The FDA has announced the recall of two lots of Sun Pharmaceutical Industries Riomet brand Metformin Hydrochloride Oral Solution:
- NDC Code 10631-206-01 Lot A160031A
- NDC Code 10631-206-02 Lot A160031B
Both lots Expire 01/2018. These lots were found to be contaminated with Scopulariopsis brevicaulis, which can cause pneumonia, sinusitis and disseminated infections, especially in immunocompromised patients. For details see https://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm586510.htm .
The FDA has announced a warning that labels may fade on CSL Behring AlbuRx-25 brand Albumin Human 25 Percent Solution, in 50 and 100 mL vial sizes. See https://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm587337.htm for details and instructions.
The FDA has announced recalls of Alcohol Prep Pads made by Foshan Flying of China and sold or branded by Pharmacist Choice and Simple Diagnostics, because sterility cannot be assured. These FDA notices can be found at:
These two recall notices appear to apply to the same lots, but it would not be surprising to see similar recalls from additional distributors; see https://nwrnbulletins.wordpress.com/2017/09/06/recall-towelettes-alcohol-pads/.
CDC has issued a bulletin to its Health Alert Network (HAN) recommending that healthcare providers be watchful for unusual infectious diseases in patients and others who visit Puerto Rico, the Virgin Islands, and other Caribbean hurricane-ravaged areas between September 2017 and March 2018, including leptospirosis, dengue, hepatitis A, typhoid fever, vibriosis, Zika, chikungunya, and influenza. Also, visitors to flooded or contaminated areas of the Gulf and Atlantic Coasts could possibly return with necrotizing fasciitis, invasive fungi, Mycobacterium, Legionella, Pseudomonas, or other water-associated Gram-negative bacteria. The HAN, at https://emergency.cdc.gov/han/han00408.asp, provides specific recommendations and reporting requirements dealing with these possibilities.
The FDA has announced a Class 2 recall of about 165,000 Baxter Amia Automated Peritoneal Dialysis Sets with Cassette, REF 5C5479 because of a variety of technical issues. For lot numbers and other details see https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfRes/res.cfm?id=158638 .
The numbers are not large, but deaths are being reported from West Nile Virus, with northern Los Angeles County reporting relatively more. The CDC web page on West Nile includes mosquito reduction methods and links to EPA reviews of insecticides; find it at https://www.cdc.gov/westnile/ . In most cases your state and county health departments also have their own pages on West Nile, with local instructions for reporting dead birds, which are markers for surveillance of the disease.