Counterfeit medicine sales are on the rise in Alabama and nationwide.
The state faced trouble with growing sales of counterfeit Xanax pills laced with fentanyl in 2021. Now, online scammers are counterfeiting the weight-loss drug Ozempic, including insulin pens with an Ozempic label.
The Food and Drug Administration seized thousands of units of fake Ozempic in late 2023 but research shows numerous lifestyle drugs are being counterfeited daily.
Shabbir Imber Safdar, executive director of the Partnership for Safe Medicine, said telehealth can push people to take medications they would not normally qualify for.
"To do something significant -- like to go on an injectable drug for a long period of time, that is going to have serious consequences for your health and nutrition, and your weight -- you really need to see a real doctor, not a computer doctor, not a doctor in a chat room," Safdar argued. "I think some telehealth companies have normalized the fact that that's not important."
Some pharmacies and clinics face lawsuits for selling knockoff drugs through telemedicine. Safdar explained a major red flag is when an online ad promises expedited access to a certain drug without a prescription.
Social media sites like TikTok, Facebook, and Etsy have only expanded a person's ability to get counterfeit drugs. Though federal agencies and lawmakers have issued warnings, Safdar pointed out the biggest challenge to maintaining public safety is the public.
"When you skip that pharmacist in that white coat and you go online and try to pick a pharmacy yourself, or you pick a telemedicine doctor yourself, you've skipped all of the safety checks," Safdar stressed.
There is a proposal in Congress to implement stricter regulations on the sale of drugs through social media platforms. The bill would require social media sites to monitor and report illegal drug sales to law enforcement.
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In this year's devastating hurricane season, Florida community health centers are proving indispensable in disaster response and recovery, providing far more than medical care.
The back-to-back blows of Hurricane Helene and Hurricane Milton left the region reeling, testing the resilience and adaptability of health care providers.
Kim Schuknecht, chief operating officer of Evara Health in Pinellas County, said they had plans to deploy mobile units to beach communities after Hurricane Helene but Milton's swift arrival and widespread flooding thwarted the efforts.
"By the time we were able to get that all worked out with the mayors of the different areas, here comes Milton," Schuknecht recounted. "We weren't even able after the first hurricane to get out there. That really was an inhibitor for us to be able to go out and do some mobile services because so many areas, we couldn't drive in them."
She pointed out they extended their operating hours to navigate those challenges. While providing services at emergency shelters, they discovered people were asking for help with needs beyond behavioral health and medical care. They ended up gathering supplies so evacuees could take showers in one of the mobile units.
Schuknecht noted one lesson learned is the demands were greater than anticipated, even beyond basic medical care.
"Baby wipes, things that we -- hadn't been through this type of situation before -- things that you just take for granted and don't really think about," Schuknecht explained. "We've learned to have more supplies on hand, different supplies than what we're used to."
As Florida looks ahead to the next hurricane season, Schuknecht noted her operation is refining its emergency preparedness strategies. Plans include more tabletop exercises and strengthening new collaborations, such as a partnership with the Red Cross, which she emphasized will be crucial for future responses.
Schuknecht added this season's experiences have shaped her company's approach to future planning, ensuring they remain a cornerstone of support in the face of Florida's unpredictable storms.
"I think we all learned a lot," Schuknecht acknowledged. "All of the agencies here in the county, including Evara Health, we were very fortunate to be able to have the resources to assist. And we're glad we were called upon to be able to provide the care that we did."
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Alabama faces a critical workforce gap, with only 38 available workers for every 100 open jobs, according to the U.S. Chamber of Commerce.
To address the issue, Black community colleges are stepping up as key players in preparing skilled workers for in-demand industries. The schools are coming together at the second annual EmpowerED Conference to explore ways to expand opportunities for students.
Chandra Scott, executive director of Alabama Possible, said the event will also include Historically Black Colleges and Universities and focus on creating seamless transitions from two-year community colleges to four-year universities.
"We want to make sure that there are streamlined pathways from the community college to an HBCU," Scott emphasized. "We don't want any credits lost. We don't want any time wasted and any money frayed away."
She explained they hope to achieve the goal by connecting educators, students and industry leaders to find solutions to Alabama's workforce challenges and elevate the work within the institutions. The two-day conference is Feb. 11-12 in Mobile.
Scott pointed out another key focus will be showcasing the contributions historical and predominantly Black community colleges make to the state's workforce. With Alabama's economy depending on industries like aerospace, manufacturing and shipbuilding, she noted the schools play a critical role in training diverse, skilled workers who are ready to fill gaps.
"Most of the students who come through these institution doors are first-generation, from under-resourced families and they are from families of color," Scott outlined. "Now, you're able to diversify what your workforce looks like and you're pulling on excellence because they are getting trained and credentialed in specific pathways."
In a state where the labor participation rate is below the national average, Scott added the EmpowerED Conference discussions could play a significant role in shaping Alabama's economic future.
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Winter conditions across Michigan are fickle and The Michigan Department of Natural Resources is urging everyone to prioritize safety while enjoying the season's cold-weather adventures.
The DNR advised outdoor enthusiasts to prepare by dressing in layers, checking weather and road conditions, and carrying essential safety gear such as flashlights and ice picks.
Sgt. Jason Becker from the Law Enforcement Division of the DNR said it is also important to stay hydrated and not go out alone if possible. He offered a potentially life-saving tip:
"Let someone know where you're gonna be and approximately what time you're going to return," Becker recommended. "If something does happen, we know where to start looking or we even know that you are missing. We always tell people, 'Go with a buddy,' especially when it comes to snowmobiling because it tends to be far away from civilization."
Becker also stressed carrying a two-way communication device capable of working in remote areas and taking an honest assessment of your health. If you are not feeling well, stay home.
In Michigan, statistics show snowmobiling and hypothermia are leading causes of injury or death in winter recreational accidents. However, falling through ice, especially during ice fishing, remains a serious risk. In 2019, there were 65 fatalities from 54 ice-related accidents.
Becker emphasized a critical saying from the DNR: No ice is safe ice.
"Carry an ice pick so that if you do fall through, they're a way to get some traction in the ice to pull yourself back out of the water," Becker urged. "Have something to make a hole in the ice, to check the thickness and keep checking it periodically."
He added alcohol consumption is a big factor in many accidents during recreational activities.
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