Medicine

Generic Drugs May Not Be As Safe Or Effective As You Think (npr.org) 200

An anonymous reader quotes a report from NPR: As the cost of prescription medication soars, consumers are increasingly taking generic drugs: low-cost alternatives to brand-name medicines. Often health insurance plans require patients to switch to generics as a way of controlling costs. But journalist Katherine Eban warns that some of these medications might not be as safe, or effective, as we think. Eban has covered the pharmaceutical industry for more than 10 years. She notes that most of the generic medicines being sold in the U.S. are manufactured overseas, mostly in India and China. The U.S. Food and Drug Administration states that it holds foreign plants to the same standards as U.S. drugmakers, but Eban's new book, Bottle of Lies, challenges that notion. She writes that the FDA often announces its overseas inspections weeks in advance, which allows plants where generic drugs are made the chance to fabricate data and results.

"These plants know that [the FDA inspectors are] coming," Eban says. "I discovered [some overseas drug companies] would actually ... alter documents, shred them, invent them, in some cases even steaming them overnight to make them look old." As a result, Eban says, generic drugs sometimes go to market in the U.S. without proper vetting. She describes the FDA as "overwhelmed and underresourced" in its efforts to ensure the safety of overseas drug production. Eban advises consumers to research who manufactures their generics and look up any problems that regulators have found out about them. But some consumers may find they are not allowed by their health plan to switch to alternatives, because of cost.
In a statement to NPR, the FDA said that Americans "can be confident in the quality of the products the FDA approves" and notes it has "conducted a number of unannounced inspections" at foreign plants over the past several years.
Science

The Definition of a Kilogram Just Changed Worldwide (vice.com) 157

For over a century, the kilogram was defined by a metal cylinder in a French vault. Now, this key unit of mass is defined using the Planck constant, a fundamental figure in physics. From a report: On Monday -- World Metrology Day -- Le Grand K lost its special status as the international prototype kilogram (IPK) and it will no longer represent this base unit of mass to the world. From now on, the kilogram -- along with the ampere, kelvin, mole, and candela -- will be defined by fundamental physical and atomic properties instead of tangible human-made objects. "The Metric System was envisioned to be 'for all people for all time,'" said Barry Inglis, president of the International Committee for Weights and Measures, in a statement. "From its outset it sought to ensure long-term stability by defining the units in terms of an internationally agreed 'constants of nature' instead of an arbitrary reference."

To that end, the "arbitrary" Le Grand K has been deposed by the Planck constant, a fundamental quantity related to the energy of photons, the elementary particles that make up light. Defined as 6.626 x 10-34 joule-seconds, the constant fixes the kilogram to the speed of light and a temporal unit of measurement -- the second. The kilogram is now equal to the weight of 1.4755214 x 1040 photons with frequencies matching a cesium atomic clock. It may sound like a less relatable system of measurement, but what the change loses in familiarity it makes up for in precision. Even though Le Grand K is one of the most carefully protected objects on the planet, it is not immune from physical interactions that can alter its weight.

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