the skin (such as temporary tattoos) can cause serious allergic reactions and poses a risk to the health and safety of the user. Therefore, cosmetics containing PPD that are applied directly to the skin are banned from sale in Canada.

PPD is an acceptable ingredient for use in hair dyes that are rinsed off after a maximum of 30 minutes. When used correctly, hair dye does not come directly into contact with skin for prolonged periods of time.

Allergic reactions to PPD include red skin rashes, itching, blisters, open sores, and scarring within 2 to 10 days following application. These allergic reactions may also lead to sensitivities to other products such as hair dye, sun block and some types of clothing dyes.

What you can doBefore receiving a temporary tattoo, ask the vendor to confirm that PPD or hair dye was not added to the ink or paste. Health Canada permits the use of natural henna and other safe dyes in cosmetics. Cosmetic products sold in Canada must have ingredient labels. Ask the vendor to see the ingredient label for the ink or paste. If there is no label, do not get a tattoo.

The following are some indicators that an ink or paste being used for "black henna" temporary tattoos may contain PPD:

If the formula and resulting tattoo are intense black; If the tattoo ink sets very quickly. Natural henna paste must set for 24 - 48 hours to completely darken; If the temporary tattoo lasts one to three weeks, without fading; and, If the ink or paste has very little or no scent (natural henna usually smells like soil, hay, or added essential oils). Note that even brown shades of ink/paste may contain PPD in order to make the temporary tattoo darker or last longer.

Please contact your nearest Health Canada Product Safety Office if you suspect that PPD is being used by a local vendor, or if you suspect you have suffered an adverse reaction from a "black henna" temporary tattoo. Call toll-free 1-866-662-0666 or send an email to cosmetics@hc-sc.gc.ca.

Wednesday, December 10, 2008

Health Canada Reminds Canadians of Electrical Safety This Holiday Season

Health Canada Reminds Canadians of Electrical Safety This Holiday Season

Advisory2008-180

Electrical products, such as sparkling lights, decorations and plug-in toys, form a central part of holiday celebrations in Canada. With the holiday season quickly approaching, Health Canada is reminding the public to choose certified electrical products and to use them properly.

Electrical products that are not properly certified to the standards required by provincial and territorial electrical authorities can lead to electrical shock and fire, resulting in property damage, injury, and even death. When buying electrical products, make sure that they bear one of the recognized Certification marks or Field Evaluation marks (below). These marks ensure that the products are certified to the required Canadian electrical safety standards. If you notice products which do not bear at least one of these marks, report them to the retailer and to your provincial, territorial, or municipal Electrical Safety Authority, or to Health Canada. Note that several marks require the letter 'c' to designate certification to Canadian electrical safety standards. Also note that marks are required on the product itself; marks on the packaging alone are not acceptable.

Recognized Certification Marks

Recognized Field Evaluation Agency Marks

Source: Electrical Safety Authority

If a mark is not present, the product may be counterfeit. Counterfeit electrical products pose health and safety hazards. However, counterfeiters are skilled at mimicking legitimate products, and can apply false certification markings. A reliable way to tell if a product is counterfeit is by its selling price; if a product is offered at an extremely low price, it could be counterfeit.

Purchasing from reputable establishments can help you avoid counterfeit products.

More information about electrical safety is available from:
City of Winnipeg 204-986-5258
Government of the Yukon 867-667-5485
Manitoba Hydro 204-992-7501
British Columbia Safety Authority 1-866-566-7233
City of Calgary 403-268-2113
Prince Edward Island Department of Community and Cultural Affairs 902-368-5470
Nova Scotia Department of Environment and Labour 902-424-8018
Saskatchewan -- SaskPower 306-566-2518
Ontario -- Electrical Safety Authority 1-877-372-7233
Government of the North West Territories 867-873-7461
Alberta Municipal Affairs 1-866-421-6929
Government of Newfoundland and Labrador 709-729-0907
Québec -- Régie du bâtiment du Québec 514-864-2903
New Brunswick -- Department of Public Safety 506-444-5185
City of Vancouver 604-873-7561
Government of Nunavut Community & Government Services 867-975-5448

You may also contact your regional Health Canada Product Safety office toll free at 1-866-662-0666 or by e-mail at cps-spc@hc.gc.ca (please indicate the province or territory from which you are corresponding).

Tuesday, December 9, 2008

FDA Announces Permanent Injunction Against Wilderness Family Naturals LLC

FDA Announces Permanent Injunction Against Wilderness Family Naturals LLC

Company used Internet to claim its unapproved products treat serious health conditions

The U.S. Food and Drug Administration today announced that Wilderness Family Naturals LLC of Silver Bay, Minn., and its owners have signed a consent decree that prohibits them from manufacturing and distributing any products with unapproved claims that the products cure, treat, mitigate or prevent diseases.

Wilderness Family is a manufacturer and distributor of conventional foods, dietary supplements and various salves, all branded under the Wilderness Family name. The company promoted several of its products for the treatment, cure, mitigation or prevention of disease by making claims on their products' labels, their Web site, and on other Web sites accessed by links found on their Web site.

“The FDA is acting to protect the American public from companies making unapproved disease treatment claims for their products,” said Michael Chappell, the FDA's acting associate commissioner for regulatory affairs. “Claims made by Wilderness Family might distract consumers from seeking products that have been shown to be safe and effective in treating disease.”

Wilderness Family has a history of promoting its products for the treatment of diseases, and recently referred customers to seemingly independent Web sites that were actually controlled by Wilderness Family. The Web sites claimed benefits for its products against diseases such as cancer, diabetes, heart disease, hyperthyroidism, chronic fatigue syndrome, HIV and AIDS, and arthritis.

Under the terms of the consent decree, the company and its owners, Kenneth H. Fischer and Annette C. Fischer, cannot promote claims related to their products’ ability to fight diseases unless the products receive FDA approval as new drugs or satisfy FDA’s investigational new drug requirements.

Wilderness Family and its owners also have agreed to remove disease claims from their products’ labels, labeling and Web sites, as well as references to other Web sites that contain such claims. The company and its owners have also agreed to hire an independent expert to review the claims they make for all of their products and to certify to the FDA that they are not making any illegal claims.

The FDA can order Wilderness Family to stop manufacturing and distributing any product if they fail to comply with any provision of the consent decree, the Federal Food, Drug, and Cosmetic Act, or FDA regulations. Defendants are also required to pay $1,000 per violation per day if they fail to comply with the consent decree.

The decree was signed by Judge Donovan W. Frank on December 8, 2008 in the U.S. District Court for the District of Minnesota.

Monday, December 8, 2008

Mexican "Vanilla" With Coumarin: No Bargain

Mexican "Vanilla" With Coumarin: No Bargain

Coumarin Banned in Food Standards for Vanilla

Tips for Consumers Tourists tempted to pick up bargains south of the border should beware of one bargain that isn't always a good buy—so-called Mexican "vanilla." This flavoring product may smell like vanilla, taste like vanilla, and be offered at a cheap price. But it's often made with coumarin, a toxic substance banned in food in the United States.

In addition to being sold in Mexico and other Latin American countries, the coumarin-containing product has appeared on the shelves of some U.S. stores. The Food and Drug Administration (FDA) advises consumers not to purchase this product.

Pure vanilla is made with the extract of beans from the vanilla plant, a type of orchid that grows as a vine. Mexican vanilla is frequently made with the extract of beans from the tonka tree, an entirely different plant that belongs to the pea family. Tonka bean extract contains coumarin, a compound related to warfarin, which is in some blood-thinning medications. Eating food containing coumarin may be especially risky for people taking blood-thinning drugs because the interaction of coumarin and blood thinners can increase the likelihood of bleeding.

Coumarin Banned in FoodSince 1954, FDA has banned coumarin from all food products sold in the United States. Yet the agency has found Mexican vanilla with coumarin in some ethnic food stores and Mexican restaurants in the United States. These products usually have been improperly brought into the country.

If vanilla products that were suspected of containing coumarin were shipped through regular commercial channels, FDA and the U.S. Customs and Border Patrol would stop them at the border because these products are listed on an import alert. An import alert document identifies manufacturers and products that have a history of—or are suspected of—violating the law so that federal agents can keep the products from entering the United States. It is important to note that not all vanilla from Latin American countries contains coumarin.

Standards for VanillaFDA standards specify that only vanilla beans can be used to make vanilla for use in any food product. Vanilla-like flavors that don't meet the standard must be labeled as "imitation" vanilla and must be made from safe ingredients that are permitted for that use.

FDA does not allow tonka bean extract even in imitation vanilla. Because they contain coumarin, tonka beans do not meet the food safety requirements for sale in the United States under the Federal Food, Drug, and Cosmetic Act.

Tips for ConsumersBe wary about buying vanilla in Mexico and other Latin American countries. Look for "vanilla bean" in the ingredient list on the label. If it has "tonka bean" or if there is no ingredient list or a vague one, avoid this product. Don't risk your health to save a few dollars.

Vanilla with coumarin is generally sold at a lower price than pure vanilla because tonka beans are cheaper to grow than vanilla beans. If the price sounds too good to be true, pass it up. Don't buy a food product in the United States that is not labeled in English. Products may have Spanish or other non-English labeling, but they must also have complete English labeling to meet U.S. Government standards. (Products sold only in Puerto Rico are an exception—they are not required to be labeled in English.) Call the FDA Consumer Complaint Coordinator for your geographic area if you suspect that a food product sold in the United States has been imported illegally.

(See list of contacts at www.fda.gov/opacom/backgrounders/complain.html.)

For More InformationImport Alert on Coumarin in Vanilla Productswww.fda.gov/ora/fiars/ora_import_ia2807.html

Know Before You Go: Rules for Bringing Items Back From Your Tripwww.cbp.gov/xp/cgov/travel/vacation/kbyg/

Safety tips from CSA International for the safe use of cord-connected, fan-forced electric space heaters

Safety tips from CSA International for the safe use of cord-connected, fan-forced electric space heaters

During the fall and winter months, space heaters are an effective way to provide temporary warmth to those involved in a profession such as construction or simply working in the garage or around the home. CSA International would like to remind consumers that all space heaters by their very design may present certain shock, fire and burn hazards when used or installed incorrectly.

It is especially important to use extra caution when operating large, electric fan, metal-sheathed, heating element heaters in the 240 volt, 3000 watt and greater range. Due to the high heat output of these devices, there may be an increased fire hazard if used incorrectly, in close proximity to combustibles or around objects that disrupt airflow. The elements in some of these heaters have unexpectedly failed resulting in serious fires. Extreme caution must be used when using these heaters.*

CSA International offers the following tips to help prevent unexpected failures of metal-sheathed heating elements in electric heaters that could lead to electrical shock or fires:

Selection: When purchasing a new heater, ensure that it has been tested and certified to the applicable standards by an accredited certification organization such as CSA International and that it is suitable for the intended application.

Instructions: Always follow the manufacturer's installation and operating instructions and all warnings before using a space heater. If you do not have or understand the instructions, contact the manufacturer directly.

Temporary use: Electric portable fan space heaters are designed to provide temporary warmth only. They should never be permanently installed or mounted and should not be operated continuously over extended periods of time. Portable heaters should never be suspended from ceilings or rafters or in any other manner.

Never hard-wire (removing the plug cap) a portable heater directly to a power supply or modify or tamper with the construction of the unit.

Ventilation: In order to avoid overheating, electric fan space heaters must have proper ventilation across the elements. Never position the heater in an area that will limit the airflow to or from the fan.

Connection: Before turning the heater on, make sure the power supply cord's plug cap is fully inserted into the outlet. To avoid overheating and a potential fire hazard, do not use an extension cord with the heater.

Breakers and GFCIs: Use of an electrical outlet with a Ground Fault Circuit Interrupter (GFCI) or a ground fault protected circuit is recommended. Only use a properly rated fused circuit or a breaker-protected circuit for powering the unit as indicated by the manufacturer's instructions.

Fire Hazards and Combustibles: To avoid the risk of fire, do not use heating equipment near combustible surfaces. Heaters should only be installed on a noncombustible surface that extends a minimum of 1.5 meters beyond the front of the heater. Never operate a heater near flammable materials or in proximity to any volatile or flammable chemicals or vapours.

Air: Never block a heater's air flow. Obstruction of a heater's air intake or exhaust could lead to overheating and a potential fire hazard. Do not insert or allow foreign objects to enter any air vent as this may cause a potential for electric shock, fire or damage to the equipment and never use the heater to dry clothes, boots or other items of apparel.

Maintenance and Storage: Always ensure heaters have had sufficient time to cool down after use before moving or storing and be sure to store heaters in a dry location. Check regularly if there are rust marks or degradation signs on the heating element and follow the manufacturer's instruction for proper maintenance and replacement. Do not use the heater if it has been exposed to any mechanical damage. Periodically clean the heater of any dust or particle accumulation. If you suspect the heater has been damaged or does not seem to work properly, discontinue use and refer to the manufacturer's instructions.

Extra caution: Use extra caution when operating portable heaters. Do not leave a heater running while unattended or use a heater in a position where it can be easily overturned or fall.

*CSA Standard C22.2 No. 46 for electric heaters has been amended to include an additional abnormal operation test to address safety issues that have arisen when devices are operated in extreme conditions or in a manner for which they were not intended. A revised Standard will be published in January, 2009, and effective April 24, 2009 manufacturers will be required to comply with the new abnormal testing requirements of the CSA standard in order to certify their products.

Arrangement on the control of natural health product.Canada/ Hong Kong

Arrangement on the control of natural health product

The health authorities of Hong Kong and Canada today (December 5) signed "Plan of Action for Regulatory Cooperation on Natural Health Products (NHP)" to further enhance their cooperation in the regulation of NHP.

The document was signed by the Director of Health of Hong Kong, Dr P Y Lam and the Assistant Deputy Minister of the Health Products and Food Branch of Health Canada, Ms Meena Ballantyne to establish formal mechanisms for joint co-operation and exchange of information on
NHP between the two places.

It came into effect immediately and will be reviewed prior to the expiry of the four-year term.
NHP include vitamins, minerals and traditional Chinese medicines.

The plan of action is formulated to establish a clear framework for communication, maintaining ongoing dialogue, developing mechanisms for joint collaboration and exchange of relevant information on NHP between Hong Kong and Canada.

It will enhance the safety, quality and efficacy of NHP and strengthen reciprocal knowledge, understanding and updates of regulatory frameworks of the two places.

"The signing of the action plan today will formulate our working relationship and I have confidence that the synergies we achieve will certainly go a long way safeguarding and promoting the health of people of Canada and Hong Kong," Dr Lam said.

Under the Plan of Action, the areas of cooperation between Hong Kong and Canada include:

1) exchange of information such as monographs, pharmacopoeia, standards, guidelines, terminology of natural health products;
2) communication of adverse reaction reports, recalls, and other public warnings; and
3) conduction of joint workshops, technical exchanges and visits

Thursday, December 4, 2008

Major Apparel Retailer To Pay a $60,000 Civil Penalty For Failure To Report Drawstrings In Children’s Outerwear

Major Apparel Retailer To Pay a $60,000 Civil Penalty For Failure To Report Drawstrings In Children’s Outerwear

WASHINGTON, D.C. - The U.S. Consumer Product Safety Commission (CPSC) announced today that Nordstrom Inc., of Seattle, Wash., has agreed to pay a $60,000 civil penalty. The penalty settles allegations that the firm knowingly failed to report to the CPSC immediately, as required by federal law, that its children’s hooded jackets and sweaters were sold with drawstrings at the hood and neck. These products, which the firm eventually recalled, pose a strangulation hazard that can cause death to children. The settlement has been provisionally accepted by the Commission.

CPSC alleged that Nordstrom failed to report to the government in a timely manner that drawstring jackets and sweaters were sold by the firm. Nordstrom sold about 2,400 drawstring jackets and sweaters in the United States between November 2007 and December 2007. In February 2008 and March 2008, CPSC and Nordstrom announced the recall of the drawstring jackets and sweaters.

In February 1996, CPSC issued drawstring guidelines (pdf) to help prevent children from getting entangled and possibly strangling on hood and neck drawstrings in upper outerwear, such as jackets and sweatshirts. In May 2006, CPSC’s Office of Compliance announced (pdf) that children’s upper outerwear with drawstrings at the hood or neck would be regarded as defective and a substantial risk of injury to young children.

Federal law requires manufacturers, distributors, and retailers to report to CPSC immediately (within 24 hours) after obtaining information reasonably supporting the conclusion that a product contains a defect which could create a substantial product hazard, creates an unreasonable risk of serious injury or death, or violates any consumer product safety rule, or any other rule, regulation, standard, or ban enforced by the CPSC.

In agreeing to settle the matter, Nordstrom Inc. denies CPSC's allegations that it knowingly violated the law.

Tuesday, December 2, 2008

Prescribing Information revised on the use of Innohep

Innohep (tinzaparin sodium injection)

Audience: Hematological and Nephrological healthcare professionals, hospital risk managers

FDA has received information about the clinical study: Innohep in Renal Insufficiency Study (IRIS) that was stopped in February, 2008 by the study’s Data Safety Monitoring Committee because of an interim finding of an increase in all-cause mortality in patients who received Innohep.
Information on the patients enrolled in the study, on the heparin used to manufacture Innohep, and on the heparin used in the study is still being collected and analyzed.

In July 2008, the company revised the prescribing information to restrict the use of Innohep in patients 90 years of age or older. FDA is concerned that the preliminary data from the IRIS study suggest that the increased risk of mortality is not limited only to patients 90 years of age or older.

Therefore, FDA has requested that the company revise the labeling for Innohep to better describe the overall study results which suggest that, when compared to unfractionated heparin, Innohep increases the risk of death for elderly patients (i.e., 70 years of age and older) with renal insufficiency.

Healthcare professionals should consider the use of alternative treatments to Innohep when treating elderly patients over 70 years of age with renal insufficiency and DVT, PE, or both.

This communication is in keeping with FDA’s commitment to inform the public about its ongoing safety reviews of drugs.

FDA anticipates submission of the final IRIS study report in January, 2009 and plans to complete its review soon thereafter. FDA will communicate its conclusions and any resulting recommendations to the public at that time. FDA will consider additional regulatory actions as appropriate after thorough review of all applicable data from the manufacturer of Innohep.

Read the complete MedWatch 2008 Safety summary, including a link to the FDA Communication, at: http://www.fda.gov/medwatch/safety/2008/safety08.htm#Innohep

Monday, December 1, 2008

FDA Reports Significant Progress in Protecting the Food Supply

FDA Reports Significant Progress in Protecting the Food Supply

The One-Year Summary of Progress under the Food Protection Plan describes FDA’s efforts to build safety in the U.S. and global food systems The U.S. Food and Drug Administration today released a report on its implementation of the Food Protection Plan that was launched a year ago to protect both domestic and imported food from accidental and intentional contamination. The Plan, which outlines strategies for prevention, intervention and response, is designed to address food safety and food defense for both domestic and imported products and covers the full lifecycle of food, by encouraging the building of safety into every step of the food supply chain.

"Science and 21st century technologies help drive the FDA's efforts to transform our food safety efforts from the Food Protection Plan into a reality," said Commissioner of Food and Drugs Andrew C. von Eschenbach, M.D. "Every day, the FDA is working with foreign countries, state and local governments, regulated industry and consumer groups to ensure the safety of the food supply. We also continue to work with members of Congress to achieve new authorities requested in the Food Protection Plan."

Listed below are the highlights of the agency's accomplishments in implementing the Food Protection Plan's three core strategies: The prevention of outbreaks of food-borne disease, and intervention and response if they occur:

PREVENTION
The FDA is establishing offices in five regions that export food and other FDA-regulated products to the United States: China, India, Europe, Latin America, and the Middle East. The FDA has already hired staff for its offices in China and India. The FDA was part of a U.S. Department of Health and Human Services (HHS) delegation to China to address food safety issues in both countries and to share ideas to address global food safety. U.S. and Chinese government officials discussed recent outbreak of foodborne illness in the United States related to fresh produce as well as the melamine contamination of dairy products in China. The FDA released the CARVER self-assessment tool for industry, to minimize the risk of intentional contamination of food, and conducted training seminars for industry on how to use the tool. The FDA held a meeting of with more than 200 federal, state, local, tribal and territorial partners to address the challenges of protecting the nation's food supply. The FDA is hiring an International Notification Coordinator to manage enhanced information exchanges between the agency and foreign counterpart regulatory authorities. The FDA approved the use of irradiation of iceberg lettuce and spinach for the control of pathogens, such as Escherichia. coli, in or on those foods.

The FDA developed methods to detect melamine and cyanuric acid in feed and feed ingredients.

The FDA is using genetic analysis to identify hundreds of Salmonella strains from seafood imports. The analysis provides information to trace outbreaks of Salmonella outbreaks and implement surveillance programs to ensure food safety. INTERVENTION

The FDA completed inspections of 5,930 high-risk domestic food establishments during the Fiscal Year (FY) 2008. The FDA piloted the program for inspection and sampling of high-risk companies in Denver and Minneapolis during the Democratic and Republican National

Conventions. A targeted, risk-based inspection of a canning facility in 2008 identified cans with viable Clostridium botulinum spores and a recall was initiated. The FDA initiated this inspection, along with inspections of other Low Acid Canned Food (LACF) manufacturers, following four cases of botulism in consumers in 2007. The FDA increased inspection efforts to ensure that manufacturers of all types of LACF products are adhering to applicable FDA requirements.

These actions illustrate the need for companies to operate under adequate preventive control systems. The FDA issued "Draft Guidance for Industry on Voluntary Third-Party Certification
Programs for Food and Feed." Docket FDA-2008-D-0381 is available for viewing at www.regulations.gov. The FDA has developed a rapid detection method that uses flow cytometry to identify E. coli and Salmonella in food, now in use in poultry-processing facilities to detect and prevent bacterial contamination during food processing. The FDA is expanding its database of adverse drug events to include adverse feed events, which will allow the agency to respond faster to outbreaks of feedborne disease in animals, contamination episodes, and/or product defects. The FDA and U.S. Customs and Border Protection jointly issued a final rule on Prior Notice of Imported Food Shipments, and an accompanying Compliance Policy Guide (CPG) on Oct. 31, 2008; the rule and CPG were published in the Federal Register on Nov. 7, 2008.

RESPONSE
The FDA is working with industry and the public to identify best practices for tracing fresh produce throughout the supply chain. The FDA has enhanced the agency's ability to coordinate a comprehensive response to foodborne illness events by authoring tools used to track emergency response resources and other locations of interest. The FDA hired two emergency /complaint-response coordinators to improve its response to emergencies that involve animal feed, including pet food. Following the detection of melamine in infant formula and milk products from China, the FDA worked with its state and local counterparts to rapidly canvas over 2,100 vendors of Asian products to remove any Chinese infant formula from the market and to sample milk-derived Chinese products to check for melamine contamination. The FDA also provided regular updates on its Web site, advising consumers which products to avoid because of melamine contamination. The FDA held regular briefing calls for consumer organizations during the outbreak of Salmonella Saintpaul in the summer of 2008, and regularly updated a Web page that provided information on the investigation into the outbreak, and advised consumers how they could protect themselves and their families. The FDA has signed cooperative agreements with six U.S. states to form a Rapid Response Team to develop, implement, exercise, and integrate an all-hazards response capability for food and foodborne illness responses, to react more rapidly react to potential threats to our food supply. After reports from China of melamine-contaminated infant formula, the FDA worked with its state and local counterparts to quickly canvas over 2,100 Asian markets to remove any infant formula from China that might be available and to sample milk-derived products to check for melamine contamination. The entire

One-Year Summary of Progress under the Food Protection Plan is posted at www.fda.gov/oc/initiatives/advance/food/progressreport1108.html, and the Food Protection Plan is available at www.fda.gov/oc/initiatives/advance/food/plan.html.

The Food Protection Plan complements the Action Plan on Import Safety the President's Working Group On Import Safety unveiled one year ago to improve the safety of all imported products. HHS Secretary Mike Leavitt heads The Working Group. For additional information on the FDA's activities under the Action Plan for Import Safety, please visit: www.fda.gov/oc/initiatives/advance/imports/activities.html.

Friday, November 28, 2008

FDA Acts to Reduce Risk of Salmonella Infections

FDA Acts to Reduce Risk of Salmonella Infections

What do 1,000 yellow-bellied sliders and Mississippi map turtles have to do with public health?

These turtles can make people very sick.

On March 3, 2008, Strictly Reptiles Inc., a wildlife dealer in Hollywood, Fla., sold 1,000 baby yellow-bellied sliders and Mississippi map turtles to a souvenir shop in Panama City, Fla. The sale violated a Food and Drug Administration (FDA) ban on small pet turtles designed to protect the public from the disease-causing bacteria Salmonella. Turtles often carry Salmonella on their outer skin and shell surfaces, and people can get Salmonella infection by coming in contact with turtles or their habitats.

On July 14, 2008, the U.S. District Court in Fort Lauderdale convicted and sentenced Strictly Reptiles for its role in illegally selling, and offering for sale, live undersized turtles. The Florida District of FDA's law enforcement arm, the Office of Criminal Investigations (OCI), and the U.S. Fish and Wildlife Service investigated the case leading to the conviction, with help from FDA's Center for Veterinary Medicine.

"The illegal sale of these pet turtles put one of our most vulnerable populations—children—at risk for becoming very sick," says Philip Walsky, assistant special agent in charge in FDA's OCI Headquarters office.

Salmonella Infection Can Cause IllnessAll reptiles (turtles, lizards, snakes) and amphibians (frogs, salamanders) are commonly contaminated with Salmonella. The bacteria do not make these animals sick, but they can make people ill and even be life-threatening to children, elderly people, and others with weakened immune systems.

Small pet turtles are of particular concern because children are more prone to handling the turtles without washing their hands afterwards, and even putting the turtles in their mouths.
In 1975, FDA banned the sale of small pet turtles—those with shells less than four inches long.

Infectious disease specialists estimate that banning small turtles prevents 100,000 Salmonella infections in children each year in the United States. The ban excludes small turtles when they are used for educational, exhibitional, or scientific purposes—not as pets.

Despite the ban, in recent years, several widespread outbreaks of Salmonella infection related to undersized turtles have been reported to the Centers for Disease Control and Prevention (CDC).

In 2007, two teenaged girls in South Carolina became very ill with bloody diarrhea, cramps, fever, and vomiting after they swam in an unchlorinated, in-ground pool where the family's pet turtles had also been allowed to swim. The same strain of Salmonella found in the teenaged girls was also found in 101 other people in 32 states who were reported ill between early May 2007 and mid-January 2008, according to CDC. When 80 of these people were questioned, 47 of them confirmed that they had been exposed to a turtle during the seven days before they got sick.

In February 2007, the tragic death of a four-week-old baby in Florida was linked to Salmonella from a small pet turtle.

The owner of Strictly Reptiles admitted to OCI agents that he intentionally did not ask customers their purpose for purchasing the turtles in order not to lose sales.

On March 3, 2008, Strictly Reptiles sold about 1,000 undersized turtles to a souvenir business for $2.75 to $3.00 each. The souvenir business, in turn, sold the undersized turtles for $14.99 each.

At sentencing, the court ordered a criminal fine of $5,000, the forfeiture of more than 6,300 turtles, and two years' probation that allows federal agents to inspect sales records of all Strictly Reptiles' live turtles.

The court further ordered Strictly Reptiles to obtain a signed document from every buyer of undersized turtles that indicates the buyer is aware of the legal restrictions placed on the sale, or holding for sale, of these turtles.

"FDA will vigorously pursue its mission of protecting the public from those who violate the law, flagrantly disregarding the risk to public health for the sake of their own profit," says Walsky.

Don't buy small turtles for pets or as gifts.
If your family is expecting a child, remove any pet turtle (or other reptile or amphibian) from the home before the infant arrives.
Keep turtles out of homes with children under five years old, elderly people, or others with weakened immune systems.
Do not allow turtles to roam freely through the house, especially in food preparation areas.
Do not clean turtle tanks or other supplies in the kitchen sink.
Use bleach to disinfect a tub or other place where turtle habitats are cleaned.
Always wash hands thoroughly with soap and water after touching a turtle, its food or housing, or anything else that comes in contact with a turtle or its habitat.
Be aware that Salmonella infection can be caused by contact with turtles in petting zoos, parks, child day care facilities, or other locations.
Watch for symptoms of Salmonella infection, such as diarrhea, stomach pain, nausea, vomiting, fever, and headache.
Call your doctor if you or your family have any of these symptoms.

This article appears on FDA's Consumer Health Information Web page (www.fda.gov/consumer), which features the latest updates on FDA-regulated products.

For More Information

FDA Law Enforcers Protect Consumers' Healthwww.fda.gov/consumer/updates/oci072307.html

Pet Turtles: Cute But Contaminated with Salmonellawww.fda.gov/consumer/updates/turtles012508.html

Reptiles and Salmonellawww.cdc.gov/Features/ReptilesSalmonella/

Thursday, November 27, 2008

Demands For Baby Formula Recall Mount

Demands For Baby Formula Recall Mount

FDA Changes Its Story On Melamine Contamination, But Insists Products Are Safe

Disclosure that laboratory tests have detected traces of contamination in several major brands of infant formula generated concern and confusion Wednesday, with a national consumer group and the Illinois attorney general demanding a Food and Drug Administration recall.

The FDA shunned those calls, but admitted it had released inaccurate information on what chemicals were found in which top selling products.

As worried parents called manufacturers looking for guidance about the presence of melamine and a key byproduct in U.S.-made formula, the FDA reiterated its position that the baby food is safe and parents should continue feeding it to their babies, contending the extremely low levels of contamination do not present a health danger.

Also, a spokesman for one major manufacturer criticized the FDA for its release of the inaccurate information.

"We're getting inundated by calls from moms confused about the situation," said Pete Paradossi, a spokesman for Mead Johnson, one of the three major manufacturers of U.S.-made formula involved in the problem detections.

Melamine is the industrial chemical found in Chinese infant formula - in far larger concentrations - that has been blamed for killing at least three babies and making at least 50,000 others ill.

The FDA and said the melamine contamination in U.S.-made formula had occurred during the manufacturing process, whereas melamine was intentionally added to the Chinese products. U.S. Manufacturers say their products are safe.

"The levels that we are detecting are extremely low," said Dr. Stephen Sundlof, director of the FDA's Center for Food Safety and Applied Nutrition. "They should not be changing the diet. If they've been feeding a particular product, they should continue to feed that product. That's in the best interest of the baby."

Part of the confusion Wednesday stemmed from the FDA's own statements.

While proclaiming that the very low concentrations detected of melamine and a similar
compound called cyanuric acid pose no health danger to infants, the FDA has maintained it is unable to identify any exposure level of melamine in infant formula "that does not raise public health concerns."

Further complicating the situation was inaccurate data that FDA released to The Associated Press, which was disclose the formulas' brand names in an investigative report Tuesday.

A spreadsheet the AP obtained from the FDA under a Freedom of Information Act request stated that Mead Johnson's infant formula powder, Enfamil LIPIL with Iron, contained traces of melamine.

On Wednesday, FDA spokeswoman Judy Leon said that spreadsheet contained an error - that the FDA had incorrectly switched the names of the Mead Johnson product with Nestle's Good Start Supreme Infant Formula with Iron. That meant, Leon said, that the Nestle's Good Start had melamine while Mead Johnson's Enfamil had traces of cyanuric acid.

The FDA said last month that the toxicity of cyanuric acid is under study, but that in the meantime it is "prudent" to assume that its potency is equal to that of melamine.

Problems with melamine-spiked formula surfaced this fall in China, where unscrupulous manufacturers intentionally dumped it into watered-down milk to falsely elevate protein levels.

The concentrations in China were as much as 2,500 parts per million - about 10,000 times greater than what the FDA found in the U.S.

The FDA said there have been no reports in the United States of human illness from melamine. The chemical, which legally can be used in product packaging and a solution to clean
manufacturing equipment, can bind with other chemicals in urine, potentially causing damaging stones in the kidney or bladder and, in extreme cases, kidney failure.

Mead Johnson spokesman Paradossi said he was frustrated that the FDA had provided inaccurate information for worldwide distribution by the AP. He said the FDA informed his company of the test results, as well as the inaccurate disclosures only Wednesday, during an emergency conference call the agency staged with major manufacturers and the industry's trade group. During a similar call Monday, the FDA told the industry about the upcoming AP investigative report.

Nestle did not returns calls seeking comment Wednesday.

At the same time, Illinois Attorney General Lisa Madigan called on the state's public health department and the FDA to recall both the Nestle and Mead Johnson products - and urged the companies to take that step regardless of what any government agency does.

Madigan also criticized the FDA's handling of its test results.

The [FDA] apparently withheld the results of its testing from the public for over three weeks, and then only disclosed the information in response to a [Freedom of Information Act] request by The Associated Press.

Illinois Attorney General Lisa Madigan"The agency apparently withheld the results of its testing from the public for over three weeks, and then only disclosed the information in response to a FOIA request by The Associated Press," she wrote in a letter to Michael Leavitt, the secretary of the U.S. Department of Health and Human Services, which oversees the FDA.

As for possible consideration of a recall, the FDA's Leon said: "The agency would only seek to remove a product on the basis of a risk, based on scientific evidence. That's not what we're talking about here."

Consumers Union said that the FDA's assurances are of small comfort to parents and caregivers.

"The FDA originally said there was no safe level for these contaminants in infant formula. So this formula is contaminated," said Jean Halloran, the group's director of Food Policy Initiatives. "It is very disturbing to us that no recall has been requested."

She urged the FDA "to immediately make public all of the results of its tests for melamine contamination in food," even those with levels below what would trigger agency action."

Rep. Bart Stupak, D-Mich., a frequent critic of the FDA, also has called for recalls.

During a series of calls with formula manufacturers starting Monday - put together hurriedly, according to several participants, as the AP was preparing to publish its story - the FDA has told manufacturers it has taken 230 samples of various products, including pediatric supplements and ingredients used in infant formula. Leon said that 87 of those samples are of infant formula, and that 77 of those have been analyzed.

Under the corrected information she relayed Wednesday, the results were:

Nestle's Good Start Supreme Infant Formula with Iron had two positive tests for melamine on one sample, with readings of 0.137 and 0.14 parts per million.

Mead Johnson's Infant Formula Powder, Enfamil LIPIL with Iron had three positive tests for cyanuric acid, at an average of 0.247 parts per million.

Separately, a third major formula maker - Abbott Laboratories, whose brands include Similac - told AP that in-house tests had detected trace levels of melamine in its infant formula. Those levels were below what FDA found in the other formulas, an Abbott spokesman said, and below any nation's safety guidelines.

The three firms - Abbott Laboratories, Nestle and Mead Johnson - manufacture more than 90 percent of all infant formula produced in the United States.

Tuesday, November 25, 2008

Increased risk of serious skin reactions from phenytoin therapy

FDA is investigating new preliminary data regarding a potential increased risk of serious skin reactions including Stevens Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) from phenytoin therapy in Asian patients positive for human leukocyte antigen (HLA) allele, HLA-B*1502.

This allele occurs almost exclusively in patients with ancestry across broad areas of Asia, including Han Chinese, Filipinos, Malaysians, South Asian Indians, and Thais.

Until the FDA evaluation is completed, healthcare providers who are considering the use of phenytoin or fosphenytoin should be aware of the risks and benefits described in the current prescribing information for this drug.

Healthcare providers should consider avoiding phenytoin and fosphenytoin as alternatives for carbamazepine in patients who test positive for HLA-B*1502.

A summary of the data currently being analyzed by FDA, and information for patients and healthcare professionals to consider, can be found in the links provided in the MedWatch safety alert.

Read the MedWatch safety summary, including links to the Information for Healthcare Professionals and FDA Drug Information pages, at:
http://www.fda.gov/medwatch/safety/2008/safety08.htm#Phenytoin

Sunday, November 23, 2008

IKEA to pay fine for 2006 candle recall

IKEA to pay fine for 2006 candle recall

The government says the home furnishing company IKEA has agreed to pay a $500,000 fine for being slow to report defective outdoor candles.

The company recalled 133,000 packages of the candles in the United States in May 2006. The step came after IKEA received at least 32 reports of problems worldwide, including 12 reports of injuries.

The Consumer Product Safety Commission says IKEA did not promptly report problems with these candles, as the law requires.

In the settlement agreement with the agency, IKEA North America Services denies it knowingly broke the law.

Tuesday, November 18, 2008

HHS Opens Offices of the Food and Drug Administration (FDA) in China

HHS Opens Offices of the Food and Drug Administration (FDA) in China

As part of an ongoing strategy to continually improve import safeguards to meet the changing demands of a global economy, the U.S. Department of Health and Human Services (HHS) is this week officially opening offices of its Food and Drug Administration (FDA) in Beijing, Guangzhou and Shangai in the People’s Republic of China. HHS Secretary Mike Leavitt and FDA Commissioner Andrew von Eschenbach, M.D. will travel to the three cities this week to meet with manufacturers and Chinese government officials to discuss policy and governance reforms aimed at improving the safety of food and other consumer products. They will also mark the opening of the three offices, and introduce some of the HHS/FDA officials who will work there.

“We’re opening up a new era, not just new offices,” Secretary Leavitt said. “By having a presence in other parts of the world, we can work more closely with manufacturers and other governments, better share best practices and further ensure that quality and safety are built into food and consumer products at the point of manufacture.”

“A permanent FDA presence in China will help us address the challenges presented by globalization,” Commissioner von Eschenbach said. “We look forward to working with the Chinese government and manufacturers to ensure that FDA standards for safety and manufacturing quality are met before products ship to the United States.”

HHS is working to have an FDA presence in five geographic regions: China, India, Europe, Latin America and the Middle East. Recent Secretarial announcements and visits have highlighted HHS/FDA activities in these areas. During a visit to the Middle East in October, Secretary Leavitt announced that the FDA’s Middle East office will be headquartered in Amman, Jordan.

In June, the Secretary and other HHS and FDA officials met with government and industry leaders from Central America and México at a summit on product safety in El Salvador to outline possible ways of working together more closely, including through a proposed memorandum of understanding.

In December 2007, the United States signed two Memoranda of Agreement on the safety of food, feed, drugs and medical devices with agencies of the Chinese government. The agreements, signed by Secretary Leavitt for the United States, contain a framework for closer collaboration between HHS/FDA and its Chinese counterpart agencies to help assure Chinese products under HHS/FDA jurisdiction that come to the United States will be safer. As a result, the transmission of information between the agencies of the two countries has especially improved, and they have worked more closely to address safety concerns.

Establishing a permanent HHS/FDA presence in China will greatly enhance the speed and effectiveness of regulatory cooperation and efforts to protect consumers in both countries. HHS/FDA officials will also assist the Chinese Government, as requested, in its ongoing efforts to improve its regulatory systems for exports to help assure product safety.

FDA has selected eight senior experienced FDA officials to work in its offices in China. The employees are inspectors and senior technical experts in foods, medicines and medical devices. The HHS/FDA office in Beijing will be located in the US Embassy. In Guangzhou, it will be located in the U.S. Consulate General, and in Shanghai it will be part of the U.S. consular mission there, but will be situated in the Shanghai Centre, a well-established business complex in the city where several other U.S. government agencies have staff.

For more information about HHS import safety initiatives, visit http://www.importsafety.gov/.

For more information about HHS global health efforts, visit www.globalhealth.gov.

Monday, November 17, 2008

Health Canada Reminds Canadians About the Risks of Eating Raw or Undercooked Shellfish

Health Canada Reminds Canadians About the Risks of Eating Raw or Undercooked Shellfish

Information Update2008-174

Health Canada is reminding Canadians that raw bivalve shellfish - such as oysters, clams, scallops, mussels and cockles - can carry bacteria, viruses and toxins that can cause foodborne illnesses if they are not stored, handled or prepared appropriately.

Canada's Food Guide to Healthy Eating recommends that Canadians eat at least two servings a week of fish and seafood. However, as with all foods, it is important to store, handle and prepare shellfish and seafood appropriately to help prevent illness. In particular, children, pregnant women, the elderly and people with weakened immune systems (including people with liver diseases) are more susceptible to foodborne illness and should avoid eating raw or undercooked shellfish.

Here are some steps you can take to prevent foodborne illness from these foods:
Buy bivalve shellfish and seafood from reputable sources, and keep them cold (below 4 °C).
A retailer selling raw shellfish should be able to show you a shellfish shipper's tag.
Only shellfish from approved sources with a shellfish shipper's tag should be eaten.
Refrigerate these foods immediately after purchase.
Do not put live shellfish in a closed container or into fresh water.
Cover the shells with a damp cloth and place on the lowest shelf of the refrigerator.
Store shucked shellfish in a closed container.
Raw shellfish can be kept refrigerated for a few days, depending on their freshness and quality, and can be stored in the freezer for 2-4 months.
Shucked oysters should be frozen if you do not eat them within two days.
Check the packaging on frozen seafood.
Make sure that the packaging is not torn or open and that there is minimal frost or ice crystal formation on the packaging.
Too much frost could mean that the seafood has been frozen for a long time or has been thawed and refrozen.
Place the frozen seafood in the freezer immediately after purchase until you are ready to use it. You should never defrost seafood at room temperature.
Thaw food in the refrigerator, in cold water, or in the microwave if you will be cooking it immediately.
If thawing in cold water, replace water every 30 minutes.
Keep raw bivalve shellfish separate from cooked foods and follow good hygiene practices: wash hands before preparing foods, wash hands after handling raw shellfish, and wash counters and utensils with soap and warm water after preparation.
Make sure your shellfish is fresh.
Fresh oysters, clams, scallops, mussels and cockles should close their shells when you tap them. Shucked oysters (usually sold in tubs) are not meant for raw consumption.
It is best to cook oysters, clams, scallops, mussels and cockles to minimize the chances of foodborne illnesses.

Guidelines for cooking shellfish are: Boil oysters, clams, scallops, mussels and cockles until the shells open, and then boil for an additional 3-5 minutes.
You should also boil or simmer shucked shellfish for at least 3 minutes or until the edges curl. Steam for 4-9 minutes and throw out those that did not open.
Fry for at least 3 minutes at 190 °C (375 F). Bake for at least 10 minutes at 230 °C (450 F).
If you wish to harvest bivalve shellfish yourself, make sure you do so in areas that are open for harvesting.
Contamination due to impurities or natural toxins from marine algae can occur at any time of the year, and cooking will NOT destroy these toxins.

Contact your nearest Department of Fisheries and Oceans office listed in the blue pages of your local telephone directory for information on areas currently open for bivalve shellfish harvesting.

You may also want to check with your local or provincial government about harvesting restrictions or consumption advice for shellfish not purchased from commercial establishments.

It is estimated that there are as many as 13 million cases of food-related illnesses in Canada every year. Many of these illnesses could be prevented by following proper food handling and preparation techniques.

Thursday, November 13, 2008

Feds Offer Car Recall News Electronically(Wonder where they got the Idea?)

Feds Offer Car Recall News Electronically

The National Highway Traffic Safety Administration (NHTSA) has unveiled a new initiative to notify vehicle owners electronically when their car is recalled. The recall alerts can be received via e-mail or RSS-feeds on personal computers, cell phones or PDA devices-automatically and free-of-charge. However, consumers must sign up to receive the notices.

According to NHTSA, there are about 600 vehicle recalls each year. Historically, one in four motorists ignore these recalls when they are announced.

"It is extremely important that people are aware of recalls and act quickly to get their vehicles repaired," Transportation Secretary Mary Secretary Peters said. "When it comes down to it, ignoring a recall means ignoring a safety defect that could put you and your family at risk."

Under the new alert system, consumers can elect to receive all vehicle recalls as they are made public, or personalize the alerts to specific vehicles.

David Kelly, acting administrator of NHTSA, noted that the vehicle recall notification system is an expansion of the agency's consumer safety communications program. Earlier this year, NHTSA also introduced automated recall alerts for child safety seats and tires.

"I urge everyone to visit the safercar.gov website and sign up for all three recall alert programs," Kelly said. "In these cases, information is not just power, it can save your life and the lives of your family and loved ones."

To start receiving NHTSA's recall alerts, go to www.safercar.gov and select the "Email recall notifications" option.

p.s. (TRI members know this is a day late and a dollar short!)

Let us know what YOU think!

Wednesday, November 12, 2008

Shop CPSC Toy Safety Tips Before Shopping for Holiday Gifts

Shop CPSC Toy Safety Tips Before Shopping for Holiday Gifts

The holidays are here and the U.S. Consumer Product Safety Commission (CPSC) has its list.

Parents and gift buyers are encouraged to check it twice. Today, CPSC issued its annual holiday safety messages, joined by U.S. Customs and Border Protection (CBP) and Safe Kids Worldwide, to remind parents to be diligent when making holiday shopping choices.

“CPSC, CBP and industry activity has been with one goal in mind, to keep the toys our children play with the safest in the world” said Acting Chairman Nancy Nord. “Vigorous inspection of toys, testing and law enforcement have made toys the safest this season.”

For 2007, the Commission has reports of 18 toy-related deaths and CPSC staff estimates that there were about 170,100 hospital emergency-room treated toy-related injuries to children under 15. Most of the deaths were associated with airway obstruction from small toys, drowning, or motor vehicle accidents during play. Most of the injuries were lacerations, contusion and abrasions; the head and face was the area most frequently affected.

The top 5 toy hazards:
Scooters and other Riding Toys – Riding toys, skateboards and in-line skates go fast and falls could be deadly. Helmets and safety gear should be worn at all times and be sized to fit.

Small Balls and other Toys with Small Parts – For children younger than age three, avoid toys with small parts, which can cause choking.

Balloons - Children under eight yrs. can choke or suffocate on un-inflated or broken balloons. Keep un-inflated balloons from children. Discard broken balloons at once.

Magnets – For children under age six, avoid building or play sets with small magnets. If magnets or pieces with magnets are swallowed, serious injuries and/or death can occur.

Chargers and Adapters – Charging batteries should be supervised by adults. Chargers and adapters can pose thermal burn hazards to children.

Once the gifts are open:
Immediately discard plastic wrappings on toys before they become dangerous play things.

Keep toys appropriate for older children away from younger siblings.

Pay attention to instructions and warnings on battery chargers. Some chargers lack any device to prevent overcharging.

With the increased popularity of second-hand stores and on-line vendors, gift-givers should be especially vigilant to prevent the sale or purchase of hazardous products that have been recalled, banned or do not meet current safety standards. Before placing products in the second-hand market, check its recall status at www.cpsc.gov. Buyers should make sure their gifts do not include any of the recalled toys or children's products on CPSC's web site.

Saturday, November 8, 2008

Bottled water contains disinfection byproducts, fertilizer residue, and pain medication

Bottled water contains disinfection byproducts, fertilizer residue, and pain medication

The bottled water industry promotes an image of purity, but comprehensive testing by the Environmental Working Group (EWG) reveals a surprising array of chemical contaminants in every bottled water brand analyzed, including toxic byproducts of chlorination in Walmart’s Sam’s Choice and Giant Supermarket's Acadia brands, at levels no different than routinely found in tap water.

Several Sam's Choice samples purchased in California exceeded legal limits for bottled water contaminants in that state. Cancer-causing contaminants in bottled water purchased in 5 states (North Carolina, California, Virginia, Delaware and Maryland) and the District of Columbia substantially exceeded the voluntary standards established by the bottled water industry.

Unlike tap water, where consumers are provided with test results every year, the bottled water industry does not disclose the results of any contaminant testing that it conducts. Instead, the industry hides behind the claim that bottled water is held to the same safety standards as tap water.

But with promotional campaigns saturated with images of mountain springs, and prices 1,900 times the price of tap water, consumers are clearly led to believe that they are buying a product that has been purified to a level beyond the water that comes out of the garden hose.

FULL STORY: http://www.ewg.org/reports/bottledwater

Friday, November 7, 2008

ThermoGenesis Corp. of Rancho Cordova reported a bigger fiscal first-quarter loss as it announced plans for a product recall.

ThermoGenesis Corp. of Rancho Cordova reported a bigger fiscal first-quarter loss as it announced plans for a product recall.

The company lost $2.7 million, or 5 cents per share in the quarter ended Sept. 30. That was 17 percent worse than the loss of $2.3 million, or 4 cents per share, in the company’s fiscal first quarter last year.

First-quarter revenue totaled $4.5 million, up 24 percent from $3.6 million in the same period of last year.

ThermoGenesis makes equipment and disposable bags for processing and storing stem cells from blood and adult bone marrow. Stem cells are used to treat cancers such as leukemia and lymphoma and blood diseases.

The first quarter financial results include a $520,000 cost resulting from a voluntary recall of disposable AutoXpress stem-cell processing bags. The bags contained small particles that could cause contamination of the stem-cell samples.


The company said it will submit a recall plan for U.S. Food and Drug Administration approval this week.


“The company believes that it has adequately accrued for the costs related to this plan, but the estimate may change depending on the discussions with the FDA,” the company said in a news release. “As part of the recall plan, the company will provide customers a blood filter to be used, as necessary, with any bag already processed.”

The company also experienced short-term delays in shipments of AXP devices dued to a “flawed supplier component” and because the company filled nearly its entire bag set backlog during the prior quarter, according to the news release.

The company ended the quarter with $22.3 million in cash and short term investments.
The company expects overall fiscal 2009 revenue growth of 10 to 20 percent, a downgrade from prior guidance of 30 to 35 percent.

The company has revised its strategy for its Vantus Inc. veterinary subsidiary. It will now focus on the company’s Res-Q system for bone marrow processing and concentrating platelets from peripheral blood.

Thursday, November 6, 2008

FDA Seizes Contaminated Heparin from a Cincinnati Manufacturer

FDA Seizes Contaminated Heparin from a Cincinnati Manufacturer

As part of the U.S. Food and Drug Administration's ongoing efforts to ensure that heparin for patients remains safe, the government today seized 11 lots of heparin from Celsus Laboratories Inc. in Cincinnati, Ohio.

The five lots of Heparin Sodium Active Pharmaceutical Ingredient (API) and six lots of Heparin Lithium were seized at the FDA's request by U.S. Marshals. These products, which were manufactured from material imported from China, had been found by the agency to be contaminated with over-sulfated chondroitin sulfate (OSCS), a substance that mimics heparin's anticoagulant activity.

“This action will help prevent this contaminated heparin from finding its way into the marketplace," said Mike Chappell, acting associate commissioner for regulatory affairs, FDA.

Heparin is a blood-thinning drug. An API is a substance or mixture of substances that, when delivered in a finished drug product, directly affects the structure or function of the body.

Heparin Sodium USP is an API that may be incorporated into finished drug products. Heparin Lithium is used in certain medical devices including vacutainer blood collection tubes, some in vitro diagnostic assays, and as a coating for capillary tubes. Celsus has distributed Heparin Sodium USP and Heparin Lithium to manufacturers in both the United States and abroad.

OSCS contaminant in injectable drug products containing heparin has been linked to multiple adverse events and deaths initially reported to the FDA in January 2008. Since then, the FDA has put in place a comprehensive inspection and import controls program and has acted to remove from the market heparin materials and products contaminated with OSCS. The seized Celsus heparin – which had entered the United States before the establishment of import controls for the drug – was tested for the presence of OSCS as part of this FDA effort.

To date, the agency has initiated 13 recalls of multiple contaminated medical products containing heparin from several companies.

The FDA informed Celsus Laboratories during an April 2008 inspection and again in a May 8, 2008, letter that the company's actions to notify customers about a contaminant in its heparin were insufficient to assure an effective recall. The agency advises manufacturers who may have purchased heparin from Celsus to contact the company to make certain they are not using any heparin from the seized lots because the product does not meet acceptable quality standards.

The FDA has notified Japanese, Canadian, Australian, European Union, and other international authorities of shipments of contaminated heparin from Celsus.

Tuesday, November 4, 2008

September 2008 posting includes 36 drug products with safety labeling changes to the following

The September 2008 posting includes 36 drug products with safety labeling changes to the following sections: BOXED WARNING, CONTRAINDICATIONS, WARNINGS, PRECAUTIONS, ADVERSE REACTIONS, PATIENT PACKAGE INSERTS, and MEDICATION GUIDES.

The "Summary Page" provides a listing of drug names and safety labeling sections revised:
http://www.fda.gov/medwatch/safety/2008/sep08_quickview.htm

The "Detailed View Page" identifies safety labeling sections and subsections revised along with a brief summary of new or modified safety information to the BOXED WARNING, CONTRAINDICATIONS, and/or WARNINGS sections:
http://www.fda.gov/medwatch/safety/2008/sep08.htm

In September 2008, the following drugs had modifications to the BOXED WARNING, CONTRAINDICATIONS, and/or WARNINGS sections:

Aceon (perindopril erbumine) Tablets
Proair HFA (albuterol sulfate) Inhalation Aerosol
EpiPen (epinephrine) Auto-Injector 0.3 mg & EpiPen JR (epinephrine) Auto-Injector 0.15 mg
Erbitux (cetuximab) Solution for Intravenous Use
Exubera (insulin human [rDNA origin]) Inhalation Powder
Gleevec (imatinib mesylate) Tablets
Heparin Sodium Injection, USP [Preservative Free]
Heparin Sodium Injection, USP [Preserved with Parabens]
Nasacort AQ (triamcinolone acetonide) Nasal Spray
Noroxin (norfloxacin) Tablets
Photofrin (porfimer sodium) Injection
Reyataz (atazanavir sulfate) Capsules
Rituxan (rituximab) Injection for Intravenous Use
Tarceva (erlotinib) Tablets
Uroxatral (alfuzosin HCl extended-release tablets)

Monday, November 3, 2008

Pregnant women advised to limit caffeine consumption

Pregnant women advised to limit caffeine consumption

The Agency has today issued new advice on caffeine consumption during pregnancy. This follows the results of new FSA-funded research carried out by the Universities of Leeds and Leicester.

‘Everyone wants the best for their baby. Limiting daily caffeine intake is one way which you can ensure your baby has the best start in life.’

Pregnant women are advised to limit their daily caffeine intake to 200mg a day – roughly two mugs of coffee a day. This is because too much caffeine might result in a baby having a lower birth weight than it should, which can increase the risk of some health conditions in later life.

There is also some evidence which suggests that high levels of caffeine can result in spontaneous miscarriage. Caffeine is found in coffee, tea, chocolate, some soft drinks, and certain medicines.

The Agency had previously recommended a maximum daily intake of 300mg. However, the new research, published by the British Medical Journal today, suggests a limit of 200mg per day will help to reduce this low risk even further.

Professor Janet Cade, from the University of Leeds, said: 'Everyone wants the best for their baby. Limiting daily caffeine intake is one way which you can ensure your baby has the best start in life.'

Pregnant women who have been following the previous advice, and limiting consumption to below 300mg a day, should not be concerned. Not only is the risk likely to be very low, but the research also showed that the average daily caffeine intake during pregnancy was already below 200mg, so many pregnant women will not be affected by this change in advice. Those currently consuming more than this 200mg a day are advised to simply reduce their caffeine consumption to less than 200mg a day for the remainder of their pregnancy.

Andrew Wadge, Chief Scientist at the FSA, said: 'This new advice doesn’t mean that pregnant women have to cut out caffeine completely, simply that they should be careful and make sure they don't have too much. We would emphasise that the risks are likely to be very small and believe our new advice, which is based on new research and has been considered by leading independent scientists, is sensible and proportionate.'

These findings and the results of other studies were considered by independent experts of the FSA's Committee on Toxicity, who advised a change in the FSA's advice on daily caffeine intake for pregnant women.