COVID-19 is here and thriving, and ‘flattening the curve’ is the only way forward

Nissa Shaffi

Like most Americans, you probably feel besieged by the rapidly evolving developments surrounding COVID-19. The spread of this novel illness has led to drastic measures to contain the virus and protect public health, and the question on everyone’s mind is how bad is this going to get? The short answer: we don’t know. The long answer: COVID-19 is going to disrupt our lives in the coming weeks, if not days, and its overall impact will be realized for months to come.

A lot has happened since I last wrote on COVID-19, so let’s unpack the most recent events:

On March 11, the World Health Organization (WHO) officially designated COVID-19 as a pandemic, which is defined as the worldwide spread of a new disease.

On March 13, President Trump declared a national emergency in order to release $50 billion of funding to fortify efforts to combat the spread of COVID-19. With more than 4,100 (and counting) active cases of COVID-19 in the United States, more than 40 states have declared states of emergency.

On March 14, the House passed the Families First Coronavirus Response Act (H.R. 6201), with sweeping bipartisan support. H.R. 6201 aims to respond to the COVID-19 outbreak by expanding access to free testing, extending the Family Medical Leave Act, allocating $1 billion in food aid, and extending sick leave benefits to vulnerable Americans.

On March 15, the White House Coronavirus Task Force announced that the nation is entering a new phase in testing for COVID-19, which will increase the capacity and throughput of testing across the country.

So, why exactly has the disease spread so quickly? The issue lies with the fact that the government has grossly mismanaged critical response efforts for COVID-19. This is in part due to initial faulty tests distributed by the Centers for Disease Control and Prevention (CDC), which contained technical manufacturing issues, yielding incorrect results.

Once the CDC identified the error, it promised prompt redistribution of new tests – a process that unfortunately took six-weeks to rectify, catalyzing the silent and effective spread of the virus. Amid these series of planning failures, the Trump administration has falsely claimed that anyone who wants a test can obtain one. Yet, concerned patients across the country have complained that they have been denied tests, due to either unavailability or shifting guidance from the CDC regarding who should be diagnosed, treated, and tested.

We now face the reality that we are catastrophically behind in terms of testing and identifying individuals carrying COVID-19. To put this in perspective, South Korea conducts more tests in one day (10,000), than the United States has in the past two months (5,000-8,000).

We must now accept the sobering truth that these delays have enabled patients with an unknown COVID-19 status to serve as vectors to the disease in their communities. Johns Hopkins Professor, Marty Makary, estimates that for every person that has tested positive for COVID-19, there are 25-50 potential new cases. Makary speculates that, at present, there are potentially 50,000 to 500,000 active (undetected) cases of COVID-19 in the United States.

The promising news is that we’ve entered a new phase in COVID-19 response efforts. The CDC traditionally reserved the right to develop new diagnostic tests. However, in the time of COVID-19, this has severely limited the potential to capture the full impact of the outbreak. On Sunday, the White House Coronavirus Taskforce announced that newly forged public and private partnerships would expand testing for COVID-19 significantly.

To aid in critical response efforts, the Food and Drug Administration (FDA) has approved high throughput testing, which will significantly increase capacity for testing to hundreds of thousands of individuals per day. We can expect 2 million tests to be available across 2,000 labs nationwide, starting this week.

There are currently labs in every state that have been approved to conduct COVID-19 testing. In order to ebb further contamination, drive-through testing centers have been established in seven states, with more expected to pop up in the coming weeks.

The CDC has released very specific guidance regarding how to pursue testing for COVID-19, should you suspect that you have the illness. Symptoms may appear 2-14 days after exposure, and they may include fever, cough, and shortness of breath. If you have these symptoms and suspect that you may be infected, the most important thing to do is to first call your doctor or local health care facility. This will assist your health care provider in properly triaging you without risk of contaminating others.

Over the past few days, you’ve probably heard the words “social distancing,” “self-quarantine,” and, most importantly, “flattening the curve.” In the coming days, we will witness increased cancellations of sporting events, public gatherings, and closures of entire school systems until the spread of the virus tapers off or declines.

It’s all part of a nationwide effort to curb the spread of the pandemic. These measures are extreme – something we haven’t experienced in our lifetimes – but they serve to prevent huge cohorts of people from getting sick all at once, which will wreak havoc on the healthcare system. Now that we have ramped up testing efforts, the number of active cases will arise. Flattening the curve will help delay the spread of disease, as we identify the true incidence of the illness.

We are in a critical time in our nation’s history, and we must all do our part in protecting our communities from further spread of COVID-19. If you have COVID-19, please click here to learn about how you can ensure its containment.

Lastly, if we had a vaccine against the Coronavirus, none of these dire steps would be needed because we’d all get vaccinated. NCL has long championed the effectiveness and safety of vaccines, often in the face of anti-vaxx zealots – we can’t help but be struck by the irony. Everyone wants a vaccine! We are heartened to know that many companies are working to develop antiviral therapies to help combat the spread of COVID-19. Pfizer, for example, has issued a five-point plan to aid scientists in developing treatments to help address this crisis.

The National Consumers League commends the efforts of the CDC, FDA, and other public health agencies in containing and mitigating the impact of COVID-19. Whether its 4 weeks or weeks, we all must make social sacrifices – whatever we must do to contain the virus. These are short windows in the scheme of things, and they will head us in the right direction. Stay healthy and follow CDC guidance on how to protect yourself and your community from COVID-19.

NCL commends House passage of anti-tobacco bill

March 3, 2020

Media contact: National Consumers League – Carol McKay, carolm@nclnet.org, (412) 945-3242 or Taun Sterling, tauns@nclnet.org, (202) 207-2832 

Washington, DC—The National Consumers League (NCL) applauds the passage by the House of Representatives of the Reversing the Youth Tobacco Epidemic Act of 2019 (H.R. 2339), legislation that aims to address youth smoking and e-cigarette crisis. NCL supports the work of the Association of Black Cardiologists, Black Women’s Health Imperative, National Medical Association, National Black Nurses Association, and the National African American Tobacco Prevention Network—among others—all of whom have helped advance this bill.  

According to the National Youth Tobacco Survey, 5 million youth reported having used e-cigarettes, 1 million of which reported daily use. There has been a 78 percent increase in consumption of e-cigarettes among high school students and a 48 percent growth in consumption among middle school students. The proliferation of e-cigarettes in the marketplace has jeopardized decades of progress made by smoking cessation advocates.

For generations, tobacco companies have disproportionately targeted the African American community with advertisements for tobacco products that appear on average, 10 times more in African American neighborhoods than anywhere else. The most staggering example of this is highly addictive and harder-to-quit menthol cigarettes, which have long been marketed to the African American community. Even more concerning is that seven out of ten African American youth smokers ages 12 to 17 smoke menthol cigarettes. 

H.R. 2339 aims to revise requirements related to the safety, sale, and advertisement of tobacco products, including electronic nicotine delivery systems (ENDS), such as e-cigarettes and similar devices. The bill will address the deceptive marketing practices deployed by e-cigarette companies that lure and entice young people with their packaging. The legislation views e-cigarettes as on par with traditional tobacco products under the law and makes it clear that selling tobacco products to children, in any modality is illegal.

“The National Consumers League applauds Rep. Frank Pallone (D-NJ) and Rep. Donna Shalala (D-FL) for their leadership on this legislation,” said NCL Executive Director Sally Greenberg. “We urge the Senate to join in this fight to help end efforts by tobacco and e-cigarette companies to target vulnerable communities nationwide with biased marketing tactics.”

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About the National Consumers League

The National Consumers League, founded in 1899, is America’s pioneering consumer organization. Our mission is to protect and promote social and economic justice for consumers and workers in the United States and abroad. For more information, visit www.nclnet.org.

 

Understanding the rapidly emerging disease, Coronavirus

Nissa Shaffi

On January 30, the World Health Organization (WHO) designated the Coronavirus as a global health emergency. The virus first emerged from a seafood and poultry market in Wuhan, Hubei Province of China, in December 2019. Since then, it has paralyzed several cities around the world, metastasizing into a global public health and economic crisis.

Coronavirus, officially renamed COVID-19 by WHO, is a member of a large family of viruses that can cause illnesses ranging from the common cold to more severe, life-threatening conditions. Coronaviruses are transmitted between animals and people (zoonotic). There have been only two prior coronaviruses that have exhibited zoonotic transmission, which include the Middle East Respiratory Syndrome (MERS) and Secure Acute Respiratory Syndrome (SARS).

COVID-19 is a novel coronavirus that has not previously presented in humans. With nearly 80,000 confirmed cases across 37 countries—which resulted in over 2,700 deaths—WHO warns that COVID-19 is likely to become a global pandemic. Nancy Messonnier, director of CDC’s National Center for Immunization and Respiratory Diseases, cautioned that the spread of COVID-19 in the U.S. is inevitable and could cause severe disruptions to everyday life.

Here’s what you need to know about COVID-19 

Risk Factors

Based on surveillance of COVID-19 thus far, it appears that the virus is nondiscriminatory, and anyone could be at risk for contracting the virus.

Symptoms

According to the CDC, the incubation period for COVID-19 may range from two to 14 days, and symptoms include high fever, cough, and shortness of breath. In more severe cases, the virus develops into pneumonia, which presents the most danger.

Transmission

The method of transmission is suspected to be from person to person via droplets resulting from breathing, coughing, or sneezing. The virus is also suspected to be transmitted via contaminated surfaces. WHO recommends maintaining a distance of at least one meter (three feet) between yourself and anyone who presents the symptoms mentioned above.

Precautions

WHO recommends regular hand washing with either an alcohol-based gel or soap and water to prevent the spread of infection. Individuals should also cover their mouth and nose when coughing and sneezing and should avoid close contact with anyone showing similar symptoms of respiratory illness. Additionally, while getting the flu shot cannot protect you from contracting COVID-19, it does protect you from the flu, a condition that has a far higher mortality rate than COVID-19.

Travel

The Centers for Disease Control and Prevention (CDC) has advised that older and at-risk travelers limit travel to Japan, Italy, and Iran, where the disease is rapidly gaining ground. CDC has also explicitly advised against all non-essential travel to South Korea and China. For more information on CDC’s travel advisories, please click here.

Although the rapid spread of the disease is concerning, the promising news is that the number of new cases in China has dropped–indicating that aggressive interventions deployed by health officials in the region are working. While there are international efforts underway to develop treatments for COVID-19, there is currently no vaccine to prevent the disease. According to the CDC, the best way to prevent contracting the virus is to avoid exposure. For more information on prevention against COVID-19, click here and here.

NCL announces new action center to help patients steer clear of deadly counterfeit drug websites

December 5, 2019

Media contact: National Consumers League – Carol McKay, carolm@nclnet.org, (412) 945-3242 or Taun Sterling, tauns@nclnet.org, (202) 207-2832

Washington, DC—The National Consumers League (NCL), America’s pioneering consumer advocacy organization, today launched Fraud.org/FakeRx, a new digital consumer education campaign to address the growing global crisis of harmful counterfeit medications. The World Health Organization estimates that one in every 10 medical products circulating in developed countries is either substandard or fake, and nearly $83 billion in counterfeit drugs are sold annually. Counterfeit drugs can be, at best, a waste of money and, at worst, fatal.  The Partnership for Safe Medicines has found counterfeit pills made with fentanyl in 48 states, with deaths attributed in 33.

“Counterfeit drugs are everywhere, and they are dangerous. Going to the Internet to buy medicines is a bad idea if you don’t know how to protect yourself from illegal pharmacies selling counterfeit drugs. Consumers do not realize how common counterfeits are; our campaign aims to provide the tools and resources to help consumers steer clear of illegal products and protect themselves and their families,” said NCL Executive Director Sally Greenberg. “NCL is launching Fraud.org/FakeRx to serve as a hub for reliable information for consumers and law enforcement.  Our action center helps consumers learn how to spot the red flags of counterfeit drugs and report issues to law enforcement.”

With the growth of Internet sales of medications, the problem of illegal pharmacies hawking counterfeit drugs is a growing risk to consumers. Visitors to Fraud.org/FakeRx can arm themselves with information to:

  • Reduce the chances they’ll encounter counterfeit drugs and shop safely for medications online
  • Learn to spot harmful counterfeit drugs if they do; and
  • Report counterfeit drugs and the websites offering them to the authorities fighting the problem.

“Criminals posing as legitimate online pharmacies are a serious threat to our nation’s drug supply and to unsuspecting consumers who purchase contaminated or potentially deadly counterfeit medications,” said George Karavetsos, former director of the U.S. Food and Drug Administration’s Office of Criminal Investigations. “Policymakers, regulators, and manufacturers have clear roles for doing their part to protect our drug supply, but having informed consumers is essential to shutting down this illegal online market. This campaign gives consumers the tools they need to stay safe and keep criminals from lining their pockets with consumers’ money.”

NCL has worked with victims of suspected and confirmed counterfeit drugs to capture their experiences and report them to authorities. Two mothers who each lost their adult children to tainted counterfeit medications have lent their stories to the new campaign in hopes of helping others avoid falling to the same fate.

“I lost my son, Jerome, himself a loving big brother and father of three beautiful children, to a counterfeit drug laced with fentanyl. It took one single pill to take Jerome away from us,” said Natasha Butler, whose son was one of a wave of victims of counterfeit drug deaths in Sacramento in 2016. “We had no idea that these dangerous drugs, manufactured to look exactly like the real thing, are out there and could be the last drug someone ever takes. Anyone who takes medication or fills prescriptions needs to be aware of the risks of counterfeits, and that where you get drugs is so crucial for your safety and health. Everyone should visit Fraud.org/FakeRx to learn about the risks and how to avoid being the next victim.”

 “On June 11, 2018 my phone rang at 7:24 am. The voice on the other line told me that my beautiful daughter, Ashley, was dead. Ashley had been given a counterfeit pill laced with fentanyl. I was told by the coroner that she probably died instantly,” said Andrea Thomas, a Colorado mother who, since her daughter’s death from a counterfeit drug, co-founded Voices for Awareness Foundation. “The deadly pill Ashley took looked just like her normal medication. This is an epidemic in our country that I previously knew nothing about. It is time to take action. The National Consumers League’s new resources for consumers will help spread awareness and will make a difference to many.”

To hear from additional victims who know the issue firsthand, visit the new Fraud.org/FakeRx. The site also includes tips for consumers about ways to save on prescription drugs without increasing their risks of purchasing counterfeits. 

NCL thanks its partners for providing support for the new campaign: Allergan, Celgene, Eli Lilly, Gilead Sciences, Pfizer, and PhRMA.

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About the National Consumers League (NCL)

The National Consumers League, founded in 1899, is America’s pioneer consumer organization. Our mission is to protect and promote social and economic justice for consumers and workers in the United States and abroad. For more information, visit www.nclnet.org.

AAOA and National Consumers League Raise Awareness About Prescription Opioid Abuse Safety

October 16, 2019

Media contact: press@againstopioidabuse.org or National Consumers League – Carol McKay, carolm@nclnet.org, (412) 945-3242 or Taun Sterling, tauns@nclnet.org, (202) 207-2832

Alexandria, VA—Allied Against Opioid Abuse (AAOA) and the National Consumers League (NCL) released a new suite of resources to help educate consumers about prescription opioid safety. The AAOA-NCL Consumer Toolkit provides materials to help reinforce the need for patients, caregivers, parents and others to understand their rights, risks and responsibilities associated with prescription opioid use.

Education plays a crucial role in helping consumers understand the importance of safely using, storing and disposing of prescription opioids,” said Sally Greenberg, Executive Director, NCL. “We are pleased to partner with AAOA on this important set of resources, which will provide individuals with actionable steps that they can take to keep prescription opioids secure and prevent misuse and abuse of these medicines among family and friends.”  

The AAOA-NCL Consumer Toolkit addresses common questions that patients may have about their rights, risks and responsibilities associated with prescription opioids, and highlights facts about opioid medications to fill a knowledge gap and prevent misuse before it occurs. The toolkit includes the following resources:

AAOA has taken a leading role in sharing information and fostering communication between patients, consumers and the medical community to help reduce prescription opioid abuse,” said John Parker, Senior Vice President of Communications for the Healthcare Distribution Alliance, the founding member of AAOA. “By leveraging NCL’s expertise, our goal is to communicate directly with consumers about the important role everyone has to play in ensuring the appropriate use, storage and disposal of prescription opioids.”  

In August, the AAOA-HealthyWomen Toolkit was released to help educate women, in their role as consumers and caregivers, about what they can do to prevent the misuse and abuse of prescription opioids in the home. To learn more about AAOA’s resources, including a series of videos that raise awareness about prescription opioid safety, visit www.AgainstOpioidAbuse.org/Act.

For press inquiries, contact press@againstopioidabuse.org

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About Allied Against Opioid Abuse
Allied Against Opioid Abuse is a national education and awareness initiative to help prevent abuse and misuse of prescription opioids. Founded by the Healthcare Distribution Alliance, the initiative is a collaborative effort with diverse partners across the pharmaceutical supply chain, as well as organizations that are experts in public health and healthcare, including Alliance for Aging Research, American Pharmacists Association, American Physical Therapy Association, BeMedWise, Caregiver Action Network, Gerontological Society of America, Healthcare Leadership Council, HealthyWomen, Men’s Health Network, Mental Health America, National Alliance of State Pharmacy Associations, National Association of Directors of Nursing Administration, National Association of States United for Aging and Disabilities, National Community Pharmacists Association, National Consumers League, National Transitions of Care Coalition, Pharmacy Technician Certification Board, and the PA Foundation. Our goal is to contribute to solving the opioid crisis in a meaningful way by educating patients about their rights, risks and responsibilities. To learn more, visit www.AgainstOpioidAbuse.org or follow us on Twitter: @AAOA_Tweets.

About the National Consumers League

The National Consumers League, founded in 1899, is America’s pioneer consumer organization. Our mission is to protect and promote social and economic justice for consumers and workers in the United States and abroad. For more information, visit www.nclnet.org.

FDA acts to protect women’s health

Nissa Shaffi

Last April, the U.S. Food and Drug Administration (FDA) issued a ban on all sales of pelvic surgical mesh products after determining that the manufacturers, Boston Scientific and Coloplast, failed to “demonstrate [a] reasonable assurance of safety and effectiveness.”

The ban comes on the heels of a 2016 reclassification of the product by the FDA, resulting in a class III (high-risk) designation. As a result, the manufacturers were required to undergo meticulous review and obtain premarket approval by the FDA in order to continue sales of their products in the United States.

A surgical mesh is a medical device used to treat urogynecological or pelvic organ issues. Most commonly, surgical mesh has been used to treat pelvic organ prolapse (POP). POP is a type of pelvic floor disorder that occurs when the muscles and tissues supporting pelvic organs become weakened–often resulting in urinary incontinence typically seen as a result of childbirth or advanced age.

A transvaginal surgical mesh is intended to provide additional support to the pelvic floor muscles to reinforce a weakened vaginal wall for treatment of POP. A urethral sling surgical mesh is supposed to provide support to the urethra or bladder to address urinary incontinence. Surgical mesh comes in two forms: synthetic and animal derived. Synthetic surgical mesh remains in the body indefinitely and acts as a permanent implant. Animal derived mesh, made from the intestine or skin of pig or cow, are absorbable and lose durability over time.

The most frequent complications from these devices include vaginal scarring, mesh erosion, increased risk of infection, and painful urination. Nearly 10 million women worldwide have received mesh implants, with about 10 to 15 percent of these women suffering from complications. Following the ban, there are currently no FDA-approved pelvic surgical mesh products available for sale in the United States.

The FDA advises that women who have already received a transvaginal mesh for the surgical repair of POP should continue their routine follow-up care with their provider and need not take any additional action if they are satisfied with their procedure. Patients should notify their provider if they experience any adverse reactions, such as bleeding or pain, following the procedure.

Given the grave injury these devices have caused in women patients, the National Consumers League questions how they ever received FDA approval in the first place. Nevertheless, banning the devices now is better than keeping them on the market. We must expect better from our healthcare regulators. Thankfully, we now have stronger safety standards that have brought an immediate halt to the sale of these unsafe medical devices.

To read the FDA’s full report on transvaginal mesh, click here.

NCL Health Policy Intern Alexa Beeson contributed to this blog.

NCL statement on ACIP pneumococcal vaccine recommendation decision

June 26, 2019

Media contact: National Consumers League – Carol McKay, carolm@nclnet.org, (412) 945-3242 or Taun Sterling, tauns@nclnet.org, (202) 207-2832

Washington, DC—The National Consumers League (NCL) presented testimony at the Centers for Disease Control’s (CDC) vaccine committee today in Atlanta, GA in support of keeping an important vaccine to prevent pneumococcal disease on the schedule of recommended vaccines.

“We commend the Advisory Committee on Immunization Practices (ACIP)’s 2014 recommendation for coverage of the pneumococcal vaccine. However, we are disappointed with ACIP’s decision today that the vaccine should be administered ‘based on shared clinical decision-making’ in adults 65 years or older who do not have an immunocompromising condition. We think that ACIP’s failing to positively recommend the vaccine is a disservice to patients and is confusing to healthcare providers who administer these vaccines.” 

Nearly one million adult cases of pneumococcal disease are reported in the U.S. each year, resulting in 400,000 hospitalizations. Even in this era of multiple treatment modalities, five to seven percent of those hospitalized will die, and a large percentage of them will be seniors.

“We should strive to keep adult immunizations simple and accessible to ensure increased protection. This decision by the committee could negatively impact the perceived importance of vaccines and could compromise vaccine uptake, in turn posing a greater risk of infection amongst older Americans and those they come into contact with.”

NCL will continue to educate consumers about the importance of vaccines in protecting the public health and work to dispel the myths about the safety of vaccines.

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About the National Consumers League

The National Consumers League, founded in 1899, is America’s pioneer consumer organization. Our mission is to protect and promote social and economic justice for consumers and workers in the United States and abroad. For more information, visit www.nclnet.org.

National Consumers League to testify at CDC ACIP in support of pneumococcal and other vaccines

June 25, 2019

Media contact: National Consumers League – Carol McKay, carolm@nclnet.org, (412) 945-3242 or Taun Sterling, tauns@nclnet.org, (202) 207-2832

Washington, DC—The National Consumers League (NCL) will present testimony at the Centers for Disease Control’s (CDC) vaccine committee on June 26 in support of keeping an important vaccine to prevent pneumococcus disease on the schedule of recommended vaccines.

The Advisory Committee on Immunization Practices (ACIP) is revisiting their 2014 recommendation for the pneumococcal vaccine. NCL’s Executive Director Sally Greenberg will present testimony before the committee of vaccine experts in the defense of maintaining the current recommendation of keeping the vaccine, Pneumococcal Conjugate Vaccine 13 (PCV13), on the schedule for adults. NCL also recently joined a letter to ACIP with other health advocates urging the committee not changing the existing recommendation for coverage of the pneumococcal vaccine.

“…[n]early one million adult cases of pneumococcal disease are reported in the U.S. each year, resulting in 400,000 hospitalizations. Five to seven percent of those hospitalized will die, and a large percentage of them will be seniors…..Saving these costs is entirely feasible given that we have a safe and effective vaccine to prevent the pneumococcal illness.”

NCL has a long history of supporting childhood and adult vaccines as enormously safe and effective in reducing illness and death. NCL has sounded alarms about the outbreak of measles across the country, with 1,044 cases this year in the U.S.– the largest since 1992. NCL points out that communities of color and other lower-income Americans are particularly benefitted by keeping important lifesaving vaccines on the schedule.

The group letter noted, “We also recognize that many Americans, especially seniors, will not be able to afford vaccination if it is not provided by Medicare. Cutting back or eliminating Medicare coverage will affect older adults, especially in underserved populations that already see lower rates of vaccination.”

NCL strongly encourages the committee to maintain coverage for the pneumococcal vaccines to prevent disease and save lives.

Testimony will take place on June 26-27, 2019 at the CDC Tom Harkin Global Communication Center at the CDC’s main campus at 1600 Clifton Road NE, Atlanta, GA 30329.

To view NCL’s official statement to the ACIP panel, click the following link: bit.ly/2XAIok2.

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About the National Consumers League

The National Consumers League, founded in 1899, is America’s pioneer consumer organization. Our mission is to protect and promote social and economic justice for consumers and workers in the United States and abroad. For more information, visit www.nclnet.org.

Imposters, information theft, and internet scams: the dangers of unregulated online pharmacies – National Consumers League

By NCL Food Policy and LifeSmarts Caleigh Bartash

With technology improving rapidly over the past few decades, online retailers have proved more convenient, reducing the market share of brick-and-mortar retailers. However, the convenience of purchasing prescription medication online or over the phone can inadvertently trap consumers in internet scams.Countless issues can arise from ordering prescription medication online. Unapproved internet dealers often evade government recognition or detection, failing to comply with drug safety regulations. Consumers can receive counterfeit, contaminated, or expired drugs. In some cases, these drugs may contain deadly opioids like fentanyl. Unauthorized medications can also have varying amounts of a medicine’s active ingredient — if they contain the correct ingredient at all.

Consumers may be attempting to access medications that they have previously been prescribed. However, they face security threats as soon as they give their personal details to an illegitimate pharmacy. These sellers have poor security protections, with leaks of sensitive customer information all too common. Illegitimate online sellers may even outright sell consumer data to scammers. Moreover, these websites can trick unsuspecting consumers into downloading viruses which further risk personal property and information.

Counterfeit drugs, unauthorized data sharing, and cyber attacks are dangerous, but now, a new threat has emerged involving counterfeit letters from the U.S. Food and Drug Administration.

Last week, the FDA released a press announcement alerting consumers to fraudulent warning letters claiming to be sent from the government. They advised that any consumer who received a warning message is likely the victim of a scam.

The July 2018 FDA press announcement is unique in that it is targeted directly to consumers. Commonly, these warning letters are used as a tool to inform the public about drug safety issues and are typically sent exclusively to manufacturers and companies creating products under their jurisdiction. FDA commissioner Dr. Scott Gottlieb summarized the FDA’s policy, stating “we generally don’t take action against individuals for purchasing a medicine online, though we regularly take action against the owners and operators of illegal websites.”

What’s next for those that received a warning letter? The FDA requests that potential victims contact them with information, including pictures and scanned documents if possible, in an effort to help them investigate the scams. Consumers can use the email address FDAInternetPharmacyTaskForce-CDER@fda.hhs.gov as the primary channel for communicating with the agency about suspicious warnings.

The best way to avoid falling victim to any scam involving illegal internet pharmacies is to abstain from suspicious websites. How do you distinguish fake internet pharmacies from safe ones? The FDA offers guidance with their BeSafeRx campaign. Asking a few simple questions at the doctor’s office or calling a certified pharmacist can help consumers protect themselves. Safe online pharmacies usually offer information including address, contact information, and state license. Consumers should be wary if the pharmacy does not require prescriptions to access pharmaceutical drugs. Other warning signs include international addresses, clear spam messages, and unreasonably low prices.

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Have more questions about fraud? NCL’s Fraud.org site has prevention tips, an outlet for consumer complaints, and an experienced fraud counselor to teach you how to avoid common scams. And for those wanting to learn more about proper medication consumption, our Script Your Future initiative has helpful advice and information so you can navigate your prescriptions with the utmost confidence.