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Brazil successfully hardballs Abbott on AIDs drug

I mentioned in May that Brazil had introduced compulsory licensing on a Merck AIDs drug Efavirenz, and heartily recommended that Brazil and other third world countries continue to play hardball with big pharma whenever they could. It looks like Merck decided to not bargain, but Abbott did on Kaletra. Note that Abbott got into a similar controversy with Thailand, and agreed to drop the price when Thailand rejected the Kaletra patent.

Keep it coming, third world countries. Bargaining is perfectly acceptable in the marketplace!

Brazil says Abbott to cut price of AIDS drug | Health | Reuters

razil’s health ministry said Wednesday that Abbott Laboratories Inc. agreed to cut the price of its Kaletra AIDS drug by 29.5 percent.

The lower price for the drug, also known as lopinavir and ritonavir, will help Brazil supply free drugs for its AIDS treatment program.

In May, President Luiz Inacio Lula da Silva authorized Brazil for the first time to break the patent on an AIDS drug, one made by Merck & Co.. It then started importing a generic version of the drug Efavirenz from India.

Under WTO rules, countries can issue a “compulsory license” to manufacture or buy generic versions of patented drugs deemed critical to public health.

Drug makers often reduce prices to keep countries as clients and avoid compulsory licenses.

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    Ionic Air Purifiers may actually Increase Particle Concentrations

    Take that, Sharper Image, your air purifiers that you waste tons of paper sending me monthly catalogs for don’t work. The ones that use ozone react with organic compounds in the air, especially your fragrances in cleaning products, air fresheners and perfumes to make fine particles in that crucial 0.1-1 um size range that your lungs don’t clear very effectively.

    Not a big deal in the grand scheme of things, especially with other indoor pollutants. But I always thought these air purifiers were a scam, I am glad somebody actually got the NSF to fund this study and get some proof!

    Kinetic Analysis of Competition between Aerosol Particle Removal and Generation by Ionization Air Purifiers

    Kinetic Analysis of Competition between Aerosol Particle Removal and Generation by Ionization Air Purifiers

    Ahmad Alshawa, Ashley R. Russell, and Sergey A. Nizkorodov*

    Department of Chemistry, University of California, Irvine, California 92697-2025

    Abstract:

    Ionization air purifiers are increasingly used to remove aerosol particles from indoor air. However, certain ionization air purifiers also emit ozone. Reactions between the emitted ozone and unsaturated volatile organic compounds (VOC) commonly found in indoor air produce additional respirable aerosol particles in the ultrafine (This model predicts that certain widely used ionization air purifiers may actually increase the mass concentration of fine and ultrafine particulates in the presence of common unsaturated VOC, such as limonene contained in many household cleaning products. This prediction is supported by an explicit observation of ultrafine particle nucleation events caused by the addition of D-limonene to a ventilated office room equipped with a common ionization air purifier.

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    Melamine – now in Pigs

    The pet food recall gets scarier. The FDA does not have this issue under control. It is not a conspiracy to hide anything, it’s just the pace at which the FDA operates, and its lack of mandate to really regulate animal feed.

    Pet Foods May Have Been Intentionally Poisoned

    The FDA and Agriculture Department also were investigating whether some pet food made by one of the five companies supplied by Wilbur-Ellis was diverted for use as hog feed after it was found unsuitable for pet consumption.

    “We understand it did make it into some hog feed and we are following up on that as well,” Sundlof said.

    Later Thursday, California officials said they believe the melamine at the quarantined hog farm came from rice protein concentrate imported from China by Diamond Pet Food’s Lathrop facility, which produces products under the Natural Balance brand and sold salvage pet food to the farm for pig feed.

    “Although all animals appear healthy, we are taking this action out of an abundance of caution,” State Veterinarian Richard Breitmeyer said in a statement. “It is unknown if the chemical will be detected in meat.”

    Officials are investigating American Hog Farm’s sales records to determine who may be affected by the quarantine, said Steve Lyle, a spokesman for the California Department of Food and Agriculture. The 1,500-animal farm operates as a “custom slaughterhouse,” which means it generally does not supply meat to commercial outlets.

    “Mostly it is not so-called mainstream pork. This is an operation that sells to folks who come in and want a whole pig,” said Lyle said.

    Officials urged those who purchased pigs from American Hog Farm since April 3 to not consume the

    Well, the issue is not the safety of the melamine contaminated pork, the risk to humans is possibly low. The problem is that these ingredients are out of control, and unaccounted for, and being diverted to places they should not be. The systemic flaws are many, and I hope the FDA will issue some new guidelines to tighten up animal feed standards.

    Another tidbit:

    FDA officials would not release the names of the other two manufacturers that Wilbur-Ellis supplied, citing its ongoing investigation

    Is it just me, or does this always happen on a Friday???

  • Melamine – And Cyanuric Acid, A deadly pair?

    Like melamine, cyanuric acid is also used to artificially increase the nitrogen content of the food (detected as protein in protein tests).

    ScienceDaily: Pet Food Recall: How Melamine Impairs Kidney Function

    Perry Martos and colleagues in the Agriculture and Food Laboratory at Guelph’s Laboratory Services have found that melamine and cyanuric acid can react with one another to form crystals that may impair kidney function. Tests conducted at the University’s Animal Health Laboratory (AHL) and elsewhere have identified these crystal-like substances in the kidneys and urine of affected animals. The experiments conducted at the Agriculture and Food Laboratory showed that the chemical composition of the crystals that are formed when these two compounds interact matches the composition of urinary crystals removed from affected animals. Tests conducted at the University’s Laboratory and in the United States have identified the compounds as contaminants in gluten used to make a variety of pet food and treat products.

    Interestingly enough, the analytical test for cyanuric acid is to precipitate it with Melamine, so it is not as if these guys “discovered” this reaction, as the press release seems to intimate. There is also speculation that the  cyanuric acid was a metabolic byproduct of melamine from bacterial action, which is possible if the gluten was not stored correctly. It seems to me that Chinese manufacturers were using melamine or cyanuric acid to boost protein content for a while now. But it may have been only recently that they started adding both to the same food. The other possibility (and have you ever read the ingredients list in pet food, it takes a while!), is that one ingredient contained melamine, the other, cyanuric acid and when mixed…

    Either way, neither of these compounds belong in pet food.

  • Industry Funding may Bias Nutritional Health Research

    Not a truly surprising finding, given the enormous profits at stake for the Nestle’s of the world.

    PLoS Medicine – Relationship between Funding Source and Conclusion among Nutrition-Related Scientific Articles

    Funding source was significantly related to conclusions when considering all article types (p = 0.037). For interventional studies, the proportion with unfavorable conclusions was 0% for all industry funding versus 37% for no industry funding (p = 0.009). The odds ratio of a favorable versus unfavorable conclusion was 7.61 (95% confidence interval 1.27 to 45.73), comparing articles with all industry funding to no industry funding. Conclusions: Industry funding of nutrition-related scientific articles may bias conclusions in favor of sponsors’ products, with potentially significant implications for public health.

    Note the zero, as in, the number of unfavorable conclusions in wholly industry funded interventional studies.

    interventional study—if humans consumed, or if human tissue was exposed to, a food or food component with the intention of measuring a biological response

    Well, not surprising. You can exert much tighter control on an interventional study where you control most of the variables. Seems like there’s some predestination going on here!

    What do the authors think is going on here?

    (1) Industrial sponsors may fund only those studies that they believe will present their products in a favorable light, or their competitors’ products in an unfavorable light. In support of this possibility, all studies funded entirely by industry were characterized as “benefit” or “antagonism” with regard to the product under study (none were characterized as “no relationship”). That is, industrial organizations do not seem to sponsor articles about products in which they have no financial interest. (2) Investigators might formulate hypotheses, design studies, or analyze data in ways that are consistent with the financial interests of their industrial sponsors. (3) Industrial sponsors or investigators may choose to delay or not publish findings that have negative implications to the sponsor’s product. (4) Authors of scientific reviews may search and interpret the literature selectively, in ways consistent with the sponsor’s interests. (5) Scientific reviews arising from industry-supported scientific symposia, often published as journal supplements, may over- or under-represent certain viewpoints, if presenters whose opinions conflict with the sponsor’s financial interests are not invited to participate.

    All good points. Remember next time you read an article in the paper about how exercise is much more important in determining obesity compared to your average sugary drink. Remember that a 12 Oz can of coke contains 39 grams of sugar, or 8 teaspoons worth!

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    Meanwhile, in the other India

    While India prepares to spend many billions of dollars on fighter jets, it cannot provide clean water for its citizens.

    Cholera-diarrhoea toll mounts to 164 in Orissa-India-The Times of India

    Cholera and diarrhoea, having assumed epidemic proportions in three tribal dominated Orissa districts, have so far claimed 164 lives as officials confirmed five more deaths in worst-hit Koraput on Thursday.

    The death toll, which had mounted to 159 on Wednesday, further rose to 164 with confirmation of five casualties in Dasmantpur block of Koraput district, Chief District Medical Officer (CDMO) R K Agarwal said.

    While the toll in Koraput district went up to 73, the situation remained by and large unchanged in Rayagada with 64 casualties as the killer diseases claimed as many as 27 lives in Kalahandi, official sources said.

    The water-borne diseases had assumed epidemic form in nine blocks of these three backward districts located adjacent to each other though separated by hills and the waterspread of the vast Indravati reservoir.

    Despite state government’s claim to have effectively controlled the spread of the diseases, residents of the affected areas alleged that the administration had failed to provide adequate medical facilities to the patients.

    This is disgusting and very symptomatic of the urban-rural divide that exists in India. Unless the government can provide basic infrastructure to its rural citizens, all those fancy malls and F16s mean little.

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    An off patent miracle cancer cure?

    Interesting news coming out of Canada from a Dr. Anselm at the University of Alberta about a well known chemical dichloroacetic acid (like vinegar with two chlorines!).

    Cheap, safe drug kills most cancers – health – 17 January 2007 – New Scientist

    It sounds almost too good to be true: a cheap and simple drug that kills almost all cancers by switching off their “immortality”. The drug, dichloroacetate (DCA), has already been used for years to treat rare metabolic disorders and so is known to be relatively safe.

    It also has no patent, meaning it could be manufactured for a fraction of the cost of newly developed drugs.

    Here’s the PubMed citation for the article, filled with biology I will have no hope of understanding! I read the press release on sciencedaily a few days back and did a little background digging.

    A clinical trial conducted by Colombia University studying the effects of dichloroacetate on MELAs (stroke like symptoms) was halted early because everyone taking the medication showed significant effects of neural toxicity. This study was commented on by Dr. Anselm who theorized that the effect could be caused by a specific gene mutation not seen in a lot of the patients he works with.

    So, there is some reason for caution on this wonder drug, it may be toxic at certain doses to certain people. Most chemotherapetic drugs are horrendously toxic too. But if this is not a concern, Dr Anselm, meet Sunil Shaunak and his wonderful proposal to setup an alternative pipeline for drug approval that does not involve big/small pharma. I Am sure between Bill Gates, or George Soros, a few million bucks can be rustled up for a cancer cure.