For Hourly Workers After the Storm, No Work, No Pay


Chantal Sainvilus, a home health aide in Brooklyn who makes $10 an hour, does not get paid if she does not show up. So it is no wonder that she joined the thousands of people taking extreme measures to get to work this week, even, in her case, hiking over the Williamsburg Bridge.


While salaried employees worked if they could, often from home after Hurricane Sandy, many of the poorest New Yorkers faced the prospect of losing days, even a crucial week, of pay on top of the economic ground they have lost since the recession.


Low-wage workers, more likely to be paid hourly and work at the whim of their employers, have fared worse in the recovery than those at the top of the income scale — in New York City the bottom 20 percent lost $463 in annual income from 2010 to 2011, in contrast to a gain of almost $2,000 for the top quintile. And there are an increasing number of part-time and hourly workers, the type that safety net programs like unemployment are not designed to serve. Since 2009, when the recovery began, 86 percent of the jobs added nationally have been hourly. Over all, about 60 percent of the nation’s jobs are hourly.


Even as the sluggish economy has accentuated this divide, Hurricane Sandy has acted as a further wedge, threatening to take a far greater toll on the have-littles who live from paycheck to paycheck.


“There’s a lot of people in our society that are living in a very precarious situation in terms of low wages or very insecure work,” said Arne L. Kalleberg, a sociologist at the University of North Carolina at Chapel Hill and author of “Good Jobs, Bad Jobs.” “That’s why it’s important to have a safety net that’s based on the idea of people working insecure jobs like this.”


On Friday, Gov. Andrew M. Cuomo announced that New York City and four suburban counties were eligible for disaster unemployment relief, which covers a broader spectrum of workers than regular unemployment benefits, including the self-employed like taxi drivers and street vendors as well as those who were unable to get to work.


New Jersey has also declared people in 10 counties eligible for disaster unemployment assistance. In Connecticut, residents of four counties and the Mashantucket Pequot Indian Reservation are eligible.


A New York Department of Labor spokesman emphasized that workers who lost wages should call to apply because the program is flexible and many eligibility issues would be determined on a case-by-case basis.


But the program might not help people whose commute simply lasted longer or cost more, like Ibezim Oki, a cabdriver who spent $50 on a cab to get from his Brooklyn home to Manhattan on Friday, rather than risk long bus delays, and “now I don’t know how long I’m going to have to wait for gas.”


The commute alone represented a hardship for workers whose jobs require a physical presence, while neighborhood coffee shops in the boroughs and suburbs overflowed with those who needed nothing more than a laptop and Wi-Fi to stay connected to work.


Ms. Sainvilus estimated that on Thursday, she had traveled eight hours to work for five, making her effective pay less than $4 an hour.


Others could not work because their place of business was closed. At a food distribution center in Chelsea, Mike Samuel, 55, a delivery man for a florist, was feeling the pain of five days of lost income. “We don’t work, we don’t get no tips, we don’t get no pay,” he said.


Muta Prather said the chemical company where he works in Newark was flooded, causing him to miss three days of work. He worked part of the day on Thursday helping to clean up, but worried about how he would pay for damage to his own roof.


“It hurts, you know,” said Mr. Prather, who is 49 and lives in West Orange, N.J. “I looked up at my roof, and it’s going to cost me like seven grand. I don’t make that kind of money.”


But at a playground in the Clinton Hill section of Brooklyn, Damien Carney stood with his baby daughter strapped to his chest and his toddler on a nearby swing, enjoying a surprise week off. For Mr. Carney, a salaried portfolio manager for a wine distributor that was closed because it had no power, the storm was amounting to something like a paid vacation with time for cooking and rearranging the living room. “They basically said, ‘Don’t worry about it,’ ” Mr. Carney said of his employers.


Federal labor laws include more protections for salaried workers than hourly workers when a disaster hits. Employers must continue to pay salaries if the worksite is closed for less than a week, even though they are allowed to require employees to use vacation or paid leave for the duration of the closure. Hourly workers, on the other hand, do not have to be paid if the worksite closes. If the workplace is open but salaried workers cannot get there, their pay may be reduced.


Of course, policies vary from workplace to workplace, and some hourly workers were luckier than others. Cassandra Williams, 54, waiting for the bus from Brooklyn to Manhattan with her 6-year-old granddaughter, said the family for whom she keeps house would pay her full wages despite her missing three days of work. Tinash Makots, a 24-year-old salesman at the Nike store in Midtown Manhattan, said he would be paid for the days missed as well.


One nanny in the bus line said she would be paid her regular wages, while another said she would not be compensated for hours missed.


A financial district worker who would identify himself only as William S. said he did not strictly need to go into Manhattan to do his job, but felt that he should make an appearance after one of his staff members showed up every day at 6 a.m. and another paid $40 a day to get to a distant office in Queens.


But Anthony Howell, a 42-year-old hair stylist in Chelsea, said he hadn’t worked all week because his salon, like his high-rise apartment, has no electricity.


“That’s the brutal part,” he said. “The hair industry is like that. You don’t do the work, you don’t get the money.”


Read More..

Second Illness Infects Meningitis Sufferers





Just when they might have thought they were in the clear, people recovering from meningitis in an outbreak caused by a contaminated steroid drug have been struck by a second illness.




The new problem, called an epidural abscess, is an infection near the spine at the site where the drug — contaminated by a fungus — was injected to treat back or neck pain. The abscesses are a localized infection, different from meningitis, which affects the membranes covering the brain and spinal cord. But in some cases, an untreated abscess can cause meningitis. The abscesses have formed even while patients were taking powerful antifungal medicines, putting them back in the hospital for more treatment, often with surgery.


The problem has just begun to emerge, so far mostly in Michigan, which has had more people sickened by the drug — 112 out of 404 nationwide — than any other state.


“We’re hearing about it in Michigan and other locations as well,” said Dr. Tom M. Chiller, the deputy chief of the mycotic diseases branch of the Centers for Disease Control and Prevention. “We don’t have a good handle on how many people are coming back.”


He added, “We are just learning about this and trying to assess how best to manage these patients. They’re very complicated.”


In the last few days, about a third of the 53 patients treated for meningitis at St. Joseph Mercy Hospital in Ann Arbor, Mich., have returned with abscesses, said Dr. Lakshmi K. Halasyamani, the chief medical officer.


“This is a significant shift in the presentation of this fungal infection, and quite concerning,” she said. “An epidural abscess is very serious. It’s not something we expected.”


She and other experts said they were especially puzzled that the infections could occur even though patients were taking drugs that, at least in tests, appeared to work against the fungus causing the infection, a type of black mold called Exserohilum.


The main symptom is severe pain near the injection site. But the abscesses are internal, with no visible signs on the skin, so it takes an M.R.I. scan to make the diagnosis. Some patients have more than one abscess. In some cases, the infection can be drained or cleaned out by a neurosurgeon.


But sometimes fungal strands and abnormal tissue are wrapped around nerves and cannot be surgically removed, said Dr. Carol A. Kauffman, an expert on fungal diseases at the University of Michigan. In such cases, all doctors can do is give a combination of antifungal drugs and hope for the best. They have very little experience with this type of infection.


Some patients have had epidural abscesses without meningitis; St. Joseph Mercy Hospital has had 34 such cases.


A spokesman for the health department in Tennessee, which has had 78 meningitis cases, said that a few cases of epidural abscess had also occurred there, and that the state was trying to assess the extent of the problem.


Dr. Chiller said doctors were also reporting that some patients exposed to the tainted drug had arachnoiditis, a nerve inflammation near the spine that can cause intense pain, bladder problems and numbness.


“Unfortunately, we know from the rare cases of fungal meningitis that occur, that you can have complicated courses for this disease, and it requires prolonged therapy and can have some devastating consequences,” he said.


The meningitis outbreak, first recognized in late September, is one of the worst public health disasters ever caused by a contaminated drug. So far, 29 people have died, often from strokes caused by the infection. The case count is continuing to rise. The drug was a steroid, methylprednisolone acetate, made by the New England Compounding Center in Framingham, Mass. Three contaminated lots of the drug, more than 17,000 vials, were shipped around the country, and about 14,000 people were injected with the drug, mostly for neck and back pain. But some received injections for arthritic joints and have developed joint infections.


Inspections of the compounding center have revealed extensive contamination. It has been shut down, as has another Massachusetts company, Ameridose, with some of the same owners. Both companies have had their products recalled.


Compounding pharmacies, which mix their own drugs, have had little regulation from either states or the federal government, and several others have been shut down recently after inspections found sanitation problems.


Read More..

Second Illness Infects Meningitis Sufferers





Just when they might have thought they were in the clear, people recovering from meningitis in an outbreak caused by a contaminated steroid drug have been struck by a second illness.




The new problem, called an epidural abscess, is an infection near the spine at the site where the drug — contaminated by a fungus — was injected to treat back or neck pain. The abscesses are a localized infection, different from meningitis, which affects the membranes covering the brain and spinal cord. But in some cases, an untreated abscess can cause meningitis. The abscesses have formed even while patients were taking powerful antifungal medicines, putting them back in the hospital for more treatment, often with surgery.


The problem has just begun to emerge, so far mostly in Michigan, which has had more people sickened by the drug — 112 out of 404 nationwide — than any other state.


“We’re hearing about it in Michigan and other locations as well,” said Dr. Tom M. Chiller, the deputy chief of the mycotic diseases branch of the Centers for Disease Control and Prevention. “We don’t have a good handle on how many people are coming back.”


He added, “We are just learning about this and trying to assess how best to manage these patients. They’re very complicated.”


In the last few days, about a third of the 53 patients treated for meningitis at St. Joseph Mercy Hospital in Ann Arbor, Mich., have returned with abscesses, said Dr. Lakshmi K. Halasyamani, the chief medical officer.


“This is a significant shift in the presentation of this fungal infection, and quite concerning,” she said. “An epidural abscess is very serious. It’s not something we expected.”


She and other experts said they were especially puzzled that the infections could occur even though patients were taking drugs that, at least in tests, appeared to work against the fungus causing the infection, a type of black mold called Exserohilum.


The main symptom is severe pain near the injection site. But the abscesses are internal, with no visible signs on the skin, so it takes an M.R.I. scan to make the diagnosis. Some patients have more than one abscess. In some cases, the infection can be drained or cleaned out by a neurosurgeon.


But sometimes fungal strands and abnormal tissue are wrapped around nerves and cannot be surgically removed, said Dr. Carol A. Kauffman, an expert on fungal diseases at the University of Michigan. In such cases, all doctors can do is give a combination of antifungal drugs and hope for the best. They have very little experience with this type of infection.


Some patients have had epidural abscesses without meningitis; St. Joseph Mercy Hospital has had 34 such cases.


A spokesman for the health department in Tennessee, which has had 78 meningitis cases, said that a few cases of epidural abscess had also occurred there, and that the state was trying to assess the extent of the problem.


Dr. Chiller said doctors were also reporting that some patients exposed to the tainted drug had arachnoiditis, a nerve inflammation near the spine that can cause intense pain, bladder problems and numbness.


“Unfortunately, we know from the rare cases of fungal meningitis that occur, that you can have complicated courses for this disease, and it requires prolonged therapy and can have some devastating consequences,” he said.


The meningitis outbreak, first recognized in late September, is one of the worst public health disasters ever caused by a contaminated drug. So far, 29 people have died, often from strokes caused by the infection. The case count is continuing to rise. The drug was a steroid, methylprednisolone acetate, made by the New England Compounding Center in Framingham, Mass. Three contaminated lots of the drug, more than 17,000 vials, were shipped around the country, and about 14,000 people were injected with the drug, mostly for neck and back pain. But some received injections for arthritic joints and have developed joint infections.


Inspections of the compounding center have revealed extensive contamination. It has been shut down, as has another Massachusetts company, Ameridose, with some of the same owners. Both companies have had their products recalled.


Compounding pharmacies, which mix their own drugs, have had little regulation from either states or the federal government, and several others have been shut down recently after inspections found sanitation problems.


Read More..

Bits Blog: Data Shows Twitter Posts That Resonate With Electorate

In Florida, voters responded most when Mitt Romney posted about education and when President Obama did the same about foreign affairs. In Ohio, Mr. Obama’s posted about gay rights, more so than any other topic, held the most traction. For Mr. Romney, it was his posts about the economy.

Twitter introduced an interactive map on Thursday showing which of the candidates’ tweets drove the most engagement — measured by the number of times the tweet was reposted or favorited — on Twitter at the national and state levels.

Nationwide, Mr. Obama’s most popular post was, “No family should have to set aside a college acceptance letter because they don’t have the money.” His second most popular post was actually a quote from Vice President Biden about women’s rights:  “VP Biden: I do not believe that we have a right to tell other people, women, that they can’t control their bodies.” Interestingly, at the state level, that post resonated most with voters in Wyoming, followed by Iowa, South Dakota and West Virginia — states where women’s rights are not considered the pivotal issue.

Mr. Romney’s most popular post was this remark on Sept. 11th: “On this most somber day, America is united under God in its quest for peace and freedom at home and across the world.” Second most popular was a comment about wealth distribution: “I am running for president to get us creating wealth again – not to redistribute it.”

In swing states, Twitter’s map tells an interesting, and sometimes counter intuitive story. According to the latest polls, Virginia, Wisconsin, Ohio, Iowa, Nevada, New Hampshire, Colorado and Florida are still toss-ups.

In the last presidential election, the President won Virginia by seven percentage points. This year, the race is expected to be much closer. There, voters’ response was highest when the candidates posted about issues related to retirement.

The same was true for Wisconsin. Democrats carried the state in the last six presidential elections, but the addition of one of their own, Representative Paul D. Ryan, to Mr. Romney’s ticket has kept the race tight. There, retirement was also the issue that seemed to have the most traction on Twitter.

In Iowa, where six electoral votes are up for grabs, voters were most engaged when Mr. Obama posted about topics related to energy and the environment and when Romney posted about health care.

Nevada voters responded most to Obama’s comments on taxes. Mr. Obama’s most popular post in that state was “1,240,000 middle-class families in Nevada could face a tax increase under Mitt Romney.” Mr. Romney’s posts about education drove the highest level of engagement. “With over 60k jobs lost & the highest unemployment rate in the nation, Nevadans aren’t better off under @BarackObama,” was Mr. Romney’s most popular post.

In Colorado, women’s issues have taken center stage after women proved crucial to two Democratic victories in the 2010 races for Senate and governor. But according to Twitter’s data, Colorado voters responded in the largest numbers when Mr. Obama posted about taxes. For Mr. Romney, it was his remarks about terrorism.

If, as in the 2004 election, the race comes down to Florida, then the candidates may do well to defy conventional wisdom that retirement is all Florida voters care about. Within Florida, Mr. Romney’s posts about retirement did not resonate as well as those about education and foreign affairs. Likewise, Mr. Obama’s posts about topics relevant to retirement had less traction than his those about terrorism and foreign affairs.

Despite the perception that Twitter is just a place for East and West coasters to talk to each other, Twitter’s map shows a surprising level of engagement in states like Wyoming, Utah, Texas, Mississippi and Oklahoma. The opposite proved true for New Hampshire and Vermont, where Twitter noted it was not able to collect enough data to draw conclusions.

Read More..

Petraeus’s Lower C.I.A. Profile Leaves Benghazi Void





WASHINGTON — In 14 months as C.I.A. director, David H. Petraeus has shunned the spotlight he once courted as America’s most famous general. His low-profile style has won the loyalty of the White House, easing old tensions with President Obama, and he has overcome some of the skepticism he faced from the agency’s work force, which is always wary of the military brass.







Brendan Smialowski/Getty Images

The low-profile style of David H. Petraeus, right, has won the loyalty of the White House, easing old tensions with President Obama.








Win Mcnamee/Getty Images

C.I.A. director, David H. Petraeus, right, appeared before the Senate Select Committee on Intelligence in Washington in January.






But since an attack killed four Americans seven weeks ago in Benghazi, Libya, his deliberately low profile, and the C.I.A.’s penchant for secrecy, have left a void that has been filled by a news media and Congressional furor over whether it could have been prevented. Rather than acknowledge the C.I.A.’s presence in Benghazi, Mr. Petraeus and other agency officials fought a losing battle to keep it secret, even as the events there became a point of contention in the presidential campaign.


Finally, on Thursday, with Mr. Petraeus away on a visit to the Middle East, pressure from critics prompted intelligence officials to give their own account of the chaotic night when two security officers died along with the American ambassador, J. Christopher Stevens, and another diplomat. The officials acknowledged for the first time that the security officers, both former members of the Navy SEALs, worked on contract for the C.I.A., which occupied one of the buildings that were attacked.


The Benghazi crisis is the biggest challenge so far in the first civilian job held by Mr. Petraeus, who retired from the Army and dropped the “General” when he went to the C.I.A. He gets mostly high marks from government colleagues and outside experts for his overall performance. But the transition has meant learning a markedly different culture, at an agency famously resistant to outsiders.


“I think he’s a brilliant man, but he’s also a four-star general,” said Senator Dianne Feinstein, the chairwoman of the Senate Intelligence Committee. “Four-stars are saluted, not questioned. He’s now running an agency where everything is questioned, whether you’re a four-star or a senator. It’s a culture change.”


Mr. Petraeus, who turns 60 next week, has had to learn that C.I.A. officers will not automatically defer to his judgments, as military subordinates often did. “The attitude at the agency is, ‘You may be the director, but I’m the Thailand analyst,’ ” said one C.I.A. veteran.


Long a media star as the most prominent military leader of his generation, Mr. Petraeus abruptly abandoned that style at the C.I.A. Operating amid widespread complaints about leaks of classified information, he has stopped giving interviews, speaks to Congress in closed sessions and travels the globe to consult with foreign spy services with little news media notice.


“He thinks he has to be very discreet and let others in the government do the talking,” said Michael E. O’Hanlon, a Brookings Institution scholar who is a friend of Mr. Petraeus’s and a member of the C.I.A.’s advisory board.


Mr. Petraeus’s no-news, no-nonsense style stands out especially starkly against that of his effusive predecessor, Leon E. Panetta, who is now the defense secretary.


Mr. Panetta, a gregarious politician by profession, was unusually open with Congress and sometimes with the public — to a fault, some might say, when he spoke candidly after leaving the C.I.A. about a Pakistani doctor’s role in helping hunt for Osama bin Laden, or about the agency’s drone operations.


Mr. Petraeus’s discretion and relentless work ethic have had a positive side for him: old tensions with Mr. Obama, which grew out of differing views on the wars in Iraq and Afghanistan, appear to be gone. Mr. Petraeus is at the White House several times a week, attending National Security Council sessions and meeting weekly with James R. Clapper Jr., the director of national intelligence, and Thomas E. Donilon, Mr. Obama’s national security adviser. Mr. Donilon said recently that the C.I.A. director “has done an exceptional job,” bringing “deep experience, intellectual rigor and enthusiasm” to his work.


Read More..

Modest Jobs Growth in Final Report Before Election





In the last assessment of the job market before the presidential election, the Labor Department announced Friday that the nation’s employers added 171,000 positions in October, and more jobs than initially estimated in both August and September.




The unemployment rate ticked up slightly to 7.9 percent in October, from 7.8 percent in September, as more workers joined the labor force and so officially became counted as unemployed.


The report showed persistent but modest improvement in the American economy, and broad-based gains in just about every industry except the government. It was based on surveys conducted too early in the month to capture work disruptions across the East Coast caused by Hurricane Sandy.


“Generally, the report shows that things are better than we’d expected and certainly better than we’d thought a few months ago,” said Paul Dales, senior United States economist for Capital Economics. “But we’re still not making enough progress to bring that unemployment rate down significantly and rapidly.”


The latest figures are probably good news for President Obama. They officially recorded a net gain in jobs under his presidency, and they allayed widespread suspicion that September’s large drop in the unemployment rate — below 8 percent for the first time since the month he took office — might have been a one-month statistical fluke.


In a statement, Alan B. Krueger, the chairman of Mr. Obama’s Council of Economic Advisers, said Friday’s report provided “further evidence that the U.S. economy is continuing to heal from the wounds inflicted by the worst downturn since the Great Depression.”


Mitt Romney, the Republican presidential nominee, said in a statement that the jobs report is evidence of the need to change the nation’s economic policies.


“Today’s increase in the unemployment rate is a sad reminder that the economy is at a virtual standstill,” he said.


The numbers arrived somewhat late in the game to have a huge impact on the election next Tuesday, particularly given the ongoing focus on Hurricane Sandy.


Economists were hopeful that once the election was over and Congress addressed the major fiscal tightening scheduled for the end of this year, job growth could speed up further.


“If we can do this kind of job growth with all the uncertainty out there, imagine if we were to clear up those tax issues and hold back the majority of tax increases that are pending at the end of the year,” said John Ryding, chief economist at RDQ Economics. “We could do much better in 2013, maybe as well as we appeared to be doing earlier this year.”


Job gains in previous months were revised to show bigger gains. September’s increase of 114,000 new jobs was revised to 148,000, and August’s 142,000 was revised to 192,000, the government said.


In October, the biggest job gains were in professional and business services, health care and retail trade, the Labor Department said. Government payrolls dipped slightly. State and local governments have been shedding jobs most months over the last three years.


One of the lowlights of the report was in hourly wages, which remained flat in October after showing barely any growth in the previous several months.


“Perhaps the decline in real wages is a factor here in being able to employ more people,” Mr. Ryding said. “It’s something to keep in mind when we think about creating jobs and whether we’re maybe creating the wrong sort of jobs.”


A report from the National Employment Law Project, a liberal research and advocacy organization that focuses on labor issues, found that while the majority of jobs lost in the downturn were middle-wage jobs, the majority of the jobs created since then have been lower-wage ones.


There have now been 25 straight months of jobs gains in the United States, but the increases have been barely large enough to absorb people entering the work force. A queue of about 12 million unemployed people remain waiting for work, about two out of five of whom have been out of a job for more than six months.


That is in addition to more than eight million people who are working part-time but really want full-time jobs.


“I’m not just competing against all the other people who are out of work,” said Griff Coxey, 57, of Cascade, Wis., who was laid off in May from his controller job at a small business. “I’m also competing against all those people who are actually working but are underemployed.”


Like two million other idle workers, Mr. Coxey is scheduled to lose his unemployment benefits the last week of the year, when the federal extensions abruptly expire. He said he still has some savings to fall back on, but many workers do not.


Labor advocates and economists are hopeful that Congress will renew the benefits as part of their discussions of the “fiscal cliff” during their postelection session. So far, though, the issue has received little attention, and analysts worry that ending extended benefits could disrupt what modest forward momentum the economy currently has.


“Federal unemployment benefits are one of the most effective stimuli we have,” said Christine L. Owens, the executive director of the National Employment Law Project.


“The recovery is still fragile,” she said, “and to pull that amount of income and expenditure out of the economy — particularly at a time when people thinking about the holiday season — will have a significant impact on not just those individuals and their families but the economy as a whole.”


Friday’s jobs report is unlikely to affect policy from the Federal Reserve, which has pledged open-ended stimulus until the job market improves “substantially.”


“This was not a perfect report by any means,” said Diane Swonk, chief economist for Mesirow Financial. “We would like to see double these kind of gains in jobs. Our benchmark on improvement is still pretty low.”


Read More..

Ameridose Announces Recall Amid Questions About Drugs’ Sterility





A drug producer linked to the pharmacy at the center of a national meningitis outbreak announced a recall of all of its products Wednesday after federal regulators found that it had not provided enough assurance that all the medicines it made were sterile.







Cj Gunther/European Pressphoto Agency

Ameridose’s sister company is the source of steroid medication linked to 29 meningitis deaths.







The company, Ameridose, which is based in Massachusetts and is a major supplier of sterile injectable medications to hospitals across the country, underscored that there had been no reports of impurities in any of its products and said that it had announced the recall “out of an abundance of caution.”


The company sells more than 2,200 blended drug products, including tranquilizers, anesthetics and antibiotics, according to its Web site. The drugs are pumped into both injectable and oral syringes, as well as intravenous medicine bags. It said it would post the precise list of all the products on its Web site, ameridose.com.


The announcement represented another blow to the family behind Ameridose and its sister company, the New England Compounding Center, whose fungal-tainted steroid medication was responsible for the deaths of 29 people. Ameridose has taken pains to emphasize that it is legally distinct from New England Compounding. But the companies are owned by some of the same people. Federal officials have said Ameridose is part of the investigation because of concerns that it had some of the same business practices as New England Compounding.


Federal and state regulators have suspended operations at Ameridose until Monday. The Massachusetts Department of Public Health said Wednesday that the agreement with the company was “under review.”


Dr. Janet Woodcock, the director of the Center for Drug Evaluation and Research at the Food and Drug Administration, said in a telephone interview that the company offered to recall all of its products after federal officials shared the results of their inspection, which found fault with some of its sterility “assurances.”


Ameridose said in a statement that the F.D.A. had notified the company that the agency would “be seeking improvements in Ameridose’s sterility testing process.”


Dr. Woodcock emphasized that the recall was different from that of New England Compounding, where there was known contamination. The agency is not asking health care providers to track down patients who were given Ameridose products, she said, because there have been no reports of problems. Instead, providers are being asked to send the products back to the company.


In a statement, Ameridose said it had shipped more than 70 million “units of product” since its founding in 2006 without problems.


It said it had agreed to recall its products “because customer confidence is paramount to its business.”


Hospitals have reported difficulties in obtaining certain types of injectable medications that Ameridose produces since the company first suspended its operations, and Wednesday’s recall was likely to exacerbate those shortages.


Dr. Woodcock said that the agency was working to mitigate the shortages, in part by asking other manufacturers to increase production. But she added that concerns about lack of sterility were also important.


“We have to balance the risk of lack of sterility assurance against the issues of products not being available,” she said. “That’s a line we walk every day.”


Read More..

Ameridose Announces Recall Amid Questions About Drugs’ Sterility





A drug producer linked to the pharmacy at the center of a national meningitis outbreak announced a recall of all of its products Wednesday after federal regulators found that it had not provided enough assurance that all the medicines it made were sterile.







Cj Gunther/European Pressphoto Agency

Ameridose’s sister company is the source of steroid medication linked to 29 meningitis deaths.







The company, Ameridose, which is based in Massachusetts and is a major supplier of sterile injectable medications to hospitals across the country, underscored that there had been no reports of impurities in any of its products and said that it had announced the recall “out of an abundance of caution.”


The company sells more than 2,200 blended drug products, including tranquilizers, anesthetics and antibiotics, according to its Web site. The drugs are pumped into both injectable and oral syringes, as well as intravenous medicine bags. It said it would post the precise list of all the products on its Web site, ameridose.com.


The announcement represented another blow to the family behind Ameridose and its sister company, the New England Compounding Center, whose fungal-tainted steroid medication was responsible for the deaths of 29 people. Ameridose has taken pains to emphasize that it is legally distinct from New England Compounding. But the companies are owned by some of the same people. Federal officials have said Ameridose is part of the investigation because of concerns that it had some of the same business practices as New England Compounding.


Federal and state regulators have suspended operations at Ameridose until Monday. The Massachusetts Department of Public Health said Wednesday that the agreement with the company was “under review.”


Dr. Janet Woodcock, the director of the Center for Drug Evaluation and Research at the Food and Drug Administration, said in a telephone interview that the company offered to recall all of its products after federal officials shared the results of their inspection, which found fault with some of its sterility “assurances.”


Ameridose said in a statement that the F.D.A. had notified the company that the agency would “be seeking improvements in Ameridose’s sterility testing process.”


Dr. Woodcock emphasized that the recall was different from that of New England Compounding, where there was known contamination. The agency is not asking health care providers to track down patients who were given Ameridose products, she said, because there have been no reports of problems. Instead, providers are being asked to send the products back to the company.


In a statement, Ameridose said it had shipped more than 70 million “units of product” since its founding in 2006 without problems.


It said it had agreed to recall its products “because customer confidence is paramount to its business.”


Hospitals have reported difficulties in obtaining certain types of injectable medications that Ameridose produces since the company first suspended its operations, and Wednesday’s recall was likely to exacerbate those shortages.


Dr. Woodcock said that the agency was working to mitigate the shortages, in part by asking other manufacturers to increase production. But she added that concerns about lack of sterility were also important.


“We have to balance the risk of lack of sterility assurance against the issues of products not being available,” she said. “That’s a line we walk every day.”


Read More..

In Crisis, Public Officials Embrace Social Media





With Hurricane Sandy, public officials and government agencies have embraced social media to a greater degree than ever. For proof, look no further than the Twitter feed of Gov. Andrew M. Cuomo of New York: 400 messages on Tuesday, 300 on Wednesday and well over 100 on Thursday, featuring everything from photos of storm surge damage to updates on power restoration.




It is usually Mr. Cuomo’s aides, not the governor, typing the messages. But he and his staff recognize that social media “is a highly effective method of communicating information in a time of crisis,” said Joshua Vlasto, Mr. Cuomo’s deputy communications director. The governor’s followers have increased to 50,000 from 20,000 last Friday


Although phone service has been spotty in some places across the Northeast, people with working signals have been reliant on texting and social networking to a degree not seen during previous disasters.


In turn, governors, mayors and emergency workers from North Carolina to Maine have fully embraced Twitter, Facebook and YouTube, knowing that constituents unable to watch television can still receive texts and Twitter messages.


Political leaders are still having “Voice of God” news conferences, of course, but aides now tend to post their words on Twitter at the same time, trying to spread accurate information and convey a sense of control amid the chaos and confusion.


“Twitter makes it possible for a public official to create a round-the-clock press conference, simultaneously informing their staff, the public and the press,” said Andrew Rasiej, the founder of the Personal Democracy Forum. Praising the effectiveness of the Web during the recovery from the storm, he said, “We can now separate public officials’ embrace of social media as either pre- or post-Sandy.”


Even before the storm, states showed newfound creativity in getting the word out. Maryland’s emergency management office promoted a Pinterest page with resources and photos of past floods to prod people to get ready. On the Outer Banks of North Carolina, a county manager posted videos to YouTube about preparations before the storm passed by, and videos of damage afterward.


Political campaigns big and small started realizing the effectiveness of these tools several years ago — and now the lessons learned are being applied by the winning candidates.


“Social media is an integral part of an emergency communication plan,” said J. Tucker Martin, the director of communications for Gov. Bob McDonnell of Virginia, who was elected in 2009. “I think a few years ago, it would have been considered a nicety, where it is now considered essential.”


Shortly after Connecticut’s governor, Dannel P. Malloy, was inaugurated in 2011, a couple of big snowstorms quickly showed how useful social media could be in delivering emergency information, said David Bednarz, a deputy communications manager who operates Mr. Malloy’s Twitter account.


Then came Hurricane Irene in August of last year, followed by a freakish October snowstorm. As more and more citizens lost power, the number of Mr. Malloy’s Twitter followers soared.


“Perhaps a sign of the times, we have found that many people do not own battery-operated radios anymore and can’t listen to the governor’s live news briefings,” Mr. Bednarz said. “Using their cellphones, Twitter was the last resource they had available to them to find out what was happening while they were stuck in their homes with no power.”


Across Manhattan’s powerless areas this week, people with smartphones tended to huddle around the few remaining Wi-Fi hot spots rather than battery-operated televisions or radios.


Some agencies have also used the Web to correct news outlets that provided misleading information. On Wednesday, when The New York Post reported on its Web site that Mayor Michael R. Bloomberg planned to ban all passenger cars in Manhattan, the mayor’s press secretary posted a Twitter response in capital letters, “NOT CORRECT.”


The Post deleted the story, which overstated the car restrictions that were announced an hour later.


Social media styles vary. Power utilities tend to be matter-of-fact, keeping emotion to a minimum. Mr. Cuomo is data-driven; Mr. Vlasto said the staff treats his Twitter page “very much like a news operation.”


Gov. Chris Christie of New Jersey, on the other hand, is oftentimes personal. (“The rides I took my kids on this summer are in the Atlantic Ocean,” he wrote Tuesday night.)


Mayor Cory Booker of Newark, a pioneer of Twitter politicking, replies to more people than most public officials. When a woman who lives around the corner from Mr. Booker asked on Thursday morning, “Why don’t we have our power back?” he replied that he did not know.


But he added that anyone in the neighborhood “can come to my house” to warm up and charge their cellphones. A few hours later, the woman said on Twitter, she was at his home, charging her phone and watching the movie “Happy Feet.”


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Guinea-Bissau, After Coup, Is Drug-Trafficking Haven


Agence France-Presse — Getty Images


Soldiers in Bissau, the capital.







BISSAU, Guinea-Bissau — When the army ousted the president here just months before his term was to expire, a thirst for power by the officer corps did not fully explain the offensive. But a sizable increase in drug trafficking in this troubled country since the military took over has raised suspicions that the president’s sudden removal was what amounted to a cocaine coup.




The military brass here has long been associated with drug trafficking, but the coup this spring means soldiers now control the drug racket and the country itself, turning Guinea-Bissau in the eyes of some international counternarcotics experts into a nation where illegal drugs are sanctioned at the top.


“They are probably the worst narco-state that’s out there on the continent,” said a senior Drug Enforcement Administration official in Washington, who spoke on the condition of anonymity so as not to jeopardize his work in the region. “They are a major problem.”


Since the April 12 coup, more small twin-engine planes than ever are making the 1,600-mile Atlantic crossing from Latin America to the edge of Africa’s western bulge, landing in Guinea-Bissau’s fields, uninhabited islands and remote estuaries. There they unload their cargos of cocaine for transshipment north, experts say.


The fact that the army has put in place a figurehead government and that military officers continue to call the shots behind the scenes only intensifies the problem.


The political instability continued as soldiers attacked an army barracks on Oct. 21, apparently in an attempt to topple the government. A dissident army captain was arrested on an offshore island on Oct. 27 and accused of being the organizer of the countercoup attempt. Two critics of the government were also assaulted and then left outside the capital.


From April to July there were at least 20 landings in Guinea-Bissau of small planes that United Nations officials suspected were drug flights — traffic that could represent more than half the estimated annual cocaine volume for the region. The planes need to carry a 1.5-ton cargo to make the transatlantic trip viable, officials say. Europe, already the destination for about 50 tons of cocaine annually from West Africa, United Nations officials say, could be in for a far greater flood.


Was the military coup itself a diversion for drug trafficking? Some experts point to signs that as the armed forces were seizing the presidency, taking over radio stations and arresting members government officials, there was a flurry of drug activity on one of the islands of the Bijagós Archipelago, what amounted to a three-day offloading of suspicious sacks.


That surreptitious activity appears to have been simply a prelude for what was to come.


“There has clearly been an increase in Guinea-Bissau in the last several months,” said Pierre Lapaque, head of the regional United Nations Office on Drugs and Crime for West and Central Africa. “We are seeing more and more drugs regularly arriving in this country.”


Mr. Lapaque called the trafficking in Guinea-Bissau “a major worry” and an “open sore,” and, like others, suggested it was no coincidence that trafficking has spiked since the coup.


Joaquin Gonzalez-Ducay, the European Union ambassador in Bissau, said: “As a country it is controlled by those who formed the coup d’état. They can do what they want to do. Now they have free rein.”


The senior D.E.A. official said that “people at the highest levels of the military are involved in the facilitation” of trafficking and added: “In other African countries government officials are part of the problem. In Guinea-Bissau, it is the government itself that is the problem.”


United Nations officials agree. “The coup was perpetrated by people totally embedded in the drugs business,” said one official, who spoke on the condition of anonymity because of the delicacy of the political environment here.


The country’s former prosecutor general, Octávio Inocêncio Alves, said, “A lot of the traffickers have direct relationships with the military.”


The civilian government and the military leadership that sits watchfully in its headquarters in an old Portuguese fort at the other end of town rebuff the United Nations drug accusations.


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Live Coverage: Burdens of Storm’s Damage Ease Slightly




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State-by-State Guide


A look at the devastation caused in the aftermath of Hurricane Sandy from North Carolina to New England.










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