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December 2006, also limits its drug benefit. Enrollment is restricted in this plan, and it has been excluded it in the analysis presented here. 2 The model contract used by reform plans states that plans shall "make available those drugs and dosage forms listed in the PDL" and "shall not deny or reduce the amount, duration, and scope of prescriptions solely based on the enrollee's diagnosis, type of illness or condition." 3 Settlement of a class action case in 2003 Hernandez et al. v. Medows ; , requires that beneficiaries receive a written notice whenever their drugs are not covered. The notice must explain why the drug was not covered, what is needed to get coverage, and the circumstances under which an immediate three-day supply must be made available. 4 The preferred drug lists were provided by Florida Legal Services, Inc., which obtained them in March 2007 via a public records request. 5 This analysis used state drug utilization data from the website of the Centers for Medicare and Medicaid Services. cms.hhs.gov MedicaidDrugRebateProgram SDUD list Ten drugs appeared on both lists. The data source used did not permit distinguishing those drugs used specifically by reform-eligible beneficiaries. 6 The state lists all 30 of the highest-volume drugs as measured by the number of prescriptions and all but 2 of the top 30 by dollar volume Synagis, an expensive drug given to some infants at high risk for respiratory syncytial virus, and Topamax, one of several medications for migraines ; . 7 Results are presented here for the seven organizations that sponsor reform HMOs. Two organizations each sponsor two separate plans, and some organizations sponsor plans in both counties. 8 Several of the drugs on the list are used to treat HIV, which plans are required to cover. 9 See, for example, bestbuydrugs where Consumers Union uses the results of evidence-based reviews to make recommendations. 10 Joyce C. West et al., "Medication Access and Continuity: The Experiences of Dual-Eligible Psychiatric Patients During the First 4 Months of the Medicare Drug Benefit, " American Journal of Psychiatry 164 5 ; , 789-796, May 2007. See also Haiden A. Huskamp, "Managing Psychotropic Drug Costs: Will Formularies Work?" Health Affairs 22 3 ; , 84-96, September October 2003. 11 For more detail on the focus groups, see the previous brief, "Waving Cautionary Flags: Initial Reactions from Doctors and Patients to Florida's Medicaid Changes, " May 2007. Available at dupontfund or hpi.georgetown floridamedicaid 12 Two plans indicated that the information could be obtained through the State of Florida's Agency for Health Care Administration. One plan indicated that it could only provide the requested information to beneficiaries or those calling from a phone number in Duval or Broward county. Phone messages were left with managers or public relations officers at five plans but only two of them responded. These two plans indicated that they would try and find the requested information, but it was never provided. In addition to the lack of success, the calls were time consuming and often involved three or more transfers and voltaren.
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2007 ; j pharmacol exp ther comparative histopathology of radial artery versus internal thoracic artery and risk factors for development of intimal hyperplasia and atherosclerosis, for example, topimax.
Questions : during business hours call 603 ; 271-4496; after hours call 603 ; 271 5300 and request to talk with the public health professional on call and ceclor.
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Refusal to Submit to a Test" means: a. An employee fails to provide adequate breath for testing without a valid medical explanation after he or she has received notice of the requirement for breath alcohol testing; or An employee fails to provide adequate urine for controlled substances testing without a valid medical explanation after he or she has received notice of the requirement for urine testing; or An employee engages in conduct that clearly obstructs in the County's opinion ; the testing process; or An employee fails to be readily available or delays arrival at the collection site for any County-ordered drug or alcohol test; or An employee leaving the scene of an accident before a testing decision is made will be regarded as refusing to be tested.
Thioridazine . thiothixene . ticarcillin . TICE BCG . ticlopidine . TIKOSYN . timolol . tizanidine . tobramycin . tolazamide . tolbutamide . TOPAMAX . TOPROL XL TOPROL XL torsemide . TRACLEER . tramadol . tranexamic Acid . TRAVATAN . trazodone . triamcinolone . 12, 14 tricitrates . trifluoperazine . trihexyphenidyl TRILEPTAL trimethobenzamide trimethoprim . TRIZIVIR . TRUSOPT . TRUVADA and celecoxib.
Ndc list GABAPENTIN 300 MG CAPSULE GABAPENTIN 300 MG CAPSULE HYDROCODONE-APAP 7.5-325 TAB HYDROCODONE-APAP 7.5-325 TAB HYDROCODONE-APAP 7.5-325 TAB HYDROCODONE-APAP 7.5-325 TAB HYDROCODONE-APAP 7.5-325 TAB HYDROCODONE-APAP 7.5-325 TAB ETHEDENT 1 MG TAB CHEWABLE BENICAR HCT 20-12.5 MG TABLET BENICAR HCT 20-12.5 MG TAB KETEK PAK 400 MG TABLET KETEK 400 MG TABLET FISH OIL 1, 000 MG CAPSULE AMOX TR-K CLV 400-57 5 SUSP BROMFENEX-PD CAPSULE SA CITALOPRAM HBR 20 MG TABLET CITALOPRAM HBR 20 MG TABLET CITALOPRAM HBR 20 MG TABLET CITALOPRAM HBR 20 MG TABLET CADUET 5 MG 40 TABLET TORSEMIDE 20 MG TABLET TORSEMIDE 20 MG TABLET TORSEMIDE 20 MG TABLET TIGAN 300 MG CAPSULE FOSINOPRIL SODIUM 40 MG TAB FOSINOPRIL SODIUM 40 MG TAB TERCONAZOLE 0.8% VAGINAL CRM NIACIN TD 125 MG CAPSULE SA GLYBURID-METFORMIN 1.25 250 MG GLYBURID-METFORMIN 1.25 250 MG GLYBURID-METFORMIN 1.25 250 MG VYTORIN 10 20 TABLET GLIPIZIDE-METFORMIN 2.5 500 MG GLIPIZIDE-METFORMIN 2.5 500 MG GLIPIZIDE-METFORMIN 2.5 500 MG VYTORIN 10 40 TABLET TOPAMAX 200 MG TABLET CYMBALTA 60 MG CAPSULE LEVOTHROID 88 MCG TABLET LEVOTHROID 88 MCG TABLET LEVOTHROID 88 MCG TABLET LIDOCAINE-PRILOCAINE CREAM LIDOCAINE-PRILOCAINE CREAM GABAPENTIN 800 MG TABLET GABAPENTIN 800 MG TABLET GABAPENTIN 800 MG TABLET CAPTOPRIL 100 MG TABLET CAPTOPRIL 100 MG TABLET CAPTOPRIL 100 MG TABLET FELODIPINE ER 5 MG TABLET FELODIPINE ER 5 MG TABLET Page 606.
PAD is rare in young adults but more common in senior citizens. Only about 3% of Americans younger than age 50 have the problem, but about 20% of people older than 75 have PAD. In all, nearly 8 million Americans have PAD and up to 30% of these patients will die within 5 years. About 75% of these deaths will be caused by heart disease. Because PAD is a form of atherosclerosis, most major heart disease risk factors also increase the chances of developing PAD. But there are some differences; in particular, ethnicity and chronic kidney disease appear to have a greater influence in PAD than heart disease See Table 1 and cleocin and topamax, for example, bipolar disorder.
Figure 10-2 and Chart 10.2 list the growth rates in the Benelux epilepsy drugs market. In comparison with other European markets covered in this report, revenue growth in the Benelux market has been low, reaching 13.5 percent in 2000. Growth has stemmed mainly from monotherapy approval for Lamictal lamotrigine ; by Glaxo SmithKline, launched in the Benelux market in the mid-1990s, and the arrival of Janssen-Cilag's Topzmax topiramate ; on the Belgian market in 1998 and the Dutch market in 1999. Strict reimbursement criteria, especially in the Netherlands, has effectively limited the choice of NAEDs available, thus restricting revenue growth. Neurontin gabapentin ; by Pfizer was only granted reimbursement in 2000 in the Netherlands and Gabitril tiagabine ; by Sanofi-Synthelabo is not yet available on this market.
Over-the-counter medications and vitamin, mineral, and herbal supplements, and the extent of alcohol use. Some antipsychotic medications interfere with antihypertensive medications taken for high blood pressure ; , anticonvulsants taken for epilepsy ; , and medications used for Parkinson's disease. Other antipsychotics add to the effect of alcohol and other central nervous system depressants such as antihistamines, antidepressants, barbiturates, some sleeping and pain medications, and narcotics. Other effects. Long-term treatment of schizophrenia with one of the older, or "conventional, " antipsychotics may cause a person to develop tardive dyskinesia TD ; . Tardive dyskinesia is a condition characterized by involuntary movements, most often around the mouth. It may range from mild to severe. In some people, it cannot be reversed, while others recover partially or completely. Tardive dyskinesia is sometimes seen in people with schizophrenia who have never been treated with an antipsychotic medication; this is called "spontaneous dyskinesia."1 However, it is most often seen after longterm treatment with older antipsychotic medications. The risk has been reduced with the newer "atypical" medications. There is a higher incidence in women, and the risk rises with age. The possible risks of long-term treatment with an antipsychotic medication must be weighed against the benefits in each case. The risk for TD is 5 percent per year with older medications; it is less with the newer medications and clomid.
Per day of topamax a month ago and have ok results, i still have a dull headache everyday but it doesn't turn to a migraine but i have no desire for food and carbonated drinks taste flat and it has changed my mood also.
Obtain medical clearance prior to initiating medication, per the discretion of the treating physician. Obtain CBC, electrolytes, BUN Creatinine, urinalysis, liver function tests, TSH, and EKG. Initial medication therapy is generally monotherapy with one of the first line mood stabilizers lithium, divalproex, carbamazepine, or olanzapine ; . Lithium appears to be more efficacious with classic Bipolar I Disorder than with Bipolar II or rapid cycling. It is the only medication clearly associated with a decreased risk of suicide in bipolar disorder over long periods of treatment. Blood levels excluding olanzapine ; are to be drawn at least every 6 months once the dose is relatively stable. Initial drug levels will be drawn more frequently. With lithium therapy, CBC, electrolytes, BUN Creatinine, urinalysis and TSH need also to be drawn on a regular basis. The individual will also be educated on the signs and symptoms of lithium toxicity and interaction of lithium with other drugs, including over the counter medications and caffeine. Education should include the risks of drastically decreasing dietary sodium intake once on an established dose of lithium. Divalproex and carbamazepine therapy require additional monitoring of CBC, and liver function tests at least every 6 months. The individual will be educated on the signs and symptoms of hepatic, pancreatic and hematologic dysfunction, and in the case of carbamazepine, the risk of low sodium levels and severe rashes Education will also include drug interactions common to both medications. Olanzapine therapy requires additional blood monitoring for risks of increased vulnerability to Type II diabetes and hyperlipidemia. Frequently, prominent weight gain 40 lbs ; is a side effect that also needs to be addressed. While monotherapy is preferred, many bipolar disorders require combination drug therapies. Anti-depressants may precipitate a manic episode or shorten cycles and thus need to be used judiciously. A combination of two mood stabilizers may offer greater stability. Off label use of lamotrogine Lamictal ; , topiramate Topxmax ; , clozapine, quetiapine, ziprasidone.
Violations of sales limits and restrictions, product placement, and ID requirements are subject to civil penalty of $50 per day for the first offense, and $100 per day for the second offense and those thereafter. Neb. Rev. Stat. 28-456 There is still some dispute regarding retailer liability in the Federal Act but state law listed immediately above ; is stronger and therefore overrides the federal liability issue. Drug products sold in violation of sales limits and restrictions, product placement, and ID requirements may be seized and destroyed upon finding of the violation. Neb. Rev. Stat. 28-456.
I lost alot of weight, but i hated i too taking topamax.
In addition, the following new Alerts have been recommended by the Medical Review Subcommittee: Client Residence Information for Health Care Providers New Medical Alert - Unexpected Deaths following Recent Outpatient Dental Surgery New Provisional Discharge Revocation Alert to Counties New Please visit our website to sign up for our List Service for e-mail notification of our Medical Alerts at: : ombudmhmr ate.mn forms listserve . MedWatch - The FDA Safety Information and Adverse Event Reporting Program has issued advice concerning the following medications that may be of interest to clients and to the providers of services to clients of this Office: Duragesic fetanyl transdermal patches, Accutane, Cymbalta, Raptiva, Toprol Ttopamax Tegretol medication errors ; , Paxil, Straterra, Ortho Evra, and the long-acting Beta2-Adrenergic Agonists Advair Diskus fluticasone propionate and salmeterol inhalation powder ; , Foradil Aerolizer formoterol fumarate inhalation powder ; , and Serevent Diskus salmeterol xinafoate inhalation powder ; , which may increase the chance of severe asthma episodes, and death when those episodes occur. For more timely updates, our Office encourages you to check the FDA's MedWatch website at: : fda.gov medwatch safety Reports of deaths and serious injuries can be faxed or telephoned to the Office of the Ombudsman for Mental Health and Developmental Disabilities at the following numbers: Fax: 651-296-1021 Voice: 651-296-3848 Toll Free: 1-800-657-3506 and topiramate.
Flovent buying flovent fda approved drugs flovent flovent buying flovent fda approved drugs flovent cns adderall concerta provigil ritalin strattera antidepressants amitriptyline celexa effexor xr elavil lexapro lithium paxil prozac remeron wellbutrin zoloft antibiotics medications amoxicillin augmentin bactrim biaxin cephalexin cipro doxycycline erythromycin keflex levaquin penicillin zithromax antiviral acyclovir amantadine tamiflu valtrex nerve pills alprazolam ativan buspar clonazepam diazepam klonopin lorazepam oxazepam rivotril valium xanax arthritis medications bextra lodine voltaren asthma treatment foradil birth control medications alesse mircette ortho evra ortho tricyclen ortho tricyclen lo plan b triphasil yasmin blood pressure medication aceon atenolol norvasc cancer medications femara cholesterol treatment crestor lipitor vytorin zocor diabetic avandamet insulin metformin stomach aciphex bentyl detrol la prevacid prilosec protonix ranitidine hcl hair losstreatment propecia blood thinners coumadin plavix eerectile dysfunction medications cialis levitra viagra migraines headache treatment butalbital esgic plus fioricet imitrex imitrex oral muscle pain carisoprodol flexeril skelaxin soma zanaflex pain medication codeine darvocet hydrocodone lorcet lortab norco oxycodone percocet tramadol ultram vicodin vicoprofen zydone schizophrenia meds abilify zyprexa seizures medication neurontin topmax sexual health medications acyclovir aldara condylox famvir valtrex skin care treatment accutane aphthasol atarax lamisil metronidazole nizoral protopic renova retin-a sumycin tretinoin sleeping pills ambien rozerem sonata quit smoking zyban thyroid hormonal treatment levothyroxine synthroid appetite suppressants adipex bontril didrex diethylpropion ionamin meridia phendimetrazine phentermine tenuate xenical a fluticasone inhalation-local ; fluticasone floo-tik-a-sone ; belongs to the family of medicines known as corticosteroids cortisone-like medicines.
TDM is more than simply the analysis of a single drug concentration in the blood and a report of this number. It also comprises interpretation of the value measured.
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16 ; Svenson L, Schopflocher D. Hospitalizations by Birth Weight. Results from the Alberta Children's Health Study: Graph of the Week. 1997. Report No.: Number 44. 17 ; Svenson L, Schopflocher D. Birthweight and the Use of Physician Services: Results for the Alberta Children's Health Study: Graph of the Week. 1997. Report No.: Number 45. 18 ; Coles CD. Impact of prenatal alcohol exposure on the newborn and the child. Clin Obstet Gynecol 1993; 36 2 ; : 255-66. 19 ; Riley E, Mattson S, Li T et al. Neurobehavioral consequences of prenatal alcohol exposure: an international perspective. Alcohol Clin Exp Res 2003; 27 2 ; : 362-73. 20 ; Health Canada. Joint Statement: Prevention of Fetal Alcohol Syndrome FAS ; , Fetal Alcohol Effects FAE ; in Canada. Ottawa: Health Canada; 1996. Report No.: Cat. No. H39-348 1996E. 21 ; Streissguth AP, Barr HM, Martin DC. Offspring effects and pregnancy complications related to self-reported maternal alcohol use. Dev Pharmacol Ther 1982; 5 1-2 ; : 21-32. 22 ; Astley S, Bailey D, Talbot C, Clarren SK. Fetal alcohol syndrome FAS ; primary prevention through FAS diagnosis: II. A comprehensive profile of 80 birth mothers of children with FAS. Alcohol Alcohol 2000; 35 5 ; : 509-19. 23 ; Abel EL. An update on incidence of FAS: FAS is not an equal opportunity birth defect. Neurotoxicol Teratol 1995; 17 4 ; : 437-43. 24 ; Centers for Disease Control and Prevention. Surveillance for fetal alcohol syndrome using multiple sources - Atlanta, Georgia, 1981-1989. MMWR Morb Mortal Wkly Rep 1997; 46 47 ; : 1118-20. 25 ; Health Canada. Canadian Perinatal Health Report, 2003. Ottawa: Minister of Public Works and Government Services Canada; 2003. 26 ; Bondy SJ, Rehm J, Ashley MJ, Walsh G, Single E, Room R. Low-risk drinking guidelines: the scientific evidence. Can J Public Health 1999; 90 4 ; : 264-70. 27 ; Fredricsson B, Gilljam H. Smoking and reproduction. Short and long term effects and benefits of smoking cessation. Acta Obstet Gynecol Scand 1992; 71 8 ; : 580-92. 28 ; Wisborg K, Henriksen TB, Hedegaard M, Secher NJ. Smoking during pregnancy and preterm birth. Br J Obstet Gynaecol 1996; 103 8 ; : 800-5. 29 ; Mittendorf R, Herschel M, Williams MA, Hibbard JU, Moawad AH, Lee KS. Reducing the frequency of low birth weight in the United States. Obstet Gynecol 1994; 83 6 ; : 1056-9. 30 ; Hruba D, Kachlik P. Influence of maternal active and passive smoking during pregnancy on birthweight in newborns. Central European Journal of Public Health 2000; 8 4 ; : 24952. 31 ; Walsh RA. Effects of maternal smoking on adverse pregnancy outcomes: examination of the criteria of causation. Hum Biol 1994; 66 6 ; : 1059-92.
Many of the prophylactic treatments for cluster are similar to those for migraine. Patients with episodic cluster are in tremendous pain. Vigorous attempts to prevent the attacks are warranted. Treatment with prednisone will usually stop the bout or decrease its severity within 24 hours. The initially dose is 60- 80 mg daily instituted immediately. Then after 2 to 3 days at this level the dose is slowly tapered over 10-14 days. This immediate control permits the initiation of another medication that will be safer over the long-term than prednisone. Tip-Prednisone causes immediate bone loss, even when given for a short time. This concern is especially important for women. Bone loss may be prevented by taking Vitamin D 50, 000 units weekly and calcium, one gram per day. One inexpensive and easy way to achieve this intake of calcium is to take 4 Tums daily. Other measures to protect the stomach such as H2 blockers, antacids, or proton pump inhibitors ; may be advisable. Methysergide Sansert ; is used as described under the treatment of migraine see above ; . It tends to be most effective early in the course of the disease. It has been reported to have an efficacy of 65 % Kudrow ; . Verapamil Calan, others ; has been effective in several studies. Patients may require up to 480 mg per day egg, as Calan SR 240 BID ; or, cautiously, even higher doses. Adding oral ergotamine 2 mg 1 hour prior to bedtime increases the effect of the verapamil Kudrow ; . Lithium is effective in episodic cluster and chronic cluster. The dose has to be gradually built up to avoid untoward reactions. This dose escalation takes place while controlling the cluster with the prednisone treatment. Lithium can be prescribed at 300 mg daily for 3 days then increased every 3 days until it is taken three times daily. It is necessary to follow the lithium serum level to monitor for toxicity. The concomitant use of diuretics, NSAIDS, and severe sodium -restricted diets are contraindicated, since this may cause toxicity. The symptoms of lithium toxicity include tremor, polyuria and mild nausea initially. Diarrhea, vomiting, drowsiness, muscular weakness, and incoordination occur with greater lithium intoxication. Stopping the lithium and monitoring the patient is necessary in this situation. Valproic acid Depakote ; appears to be another treatment option in the treatment of cluster headache Ward 2000 ; . Recent studies suggest that for refractory cases, gabapentin Neurontin ; , and topiramate 6opamax ; might be useful. Combinations of verapamil and lithium, or verapamil and valproic acid, for example, may be effective when monotherapy fails. When all medical treatment fails surgical treatment may be appropriate. Currently the procedure of choice is percutaneous radiofrequency lesions directed against the trigeminal ganglion. This tends to produce the highest success rate and the least complications.
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TOPAMAX 100 MG TABLET PA.18 TOPAMAX 15 MG SPRINKLE CAP PA .18 TOPAMAX 200 MG TABLET PA .18 TOPAMAX 25 MG TABLET PA .18 TOPAMAX 50 MG TABLET PA .18 TOPICORT 0.05% GEL * ST . 25 TOPICORT LP 0.05% CREAM * ST. 25 TOPROL XL 100 MG TABLET SA * .14 TOPROL XL 200 MG TABLET SA * .14 TOPROL XL 25 MG TABLET SA * .14 TOPROL XL 50 MG TABLET SA * .14 TORADOL IV 15 MG CARTRIDGE PA . 6 TORADOL IV 30 MG CARTRIDGE PA . 6 TORECAN 10 MG TABLET * . 30 torsemide 100 mg tablet * .16 torsemide 10 mg tablet * .16 torsemide 20 mg tablet * .16 torsemide 5 mg tablet * .16 TOTACILLIN-N 10 GM VIAL PA.11 TOTACILLIN-N 1 GM ADD-VNT VL PA .11 TOTACILLIN-N 2 GM ADD-VNT VL PA .11 TOURO ALLERGY CAPSULE SA * .41 TPN ELECTROLYTES III VIAL PA. 35 TPN ELECTROLYTES II IV SOLN PA . 35 TPN ELECTROLYTES VIAL PA . 35 TRACE ELEMENTS-4 VIAL * . 35 TRACE METALS ADDITIVE VIAL PA . 35 TRACLEER 125 MG TABLET PA . 43 TRACLEER 62.5 MG TABLET PA . 43 TRAC 2X TABLET * . 45 tramadol hcl 50 mg tablet . 5 TRANDATE 5 MG ML VIAL PA .14 TRANSDERM-SCOP 1.5 MG 72HR * . 30 TRAVASOL 10% IV SOLUTION PA . 35 TRAVASOL 3.5%-ELECTROLYTES PA . 35 TRAVASOL 5.5% SOLN VIAFLEX PA. 35 TRAVASOL 8.5% IV SOLUTION PA . 35 TRAVATAN 0.004% EYE DROP * . 39 TRAVERT 10% IV SOLUTION PA . 35 TRAVERT 5% IV SOLUTION PA . 35 trazodone 100 mg tablet * . 21 trazodone 150 mg tablet * . 21 trazodone 300 mg tablet * . 21.
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Isn't DDT so dangerous to health that it outweighs any benefit in malaria control? There is no doubt that there are health risks associated with DDT use. For this reason, some condemn DDT outright. This is inappropriate, because the relevant question is not whether DDT can pose health risks it can ; , but whether these risks outweigh the tremendous public health benefits of DDT for malaria control they do not ; . Of all the criticisms one can make about DDT for which there is evidence, the worst is that it possibly causes cancer. This is the conclusion of the International Agency for Research on Cancer a branch of the WHO ; , which classifies DDT in the lowest category of substances for which there is a definable cancer risk: DDT is "possibly carcinogenic to humans"7 . The IARC rates DDT as being "possibly carcinogenic" because it found that there was sufficient evidence of risk in animals, but inadequate evidence in humans 8 . While it sounds worrisome that DDT is "possibly carcinogenic", we emphasize that this risk must be balanced against the public health benefits. It is only if the health risks of DDT outweigh the benefits of DDT for malaria control that we should consider not using it. Balancing health risks and benefits like this is not unusual. For instance, several prescription drugs are classified by the IARC as "possibly carcinogenic", "probably carcinogenic", and even "carcinogenic in humans" but these drugs are still used to treat life-threatening diseases because the health benefits of a cure far outweigh the cancer risk 9 . The same is true of DDT. Another possible risk of DDT is that it may shorten the duration of lactation in women. This is the view of one group of scientists who found that DDE a product of DDT decay in the environment ; reduced lactation time in Mexican women10 . As of today, this conclusion has yet to be confirmed by a second or third group of scientists, as is necessary to have confidence in this result. This is especially so because experiments in rats contradict the human studies, and fail to show that DDE affects lactation time11 . But even if DDT shortens lactation time, this too must balanced against the benefits of DDT for malaria control. The same scientists who found reduced lactation in Mexican women also noted an "absence of any apparent effect on the health of the children" 12 . That is, either DDT made no difference to childhood health, or made so little difference that the scientists overlooked it. Such a risk is insignificant alongside the 2 million childhood deaths caused by malaria yearly.
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