Category: Health

  • MIL-OSI Australia: Government boosts access to the contraceptive pill at pharmacies across NSW

    Source: New South Wales Premiere

    Published: 26 September 2024

    Released by: The Premier, Minister for Health, Minister for Women


    Thousands of women across NSW will have easier, more affordable access to the oral contraceptive pill as a 12-month trial is made permanent by the Minns Labor Government.

    Since the oral contraceptive pill trial began in September 2023, more than 500 pharmacies have delivered over 2,000 consultations to women in NSW.

    From Saturday 28 September 2024, NSW pharmacists who have completed the required training and work in pharmacies with suitable facilities will be able to offer this service as part of their usual business.

    Women who have been using these contraceptive options continuously for the last two years, as prescribed by a doctor (GP) or nurse practitioner, and require a refill of their script, will be able to access extended supply for up to 12 months without having to visit their doctor for a prescription.

    The NSW Government will make the existing service more accessible by expanding patient age eligibility criteria from 18-35 years to 18-49 years. Women aged 40-49 will now be able to access extended supply for up to three months without having to visit their doctor for a prescription, subject to meeting eligibility criteria.

    The announcement follows the successful implementation of the first phase of the NSW Pharmacy Trial in May 2024, which saw more than 3,300 NSW pharmacists provide more than 18,000 consultations to women aged 18 to 65 with symptoms of uncomplicated urinary tract infection (UTI).  The UTI service transitioned to usual pharmacy care from 1 June 2024.

    The third and final phase of the trial allowing pharmacists to manage common minor skin conditions is underway and will be running until early 2025.

    A detailed evaluation of all three phases of the NSW Pharmacy Trial will be provided to NSW Health in 2025 and will inform future expansion of services.

    The NSW Government is committed to expanding the role of community pharmacists outside the trial framework, and is working with NSW universities to develop formal training courses for pharmacists to manage a range of common conditions where clinically appropriate. 

    Quotes attributable to Premier Chris Minns:

    “We know that people across NSW are doing it tough right now, even cutting back on essential healthcare because of affordability.

    “This trial has been a huge success, and now we’ll make it permanent – women who are eligible will be able to go to their pharmacist to renew an existing script.

    “At a time when seeing a GP can be difficult, we hope that this service will make it a little bit easier for women to access affordable healthcare, where and when they need it.”

    Quotes attributable to Minister for Health Ryan Park:

    “I am excited to announce that women in NSW will now have easier ongoing access to continue their chosen contraceptive option as a result of the oral contraceptive pill trial service becoming usual business for community pharmacies in NSW.

    “It has been amazing to see over a thousand pharmacists across the state sign up to take part in each of the trial’s three phases so far, and this has prompted us to look at more ways they can help our communities.

    “Earlier this month, the NSW Government announced thousands of people across NSW will in the near future be able to access treatment for ear infections, wound management, gastro, acne, muscle and joint pain at their local pharmacy, boosting access to fast, convenient healthcare across NSW.

    “By empowering pharmacists to undertake consultations for these common conditions and medications, we can help improve access to primary care services which will relieve the pressure on the state’s busy GPs and our hospital system.

    “We are working with the Pharmacy Guild of Australia and Pharmaceutical Society of Australia to ensure pharmacists have the support they need to continue delivering best practice and connected primary care.”

    Quotes attributable to Minister for Women Jodie Harrison

    “Women’s timely access to quality health services, their health needs and sexual and reproductive health is a priority for the NSW Government.

    “Making the trial permanent is a real win for women in NSW, who, if eligible, can now access the contraceptive pill at their local pharmacy. It not only increases accessibility, it saves time and GP costs, for busy women in our state.”

    Quotes attributable to Catherine Bronger, Senior Vice of President of the Pharmacy Guild of Australia, NSW Branch:

    “With our GPs stretched, community pharmacists have provided thousands of women with repeat prescriptions of the oral contraceptive pill under the NSW Government’s trial.

    “Making the availability of the pill at community pharmacies is the right thing for women and our communities.”

    Quotes attributable to Pharmaceutical Society of Australia New South Wales President Luke Kelly:

    “Pharmacists across New South Wales continue to show that we can do more to support our patients. Giving our patients the option to access contraception through skilled community pharmacists is an important step in making reproductive care more accessible to women across the state.

    “I congratulate the Minister on solidifying the role of pharmacists in the continuous supply of oral contraceptives as a permanent part of the New South Wales health care system.”

    MIL OSI News

  • MIL-Evening Report: Are private hospitals really in trouble? And is more public funding the answer?

    Source: The Conversation (Au and NZ) – By Anthony Scott, Professor of Health Economics and Director, Centre for Health Economics, Monash Business School, Monash University

    Monkey Business Images/Shutterstock

    A battle between private hospitals and private health insurers is playing out in public.

    At its heart is how much health insurers pay hospitals for their services, and whether that’s enough for private hospitals to remain viable.

    Concerns over the viability of the private health system have caught the attention of the federal government, which has launched a review into private hospitals that has yet to be made public.

    But are private hospitals really in trouble? And if so, is more public funding the answer?

    Private hospitals vs private health insurers

    Many private hospital operators have reported significant pressures since the start of the COVID pandemic, including staff shortages.

    Inflationary pressures have increased the costs of supplies and equipment, pushing up the costs of providing hospital care.

    Now, private hospitals have publicised their difficult contract negotiations with private health insurers in an attempt to gain support and help their case.

    Healthscope, which runs 38 for-profit private hospitals in Australia, has been threatening to end agreements with private health insurers.

    St Vincent’s, which operates ten not-for-profit private hospitals, announced it would end its contract with nib (one of Australia’s largest for-profit health insurers) but then reached an agreement.

    UnitingCare Queensland, which operates four private hospitals, announced it would end its contract with the Australian Health Service Alliance, which represents more than 20 small and medium non-profit private health insurers. Since then, the two parties have also kissed and made up.

    Why should we care?

    There are three reasons why viability of the private health sector affects us all, regardless of whether we have private health insurance or use private hospitals.

    1. Taxpayers subsidise the private health system

    Australian taxpayers subsidised private health insurance premiums by A$6.3 billion
    (in premium rebates) in 2021–22. Much of this makes its way to private hospitals. Medicare also subsidised fees for medical services delivered for private patients in private and public hospitals to the tune of $3.81 billion in 2023–24.

    But when the going gets tough, the private health sector (both hospitals and health insurers) turns to the government for more handouts.

    So we should be concerned about the value we currently get from our public investment into the private health system, and if more public investment is warranted.

    2. Public hospitals may be affected if private hospitals close

    Calls for greater government support for private health have long argued that a larger private hospital sector would help reduce pressures on the public system.

    Indeed, this was the justification for a series of incentives introduced from the late 1990s to support private health insurance in Australia.

    However, the extent of this is hotly debated. Recent evidence shows higher private health insurance coverage leads to only very small falls in waiting times in public hospitals.

    While it is possible the closure of a few private hospitals might lead some patients to seek care in public hospitals, this shift might not be that large and will not increase waiting times too much.

    3. Fewer private beds, but is that a bad thing?

    If unviable private hospitals close or merge, we’d expect to see fewer
    private hospital beds overall.

    Fewer private hospital beds is not necessarily bad news. Mergers of small private day hospitals, in particular, might make them more efficient and lead to lower costs, which in turn lowers health insurance premiums.

    We might also need fewer private beds. This is due to policies that try to shift health care out of hospitals into the community or the use of
    hospital-in-the-home schemes (where patients receive hospital-type care at home with the support of visiting health staff and/or telehealth). The private health insurers are supporting both.

    If a few small private hospitals close, this reflects the market adjusting to less demand for hospital care. Some of the closures have been for maternity wards but with falling birth rates, this also seems like an appropriate market adjustment.

    Falling birth rates mean less demand for maternity wards.
    christinarosepix/Shutterstock

    What do we know?

    Any objective data about what is happening in the private hospital sector is scarce. This is mainly because the Australian Bureau of Statistics has stopped a compulsory survey of all private hospitals. The latest data we have is from 2016–17.

    Health insurers are the largest payer of private hospitals and hence wield a considerable amount of negotiating power. In 2016–17, almost 80% of private hospitals’ income came from private health insurers. Health insurers have also increasingly become “active” purchasers of health care – not just passively paying insurance claims, but wanting to strike a good deal with private hospitals for their members to keep premiums (and costs) down, and profits high.

    Reports of hospitals closing ignore hospitals that are opening at the same time. But since 2016–17 there are no publicly reported data on the total number of private hospitals in Australia or changes over time.

    The latest figures we have show about half of all hospitals in Australia are private, and of these 62% are for-profit with the rest run by not-for-profit organisations (such as St Vincent’s).

    The main for-profit providers are Ramsay Health Care and Healthscope. Both have operations overseas and were in trouble before the COVID pandemic.

    Fast-forward to 2024 and the recent issues with contract negotiations suggests the financial situation of for-profit private hospitals might not have improved. So this could reflect a long-term issue with the sustainability of the private hospital sector.

    What are the options?

    The private health system already receives large public subsidies. So the crux of the current debate is whether the government should intervene again to prop up the private sector. Here are some options:

    • do nothing and let this stoush play out Closure and mergers of private hospitals might be good if smaller hospitals and wards are no longer needed and patients have other alternatives

    • introduce more regulation Negotiations between small groups of private hospitals and very large dominant private health insurers may not be efficient. If the insurers have significant market power they can force small groups of private hospitals into submission. Some private hospital groups may be negotiating with many different health insurers at the same time, which can be costly. Regulation of exactly how these negotiations happen could make the process more efficient and create a more level playing field

    • change how private hospitals are paid Public hospitals are essentially paid the same national price for each procedure they provide. This provides incentives for efficiency as the price is fixed and so if their costs are below the price, they can make a surplus. Private hospitals could also be funded this way, which could remove much of the costs of contract negotiations with private hospitals. Instead, private hospitals would be free to focus on other issues such as the number and quality of procedures, and providing high-value health care.

    How do we help private hospitals become more efficient? Regulating prices and contract negotiations are a start.
    Kitreel/Shutterstock

    What next?

    Revisiting the regulation of prices and contract negotiations between private hospitals and private health insurers could potentially help the private hospital sector to be more efficient.

    Private health insurers are rightly trying to encourage such efficiencies but the tools they have to do this through contract negotiations are quite blunt.

    As we wait for the results of the review into the private hospital sector, value for money for taxpayers is paramount. We are all subsidising the private hospital sector.

    Anthony Scott has previously received funding from the Medibank Better Health Foundation.

    Terence C. Cheng does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment

    ref. Are private hospitals really in trouble? And is more public funding the answer? – https://theconversation.com/are-private-hospitals-really-in-trouble-and-is-more-public-funding-the-answer-238891

    MIL OSI AnalysisEveningReport.nz

  • MIL-OSI Russia: Sergei Sobyanin: 262 socially oriented NGOs received city support

    MIL OSI Translation. Region: Russian Federation –

    Source: Moscow Government – Government of Moscow –

    More than 20 years ago, a grant competition for socially oriented non-profit organizations (NPOs) was established in Moscow. Every year, the best initiatives are selected in the capital and up to five million rubles are allocated for their implementation. Over the entire period, more than 3.4 thousand projects have received city support.

    “In 2024, the competition broke the record for the number of approved applications. This time, proposals were received from about 900 NGOs, 262 of which received support,” Sergei Sobyanin said in

    on your blog.

    The grant amounts range from 500 thousand to five million rubles. They are provided for projects in the following nominations: “Charity”, “Safe Moscow”, “Ecology of the Megapolis”, “Civic Initiatives”, “Creative Moscow”, “Volunteering and Volunteering”, “Media Moscow”, “Family Moscow” and “Urban Innovations”. The most popular nominations in terms of the number of laureate initiatives were “Youth of Moscow” (62 projects), “Our Heritage” (55 projects), “Healthy Lifestyle and Sports” (37 initiatives).

    The full list of award winners has been published on the website.

    An independent assessment was conducted by an expert council. It included representatives of the Moscow Public Chamber, scientific, research and educational communities, and NGOs. Each project was assessed by three experts, and they did not have the opportunity to see the marks of their colleagues.

    The projects were assessed based on their significance for the city and its residents, relevance and feasibility. The experts also took into account the effectiveness of the proposed solution, its efficiency and uniqueness.

    Career guidance for schoolchildren and assistance to SVO participants

    Among the winners is the Artificial Intelligence project of the scientific and educational center of the Moscow State Technical University named after N.E. Bauman. The center itself is engaged in career guidance for schoolchildren: young research staff help students develop engineering thinking and the skills they need when entering technical universities.

    This year, the center’s team intends to develop two additional education programs of 16 academic hours each, which any high school student will be able to study.

    The Association of Veterans of the Special Military Operation (SVO) helps combat veterans adapt to civilian life faster and involves them in educating the younger generation. The grant is intended to launch the project “Museums of the Special Military Operation in Moscow Schools”. Five schools will be involved in it – museum exhibits will open in the institutions, courage lessons will be held, and meetings with SVO heroes will be held. The project will be implemented in 2025.

    Another project in support of the special military operation is the center for legal assistance to SVO participants and their families of the regional public organization “Lotus”. The center’s specialists will deal with various issues – from registration of status, benefits and payments for housing and communal services to entering into inheritance rights.

    The project “Equal to equal. Adaptation club” is implemented by the Foundation for the Promotion of the Russian Language and Education in Russian. Its goal is to help young people with disabilities adapt to universities. In several capital institutions of higher professional education, students will be taught the basics of inclusive volunteering. Specialists will talk about the problems and difficulties of children with disabilities during their studies and ways to help them. A special online portal will post methodological materials, video courses and lectures that will help children with disabilities quickly get used to the new environment and not feel lonely in a group.

    The charitable foundation for helping children born at an early stage, “Give me some sunshine”, will launch a program for the social, physical and creative development of children with disabilities. The participants of the project “We, playing, study, speak and understand” will be children aged six to 12 years. They will work with an adaptive physical education trainer and a speech development specialist. Speech therapy equipment will be purchased for correctional classes. The training will take place in the family center opened by the foundation.

    Winners of last year’s grant competitions

    The international charitable public organization “Fair Aid of Doctor Lisa” helps citizens who find themselves in difficult life situations – lonely pensioners, people left homeless, seriously ill patients. With the funds of the grant of the Mayor of Moscow, the organization launched the project “Let’s Extend a Helping Hand”, within the framework of which medical and social assistance was received by participants of the FAO. They were provided with medicines, hygiene products and medical supplies.

    The Global Impact Alliance, a charitable foundation for scientific research and development, is implementing the project Inclusive Routes: Virtual Reality Solutions for Children with Autism Spectrum Disorders. The scenario of the Public Transport project will soon be available for children with this diagnosis. The team has worked out all the elements of the bus in detail: validators, screens, and light indicators — everything to ensure that children’s adaptation to the virtual space is as close as possible to real conditions. As a result, the skill will be better consolidated, and during a trip on a real bus, the child will quickly get their bearings and remember what to do.

    The autonomous non-profit organization “Dynamic Guys” created a musical performance “You Can’t Fly, You Can’t Stay”. The plot is based on the story of people blocked in the capital’s airport due to weather conditions. The premiere took place at the beginning of the summer at the Moscow State Academic Theater “Russian Song”, more than 750 people saw it. And the video version of the performance has already collected over one million views.

    The Virta Charity Foundation held two exhibitions in support of homeless animals. The events were attended by over three thousand Muscovites. The foundation’s volunteers brought 270 dogs and cats from shelters to the exhibitions, 57 of which found a new home.

    The professional skills competition “Best in the Profession. Nanny of the Year” was held with the help of a grant. Participants were interviewed by psychologists, underwent reliability checks and completed competition tasks, as well as demonstrated medical knowledge and skills necessary for working with children. More than a thousand applications were received from nannies, educators, governesses and governesses of Moscow. Only 20 contenders for the title of the best reached the final. The competition was held by the ANO for assistance in employment and leisure of the adult population “Vozrasu. net” (the “Grandma for an hour” service).

    Please note: This information is raw content directly from the source of the information. It is exactly what the source states and does not reflect the position of MIL-OSI or its clients.

    Please note; This information is raw content directly from the information source. It is accurate to what the source is stating and does not reflect the position of MIL-OSI or its clients.

    https://vvv.mos.ru/major/themes/11823050/

    EDITOR’S NOTE: This article is a translation. Apologies should the grammar and or sentence structure not be perfect.

    MIL OSI Russia News

  • MIL-Evening Report: Access to a GP can make all the difference in surviving lung cancer – and that is a problem for Māori

    Source: The Conversation (Au and NZ) – By Ross Lawrenson, Professor of Population Health, University of Waikato

    Surviving lung cancer in Aotearoa New Zealand could depend on whether you can access a GP – raising questions about equity in the country’s health system.

    Our new research examines the outcomes for patients who are diagnosed with lung cancer through their GP versus those who are diagnosed at the emergency department (ED).

    Examining 2,400 lung cancer diagnoses in Waikato between 2011 and 2021, we found those who are diagnosed with lung cancer after ED visits tended to have later-stage disease and poorer outcomes compared to those diagnosed after a GP referral.

    We also found diagnosis after ED attendance was 27% higher for Māori than non-Māori and 22% higher for men than women.

    These results raise important questions about health inequity in New Zealand and highlight the need to ensure everyone is able to access an early cancer diagnosis.

    Limited access to everyday health care

    Currently half of all general practices have closed their books to new patients, leaving 290,000 patients unenrolled and reliant on emergency departments for their health care.

    Some 80% of practices have closed their books to new patients at some point since 2019.

    For those who are enrolled in a practice, the wait times for appointments are often such that the only option is to go to the ED for help.

    This is especially true in rural areas where the hospital can become the default route to diagnosis.

    Lung cancer is New Zealand’s single biggest cause of cancer deaths, with over 1,800 per year. Some 80% of those who are diagnosed with lung cancer present with advanced disease and very poor prospects of survival.

    It’s also the cancer with the largest equity gap. The mortality rate for Māori with lung cancer is three to four times that of people of European descent.

    While much of this disparity is due to differences in the rates of smoking among ethnic groups, there is also evidence delays in diagnosis and poorer access to surgery are also major influences on survival rates.

    Identifying lung cancer

    Lung cancer usually starts in the tissue lining the airways and symptoms can initially be relatively minor – some shortness of breath during exercise, a niggly cough or sharp pains while breathing.

    Patients with these sorts of symptoms usually go to a GP to check whether this is something that needs further investigation.

    But if someone cannot get an appointment, or does not recognise the symptoms as serious, then they are likely to delay taking action.

    Advanced symptoms of lung cancer include coughing up blood or having lumps in the neck due to lymphatic spread of the cancer. People with these alarming symptoms tend to go to the hospital for treatment.

    Our study confirms earlier findings that those diagnosed through the emergency department are:

    • more likely to have advanced disease
    • more likely to have a more aggressive type of cancer (called small cell cancer), and
    • have substantially poorer likelihoods of survival.

    The median survival for those who never went to the ED was 13.6 months, while the median survival for those with one ED visit was just three months.

    That said, attending an emergency department has some advantages. These include being seen by a doctor within a few hours, immediate access to x-rays and, in our major hospitals, access to the definitive diagnostic tool for a lung cancer – a computed tomography (CT) machine.

    Our study found 25% of cases went to the ED two or more times in the two weeks before their diagnosis. This was especially true for those going to one of the Waikato rural hospitals, where a second or third visit was more likely before being diagnosed.

    Barriers to care

    It is clear New Zealand still has several barriers to primary care. This has lead to an over-reliance on emergency departments for diagnosing cancer, despite the long-running faster cancer treatment targets.

    The situation is unlikely to improve. Access to GPs is getting worse, in part due to increasing fees.

    Māori and Pacific patients with lung cancer were less likely than other ethnic groups to have been enrolled with a primary health organisation when they were diagnosed. They were also less likely to have visited a GP in the three months prior to diagnosis.

    Making it easier to see a GP

    Making general practice care more accessible is the most effective way of addressing the inequities in our lung cancer statistics.

    Currently, New Zealand has only 74 GPs per 100,000 people, compared to 110 in Australia.

    It is clear we need to substantially increase the number of GPs. This is a long-term project but needs to be a strategic goal for the health sector.

    In the meantime, we need to make primary care more accessible by increasing patient subsidies and reducing the direct patient costs to see a doctor. At the same time, we need to better equip GPs with access to diagnostic facilities, including in our rural hospitals.

    Ross Lawrenson receives funding from NZ Health Research Council. He is an Honorary Fellow of the Royal New Zealand College of General Practitioners.

    Chunhuan Lao receives funding from NZ Health Research Council.

    ref. Access to a GP can make all the difference in surviving lung cancer – and that is a problem for Māori – https://theconversation.com/access-to-a-gp-can-make-all-the-difference-in-surviving-lung-cancer-and-that-is-a-problem-for-maori-239808

    MIL OSI AnalysisEveningReport.nz

  • MIL-OSI USA: HARRISBURG – Shapiro Administration to Encourage Pennsylvanians to Get Updated Vaccines as Respiratory Virus Season Begins

    Source: US State of Pennsylvania

    September 27, 2024Harrisburg, PA

    ADVISORY – HARRISBURG – Shapiro Administration to Encourage Pennsylvanians to Get Updated Vaccines as Respiratory Virus Season Begins

    Pennsylvania Department of Health Secretary Dr. Debra Bogen and Pennsylvania Insurance Department Commissioner Michael Humphreys will join area pharmacists at the See-Right Pharmacy in Harrisburg to stress the importance of getting their annual vaccinations against COVID-19, flu and RSV to safeguard their health as respiratory virus season begins.

    The vaccinations are updated to protect against severe illness from new virus variants circulating in Pennsylvania, and the United States. Health care providers recommend flu and COVID-19 vaccinations for people six months of age and older; older adults and pregnant women are encouraged to get RSV vaccinations.

    Vaccinations are especially important for high-risk groups including people 65 and older, people with certain medical conditions, and people at a higher risk of developing complications from respiratory illness.

    WHO:
    Department of Health Secretary Dr. Debra Bogen
    Pennsylvania Insurance Department Commissioner Michael Humphreys
    Victoria Elliott, RPh, MBA, CAE, CEO of PA Pharmacists Association
    Paul Bowers, PharmD, Pharmacy Manager at See-Right Pharmacy

    WHEN:
    September 27, 2024; 1:00 PM

    WHERE:
    See-Right Pharmacy
    2647 North 6th Street
    Harrisburg, PA 17110

    VISUALS:
    Secretary Bogen and Commissioner Humphreys will receive the updated COVID-19 vaccine as part of the event.

    MEDIA RSVP: Media interested in attending must RSVP with the name of the reporter and photojournalist to ra-dhpressoffice@pa.gov.

    MEDIA CONTACT:
    Mark O’Neill, ra-dhpressoffice@pa.gov
    Diego Sandino, Insurance, ra-in-press@pa.gov

    MIL OSI USA News

  • MIL-OSI USA: Warner Celebrates Congressional Passage of Legislation to Combat Alzheimer’s

    US Senate News:

    Source: United States Senator for Commonwealth of Virginia Mark R Warner

    WASHINGTON — This week, U.S. Sen. Mark R. Warner (D-VA), co-chair of the Congressional Task Force on Alzheimer’s Disease, applauded House passage of two bipartisan bills he introduced that would cement and build on the important progress that has been made to prevent and effectively treat Alzheimer’s disease. The National Alzheimer’s Project Act (NAPA) Reauthorization Act and the Alzheimer’s Accountability and Investment Act (AAIA) now head to the president’s desk to be signed into law.  

    Nearly seven million Americans are living with Alzheimer’s. Alzheimer’s costs our nation an astonishing $360 billion per year, including $231 billion in costs to Medicare and Medicaid. If we continue along this trajectory, the number of people age 65 and older with Alzheimer’s may grow to a projected 12.7 million and approach $1 trillion in annual costs by 2050. Family caregivers provide 18 billion hours of unpaid care for loved ones with dementia annually, valued at nearly $347 billion.

    “I know from firsthand experience what a devastating illness Alzheimer’s disease is, as I watched my mother battle with it for a decade before her passing,” Sen. Warner said. “While we’ve made great strides in research, there is still so much work to be done to find effective ways to prevent and treat Alzheimer’s. On behalf of the millions of American families who have been touched by Alzheimer’s, I’m glad to see these two bills head to the president’s desk to be signed into law.”

    The NAPA Reauthorization Act would:

    • Reauthorize NAPA through 2035 and modernize the legislation to reflect strides that have been made to understand the disease, such as including a new focus on promoting healthy aging and reducing risk factors; and
    • Update language in recognition of the need to include underserved populations, including individuals with Down syndrome, who are at increased risk for Alzheimer’s as they age.

    The Alzheimer’s Accountability and Investment Act would:

    • Continue through 2035 a requirement that the Director of the National Institutes of Health submit an annual budget to Congress estimating the funding necessary to fully implement NAPA’s research goals. Only two other areas of biomedical research – cancer and HIV/AIDS – have been the subject of special budget development aimed at speeding discovery.

    Along with Sen. Warner, both bills were co-authored by Sens. Susan Collins (R-ME) and Ed Markey (D-MA).

    The NAPA Reauthorization Act and Alzheimer’s Accountability and Investment Act are endorsed by the Alzheimer’s Association and UsAgainstAlzheimer’s. The NAPA Reauthorization Act is also endorsed by the National Down Syndrome Society, the National Down Syndrome Congress, and LuMind IDSC Foundation. 

    MIL OSI USA News

  • MIL-OSI Security: Prineville Woman Sentenced to Federal Prison for Multi-Million-Dollar Drug Treatment Fraud Scheme

    Source: Federal Bureau of Investigation (FBI) State Crime News

    EUGENE, Ore.—A Prineville, Oregon woman was sentenced to federal prison yesterday for using stolen identities to submit fraudulent health care claims resulting in over $1.5 million in misappropriated funds from the Oregon Health Authority (OHA) Medicaid Program and filing false tax returns that failed to report earnings she received.

    Darla K. Byus, 55, was sentenced to 48 months in federal prison and three years’ supervised release. She was also ordered to pay $2,033,315 in restitution to OHA and the IRS.

    “Her crimes betrayed the trust placed in this company as a substance abuse treatment provider in Oregon. We thank the state and federal investigators for their dedication and commitment to ending this scheme,” said Nathan J. Lichvarcik, Chief of the U.S. Attorney’s Office Eugene and Medford Branch Offices. “Business owners who abuse the system to line their pockets at the expense of our communities will be held accountable.”

    “HHS-OIG is committed to protecting Oregon communities and taxpayer funds from schemes targeting Oregon’s Medicaid program, which provides necessary services to vulnerable populations,” said Special Agent in Charge Steven J. Ryan with the U.S. Department of Health and Human Services Office of Inspector General (HHS-OIG). “HHS-OIG values our continued partnership with the Oregon Department of Justice’s Medicaid Fraud Control Unit and other law enforcement partners and will continue to investigate those who threaten the integrity of federal and state health care programs and the people served by them.”

    “I am pleased that the joint investigation between our Medicaid Fraud Unit at Oregon DOJ and five federal agencies turned up the evidence needed for the United States Attorney to successfully prosecute this complex case. Oregon’s Medicaid program will get back over a million dollars it is rightfully owed, and those who try to defraud Oregonians and undermine our social safety net programs should be on notice— they will be caught and prosecuted,” said Oregon Attorney General Ellen Rosenblum.

    According to court documents, from January 2019 to August 2021, Byus used her company, Choices Recover Services (CRS), to overbill the OHA Medicaid Program for substance abuse counseling services and to submit fraudulent reimbursement claims using the stolen identities of Medicaid recipients.

    As an OHA Medicaid Provider for drug and alcohol related counseling services, CRS had access to a provider portal through the Medicaid Management Information System. Byus exploited this access to privileged information to determine a victim’s Medicaid eligibility. She then used their personally identifiable information to submit claims without the victim’s knowledge or authorization. Byus used the stolen identities more than 45 victims, at least a third of which were identified by searching jail roster websites for recent drug or alcohol related offenses.

    Using CRS, Byus submitted over $3 million in false claims to the OHA Medicaid Program and received over $1.5 million in fraudulent proceeds. She used the misappropriated funds to purchase multiple properties in Oregon and to gamble. In addition, Byus knowingly filed false tax returns for herself and CRS, failing to pay approximately $450,438 in taxes.

    On May 13, 2024, Byus was charged by criminal information with heath care fraud, aggravated identity theft, and making a false tax return and, on June 20, 2024, she pleaded guilty.

    This case was investigated by the FBI, IRS Criminal Investigation, U.S. Department of Health and Human Services Office of the Inspector General, U.S. Department of Justice Tax Division, and the Oregon Medicaid Fraud Control Unit. It was prosecuted by Joseph H. Huynh and Gavin W. Bruce, Assistant U.S. Attorneys for the District of Oregon.

    MIL Security OSI

  • MIL-OSI Security: Acadia Healthcare Company Inc. to Pay $19.85M to Settle Allegations Relating to Medically Unnecessary Inpatient Behavioral Health Services

    Source: United States Attorneys General 13

    Acadia Healthcare Company Inc., a Delaware corporation with its principal place of business in Franklin, Tennessee, has agreed to resolve allegations that it violated the False Claims Act and related state statutes by knowingly billing for medically unnecessary inpatient behavioral health services or for services that did not meet federal and state regulations. Acadia Healthcare Company owns and operates inpatient behavioral health facilities throughout the United States, including The Pavilion at HealthPark LLC, doing business as Park Royal Hospital in Ft. Myers, Florida; Riverwoods Behavioral Health LLC, doing business as Lakeview Behavioral Health in Norcross, Georgia, and as Riverwoods Behavioral Health System in Riverdale, Georgia; Ten Broeck Tampa LLC, doing business as North Tampa Behavioral Health in Wesley Chapel, Florida; PHC of Michigan LLC, doing business as Harbor Oaks Hospital in New Baltimore, Michigan; and Seven Hills Hospital LLC, doing business as Seven Hills Hospital in Henderson, Nevada (collectively, Acadia).

    The United States contended that, between 2014 and 2017, Acadia knowingly submitted false claims for payment to Medicare, Medicaid and TRICARE for inpatient behavioral health services that were not reasonable or medically necessary. In particular, the United States contended that Acadia admitted beneficiaries who were not eligible for inpatient treatment and failed to properly discharge beneficiaries when they no longer needed inpatient treatment and had improper and excessive lengths of stay. The United States further alleged that Acadia knowingly failed to provide adequate staffing, training and/or supervision of staff, which resulted in assaults, elopements, suicides and other harm resulting from these staffing failures. In addition, Acadia allegedly failed to provide inpatient acute care in accord with federal and state regulations, including, but not limited to, by failing to provide active treatment, to develop and/or update individualized assessments and treatment plans, to provide adequate discharge planning and to provide required individual and group therapy.

    Under the settlement agreement, Acadia will pay $16,663,918 to the United States to resolve its liability under the False Claims Act for its allegedly false Medicare, Medicaid and TRICARE billings. The Medicaid program is jointly funded by the states and the federal government, and pursuant to separate settlement agreements, Acadia will pay an additional $3,186,082 to Florida, Georgia, Michigan and Nevada to resolve their state law claims against Acadia.  

    “This settlement demonstrates the Justice Department’s commitment to ensuring that federal healthcare programs pay only for services that are needed and properly provided,” said Principal Deputy Assistant Attorney General Brian M. Boynton, head of the Justice Department’s Civil Division. “It is particularly important that health care providers satisfy these requirements when providing services to a vulnerable patient population, such as residents of an inpatient behavioral health facility.”

    “Federal health care programs rely upon the honesty and credibility of participating providers,” said U.S. Attorney Roger B. Handberg for the Middle District of Florida. “The Justice Department will hold accountable those who seek to exploit these programs for personal gain, jeopardizing the health of patients.”

    “Medical providers who participate in federally funded health care programs must follow the law when billing Medicare, Medicaid and Tricare,” said Special Agent in Charge Tamala E. Miles of the Department of Health and Human Services Office of Inspector General (HHS-OIG). “This settlement illustrates HHS-OIG’s commitment to protecting the integrity of these taxpayer-funded programs and the well-being of enrollees seeking treatment. Working closely with the United States Attorney’s Office and other law enforcement partners, we will continue to thoroughly investigate such fraudulent billing schemes.”

    “Billing TRICARE for medically unnecessary inpatient behavioral health services or for services that did not meet federal and state regulations impacts our ability to reimburse providers in a timely manner for care that is needed to keep our military ready to defend the nation,” said Rear Admiral Matthew Case of the U.S. Navy and Acting Assistant Director for Health Care Administration for the Defense Health Agency. “We thank our state and federal partners for their work on this case, and the whistleblowers who came forward for their bravery. As a result, we are able to continue delivering one of the most comprehensive and affordable health benefits available to any American.”

    The settlement includes the resolution of claims brought under the qui tam or whistleblower provisions of the False Claims Act by Franka Tirado, Brian Snyder and Jamie Thompson, all former employees of Acadia. Under those provisions, a private party can file an action on behalf of the United States and receive a portion of any recovery. The qui tam cases are captioned U.S. ex rel. Tirado, et al. v. Park Royal Hospital et al., Case No. 2:17-cv-201-FtM-99 (MDFL), and U.S. ex rel. Thompson v. Acadia Healthcare Company Inc., et al., Case No. 2:18-cv-543-FtM-38CM (MDFL). The whistleblower share of the federal portion of the settlement will be $3,166,144.42.

    The resolution obtained in this matter was the result of a coordinated effort between the Civil Division’s Commercial Litigation Branch, Fraud Section, and U.S. Attorney’s Office for the Middle District of Florida, as well as the National Association of Medicaid Fraud Control Units, with assistance from HHS-OIG and the Department of Defense Criminal Investigative Service.

    The investigation and resolution of this matter illustrates the government’s emphasis on combating health care fraud. One of the most powerful tools in this effort is the False Claims Act. Tips and complaints from all sources about potential fraud, waste, abuse and mismanagement can be reported to HHS at 800-HHS-TIPS (800-447-8477).

    Senior Trial Counsel Sarah Arni of the Civil Division’s Fraud Section and former Senior Litigation Counsel Lindsay Griffin for the Middle District of Florida handled the matter.

    The claims resolved by the settlements are allegations only. There has been no determination of liability.

    Settlement

    MIL Security OSI

  • MIL-OSI Translation: The Government of Canada and its partners are laying the groundwork for standardizing mental health and substance use care

    MIL OSI Translation. Canadian French to English –

    Source: Government of Canada – in French

    Government of Canada and partners lay the groundwork for standardizing mental health and substance use care New set of guidelines and resources released to support equitable access to quality care for all

    New set of guidelines and resources released to promote equitable access to quality care for all

    September 26, 2024 | Ottawa, Ontario | Health Canada

    Everyone living in Canada deserves a health care system that provides the services they need, when and where they need them. The types and ease of access to mental health and substance use supports can vary across Canada, leading to inconsistencies in quality and accessibility.

    In response to this challenge, Health Canada has tasked the Standards Council of Canada with coordinating the development of a set of guidelines and resources to strengthen understanding, consistency and integration among mental health and substance use health providers across the country.

    These resources include the following:

    Integrated Youth Services (IYS) Guidance Document Report on Integrating Mental Health and Substance Use Health Services in Primary Care Settings Report on Gaps and Recommendations for SMSLCS Digital Applications Report on Integrated Mental Health and Substance Use Health Services for People with Complex Needs – with a Focus on Early Intervention for Psychosis Publicly Available Guidance Document to Systematize Substance Use Competencies for All Prescribers Report on Gaps and Opportunities for Enhancement in Withdrawal Management Services to Support Substance Use Health Care

    This work can improve care for people across Canada by promoting evidence-based approaches to key mental health and substance use issues. It recognizes that health care delivery is primarily the responsibility of the provinces and territories and provides mental health and substance use care providers with a collection of principles, guidelines and best practices that they can reference, learn from and put into practice.

    Additionally, this work will help inform future federal actions to support positive mental health and substance use care, reduce barriers to care, and address capacity constraints in the front-line workforce.

    Hundreds of Canadians invested their energy and expertise in this initiative, including individuals with past and present experience, Indigenous peoples, clinical specialists, service providers, community organizations, family and peer advocates, academics and many others. Health Canada would like to thank all those who participated in this important work, and especially the committee co-chairs, Ms. Carol Hopkins and Mr. Brian Rush, for their leadership and wisdom in guiding this process.

    Yuval DanielDirector of CommunicationsOffice of the Honourable Ya’ara SaksMinister of Mental Health and Addictions and Associate Minister of Health819-360-6927

    Media RelationsHealth Canada and the Public Health Agency of Canada613-957-2983media@hc-sc.gc.ca

    EDITOR’S NOTE: This article is a translation. Apologies should the grammar and/or sentence structure not be perfect.

    MIL Translation OSI

  • MIL-OSI USA: Acadia Healthcare Company Inc. to Pay $19.85M to Settle Allegations Relating to Medically Unnecessary Inpatient Behavioral Health Services

    Source: US State of North Dakota

    Acadia Healthcare Company Inc., a Delaware corporation with its principal place of business in Franklin, Tennessee, has agreed to resolve allegations that it violated the False Claims Act and related state statutes by knowingly billing for medically unnecessary inpatient behavioral health services or for services that did not meet federal and state regulations. Acadia Healthcare Company owns and operates inpatient behavioral health facilities throughout the United States, including The Pavilion at HealthPark LLC, doing business as Park Royal Hospital in Ft. Myers, Florida; Riverwoods Behavioral Health LLC, doing business as Lakeview Behavioral Health in Norcross, Georgia, and as Riverwoods Behavioral Health System in Riverdale, Georgia; Ten Broeck Tampa LLC, doing business as North Tampa Behavioral Health in Wesley Chapel, Florida; PHC of Michigan LLC, doing business as Harbor Oaks Hospital in New Baltimore, Michigan; and Seven Hills Hospital LLC, doing business as Seven Hills Hospital in Henderson, Nevada (collectively, Acadia).

    The United States contended that, between 2014 and 2017, Acadia knowingly submitted false claims for payment to Medicare, Medicaid and TRICARE for inpatient behavioral health services that were not reasonable or medically necessary. In particular, the United States contended that Acadia admitted beneficiaries who were not eligible for inpatient treatment and failed to properly discharge beneficiaries when they no longer needed inpatient treatment and had improper and excessive lengths of stay. The United States further alleged that Acadia knowingly failed to provide adequate staffing, training and/or supervision of staff, which resulted in assaults, elopements, suicides and other harm resulting from these staffing failures. In addition, Acadia allegedly failed to provide inpatient acute care in accord with federal and state regulations, including, but not limited to, by failing to provide active treatment, to develop and/or update individualized assessments and treatment plans, to provide adequate discharge planning and to provide required individual and group therapy.

    Under the settlement agreement, Acadia will pay $16,663,918 to the United States to resolve its liability under the False Claims Act for its allegedly false Medicare, Medicaid and TRICARE billings. The Medicaid program is jointly funded by the states and the federal government, and pursuant to separate settlement agreements, Acadia will pay an additional $3,186,082 to Florida, Georgia, Michigan and Nevada to resolve their state law claims against Acadia.  

    “This settlement demonstrates the Justice Department’s commitment to ensuring that federal healthcare programs pay only for services that are needed and properly provided,” said Principal Deputy Assistant Attorney General Brian M. Boynton, head of the Justice Department’s Civil Division. “It is particularly important that health care providers satisfy these requirements when providing services to a vulnerable patient population, such as residents of an inpatient behavioral health facility.”

    “Federal health care programs rely upon the honesty and credibility of participating providers,” said U.S. Attorney Roger B. Handberg for the Middle District of Florida. “The Justice Department will hold accountable those who seek to exploit these programs for personal gain, jeopardizing the health of patients.”

    “Medical providers who participate in federally funded health care programs must follow the law when billing Medicare, Medicaid and Tricare,” said Special Agent in Charge Tamala E. Miles of the Department of Health and Human Services Office of Inspector General (HHS-OIG). “This settlement illustrates HHS-OIG’s commitment to protecting the integrity of these taxpayer-funded programs and the well-being of enrollees seeking treatment. Working closely with the United States Attorney’s Office and other law enforcement partners, we will continue to thoroughly investigate such fraudulent billing schemes.”

    “Billing TRICARE for medically unnecessary inpatient behavioral health services or for services that did not meet federal and state regulations impacts our ability to reimburse providers in a timely manner for care that is needed to keep our military ready to defend the nation,” said Rear Admiral Matthew Case of the U.S. Navy and Acting Assistant Director for Health Care Administration for the Defense Health Agency. “We thank our state and federal partners for their work on this case, and the whistleblowers who came forward for their bravery. As a result, we are able to continue delivering one of the most comprehensive and affordable health benefits available to any American.”

    The settlement includes the resolution of claims brought under the qui tam or whistleblower provisions of the False Claims Act by Franka Tirado, Brian Snyder and Jamie Thompson, all former employees of Acadia. Under those provisions, a private party can file an action on behalf of the United States and receive a portion of any recovery. The qui tam cases are captioned U.S. ex rel. Tirado, et al. v. Park Royal Hospital et al., Case No. 2:17-cv-201-FtM-99 (MDFL), and U.S. ex rel. Thompson v. Acadia Healthcare Company Inc., et al., Case No. 2:18-cv-543-FtM-38CM (MDFL). The whistleblower share of the federal portion of the settlement will be $3,166,144.42.

    The resolution obtained in this matter was the result of a coordinated effort between the Civil Division’s Commercial Litigation Branch, Fraud Section, and U.S. Attorney’s Office for the Middle District of Florida, as well as the National Association of Medicaid Fraud Control Units, with assistance from HHS-OIG and the Department of Defense Criminal Investigative Service.

    The investigation and resolution of this matter illustrates the government’s emphasis on combating health care fraud. One of the most powerful tools in this effort is the False Claims Act. Tips and complaints from all sources about potential fraud, waste, abuse and mismanagement can be reported to HHS at 800-HHS-TIPS (800-447-8477).

    Senior Trial Counsel Sarah Arni of the Civil Division’s Fraud Section and former Senior Litigation Counsel Lindsay Griffin for the Middle District of Florida handled the matter.

    The claims resolved by the settlements are allegations only. There has been no determination of liability.

    Settlement

    MIL OSI USA News

  • MIL-OSI Canada: Government of Canada and Partners Pave Way for Standardized Mental Health and Substance Use Care

    Source: Government of Canada News (2)

    Government of Canada and Partners Pave Way for Standardized Mental Health and Substance Use Care New series of guidance and resources promote equitable access to quality care for all

    New series of guidance and resources promote equitable access to quality care for all

    September 26, 2024 | Ottawa, Ontario | Health Canada

    Everyone in Canada deserves a health system that provides each of us with access to the services we need, when and where we need them. The availability and types of mental health and substance use supports can vary across Canada, which can lead to inconsistencies in quality and accessibility.

    To help address this challenge, Health Canada commissioned the Standards Council of Canada to coordinate the development of a series of guidelines and resources to promote better understanding, alignment, and integration among mental health and substance use health care providers throughout the country.

    These resources include:

    • Guidance document on Integrated Youth Services (IYS)
    • Report on the integration of Mental Health and Substance Use Health Care services in primary care settings
    • Report on gaps and recommendations related to Mental Health and Substance Use Health Care digital apps
    • Report on integrated Mental Health and Substance Use Health Care services for people with complex needs – with a focus on early psychosis intervention
    • Publicly available specification to formalize substance use health competencies for all prescribers
    • Report on gaps and opportunities for improving substance use health-related withdrawal management services

    This work can inform better care for people across Canada by promoting evidence-based approaches across key mental health and substance use health issues. Recognizing that the delivery of health care is primarily the responsibility of provinces and territories, this work offers mental health and substance use health care providers a collection of principles, guidance, and best practices that they can refer to, learn from, and put into action.

    It will also help guide federal actions in support of positive mental health and substance use health in the future; reduce barriers to care; and address limited front-line workforce capacity.

    Hundreds of Canadians contributed their energy and expertise to this initiative, including people with lived and living experience, Indigenous peoples, clinical experts, service providers, community organizations, family and peer advocates, academics, and more. Health Canada would like to thank everyone who contributed to this important body of work with a special acknowledgement to the Co-Chairs of the Steering Committee, Dr. Carol Hopkins and Dr. Brian Rush, for their leadership and wisdom, which guided this process.

    Yuval Daniel
    Director of Communications
    Office of the Honourable Ya’ara Saks
    Minister of Mental Health and Addictions and Associate Minister of Health
    819-360-6927

    MIL OSI Canada News

  • MIL-OSI United Nations: Deputy Secretary-General’s remarks at the opening segment of the high-level meeting on antimicrobial resistance [as delivered]

    Source: United Nations secretary general

    President of the General Assembly, President of EOCSOC, Excellencies, Dear Colleagues,

    I welcome this opportunity to address the critical issue of antimicrobial resistance.

    I thank His Excellency Mr. Francois Jackman and Her Excellency Ms. Vanessa Frazier, for their unwavering efforts to shine the spotlight and bring Member States together around this important agenda.

    Our deep appreciation goes to Her Excellency Prime Minister Mia Mottley, for her steadfast and personal leadership as chair of the Antimicrobial Resistance Global Leaders’ Group.

    Dear Colleagues,

    AMR is a complex, and an existential danger. The World Health Organization has named AMR as one of the top ten threats to global health and development.

    It has profound implications for the environment, for food security, animal health, and human health.

    Already, AMR is directly responsible for 1.3 million deaths a year. One in five are children. Without a step-change in action before 2030, anti-microbial resistance will reduce global life expectancy by almost two years.

    These are not just numbers; they represent lives that are lost, families that are shattered, and futures that are stolen. The worst is that they are preventable tragedies.

    AMR is a major challenge to sustainable development.

    This is a crisis that costs the world an estimated US$ 800 billion a year in healthcare costs and productivity losses and that threatens to reverse decades of medical progress.

    It is deeply intertwined with poverty, food and nutrition insecurity, environmental degradation, inadequate water and sanitation, and a lack of access to essential health services and medicines. Vulnerable populations worldwide, particularly in the Global South, shoulder the heaviest burden of the AMR crisis.

    Addressing anti-microbial resistance is a health, a socio-economic, and an environmental necessity. It is equally a moral imperative.

    Excellencies, Friends,

    We must take a One Health response and tackle this crisis as a whole.  And move to the sustainable use and production of antimicrobials, preserving these extraordinary medicines for generations to come.

    The Political Declaration from the first High-level Meeting on AMR in 2016 was a crucial step, which generated significant momentum.

    Since then, over 90% of countries now have multisectoral national plans to combat AMR. The path forward is clear. 

    But countries face obstacles in implementation. Chief among them, is finance. The vast majority lack dedicated funding to address gaps and make corrective actions where needed. And this must change. The institutions and capacities must be primed to deliver an effective cross-sector and multi-level
    response, from grassroot and community to national, regional, and global levels. 

    It also will be vital to engage partners across the board: from the private sector and civil society, to farmer’s associations and consumers, to patients and practitioners, given the multi-dimensional nature of the crisis.

    Let me also underscore the importance of the research community that must be a partner of first choice. For without science, we will surely lose the battle. This is essential.  

    Excellencies,

    The political declaration today paves the way for a robust response to AMR.

    I am calling on Member States to be bold in implementing it. With actions that are inclusive, equitable, and coordinated. 

    Actions that target sustainable and diversified financing of the AMR response.

    And actions that support health systems that address the needs of all populations for safe and nutritious food, fresh air and clean water, particularly in the Global South.

    As we stand in solidarity today, let us elevate the political significance of the AMR challenge, reignite the urgency, work together to deliver its benefits for people and for our planet.

    Thank you.

    MIL OSI United Nations News

  • MIL-OSI Australia: New digital features making Medicare easier

    Source: Ministers for Social Services

    Minister for Government Services the Hon. Bill Shorten visited the Services Australia service centre in Bankstown today, in the same shopping centre where former Prime Minister Paul Keating, then Treasurer, opened the first Medicare office 40 years ago in 1984.

    After 40 years of universal health care in Australia, the Albanese Government is continuing to roll out new digital features to keep Medicare future-focussed and fit for purpose.

    “When Paul Keating opened the first Medicare centre here in Bankstown 40 years ago, he said it was cheaper, fairer and simpler,” Minister Shorten said.

    “A lot has changed since Medicare was introduced in 1984, but the original premise remains intact and as ambitious as ever.

    “These days Australians want to access their services online – in fact, 99.7 per cent of Medicare claims handled by Services Australia last year were digital.

    “We’re working to transform Medicare’s online platforms, to make sure the 27 million Australians using Medicare can do so in a way that works for them.

    “We recently launched the new Medicare claims tracker, allowing people to follow the progress of their claim in their Medicare Online Account and Express Plus Mobile App.

    “Before this, people had to call to see how their claim was tracking – now, they can find it with a few taps on their phone.

    “The tracker has already been used over 915,000 times, with customers using the new feature for an average of just 12 seconds.

    “We’ve expanded the options for people to enrol in Medicare, with a new online enrolment option helping over 53,000 people access the Medicare entitlements they’re eligible for faster.

    “Online applications progress around two times faster than paper forms, as they ensure all required information is included when the form is first submitted, reducing double handling.

    “These new features come alongside several other recent upgrades, like online appointment bookings and myGov passkeys, that are making our services easier and safer.”

    These digital enhancements are part of the Government’s Health Delivery Modernisation program. For information about Medicare’s online services visit servicesaustralia.gov.au/medicareonline.

    MIL OSI News

  • MIL-OSI New Zealand: Release: Dunedin Hospital d-listed by Government

    Source: New Zealand Labour Party

    The non-announcement in Dunedin today had Ministers leaving broken promises and a likely severely diluted hospital build in their wake.

    “The Government’s attempt to placate the people of Dunedin has fallen short. Instead of flying down to announce they’d build the planned hospital, they’ve spent a bunch of money on another review that won’t mean any more hospital beds,” Tracey McLellan said.

    “Under National, the Dunedin Hospital plans are a sterling disappointment. The project, which Labour began and funded, has been downgraded despite silver-tongued promises National made to get into Government.

    “Labour’s fully costed project had the budget allocated to pay for it, was bigger, and had additional capacity for mental health and MRI facilities. National are potentially content with simply giving the old building a makeover.

    “While Health Minister Shane Reti mucks around value managing and adding a new review to a project that has already undergone several, the costs go up, consultants stand around waiting, and the credibility of National to deliver the hospital goes down.

    “The ministers’ attempts to pit the region against the rest of the country when it is the Government’s own fault health is not funded adequately was in poor taste today.

    “Our regions shouldn’t have to compete with each other for decent health services. The choice for the government was measly tax cuts and a $2.9 billion tax break for landlords over health.

    “There are 20 projects on a national red list which are without adequate funding according to media reports today. The Dunedin region is the first, but communities, cities and towns nationwide will go without healthcare facilities because of National,” Tracey McLellan said.

    MIL OSI New Zealand News

  • MIL-OSI New Zealand: Govt set to break promise on Dunedin Hospital

    Source: Green Party

    The Green Party is calling on the Government to honour its promise to Dunedin and build its new hospital to full capacity. 

    “Failing to build the hospital to what was promised would be a complete betrayal and an utter kick in the guts for Dunedin,” says the Green Party Spokesperson for Dunedin Issues, Scott Willis.

    “Healthcare is a human right and something Dunedin deserves. We need to invest in our health system so it’s fit to cater to the needs of all of our communities.

    “The current Government is failing to invest in a health system on its knees, putting priority on trickle-down tax cuts for the already wealthy. Yet for years Dunedin’s health system has struggled with chronic staff shortages, equipment shortfalls and facilities not fit for purpose.

    “This Government made a promise during the election, pledging to build a new Dunedin Hospital to modern standards – now this looks set to be broken as the Government offers mealy-mouthed excuses. The Coalition is clearly trying to worm away from its promise to our community.

    “Right now, the need for a fully equipped hospital in Dunedin couldn’t be more critical. Dunedin deserves a new hospital, and deserves so much more than this Government. 

    “The Government is undermining our health system to fund trickle-down tax cuts. The health of our people must come before the pockets of the wealthy. 

    “I look forward to joining the local community this Saturday as we march for the Dunedin hospital and our health services,” says Scott Willis.

    MIL OSI New Zealand News

  • MIL-Evening Report: Is an ankle sprain also a brain injury? How neuroscience is helping athletes, astronauts and ‘average Joes’

    Source: The Conversation (Au and NZ) – By Gordon Waddington, AIS Professor of Sports Medicine Research, University of Canberra

    Have you ever thought of an ankle sprain as a brain injury? Most people probably wouldn’t.

    However, we are starting to understand how the brain is constantly adapting, known as plasticity.

    Even though the damage of an ankle sprain happens at the ankle, there may also be some changes going on in the brain to how it well it senses pain or movement.

    One of our doctoral students, Ashley Marchant, has shown something similar happens when we change how much weight (or load) we put on the muscles of the lower limb. The closer the load is to normal earth gravity, the more accurate our movement sense is; the lower the muscle load, the less accurate we get.

    This work means we need to rethink how the brain controls and responds to movement.

    Solving an important puzzle

    Historically, movement science has attempted to improve muscle function through resistance training, cardiovascular exercise and flexibility.

    One of the big issues in the treatment and prevention of sport injuries is that even when the sports medicine team feels an athlete is ready to return, the risk of a future injury remains twice to eight times higher than if they’d never had an injury.

    This means sports medicos have been missing something.

    Our work at the University of Canberra and the Australian Institute of Sport has targeted sensory input in an attempt to solve this puzzle. The goal has been to assess the ability of the sensory reception, or perception, aspect of movement control.

    Input (sensory) nerves outnumber output (motor) nerves by roughly ten to one.

    Over 20 years, scientists have developed tools to allow us to determine the quality of the sensory input to the brain, which forms the basis of how well we can perceive movement. Gauging this input could be useful for everyone from astronauts to athletes and older people at risk of falls.

    We can now measure how well a person gets information from three critical input systems:

    • the vestibular system (inner ear balance organs)
    • the visual system (pupil responses to changes in light intensity)
    • the position sense system in the lower limbs (predominantly from sensors in the muscles and skin of the ankle and foot).

    This information allows us to build a picture of how well a person’s brain is gathering movement information. It also indicates which of the three systems might benefit from additional rehabilitation or training.

    Lessons from space

    You may have seen videos of astronauts, such as on the International Space Station, moving around using only their arms, with their legs hanging behind them.

    The crew of the International Space Station have some fun with ‘synchronised space swimming’ in 2021.

    This shows how when people leave earth’s gravity, they get minimal information to the sensory system from the skin and muscles of their legs.

    The brain rapidly deactivates the connections it normally uses for controlling movement. This is OK while the astronaut is in space but as soon as they need to stand or walk on the earth or moon surface, they are at greater risk of falls and injury.

    Similar brain changes might be occurring for athletes due to changes in movement patterns after injury.

    For example, developing a limp after a leg injury means the brain is receiving very different movement information from that leg’s movement patterns. With plasticity, this may mean the movement control pattern doesn’t return to an optimum pre-injury status.

    As mentioned previously, a history of injury is the best predictor of future injury.

    This suggests something changes in the athlete’s movement control processes after injury – most likely in the brain – which extends beyond the time when the injured tissue has healed.

    Measures of how well an athlete perceives movement are associated with how well they go on to perform in a range of sports. So sensory awareness could also be a way to identify athletic talent early.

    In older people and in the context of preventing falls, poor scores on the same sensory input perception measures can predict later falls.

    This might be due to reduced physical activity in some older people. This “use it or lose it” idea might show how brain connections for movement perception and control can degrade over time.

    Precise health care

    New technologies to track sensory ability are part of a new direction in health care described as precision health.

    Precision health uses technologies and artificial intelligence to consider the range of factors (such as their genetic make-up) that affect a person’s health and provide treatments designed specifically for them.

    Applying a precision health approach in the area of movement control could allow much more targeted rehabilitation for athletes, training for astronauts and earlier falls prevention for older people.

    Gordon Waddington owns shares in Prism Neuro Pty Ltd a perceptual neuroscience ability measurement company. He receives funding from the Medical Research Futures Fund, Australian Research Council, NSW Institute of Sport, Queensland Academy of Sport and the Australian Institute of Sport.

    Jeremy Witchalls receives funding from the NSW Institute of Sport and the Australian Institute of Sport.

    ref. Is an ankle sprain also a brain injury? How neuroscience is helping athletes, astronauts and ‘average Joes’ – https://theconversation.com/is-an-ankle-sprain-also-a-brain-injury-how-neuroscience-is-helping-athletes-astronauts-and-average-joes-230416

    MIL OSI AnalysisEveningReport.nz

  • MIL-OSI Russia: Registration for the VII Medical Tournament of Schoolchildren has begun

    MIL OSI Translation. Region: Russian Federation –

    Source: Novosibirsk State University – Novosibirsk State University –

    Registration ends November 24, 2024, and uploading of solutions for the Selection Round ends December 1, 2024.

    Participation in the Schoolchildren’s Medical Tournament is a great opportunity for schoolchildren and future applicants to get in touch with medicine, learn how to select reliable information, work in a team, and immerse themselves in an environment of like-minded people.

    — Our goal is to teach schoolchildren to work with scientific information, improve their public speaking skills, teach them to speak in public, and develop communication skills, give them the opportunity to communicate with our experts, who are practicing top-category doctors. And, of course, to give an idea of modern medicine, to show how complex and interesting it is at the same time, — shared Evgeniya Kholdina, head of the Expert and Methodological Commission.

    The final stage will take place on March 21-24, 2025 at NSU.

    Winning a prize and winning the final stage gives additional points for admission to NSU in the direction of “General Medicine”.

    Detailed information:

    VK:https://vk.com/schoolmedturn

    Telegram channel:https://t.te/shoolmedturn

    Website:https://vvv.shoolmedturn.ru/

    The project is implemented with the support of Rosmolodezh.Grants

    Please note: This information is raw content directly from the source of the information. It is exactly what the source states and does not reflect the position of MIL-OSI or its clients.

    Please note; This information is raw content directly from the information source. It is accurate to what the source is stating and does not reflect the position of MIL-OSI or its clients.

    http://vvv.nsu.ru/n/media/nevs/education/registration-for-the-vii-medical-tournament-schoolchildren has begun/

    EDITOR’S NOTE: This article is a translation. Apologies should the grammar and or sentence structure not be perfect.

    MIL OSI Russia News

  • MIL-OSI USA: Rep. Cline Recognizes Harrisonburg Business for Being Awarded DOL’s HIRE Vets Medallion

    Source: United States House of Representatives – Congressman Ben Cline (VA-06)

    CategoriesMIL OSI

    Congressman Ben Cline (VA-06) has been awarded the Guardian of Small Business Award for the 118th Congress by the National Federation of Independent Business (NFIB), the nation’s leading small business advocacy organization. NFIB’s Guardian of Small Business Award is reserved for lawmakers who vote consistently with small businesses on key issues identified by small business owners. “I am truly ho… Read More »

    Congressman Ben Cline (VA-06) recently toured the Valley Health Winchester Medical Center, where he was briefed on Valley Health’s upcoming projects. Guided by Kris Maddalena, Vice President and Chief Nursing Officer, Congressman Cline received an in-depth tour of the facility. During his visit, Valley Health honored him with an award recognizing his leadership, dedication, and support for patient… Read More »

    Winchester, VA – Yesterday, Congressman Ben Cline concluded his three-day healthcare tour across Virginia’s Sixth District. Throughout the tour, he visited various healthcare facilities, engaging with dedicated professionals and witnessing firsthand the vital efforts of hospitals, clinics, and organizations committed to delivering quality care in our communities. “This Healthcare tour has been an … Read More »

    Yesterday, Congressman Ben Cline continued his three-day healthcare tour across Virginia’s Sixth District, building on the momentum from Tuesday’s kickoff in Roanoke. On Wednesday, he visited additional healthcare facilities, engaging with professionals and examining the vital efforts of hospitals, clinics, and organizations committed to providing quality care in the community. “The tour has been … Read More »

    Yesterday, Congressman Ben Cline kicked off the first day of his comprehensive three-day Sixth District Healthcare tour, visiting key healthcare facilities on Tuesday in Roanoke. The tour will take Congressman Cline to various communities across Virginia’s Sixth Congressional District, where he will engage with healthcare professionals and explore the work of hospitals, clinics, and organizations … Read More »

    James Madison University | JMU Office of Federal Relations and Communications HARRISONBURG, Va. – Congressman Ben Cline visited the JMU School of Nursing Wednesday to receive feedback from students in the online doctoral program and to tour the school’s labs and classrooms. The congressman, whose 6th District covers western areas of Virginia from Roanoke to Winchester, became interested in touring… Read More »

    WSLS | Connor Dietrich ROANOKE, Va. – Rep. Ben Cline is taking time to recognize some of the everyday heroes in the Roanoke Valley. On Monday, Cline stopped by Roanoke Fire-EMS’s station one to honor Capt. Peter Matthiessen. The fire captain is one of the head organizers of the annual Roanoke 9/11 Memorial Stair Climb. “You’re truly just an amazing credit to this community and it’s an honor to get… Read More »

    The Virginian Review | Rebecca Stalnaker COVINGTON, Va. (VR) — Congressman Ben Cline will visit the Virginian Review office on Aug. 1 at 3 p.m. to present a special plaque commemorating the paper’s 110-year anniversary. The visit will honor the publication’s long-standing contribution to the community and recognize its significant milestone. During his visit, Cline will formally present a plaque t… Read More »

    Washington, DC – Today, Congressman Ben Cline (R-VA) released the following statement regarding President Joe Biden dropping out of the presidential race. “The undeniable truth is that Joe Biden’s mental incapacity forced him out of the race, rendering him unfit for the presidency,” Rep. Ben Cline said. “If Biden can’t handle running a campaign, he can’t handle holding the highest office. Biden’s … Read More »

    Roanoke, VA – Following the attempted assassination of President Donald Trump on Saturday in Pennsylvania, Congressman Ben Cline condemned the terrible attack and called for national unity in rejecting political violence. This violent act is unacceptable, and completely goes against the fundamental values of our nation. “Our thoughts and prayers are with President Trump, his family, and the victim… Read More »

    Today, Congressman Ben Cline (R-VA) introduced the No Bias in the Baseline Act to revise the fiscal distortions embedded in the Congressional Budget Office’s (CBO) baseline projections. This legislation will empower Congress with the tools needed to make informed financial decisions and eliminate the baseline bias in the budget process in favor of higher spending. “It is essential that Congress is… Read More »

    Washington, DC – Today, Congressman Ben Cline (R-VA) led his colleagues in a letter to President Joe Biden, demanding that the Department of Housing and Urban Development (HUD) and the Department of Agriculture (USDA) do not move forward with adopting the 2021 International Energy Conservation Code (IECC) as the minimum energy efficiency standard. In April of this year, HUD and USDA announced the … Read More »

    Washington, D.C. – Today, Congressman Ben Cline (R-VA) announced his candidacy to become the next chairman of the Republican Study Committee (RSC). “It’s time to turn the tide on the dangerous path our Nation has been led down by the disastrous policies of the Biden Administration,” Rep. Cline said. “We need a strong, conservative compass to set us back on the right course – one that puts America … Read More »

    Colby Johnson | WHSV HARRISONBURG, Va. (WHSV) – Sixth District Representative Ben Cline was appointed to the House select committee on the Chinese Communist Party. The committee will study and determine the best ways to counter Chinese influence across multiple areas including telecommunications, immigration, foreign affairs issues, and national security. “My specialty coming from the judiciary co… Read More »

    Jon Solomon Reports |Just The News Representative Ben Cline (R-VA) says President Biden’s immigration executive order will do little to nothing to help the dire situation at the southern border, commenting on the amount of loopholes that the order allows is like “trying to catch water with a strainer.” Additional interviews with Former Arkansas Governor Mike Huckabee, National Council of Resistanc… Read More »

    MIL OSI USA News

  • MIL-OSI China: Israeli airstrikes in Lebanon on Wednesday result in 51 deaths, 223 injuries

    Source: China State Council Information Office

    The death toll from the continued Israeli airstrikes on Wednesday across Lebanese rose to 51, with injuries up to 223, according to the Lebanese Health Ministry.

    The ministry confirmed casualties in several locations across southern and eastern Lebanon, including Bint Jbeil, Ain Qana, Qabrikha and Tebnine.

    Military sources, speaking on condition of anonymity, told Xinhua that Israeli warplanes targeted approximately 90 villages and towns in southern and eastern Lebanon. Among the casualties was Kamel Karaki, a photojournalist for Lebanese Al-Manar TV, killed in a strike on the southeastern village of Qantara.

    Meanwhile, local media reported at least seven fatalities and 16 injuries from strikes near Beirut, with three deaths in Maaysrah, northeast of the capital, and four in Joun, Chouf district.

    The Israel Defense Forces (IDF) reported that Hezbollah fired a surface-to-surface missile at Tel Aviv early Wednesday, triggering sirens in the city and surrounding areas. The IDF said it intercepted the missile using the David’s Sling defense system, with no injuries or damage reported. The military later stated it had struck the Hezbollah launcher in southern Lebanon’s Nafakhiyeh.

    In a statement, the IDF announced that it had called up two reserve ground brigades to the Israel-Lebanon border following a “situational assessment,” adding that the troops would be deployed for “operational activities on the northern front.”

    It noted that the mobilization would “enable the continuation of combat against Hezbollah, the defense of Israel, and create the conditions for northern Israel’s residents to return to their homes.”

    This surge in violence follows Israeli bombardments on Monday and Tuesday, the most extensive Israeli attacks on Lebanon since 2006. Official figures indicate the two-day strikes have killed more than 550 and wounded around 1,800 in Lebanon.

    On Tuesday, an Israeli airstrike on a residential building in Beirut’s southern suburbs killed Hezbollah commander Ibrahim Muhammad Qubaisi and five others, according to the Shiite militant group.

    The escalation comes after last week’s explosions targeting communication devices across Lebanon, which left dozens dead. The cross-border conflict between Israel and Hezbollah has been ongoing since Oct. 8, 2023, following Hamas’s attack on southern Israel.

    MIL OSI China News

  • MIL-OSI China: Palestinian death toll in Gaza rises to 41,495

    Source: China State Council Information Office 3

    A truck carrying about 88 unidentified bodies is seen near the Nasser Hospital in the southern Gaza Strip city of Khan Younis, on Sept. 25, 2024. [Photo/Xinhua]

    The Palestinian death toll from ongoing Israeli attacks on the Gaza Strip has risen to 41,495, according to Gaza-based health authorities in a statement on Wednesday.

    In the past 24 hours, the Israeli military killed 28 people and wounded 85 others, bringing the total number of injuries to 96,006 since the conflict erupted in early October 2023.

    In a separate statement, the health authorities reported receiving about 88 unidentified bodies from the Israeli side, adding the Israeli side did not provide any information about their identities, the locations where they were recovered, or the time of death.

    The authorities have suspended procedures for receiving the bodies until complete data is available to identify the deceased and notify their families, as this is considered a fundamental right, the statement added.

    Israel launched a large-scale offensive against Hamas in Gaza in retaliation for a Hamas attack through the southern Israeli border on Oct. 7, 2023, which resulted in approximately 1,200 deaths and around 250 hostages taken.

    MIL OSI China News

  • MIL-OSI China: Chinese researchers isolate anti-HIV antibody from alpacas

    Source: China State Council Information Office 2

    A Chinese research team has isolated an antibody from alpacas that can effectively inhibit HIV, providing a promising avenue for the development of new anti-AIDS drugs.
    The findings were recently published in the international academic journal Nature Communications.
    Antiretroviral therapy is currently the primary clinical approach to inhibiting HIV replication, according to Wu Zhiwei, professor at the School of Medicine, Nanjing University.
    While this treatment effectively extends the lifespan of patients, it may lead to significant drug resistance in the virus. Therefore, there is an urgent need to explore new therapies, said Wu, who is also a co-corresponding author of the research.
    The primary approach in the clinical development of new anti-AIDS drugs targets the process by which the virus enters host cells. In this process, a receptor known as CD4 acts as a “doorknob,” which the virus utilizes to open the cell’s “door.”
    The researcher team isolated thousands of CD4 nanobodies (a smaller, more stable type of antibody) from alpacas, of which Nb457 showed the potential to inhibit HIV.
    They built a series of pseudoviruses to simulate 117 HIV strains and caused them to interact with Nb457.
    The results showed that Nb457 effectively inhibited 116 virus strains, showing good broad-spectrum and antiviral activity.
    In true virus tests, the trimeric nanobodies engineered from Nb457 have demonstrated potent inhibition of HIV, said Wu Xilin, a researcher at the School of Medicine, Nanjing University, another co-corresponding author of the research.
    The results of mice experiments also showed that the virus was almost undetectable in the treated mice, and no drug-resistant mutations were found, Wu said.
    HIV mutates rapidly and is prone to drug resistance, leading to a decline in drug efficacy, according to Wu.
    The newly discovered antibody does not target the virus itself but the “doorknob” CD4, making it less likely to induce drug resistance in the virus and offering significant implications for the development of new anti-AIDS drugs and clinical treatment, Wu said. 

    MIL OSI China News

  • MIL-OSI Translation: The Government of Canada and the Municipality of the District of Clare invest in the renovation of the Clare Veterans Centre

    MIL OSI Translation. Canadian French to English –

    Source: Regional Government of Canada – in French 2

    Press release

    Saulnierville, Nova Scotia, July 14, 2023 – Today, Kody Blois, Member of Parliament for Kings–Hants, and Yvon LeBlanc, Warden of the Municipality of the District of Clare, announced a joint investment of more than $2.9 million to renovate the Clare Veterans Centre in Saulnierville.

    This investment will improve the building’s accessibility, including the addition of a new accessible entry point with a concrete ramp and an interior elevator. It will also install photovoltaic solar panels that will produce renewable energy and reduce operating costs. In addition, the building’s exterior cladding will be re-done with sustainability in mind, and a new façade will be constructed. Inside, numerous renovations and equipment upgrades will be carried out, including the installation of a new heating and cooling system, modernization of electrical systems and lighting, construction of new accessible washrooms, renovation of the kitchen, construction of a cold room, installation of new drywall and application of new paint.

    These improvements are expected to reduce the building’s energy consumption by approximately 31.9% and greenhouse gas emissions by 33.2 tonnes annually. In addition, the improvements will create an accessible environment for users and extend the life of the building, while enhancing its versatility and improving its overall appearance.

    The Clare Veterans Centre in Saulnierville is located in the largest rural Acadian community in Nova Scotia. The centre is widely used by groups from all sectors and demographics. In addition, it hosts many annual events.

    By investing in infrastructure, the Government of Canada is growing our country’s economy, increasing the resilience of our communities, and improving the lives of Canadians.

    Quotes

    “The Government of Canada’s investment will help ensure that the Clare Veterans Centre remains a welcoming and inclusive place for all members of the community. The renovations will allow the community to continue to successfully host cultural events in a comfortable environment. In addition, by reducing the facility’s carbon footprint, this project contributes to provincial and federal climate change mitigation efforts.”

    Kody Blois, Member of Parliament for Kings–Hants, on behalf of the Honourable Dominic LeBlanc, Minister of Intergovernmental Affairs, Infrastructure and Communities

    “The upgrade to the Clare Veterans Centre is necessary and well deserved. The building is used daily by residents of the municipality, and I am confident that the planned renovations will be enjoyed by all those who make good use of public space. The planned work will certainly improve the aesthetics of the building, but also more functional elements such as its accessibility and carbon footprint.”

    Yvon LeBlanc, Warden of the Municipality of the District of Clare

    Quick Facts

    Our government is investing $2,356,494 in this project through the Green and Inclusive Community Buildings (GICB) Program. The Municipality of the District of Clare is contributing $589,124.

    The BCVI program aims to improve the places where Canadians work, learn, play, live and gather by reducing pollution, making life more affordable and supporting thousands of good jobs. Through green upgrades and other work to existing public community buildings, and new construction in underserved communities, the BCVI program helps ensure community facilities are inclusive, accessible and have a long lifespan, and help Canada achieve its net-zero emissions targets by 2050.

    At least 10 percent of the funds are allocated to projects for First Nations, Inuit and Métis communities, which includes Indigenous populations in urban centres.

    The Green and Inclusive Community Buildings (GICB) program was created to support Canada’s Strengthened Climate Plan: A Healthy Environment and a Healthy Economy, and supports the first pillar of the Plan by reducing greenhouse gas emissions, increasing energy efficiency and building resilience to climate change. The program provides $1.5 billion over five years for retrofits, repairs or improvements that promote the environment and accessibility.

    The funding announced today is part of the work the Government of Canada is doing under the Atlantic Growth Strategy to create good-paying middle-class jobs, strengthen local economies and build inclusive communities.

    For more information, please consult Infrastructure Canada website.

    Related links

    Contact persons

    For further information (media only), please contact:

    Jean-Sébastien Comeau Press Secretary and Senior Communications AdvisorOffice of the Honourable Dominic LeBlancMinister of Intergovernmental Affairs, Infrastructure and Communities343-574-8116Jean-Sebastien.Comeau@iga-aig.gc.ca

    Media Relations Infrastructure Canada613-960-9251Toll free: 1-877-250-7154Email: media-medias@infc.gc.caFollow us on Twitter, Facebook, Instagram And LinkedInWebsite: Infrastructure Canada

    Pam Doucet Director of Community DevelopmentMunicipality of the District of Clare902-769-2031directorcd@munclare.ca

    EDITOR’S NOTE: This article is a translation. Apologies should the grammar and/or sentence structure not be perfect.

    MIL Translation OSI

  • MIL-OSI Translation: Governments of Canada, Nova Scotia and Bayside Development Corporation invest in energy-efficient renovations at Bayside Travel Centre in Paqtnkek Mi’kmaw Nation

    MIL OSI Translation. Canadian French to English –

    Source: Regional Government of Canada – in French 2

    Press release

    Paqtnkek Mi’kmaw Nation, Nova Scotia, July 11, 2023—Today, Mike Kelloway, Parliamentary Secretary to the Minister of Fisheries, Oceans and the Canadian Coast Guard and Member of Parliament for Cape Breton-Canso, the Honourable Michelle Thompson, Minister of Health and Wellness, on behalf of the Honourable Tory Rushton, Minister of Natural Resources and Renewable Energy, and Rose Paul, CEO and President of Bayside Corporation, announced joint funding of over $1.6 million for energy-efficient green energy retrofits at the Paqtnkek Mi’kmaw Nation’s Bayside Travel Centre.

    The project involves the installation of a direct current microgrid energy system consisting of solar photovoltaic panels, a battery storage system and two electric vehicle fast chargers at the Bayside Travel Centre, owned by the Paqtnkek Mi’kmaw Nation. By integrating three separate technologies, this project is the first microgrid in Nova Scotia to work together to provide energy services.

    This investment will reduce greenhouse gas emissions by 3,945 tonnes, improve access to electric vehicle chargers and create jobs in the community.

    By investing in infrastructure, the Government of Canada is growing our country’s economy, increasing the resilience of our communities, and improving the lives of Canadians.

    Quotes

    “The Bayside Travel Centre solar microgrid is a significant milestone for Nova Scotia, the Municipality of Antigonish and the Paq’tnkek Mi’kmaw Nation. Green energy projects like this benefit our communities in many ways. They generate clean electricity, reduce greenhouse gas emissions and create good jobs. This project will play a vital role in combatting climate change and ensuring a clean energy future for Nova Scotia.”

    Mike Kelloway, Parliamentary Secretary to the Minister of Fisheries, Oceans and the Canadian Coast Guard and Member of Parliament for Cape Breton-Canso, on behalf of the Honourable Dominic LeBlanc, Minister of Intergovernmental Affairs, Infrastructure and Communities

    “The Government of Canada is working with Indigenous partners to make investments in clean energy that will create jobs across the country. Today’s investment is a great example of this ambitious action. We are pleased to deploy EV charging stations, batteries and solar panels at the Bayside Travel Centre with the Paq’tnkek Mi’kmaw Nation and our provincial partners.”

    The Honourable Jonathan Wilkinson, Minister of Natural Resources

    “Our approach to the energy transition must leave no one behind. Today’s announcement will enable the community to reduce emissions while creating good-paying jobs for its members. Investments in climate-friendly solutions like this will create benefits for years to come, for the environment and for Indigenous peoples. Congratulations to the Paqtnkek Mi’kmaw Nation for taking this important step.”

    The Honourable Patty Hajdu, Minister of Indigenous Services

    “The technology being deployed in Nova Scotia’s renewable energy sector is truly inspiring. The upgrades completed by the Bayside Development Corporation will serve as an example for other organizations in the province looking to move toward a cleaner, greener future.”

    The Honourable Michelle Thompson, Minister of Health and Wellness, on behalf of the Honourable Tory Rushton, Minister of Natural Resources and Renewable Energy

    “Developing renewable energy is an example of energy sovereignty and being stewards of the land and resources. Working toward our carbon neutrality goals is an opportunity to be at the forefront of an industry that aligns with our sustainability values while providing social and economic opportunities for our communities.”

    Rose Paul, CEO and President of Bayside Corporation

    Quick Facts

    The Government of Canada is investing more than $1.4 million in this project, the Government of Nova Scotia is investing $200,000 and the Bayside Development Corporation is providing $18,309.

    The Government of Canada’s funding comes from Infrastructure Canada’s Investing in Canada Infrastructure Program – Green Infrastructure Stream, Natural Resources Canada’s Zero-Emission Vehicle Infrastructure Program, and Indigenous Services Canada’s Atlantic Canada Clean Energy Indigenous Economic Development Strategic Partnerships Initiative.

    Federal investments are supporting the development of a coast-to-coast EV charging network along highways, as well as the deployment of chargers in local areas where Canadians live, work and play, with more than 43,600 EV chargers selected to date for funding.

    This green infrastructure component supports the development of greener communities by promoting climate change preparedness, greenhouse gas emission reductions and renewable technologies.

    Including today’s announcement, 63 infrastructure projects or groups of projects have been funded in Nova Scotia under the Green Infrastructure Stream, for a total federal contribution of more than $357 million and a total provincial contribution of nearly $459 million.

    Through the Investing in Canada plan, the federal government is investing more than $180 billion over 12 years in public transit projects, green infrastructure, social infrastructure, trade and transportation routes, and Canada’s rural and northern communities.

    Infrastructure Canada helps address the complex challenges Canadians face every day, from rapidly growing cities to climate change to environmental threats to our waters and lands.

    The funding announced today is part of the work the Government of Canada is doing under the Atlantic Growth Strategy to create good-paying middle-class jobs, strengthen local economies and build inclusive communities.

    Related links

    Contact persons

    For further information (media only), please contact:

    Jean-Sébastien Comeau Press Secretary and Senior Communications AdvisorOffice of the Honourable Dominic LeBlancMinister of Intergovernmental Affairs, Infrastructure and Communities343-574-8116Jean-Sebastien.Comeau@iga-aig.gc.ca

    Media Relations Infrastructure Canada613-960-9251Toll free: 1-877-250-7154Email: media-medias@infc.gc.caFollow us on Twitter, Facebook, Instagram And LinkedInWebsite: Infrastructure Canada

    Patricia Jreige Communications AdvisorNatural Resources and Renewable Energy902-718-7866Patricia.jreige@novascotia.ca

    Richard Perry Public RelationsBayside Development Corporation902-318-7272rgperry@icloud.com

    EDITOR’S NOTE: This article is a translation. Apologies should the grammar and/or sentence structure not be perfect.

    MIL Translation OSI

  • MIL-OSI Translation: Media Advisory: Infrastructure Announcement in Paqtnkek Mi’kmaw Nation

    MIL OSI Translation. Canadian French to English –

    Source: Regional Government of Canada – in French 2

    Media Advisory

    Paqtnkek Mi’kmaw Nation, Nova Scotia, July 10, 2023—Members of the media are invited to an infrastructure announcement with Mike Kelloway, Parliamentary Secretary to the Minister of Fisheries, Oceans and the Canadian Coast Guard and Member of Parliament for Cape Breton-Canso; the Honourable Michelle Thompson, Minister of Health and Wellness, on behalf of the Honourable Tory Rushton, Minister of Natural Resources and Renewable Energy; and Rose Paul, CEO and Chair of Bayside Corporation.

    Date: Tuesday, July 11, 2023

    Time: 11:00 a.m. (ADT)

    Location: Bayside Travel Centre, 86 Bayside Road, Afton Station, NS B0H 1A0

    Contact persons

    For further information (media only), please contact:

    Kelly Ouimet Director of Communications Office of the Honourable Dominic LeBlanc Minister of Intergovernmental Affairs, Infrastructure and Communities 343-552-3420 Kelly.Ouimet@iga-aig.gc.ca

    Media Relations Infrastructure Canada 613-960-9251 Toll free: 1-877-250-7154 Email: media-medias@infc.gc.ca Follow us on Twitter, Facebook, Instagram And LinkedIn Website: Infrastructure Canada

    Patricia Jreige Communications Advisor Natural Resources and Renewable Energy 902-718-7866 Patricia.jreige@novascotia.ca

    Richard Perry Public Relations Bayside Development Corporation 902-318-7272rgperry@icloud.com

    EDITOR’S NOTE: This article is a translation. Apologies should the grammar and/or sentence structure not be perfect.

    MIL Translation OSI

  • MIL-OSI USA: CONGRESSMAN BISHOP SUPPORTS BIPARTISAN BILL TO REIN IN PRESCRIPTION DRUG COSTS, PROTECT SMALL PHARMACIES VITAL TO RURAL AMERICA

    Source: United States House of Representatives – Congressman Sanford D Bishop Jr (GA-02)

    WASHINGTON – Last week, Congressman Sanford D. Bishop, Jr. (GA-02) joined a bipartisan group of legislators in front of the U.S. House to raise awareness about H.R. 9096, the Pharmacists Fight Back Act. This bipartisan bill was introduced by Congressman Jake Auchincloss (MA-05) and Congresswoman Diana Harshbarger (TN-01). This bill would prohibit large Pharmacy Benefit Managers (PBMs) from manipulating drug prices, and restricting network access and patient choice in federal healthcare plans. It also protects pharmacies, patients, and taxpayers from other unfair PBM practices.

    “Pharmacy benefit managers are fleecing independent pharmacists and consumers to the tune of billions of dollars every year… I have visited innovative pharmacies across my district over the last several years and I have seen the spreadsheets and seen the abuses they have suffered,” said Congressman Bishop. “PBM reform is an issue that cannot wait. I promise you that I will do everything in my power along with my colleagues to help pharmacists, particularly independent pharmacists and their customers, fight back.”

    WATCH: Congressman Bishop’s Remarks

    America’s seniors, active-duty service members, national guard/reserve members, military retirees, medal of honor recipients, and federal employees/retirees will see their drug costs lowered, and their choice of pharmacy protected via this bill.

    Joining members of Congress were pharmacists from across the country, including Vic Johnson, owner of Living Well Pharmacy in Augusta and Nikki Bryant, owner of Adams Family Pharmacy in Preston.

    WATCH: Nikki Bryant’s Remarks

    WATCH: Vic Johnson’s Remarks

    Bil and Sharon Schmidtknecht of Wisconsin, also spoke at the event. They are the parents of Cole Schmidtknecht who passed away when a PBM increased the price of his necessary daily asthma medication to nearly the same price as his rent.

    The Federal Trade Commission launched an investigation into PBMs in 2022. In July 2024, it published its interim report which found that the six largest PBMs in the U.S.—Caremark, Express Scripts, OptumRx, Humana, Prime Therapeutics, and MedImpact—had come to manage nearly 95% of all scripts filled in the United States. Using “vertical integration,” these six PBMs had come to own or be owned by or otherwise linked to some of the largest health plans or pharmacies in the nation.

    The report went on to show exactly how this monopolistic situation affects independent pharmacies and their customers. According to the report, the largest PBMs often “exercise significant power over” drug availability and cost and which pharmacies Americans choose to use―while steering people toward larger pharmacies. By prioritizing chain pharmacies, PBMs put forward contract terms that can harm independent pharmacies by cutting into their payment.  They can also harm customers by limiting access to lower-cost generic competitor drugs.

    H.R. 9096, the Pharmacists Fight Back Act, addresses prescription drug coverage in federal programs such as Medicare Part D and Medicare Advantage Plans, Medicaid managed care, Tricare, and the Federal Employee Health Benefits Program. It proposes a transparent reimbursement model for federal programs that bans spread pricing and caps costs for patients.  In addition, it prohibits PBMs from “steering” patients to specific pharmacies by allowing beneficiaries to use any in-network pharmacy.

    The bill also prohibits PBMs from requiring a beneficiary to use a branded drug when there is a less expensive generic alternative available, among other provisions. The legislation makes it a felony with a $1,000,000 fine for each violation of the act. Finally, it empowers patients by allowing individuals to take civil action against PBMs that breach provisions in this bill.

    ###

    PHOTO CAPTION: Congressman Sanford D. Bishop, Jr., (GA-02) discusses H.R. 9096, the Pharmacists Fight Back Act with reporters in front of the U.S. Capitol.

    PHOTOS CAPTION: Nikki Bryant, owner of Adams Family Pharmacy in Preston, and Vic Johnson, Vic Johnson, owner of Living Well Pharmacy in Augusta, speak to reporters about the effects that PBMs have had on pharmacists like them.

    MIL OSI USA News

  • MIL-OSI Translation: Health: how to sort out truth from falsehood?

    MIL OSI Translation. Government of the Republic of France statements from French to English –

    Source: Republic of France in FrenchThe French Republic has issued the following statement:

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    Fake news

    Published on September 26, 2024 – Directorate of Legal and Administrative Information (Prime Minister)

    Does fasting really help fight cancer? Is collagen really effective in fighting pain? The French National Institute of Health and Medical Research (Inserm) helps you decipher fake news, this false or deliberately biased information, contributing to misinformation, which circulates on the internet and social networks in terms of health.

    Image 1Credits: Krakenimages.com – stock.adobe.com

    Detox Channel

    When spread en masse, false information can affect the power of discernment and influence public opinion in a negative way.

    To combat disinformation, Inserm is setting up a series to promote scientific discourse: Detox Channel. You will find short videos and tips to help you decode the news and verify the information circulating in the field of science and health.

    This new campaign aims to encourage citizens to turn to scientific sources for information.

    What topics are covered on Canal Détox?

    Here are some examples of fake news covered in the Inserm series:

    Namely

    Do you want to report illegal content on the Internet? Go to Pharos, the Ministry of the Interior’s portal dedicated to reporting illegal content on the Internet. Do you have questions about your child’s use of digital tools? You can consult the platform I protect my child.

    See also

    EDITOR’S NOTE: This article is a translation. Apologies should the grammar and/or sentence structure not be perfect.

    MIL Translation OSI

  • MIL-OSI USA: Representative Pettersen Introduces Bills to Expand Access to Quality Child Care, Bolster Education Workforce

    Source: United States House of Representatives – Representative Brittany Pettersen (Colorado 7th District)

    WASHINGTON  – Today, at a press conference, Representative Brittany Pettersen (CO-07) joined Democratic Whip Katherine Clark (MA-05), Representatives Suzanne Bonamici (OR-01), Jimmy Gomez (CA-34), Jennifer McClellan (VA-03), and Jill Tokuda (HI-02) to reintroduce the Child Care Infrastructure Act and the Child Care Workforce Development Act. Pettersen also introduced the bipartisan, bicameral Creating Early Childhood Leaders Act with Congressman Marc Molinaro (NY-19).

    These pieces of legislation would address critical aspects of the affordable child care crisis by increasing access to quality care. Additionally, these bills would strengthen the workforce by providing incentives to recruit and retain skilled educators, while ensuring high-quality, age-appropriate instruction for young children.

    “As a working mom of a four-year-old son with another child on the way, I know firsthand how difficult it is to find affordable child care and the struggles families in my district are facing, especially in more rural communities,” said Pettersen. “That’s why I’m proud to help reintroduce these two pieces of legislation to bolster our child care workforce, help lower costs for parents, and ensure every family can access the care they need for their children to thrive.” 

    “I’m also grateful for Congressman Molinaro’s partnership on the Creating Childhood Leaders Act. Early childhood education lays the groundwork for lifelong learning, and this bill ensures school leaders focus on children from birth to age eight, building a strong foundation and fostering long-term success,” said Pettersen. 

    Background:

    The Child Care Infrastructure Act would create a grant program through the Department of Health and Human Services (HHS) to provide funding to states for building or renovating child care facilities and help ensure safe, high-quality learning environments for children. Additionally, the legislation calls for a nationwide assessment of the current condition of child care facilities. Bill text is available HERE

    The Child Care Workforce Development Act would create a student loan repayment program for early childhood educators and establish a grant program for individuals pursuing a childhood development credential. This would help attract and retain skilled educators, addressing workforce shortages in early education and ensuring that young children receive high-quality care and instruction during their most formative years. Bill text is available HERE

    The Creating Early Childhood Leaders Act would modify Title II of the Higher Education Act by mandating that school leadership programs receiving federal Teacher Quality Partnership grants incorporate training on early childhood development and effective instructional leadership for children from birth to age eight. Companion legislation was introduced by U.S. Senators Bob Casey (D-PA) and Mitt Romney (R-UT). Bill text is available HERE.

    • This legislation is endorsed by The Education Trust, National Association of Elementary School Principals, First Five Years Fund, ZERO TO THREE, National Association for the Education of Young Children, and New America. 

    ###

    To access downloadable, high-quality photos, click hereTo stay up-to-date on what Pettersen is doing in Congress, follow her on Twitter here, Facebook here, or Instagram here. Residents can also sign-up for her e-newsletter subscription here.

    MIL OSI USA News

  • MIL-OSI NGOs: Global: Abortion rights defenders facing violence and stigmatization share powerful stories as part of Amnesty’s new podcast

    Source: Amnesty International –

    People defending the right to abortion have revealed what it’s like to provide life-saving healthcare in the face of violence, repression and stigma, as part of Amnesty International’s second season of On the Side of Humanity podcast.

    The three-part series – slated for release on International Safe Abortion Day on 28 September and available via all good podcast apps – features stories from healthcare workers and activists who are defending the right of women, girls and anyone who can get pregnant to take control over their own bodies and to get the best available healthcare when they most need it. Each episode is approximately 30 minutes.

    “Everyone has the right to safe abortion. However, with anti-abortion narratives and legislation gaining ground around the world, people who need abortions, or who make them happen, face increasing, life-changing risks,” said Fernanda Doz Costa, Director of the Gender, Racial Justice, Migrants and Refugees Programme at Amnesty International.

    “People defending the right to abortion, including those providing essential health services such as nurses, midwives, doctors, as well as activists distributing abortion-inducing pills, are being stigmatized, intimidated, attacked and subjected to unjust prosecutions, making their work increasingly difficult and dangerous to carry out. It’s time to shine a light on their stories through Amnesty’s new podcast and show them the support they deserve.”

    Those featured in Amnesty’s new podcast are no different – having faced a tirade of abuse, simply for supporting those in need of an abortion. Some have even been imprisoned, such as Venezuelan teacher and human rights defender Vannesa Rosales, whohelped her 13-year-old student who had been raped to get access to a safe abortion.

    “They raided my house and confiscated a grooming kit for my pets with scissors in it,” said Vannesa. “It was used as evidence that I was operating a clandestine abortion clinic. Immediately after, they arrested both of us, the girl’s mother and myself. She was facing up to five years in prison and I up to 15 years.”

    Alongside Vannesa’s story, the podcast features abortion rights defenders including Verónica Cruz Sánchez, founder of Las Libres – a feminist Mexican organisation that coordinates a network of daring activists sending free abortion pills to women in the USA; midwife Sylvia Hamata from Namibia advocating for safe abortion access and battling against abortion stigma in her country; eminent Maltese gynaecologist and Professor of Medicine Isabel Stabile; gender rights activist and Amnesty’s campaign partner Stephanie Willman Bordat; world-renowned gynaecologist and former president of FIGO (The International Federation of Gynaecology and Obstetrics) Professor Sabaratnam Arulkumaran; as well as Amnesty International’s Secretary General Agnès Callamard.

    Criminalization of abortion is the biggest contributing factor to the estimated 35 million unsafe abortions happening every year. It means healthcare staff are constantly caught in the conflict between the ethical and professional duty to provide the best available care and being criminally liable if they do not follow harmful laws.

    “Research over several decades has shown that being able to control one’s reproduction and to exercise reproductive autonomy affects all spheres of life. It is central to the achievement of gender equality and social, racial, gender and economic justice. As part of our global campaign on the right to abortion, Amnesty International calls on states around the world to fulfil their obligations to protect the right to safe and legal abortion for all, and to respect and protect the right of all those who defend the right to abortion,” said Fernanda Doz Costa.

    On the Side of Humanity, Season Two, is available to stream on Spotify, Apple and Deezer.

    MIL OSI NGO

  • MIL-OSI USA: FDA Approves New Drug to Treat Niemann-Pick Disease, Type C

    Source: US Department of Health and Human Services – 3

    For Immediate Release:

    Today, the U.S. Food and Drug Administration approved Aqneursa (levacetylleucine) for the treatment of neurological symptoms associated with Niemann-Pick disease type C (NPC) in adults and pediatric patients weighing at least 15 kilograms. 

    “This is the second treatment the FDA has approved for NPC within the span of a week. Today’s action further underscores the agency’s commitment to support development of new treatments for rare diseases,” said Janet Maynard, M.D., M.H.S., director of the Office of Rare Diseases, Pediatrics, Urologic and Reproductive Medicine, in the FDA’s Center for Drug Evaluation and Research. “This approval again demonstrates the FDA’s commitment to work with the scientific community to overcome the unique challenges that may arise with rare disease drug development.”

    NPC is a rare genetic disease that results in progressive neurological symptoms and organ dysfunction. It is caused by changes in either the NPC1 or NPC2 gene, affecting the necessary transport of cholesterol and other lipids within a cell. As a result, these cells do not function as they should, ultimately causing organ damage. On average, individuals affected by this devastating disease only live for about 13 years.

    The safety and efficacy of Aqneursa for the treatment of NPC were evaluated in a randomized, double-blind, placebo-controlled, two-period, 24-week crossover study. The duration was 12 weeks for each treatment period. The study enrolled 60 patients. To be eligible for the study patients had to be 4 years of age or older with a confirmed diagnosis of NPC and at least mild disease-related neurological symptoms. Participants could receive miglustat, an enzyme inhibitor, as background treatment in the study. 

    The primary efficacy outcome was a modified version of the Scale for the Assessment and Rating of Ataxia (SARA), referred to as the functional SARA (fSARA). The fSARA consists of the gait, sitting, stance and speech disturbance domains of the original SARA with modifications to the scoring responses. On average, participants treated with Aqneursa for 12 weeks showed a better outcome in the fSARA score compared to when they were treated with placebo.

    The prescribing information contains a warning that Aqneursa may cause embryo-fetal harm if used during pregnancy. Females should inform their healthcare provider of a known or suspected pregnancy before taking Aqneursa.

    The most common side effects are abdominal pain, difficulty swallowing, upper respiratory tract infections and vomiting.

    Aqneursa should be taken orally up to three times per day, with or without food. The recommended dose varies depending on the individual’s body weight, as outlined in the prescribing information.

    The FDA granted Aqneursa Priority Review, Fast Track, Orphan Drug and Rare Pediatric Disease designations for this application.

    The FDA granted approval of Aqneursa to IntraBio Inc.

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    The FDA, an agency within the U.S. Department of Health and Human Services, protects the public health by assuring the safety, effectiveness, and security of human and veterinary drugs, vaccines and other biological products for human use, and medical devices. The agency also is responsible for the safety and security of our nation’s food supply, cosmetics, dietary supplements, products that give off electronic radiation, and for regulating tobacco products.


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  • MIL-OSI USA: FDA Roundup: September 24, 2024

    Source: US Department of Health and Human Services – 3

    For Immediate Release:

    Today, the U.S. Food and Drug Administration is providing an at-a-glance summary of news from around the agency: 

    • Today, the FDA held a ribbon-cutting ceremony to highlight the completion of the 64,000 square foot expansion and renovation of the National Forensic Chemistry Center (NFCC)  located in Cincinnati, Ohio.  The goal of this revitalization effort was to improve FDA’s mission readiness nationally and help attract and retain highly qualified employees. The NFCC is a specialty laboratory that serves as the FDA’s national forensic laboratory providing specialized laboratory services in analytical chemistry and molecular/ microbiology related to adulteration/contamination, counterfeiting, and product tampering of FDA regulated commodities including drugs, dietary supplements, foods, cosmetics, veterinary feeds, and medical devices.
    • On Monday, the FDA issued a safety advisory cautioning pet owners that samples of two Answers Pet Food products made by Lystn LLC tested positive for Salmonella, a third product tested positive for Listeria monocytogenes (L. mono), and a fourth product tested positive for Salmonella and L. mono. The FDA collected and tested unopened retail samples of products after receiving three consumer complaints of illness in dogs that ate the products. The affected products are sold frozen in 4-pound (half-gallon) cartons and consist of certain batches of Answers Pet Food Raw Beef Detailed Formula for Dogs, Answers Pet Food Raw Beef Straight Formula for Dogs, and Answers Pet Food Straight Chicken Formula for Dogs. Information to help consumers identify affected batches of product can be found in the Product Information section of the advisory. These products should not be fed to pets.
    • On Friday, the FDA approved isatuximab-irfc (Sarclisa) with bortezomib, lenalidomide, and dexamethasone for adults with newly diagnosed multiple myeloma who are not eligible for autologous stem cell transplant (ASCT).  The most common adverse reactions (≥20%) were upper respiratory tract infection, diarrhea, fatigue, peripheral sensory neuropathy, pneumonia, musculoskeletal pain, cataract, constipation, peripheral edema, rash, infusion-related reaction, insomnia, and COVID-19 infection. Full prescribing information for Sarclisa will be posted on Drugs@FDA.
    • On Friday, the FDA issued a safety advisory cautioning pet owners that FDA samples of five Darwin’s Natural Pet Products raw cat and dog food made by Arrow Reliance, Inc. tested positive for Salmonella and a sixth FDA sample tested positive for Salmonella and L. mono. Affected products are sold in frozen 2-pound packages and consist of certain lots of Darwin’s Natural Selections Antibiotic & Grain-Free Chicken Recipe for Cats and Darwin’s Natural Selections Antibiotic & Grain-Free Chicken Recipe for Dogs. These product lots should not be fed to pets. For specific product information and to learn about potential signs of illness, see the FDA Advisory.

    Related Information

    ###

    Boilerplate

    The FDA, an agency within the U.S. Department of Health and Human Services, protects the public health by assuring the safety, effectiveness, and security of human and veterinary drugs, vaccines and other biological products for human use, and medical devices. The agency also is responsible for the safety and security of our nation’s food supply, cosmetics, dietary supplements, radiation-emitting electronic products, and for regulating tobacco products.


    Inquiries

    Consumer:
    888-INFO-FDA

    MIL OSI USA News