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    Supreme Court Rules Against Makers of Flavored Vapes Popular With Teens

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    The justices said the Food and Drug Administration had acted lawfully in rejecting applications from makers of flavored liquids used in e-cigarettes.The Supreme Court ruled on Wednesday that the Food and Drug Administration had acted lawfully in rejecting applications from two manufacturers of flavored liquids used in e-cigarettes with names like Jimmy the Juice Man Peachy Strawberry, Signature Series Mom’s Pistachio and Suicide Bunny Mother’s Milk and Cookies.In a unanimous decision written by Justice Samuel A. Alito Jr., the justices upheld an F.D.A. order that prohibited retailers from marketing flavored tobacco products. The court rejected claims that the agency had unfairly switched its requirements during the application process.Justice Alito wrote that the agency’s denials of the applications were “sufficiently consistent” with agency guidance on tobacco regulations. The justices rejected a ruling by the U.S. Court of Appeals for the Fifth Circuit that the agency had acted arbitrarily and capriciously, finding that the F.D.A. had not tried to change the rules in the middle of the approval process.A 2009 law, the Family Smoking Prevention and Tobacco Control Act, requires makers of new tobacco products to obtain authorization from the F.D.A. According to the law, the manufacturers’ applications must demonstrate that their products are “appropriate for the protection of the public health.”The agency has denied many applications under the law, including the two at issue in the case before the justices, saying the flavored liquids presented a “known and substantial risk to youth.”The appeals court ruled last year that the agency had changed the rules in the middle of the application process, accusing it of “regulatory switcheroos” that sent the companies “on a wild-goose chase.” More formally, the court said the agency’s actions had been arbitrary and capricious.In asking the Supreme Court to hear the case, Food and Drug Administration v. Wages and White Lion Investments, No. 23-1038, the agency’s lawyers cited another appeals court that had reached the opposite conclusion. The Fifth Circuit’s decision “has far-reaching consequences for public health and threatens to undermine the Tobacco Control Act’s central objective of ‘ensuring that another generation of Americans does not become addicted to nicotine and tobacco products,’” they wrote, quoting from the other appeals court’s decision. More

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      Why the Right Still Embraces Ivermectin

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      Five years after the pandemic began, interest in the anti-parasitic drug is rising again as right-wing influencers promote it — and spread misinformation about it.Joe Grinsteiner is a gregarious online personality who touts the anti-parasitic drug ivermectin. In a recent Facebook video, he produced a tube of veterinary-grade ivermectin paste — the kind made for deworming horses.He gave the tube a squeeze. Then he licked a slug of the stuff, and gulped.“Yum,” Mr. Grinsteiner said in the Feb. 25 video, one of a number of ivermectin-related posts he has made that have drawn millions of views on Facebook this year. “Actually, that tastes like dead cancer.”Ivermectin, a drug proven to treat certain parasitic diseases, exploded in popularity during the pandemic amid false claims that it could treat or prevent Covid-19. Now — despite a persistent message from federal health officials that its medical benefits are limited — interest in ivermectin is rising again, particularly among American conservatives who are seeing it promoted by right-wing influencers.Mr. Grinsteiner, 54, is a Trump supporter and country music performer who lives in rural Michigan. He has claimed in his videos that ivermectin cured his skin cancer, as well as his wife’s cervical cancer. In a video last month, he said a woman told him her nonverbal autistic child had become verbal after using ivermectin. In a recent phone interview, Mr. Grinsteiner said that he takes a daily dose of ivermectin to maintain his general well-being.There is no evidence to support people taking ivermectin to treat cancer or autism. Yet Mr. Grinsteiner believes that the medical and political establishments just want to keep average people from discovering the healing powers of a relatively affordable drug. We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      What Ivermectin Can (and Can’t) Do

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      Social media posts have promoted the anti-parasitic drug for cancer and Covid. That has doctors alarmed.At least once a week, someone asks Dr. Skyler Johnson if ivermectin can treat their cancer.Patients have asked about the anti-parasitic drug for years, especially during the pandemic. But in recent months, Dr. Johnson, a radiation oncologist at the University of Utah Huntsman Cancer Institute, has fielded more and more questions about the medication.Exaggerated and inaccurate comments about ivermectin have intensified online lately. Google searches for “ivermectin” hit their highest point in January since a Covid wave in 2022. That month, the actor Mel Gibson appeared on the hit podcast “The Joe Rogan Experience” and said that three friends with Stage 4 cancer recovered after taking ivermectin, among other drugs. Researchers said the podcast, which received 10 million views on YouTube alone, fed into a flood of inaccurate claims and misinformation about the drug’s purported health benefits.At the same time, politicians in several states are promoting legislation that would make it easier for people to obtain ivermectin. The governor of Arkansas signed a bill last week that would enable people to buy it without a prescription. Lawmakers in Georgia, Texas, West Virginia, Alabama, Louisiana and Kentucky have filed, or said they plan to file, similar legislation. A wealth of research has shown the drug does not treat Covid. And there is not evidence to support people taking ivermectin to treat cancer.“I understand that people, a lot of times, want to take health into their own hands — they want to figure things out on their own,” said Krissy Lunz Trujillo, an assistant professor of political science at the University of South Carolina who researches health misinformation. “But that might have really serious consequences.”Dr. Johnson worries that people will forgo traditional cancer treatments for a drug that hasn’t been proven to work. He tells patients that there is no rigorous research showing the anti-parasitic drug cures cancer in humans. Still, he has seen some people with early, treatable tumors turn to the drug, and return months later with cancers that have spread to their lymph nodes, bones and brain.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Top FDA Vaccine Official Resigns, Citing Kennedy’s ‘Misinformation and Lies’

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      The Food and Drug Administration’s top vaccine official, Dr. Peter Marks, resigned under pressure Friday and said that Health Secretary Robert F. Kennedy Jr.’s aggressive stance on vaccines was irresponsible and posed a danger to the public.“It has become clear that truth and transparency are not desired by the secretary, but rather he wishes subservient confirmation of his misinformation and lies,” Dr. Marks wrote to Sara Brenner, the agency’s acting commissioner. He reiterated the sentiments in an interview, saying: “This man doesn’t care about the truth. He cares about what is making him followers.”Dr. Marks resigned after he was summoned to the Department of Health and Human Services Friday afternoon and told that he could either quit or be fired, according to a person familiar with the matter.Dr. Marks led the agency’s Center for Biologics Evaluation and Research, which authorized and monitored the safety of vaccines and a wide array of other treatments, including cell and gene therapies. He was viewed as a steady hand by many during the Covid pandemic but had come under criticism for being overly generous to companies that sought approvals for therapies with mixed evidence of a benefit.His continued oversight of the F.D.A.’s vaccine program clearly put him at odds with the new health secretary. Since Mr. Kennedy was sworn in on Feb. 13, he has issued a series of directives on vaccine policy that have signaled his willingness to unravel decades of vaccine safety policies. He has rattled people who fear he will use his powerful government authority to further his decades-long campaign of claiming that vaccines are singularly harmful, despite vast evidence of their role in saving millions of lives worldwide.“Undermining confidence in well-established vaccines that have met the high standards for quality, safety and effectiveness that have been in place for decades at F.D.A. is irresponsible, detrimental to public health, and a clear danger to our nation’s health, safety and security,” Dr. Marks wrote.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      West Virginia Bans 7 Artificial Food Dyes, Citing Health Concerns

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      At least 20 other states are considering bills restricting the use of certain food dyes and additives.In the most sweeping move of its kind, West Virginia has banned foods containing most artificial food dyes and two preservatives, citing their potential health risks.The legislation, signed into law Monday by Gov. Patrick Morrisey, will go into effect in 2028. At least 20 states are considering similar restrictions on food chemicals, but West Virginia is the first to ban virtually all artificial dyes from foods sold statewide. The new law will also prohibit products containing the dyes from being served in school meals starting this August.“Everybody realizes that we’ve got to do something about food in general,” said Adam Burkhammer, a Republican state representative who introduced the bill in February. It quickly passed both legislative houses with broad bipartisan support. Mr. Burkhammer said he hopes the law will improve the health of children in his state and spur other states to take similar actions.California has passed similar measures, though they were narrower in scope. One, passed in 2023, banned four food additives statewide. And in 2024, state lawmakers banned artificial food dyes from school meals.Jennifer Pomeranz, an associate professor of public health policy and management at New York University, said the California measures likely led state lawmakers to realize they could move faster than the Food and Drug Administration to act on food additives that carried health concerns.She added that Robert F. Kennedy Jr., who was confirmed as health secretary last month and has spoken frequently of his concerns about food dyes, has also brought more attention to the issue. Earlier this month, at a meeting with executives from large food companies including PepsiCo and General Mills, Mr. Kennedy said that it was an “urgent priority” to eliminate artificial dyes from foods and drinks sold nationwide. At another meeting, he encouraged people to call Gov. Morrissey in support of the West Virginia law.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Trump Administration Delays Requirement for Companies to Track Tainted Food

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      A law passed in 2011 required food companies to track food in the event of contamination and a recall. The administration delayed the move, set to take effect next year, for 30 months.The Food and Drug Administration said on Thursday that it would delay by 30 months a requirement that food companies and grocers rapidly trace contaminated food through the supply chain and pull it off the shelves.Intended to “limit food-borne illness and death,” the rule required companies and individuals to maintain better records to identify where foods are grown, packed, processed or manufactured. It was set to go into effect in January 2026 as part of a landmark food safety law passed in 2011, and was advanced during President Trump’s first term.Robert F. Kennedy Jr., the health secretary, has expressed interest in chemical safety in food, moving to ban food dyes and on Thursday debuting a public database where people can track toxins in foods. But other actions in the first months of the Trump administration have undercut efforts to tackle bacteria and other contaminants in food that have sickened people. The administration’s cutbacks included shutting down the work of a key food-safety committee and freezing the spending on credit cards of scientists doing routine tests to detect pathogens in food.There were several high-profile outbreaks in recent years, including the cases last year linked to deadly listeria in Boar’s Head meat and E. coli in onions on McDonald’s Quarter Pounders.The postponement raised alarms among some advocacy organizations on Thursday.“This decision is extremely disappointing and puts consumers at risk of getting sick from unsafe food because a small segment of the industry pushed for delay, despite having 15 years to prepare,” said Brian Ronholm, director of food policy at Consumer Reports, an advocacy group.Many retailers have already taken the steps to comply with the rule. Still, trade groups for the food industry lobbied to delay implementation of the rule in December, according to The Los Angeles Times.In a letter to President Trump in December, food makers and other corporate trade groups cited a number of regulations that they said were “strangling our economy.” They asked for the food traceability rule to be pared back and delayed.“This is a huge step backward for food safety,” said Sarah Sorscher, director of regulatory affairs at the Center for Science in the Public Interest, an advocacy group. “What’s so surprising about it is this was a bipartisan rule.”Ms. Sorscher said there was broad support for the measure, since it would protect consumers and businesses, which could limit the harm, the reputational damage and the cost of a food recall with a high-tech supply chain. More

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      Food Safety Jeopardized by Onslaught of Funding and Staff Cuts

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      The Trump administration halted some food testing and shut down a committee studying bacteria in infant formula. Earlier funding cutbacks under the Biden administration now threaten state labs and inspectors.In the last few years, foodborne pathogens have had devastating consequences that alarmed the public. Bacteria in infant formula sickened babies. Deli meat ridden with listeria killed 10 people and led to 60 hospitalizations in 19 states. Lead-laden applesauce pouches poisoned young children.In each outbreak, state and federal officials connected the dots from each sick person to a tainted product and ensured the recalled food was pulled off the shelves.Some of those employees and their specific roles in ending outbreaks are now threatened by Trump administration measures to increase government efficiency, which come on top of cuts already being made by the Food and Drug Administration’s chronically underfunded food division.Like the food safety system itself, the cutbacks and new administrative hurdles are spread across an array of federal and state agencies.At the Food and Drug Administration, freezes on government credit card spending ordered by the Trump administration have impeded staff members from buying food to perform routine tests for deadly bacteria. In states, a $34 million cut by the F.D.A. could reduce the number of employees who ensure that tainted products — like tin pouches of lead-laden applesauce sold in 2023 — are tested in labs and taken off store shelves. F.D.A. staff members are also bracing for further Trump administration personnel reductions.And at the Agriculture Department, a committee studying deadly bacteria was recently disbanded, even as it was developing advice on how to better target pathogens that can shut down the kidneys. Committee members were also devising an education plan for new parents on bacteria that can live in powdered infant formula. “Further work on your report and recommendations will be prohibited,” read a Trump administration email to the committee members.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      F.D.A. Expands Access to Clozapine, a Key Treatment for Schizophrenia

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      Federal regulators will no longer require patients to provide blood tests before receiving the drug from pharmacies.The Food and Drug Administration has taken a crucial step toward expanding access to the antipsychotic medication clozapine, the only drug approved for treatment-resistant schizophrenia, among the most devastating of mental illnesses.The agency announced on Monday that it was eliminating a requirement that patients submit blood tests before their prescriptions can be filled.Clozapine, which was approved in 1989, is regarded by many physicians as the most effective available treatment for schizophrenia, and research shows that the drug significantly reduces suicidal behavior. Clozapine is also associated with a rare side effect called neutropenia, a drop in white blood cell counts that, in its most severe form, can be life-threatening.In 2015, federal regulators imposed a regimen known as risk evaluation and mitigation strategies, or REMS, that required patients to submit to weekly, biweekly and monthly blood tests that had to be uploaded onto a database and verified by pharmacists.Physicians have long complained that, as a result, clozapine is grossly underutilized.Dr. Frederick C. Nucifora, director of the Adult Schizophrenia Clinic at the Johns Hopkins School of Medicine, said he believed that around 30 percent of patients with schizophrenia would benefit from clozapine — far more than the 4 percent who currently take it.“I have had many patients who were doing terribly, who struggled to function outside the hospital, and cycled through many medications,” he said. “If they go on clozapine, they really tend to not be hospitalized again. I’ve had people go on to finish college and work. It’s quite remarkable.”We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Cucumbers Are Recalled After Salmonella Sickens People in 19 States

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      At least 68 people have fallen ill in the outbreak believed to be linked to cucumbers sold in the United States and Canada, the Centers for Disease Control and Prevention said.At least 68 people, including 18 that needed to be treated at hospitals, have fallen ill across 19 states in a salmonella outbreak that may be linked to cucumbers, the Centers for Disease Control and Prevention said on Friday.Federal officials announced they were investigating the outbreak believed to be tied to cucumbers grown by Agrotato, S.A. de C.V. in Sonora, Mexico, and sold by SunFed Produce, which is based in Arizona, and other importers. No deaths have been reported.The C.D.C. said it was working with public health and regulatory officials in several states, including the Food and Drug Administration, to investigate the infections.The cucumbers were sold in the United States and Canada, according to the F.D.A.SunFed recalled all sizes of the product described as “whole fresh American cucumbers.”Craig Slate, the president of SunFed, said in a statement that the company “immediately acted to protect consumers.”“We are working closely with authorities and the implicated ranch to determine the possible cause,” he said.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More