Kaiser Health News

Did a Military Lab Spill Anthrax Into Public Waterways? New Book Reveals Details of a US Leak

Published

1 year ago

April 25, 2023

by Alison Young
Tue, 25 Apr 2023 09:00:00 +0000

[Editor's note: In 2019, federal lab regulators ordered the prestigious U.S. Army Medical Research Institute of Infectious Diseases to halt all work with dangerous pathogens, such as Ebola and anthrax, which can pose a severe threat to public health and safety.

Army officials had assured the public there was no safety threat and indicated that no pathogens had leaked outside the laboratory after flooding in 2018. But in a new book released April 25, investigative reporter Alison Young reveals there were repeated and egregious safety breaches and government oversight failures at Fort Detrick, Maryland, that preceded the 2019 shutdown. This article is adapted from “Pandora's Gamble: Lab Leaks, Pandemics, and a World at Risk.”]

Unsterilized laboratory wastewater from the U.S. Army Medical Research Institute of Infectious Diseases at Fort Detrick, Maryland, spewed out the top of a rusty 50,000-gallon outdoor holding tank, the pressure catapulting it over the short concrete wall that was supposed to contain hazardous spills.

It was May 25, 2018, the Friday morning before Memorial Day weekend, and the tank holding waste from labs working with Ebola, anthrax, and other lethal pathogens had become overpressurized, forcing the liquid out a vent pipe.

An estimated 2,000-3,000 gallons streamed into a grassy area a few feet from an open storm drain that dumps into Carroll Creek — a centerpiece of downtown Frederick, Maryland, a city of about 80,000 an hour's drive from the nation's capital.

But as the waste sprayed for as long as three hours, records show, none of the plant's workers apparently noticed the tank had burst a pipe. This was despite the facility being under scrutiny from federal lab regulators following catastrophic flooding and an escalating series of safety failures that had been playing out for more than a week.

***

Before the outdoor tank failed, there had already been breaches of other lab waste storage tanks inside the sterilization plant.

On May 17, 2018, in the wake of devastating storms, workers at Fort Detrick discovered that the plant's basement was filling with water that would reach 4 to 5 feet deep. Some of it was rainwater seeping in from outdoors. But a lot was fluid leaking from the basement's long-deteriorating tanks that held thousands of gallons of unsterilized lab wastewater.

As basement sump pumps forced floodwater into these tanks, the influx disgorged lab waste through cracks along the tops of the tanks, sending it streaming back toward the floor.

The steam sterilization plant, referred to as “the SSP,” was built in 1953. It was designed to essentially cook the wastewater that flowed into it from Fort Detrick's biological laboratories, ensuring that all deadly pathogens were killed before the water was released from the base into the Monocacy River.

USAMRIID's safety protocols called for a two-step kill process for lab wastewater. Before it was sent down drains into Fort Detrick's dedicated laboratory sewer system for heat treatment at the plant, lab workers were supposed to pretreat potentially infectious liquids with bleach or other chemicals.

But chemical disinfection can be tricky. To be effective, it requires workers to use the right kind of disinfectant at the right concentration and, importantly, to ensure that the disinfectant remains in contact with the microbes long enough to kill them.

Any living organisms left behind could multiply.

Despite the plant's importance to protecting public health, by May 2018 it had become a rusting, leaking, temperamental hulk.

It was 65 years old and was supposed to have been torn down already. But a replacement plant completed at a cost to taxpayers of more than $30 million had suffered a “catastrophic failure” in 2016 and couldn't be repaired, records show.

So even though the sterilization plant was in significant disrepair, USAMRIID still used it, with a much smaller amount of waste coming from a U.S. Department of Agriculture lab that worked with weeds and plant diseases.

On a typical day in 2018, state records show, these facilities sent about 30,000 gallons of laboratory wastewater into the plant, which had five 50,000-gallon storage tanks in its basement, plus an additional nine interconnected 50,000-gallon storage tanks outside.

Fort Detrick officials had been aware for some time that the tops of the aging basement storage tanks had multiple leaks caused over the years by chlorine gases accumulating on the surface of the wastewater, according to a state investigation report of the incident and the Army garrison's responses to questions.

It was so much of an issue that the garrison's Directorate of Public Works employees, who operated the plant, had to make sure the tanks didn't ever fill up completely or else the potentially infectious water would spill out.

Their workaround was to try to limit the amount of waste in each basement tank to about half capacity. But the flooding in May 2018 made that impossible because the sump pumps were sending so much water into the sterilization system.

Lab inspectors from the Centers for Disease Control and Prevention had apparently failed to recognize the plant was in such disrepair. The CDC offered no explanation of how the problems were missed, but after the incident it created a new policy and task force for overseeing labs' wastewater decontamination systems.

Samuel Edwin, director of the CDC's select agent regulatory program, did not grant an interview. Two years before the plant flooded and failed, the CDC had hired Edwin from USAMRIID, where he had spent eight years as the biological surety officer and responsible official in charge of making sure USAMRIID's labs complied with federal regulations.

Edwin, in an emailed statement, said he wasn't aware of any corrosion or leak issues while he worked at USAMRIID.

Federal Select Agent Program regulators from the CDC inspected the plant annually, Edwin said, adding: “FSAP did not observe, and I did not report, any issues with the SSP during this time.”

Four days after the plant flooded, CDC inspectors arrived at Fort Detrick and spent May 21 and 22, 2018, inspecting the facility. As the CDC inspectors left Fort Detrick, they allowed USAMRIID to resume some research activities.

The long Memorial Day weekend was coming up, and the weather forecast showed more rain headed toward Frederick. To protect the plant against further flooding, a decision was made to pump the water inside the basement's waste storage tanks into the auxiliary tanks outdoors. The hope was to free up an additional 80,000 gallons of capacity, Fort Detrick said in response to questions.

Things didn't go as planned.

Somewhere along the way, an automatic shut-off feature designed to keep the outdoor tanks from overfilling was deactivated, Fort Detrick officials later said in response to questions.

***

It was an employee of the National Cancer Institute, which has a research building at Fort Detrick near the plant, who spotted wastewater spewing from an outdoor wastewater tank, over the containment wall, and into a grassy area with an open storm drain inlet that sends runoff into Carroll Creek, according to records and Fort Detrick's responses to questions. The person called it in to the “trouble desk” of the garrison's Directorate of Public Works on that Friday morning, May 25.

But nobody checked on the tank until noon, Fort Detrick said. The dispatched workers reported back that they didn't see any leaking fluid. They checked the tanks again at 2 p.m. and still saw nothing. So nothing was done.

If not for the persistence of the unidentified National Cancer Institute employee, the leak would have been ignored.

On the Wednesday after the holiday, that person contacted the Fort Detrick safety manager. They wanted to follow up on their previous report — and this time they provided photos proving the tank had been spraying wastewater nearly a week earlier.

The photos got the base's attention.

The Fort Detrick Command was immediately notified. So was USAMRIID's leadership.

But another day passed before anyone alerted state and local authorities.

***

A significant question remained: What was in the lab wastewater that spewed out of the tank?

If viable organisms like anthrax bacteria had been sent into public waterways, the consequences could be disastrous for USAMRIID, Fort Detrick — and the CDC regulators who allowed them to keep operating despite the jury-rigged sterilization plant.

The risk that people or animals would become infected was probably low, with any organisms likely reduced below infectious levels as the waste became diluted by the floodwaters still surging through the area's streams and rivers. But public backlash and headlines were certainties.

So, what was in the wastewater?

Nobody seemed to be looking very hard to find out.

USAMRIID and Fort Detrick officials offered only generalized assurances that their tests hadn't detected any pathogens. But they would not release copies of testing reports.

Rather than serve as watchdogs in the public interest, all levels of government seemed to largely defer to USAMRIID and its expertise — despite the organization's egregious safety breach and potential self-interest in damage control.

In the weeks before the tank started spewing wastewater, USAMRIID had been experimenting with 16 organisms, and lab officials said they had tested the concrete pad and the ground adjacent to the tanks and hadn't detected any of them. Anthrax was the organism of greatest concern because of its ability to persist in the environment, something many pathogens can't do for very long.

Other organisms that were possibly in the wastewater were Ebola virus, Lassa fever virus, Junín virus, Marburg virus, Venezuelan equine encephalitis virus, eastern equine encephalitis virus, Crimean-Congo hemorrhagic fever virus, Nipah virus, Burkholderia pseudomallei, Burkholderia mallei, Francisella tularensis, western equine encephalitis virus, Dobrava-Belgrade virus, Seoul virus, and Chikungunya virus.

But all test results were negative, USAMRIID officials said.

How meaningful was USAMRIID's testing?

USAMRIID and Fort Detrick officials didn't do any environmental tests until May 31 and June 1 — about a week after the tank overflowed. By then, it had rained, which, in response to questions, USAMRIID acknowledged would have had a “dilutional effect” if any pathogens had been present.

Did USAMRIID test two samples or 20 samples or 200 samples? What were the detection limits of the testing methods used? How might the rain — or wind or sunlight — have affected the ability of the tests to detect organisms a week after their release?

USAMRIID and Fort Detrick officials would not release copies of the testing reports. For months, they wouldn't even say how many samples were tested.

“The test plan was reviewed and approved by the CDC,” USAMRIID said in a written statement.

CDC lab regulators said USAMRIID developed and conducted its own testing.

“USAMRIID test results indicated the public health risk associated with any potential release was negligible; however, you would need to contact USAMRIID for full information about the testing methods and results,” the CDC said.

Eventually, after months of requests, USAMRIID said its testing to determine whether pathogens had escaped involved just five swab samples collected from “various locations” at the plant.

As further evidence that no deadly microbes had escaped, records show that Army officials noted to state and local officials — without providing reports or details — that they had done additional validation testing inside USAMRIID's laboratories that showed lab drains contained sufficient disinfectant to kill anything poured down them. The implication was that there was no risk from the plant's unsterilized wastewater and that the heat-treating process was nice, but not necessary.

Documents obtained under the Freedom of Information Act revealed that these drain tests weren't performed under real-life conditions. Instead, the Army acknowledged, they were done in empty labs where no work had been occurring and no animals were present.

Of perhaps greater concern: The drain tests were performed solely in response to the regulatory and public relations crisis from the lab leak in May 2018. It was the only time — from January 2015 through at least March 2022 — that USAMRIID had checked the adequacy of the disinfectant in its drains, the Army's FOIA response said.

Alison Young is an investigative reporter in Washington, D.C., and serves as the Curtis B. Hurley Chair in Public Affairs Reporting for the University of Missouri School of Journalism. During 2009-19, she was a reporter and member of USA Today's national investigative team. She has reported on laboratory accidents for 15 years for news organizations that include USA Today, The Atlanta Journal-Constitution, and ProPublica.

By: Alison Young
Title: Did a Military Lab Spill Anthrax Into Public Waterways? New Book Reveals Details of a US Leak
Sourced From: kffhealthnews.org/news/article/lab-leak-biohazard-wastewater-book-excerpt-pandoras-gamble-alison-young/
Published Date: Tue, 25 Apr 2023 09:00:00 +0000

Post Views: 409

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The Lure of Specialty Medicine Pulls Nurse Practitioners From Primary Care

Published

20 hours ago

May 17, 2024

Staff Editor

Michelle Andrews
Fri, 17 May 2024 09:00:00 +0000

For many patients, seeing a nurse practitioner has become a routine part of primary care, in which these “NPs” often perform the same tasks that patients have relied on doctors for.

But NPs in specialty care? That's not routine, at least not yet. Increasingly, though, nurse practitioners and physician assistants are joining cardiology, dermatology, and other specialty practices, broadening their skills and increasing their income.

This development worries some people who track the health workforce, because current trends suggest primary care, which has counted on nurse practitioners to backstop physician shortages, soon might not be able to rely on them to the same extent.

“They're succumbing to the same challenges that we have with physicians,” said Atul Grover, executive director of the Research and Action Institute at the Association of American Medical Colleges. The rates NPs can command in a specialty practice “are quite a bit higher” than practice salaries in primary care, he said.

When nurse practitioner programs began to proliferate in the 1970s, “at first it looked great, producing all these nurse practitioners that go to work with primary care physicians,” said Yalda Jabbarpour, director of the American Academy of Family Physicians' Robert Graham Center for Policy Studies. “But now only 30% are going into primary care.”

Jabbarpour was referring to the 2024 primary care scorecard by the Milbank Memorial Fund, which found that from 2016 to 2021 the proportion of nurse practitioners who worked in primary care practices hovered between 32% and 34%, even though their numbers grew rapidly. The proportion of physician assistants, also known as physician associates, in primary care ranged from 27% to 30%, the study found.

Both nurse practitioners and physician assistants are advanced practice clinicians who, in addition to graduate degrees, must complete distinct education, training, and certification steps. NPs can practice without a doctor's supervision in more than two dozen states, while PAs have similar independence in only a handful of states.

About 88% of nurse practitioners are certified in an area of primary care, according to the American Association of Nurse Practitioners. But it is difficult to track exactly how many work in primary care or in specialty practices. Unlike physicians, they're generally not required to be endorsed by a national standard-setting body to practice in specialties like oncology or cardiology, for example. The AANP declined to answer questions about its annual workforce survey or the extent to which primary care NPs are moving toward specialties.

Though data tracking the change is sparse, specialty practices are adding these advanced practice clinicians at almost the same rate as primary care practices, according to frequently cited research published in 2018.

The clearest evidence of the shift: From 2008 to 2016, there was a 22% increase in the number of specialty practices that employed nurse practitioners and physician assistants, according to that study. The increase in the number of primary care practices that employed these professionals was 24%.

Once more, the most recent projections by the Association of American Medical Colleges predict a dearth of at least 20,200 primary care physicians by 2036. There will also be a shortfall of non-primary care specialists, including a deficiency of at least 10,100 surgical physicians and up to 25,000 physicians in other specialties.

When it comes to the actual work performed, the lines between primary and specialty care are often blurred, said Candice Chen, associate professor of health policy and management at George Washington University.

“You might be a nurse practitioner working in a gastroenterology clinic or cardiology clinic, but the scope of what you do is starting to overlap with primary care,” she said.

Nurse practitioners' salaries vary widely by location, type of facility, and experience. Still, according to data from health care recruiter AMN Healthcare Physician Solutions, formerly known as Merritt Hawkins, the total annual average starting compensation, including signing bonus, for nurse practitioners and physician assistants in specialty practice was $172,544 in the year that ended March 31, slightly higher than the $166,544 for those in primary care.

According to forecasts from the federal Bureau of Labor Statistics, nurse practitioner jobs will increase faster than jobs in almost any other occupation in the decade leading up to 2032, growing by 123,600 jobs or 45%. (Wind turbine service technician is the only other occupation projected to grow as fast.) The growth rate for physician assistants is also much faster than average, at 27%. There are more than twice as many nurse practitioners as physician assistants, however: 323,900 versus 148,000, in 2022.

To Grover, of the AAMC, numbers like this signal that there will probably be enough NPs, PAs, and physicians to meet primary care needs. At the same time, “expect more NPs and PAs to also flow out into other specialties,” he said.

When Pamela Ograbisz started working as a registered nurse 27 years ago, she worked in a cardiothoracic intensive care unit. After she became a family nurse practitioner a few years later, she found a job with a similar specialty practice, which trained her to take on a bigger role, first running their outpatient clinic, then working on the floor, and later in the intensive care unit.

If nurse practitioners want to specialize, often “the doctors mentor them just like they would with a physician residency,” said Ograbisz, now vice president of clinical operations at temporary placement recruiter LocumTenens.com.

If physician assistants want to specialize, they also can do so through mentoring, or they can receive “certificates of added qualifications” in 10 specialties to demonstrate their expertise. Most employers don't “encourage or require” these certificates, however, said Jennifer Orozco, chief medical officer at the American Academy of Physician Associates.

There are a number of training programs for family nurse practitioners who want to develop skills in other areas.

Raina Hoebelheinrich, 40, a family nurse practitioner at a regional medical center in Yankton, South Dakota, recently enrolled in a three-semester post-master's endocrinology training program at Mount Marty University. She lives on a farm in nearby northeastern Nebraska with her husband and five sons.

Hoebelheinrich's new skills could be helpful in her current hospital job, in which she sees a lot of patients with acute diabetes, or in a clinic setting like the one in Sioux Falls, South Dakota, where she is doing her clinical endocrinology training.

Lack of access to endocrinology care in rural areas is a real problem, and many people may travel hundreds of miles to see a specialist.

“There aren't a lot of options,” she said.

——————————
By: Michelle Andrews
Title: The Lure of Specialty Medicine Pulls Nurse Practitioners From Primary Care
Sourced From: kffhealthnews.org/news/article/nurse-practitioners-trend-primary-care-specialties/
Published Date: Fri, 17 May 2024 09:00:00 +0000

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Kaiser Health News

Clean Needles Save Lives. In Some States, They Might Not Be Legal.

Published

22 hours ago

May 17, 2024

Staff Editor

Ed Mahon, Spotlight PA and Sarah Boden, WESA
Fri, 17 May 2024 09:00:00 +0000

Kim Botteicher hardly thinks of herself as a criminal.

On the main floor of a former Catholic church in Bolivar, Pennsylvania, Botteicher runs a flower shop and cafe.

In the former church's basement, she also operates a nonprofit organization focused on helping people caught up in the drug epidemic get back on their feet.

The nonprofit, FAVOR ~ Western PA, sits in a rural pocket of the Allegheny Mountains east of Pittsburgh. Her organization's home county of Westmoreland has seen roughly 100 or more drug overdose deaths each year for the past several years, the majority involving fentanyl.

Thousands more residents in the region have been touched by the scourge of addiction, which is where Botteicher comes in.

She helps people find housing, jobs, and health care, and works with families by running support groups and explaining that substance use disorder is a disease, not a moral failing.

But she has also talked publicly about how she has made sterile syringes available to people who use drugs.

“When that person comes in the door,” she said, “if they are covered with abscesses because they have been using needles that are dirty, or they've been sharing needles — maybe they've got hep C — we see that as, ‘OK, this is our first step.'”

Studies have identified public health benefits associated with syringe exchange services. The Centers for Disease Control and Prevention says these programs reduce HIV and hepatitis C infections, and that new users of the programs are more likely to enter drug treatment and more likely to stop using drugs than nonparticipants.

This harm-reduction strategy is supported by leading health groups, such as the American Medical Association, the World Health Organization, and the International AIDS Society.

But providing clean syringes could put Botteicher in legal danger. Under Pennsylvania law, it's a misdemeanor to distribute drug paraphernalia. The state's definition includes hypodermic syringes, needles, and other objects used for injecting banned drugs. Pennsylvania is one of 12 states that do not implicitly or explicitly authorize syringe services programs through statute or regulation, according to a 2023 analysis. A few of those states, but not Pennsylvania, either don't have a state drug paraphernalia law or don't include syringes in it.

Those working on the front lines of the opioid epidemic, like Botteicher, say a reexamination of Pennsylvania's law is long overdue.

There's an urgency to the issue as well: Billions of dollars have begun flowing into Pennsylvania and other states from legal settlements with companies over their role in the opioid epidemic, and syringe services are among the eligible interventions that could be supported by that money.

The opioid settlements reached between drug companies and distributors and a coalition of state attorneys general included a list of recommendations for spending the money. Expanding syringe services is listed as one of the core strategies.

But in Pennsylvania, where 5,158 people died from a drug overdose in 2022, the state's drug paraphernalia law stands in the way.

Concerns over Botteicher's work with syringe services recently led Westmoreland County officials to cancel an allocation of $150,000 in opioid settlement funds they had previously approved for her organization. County Commissioner Douglas Chew defended the decision by saying the county “is very risk averse.”

Botteicher said her organization had planned to use the money to hire additional recovery specialists, not on syringes. Supporters of syringe services point to the cancellation of funding as evidence of the need to change state law, especially given the recommendations of settlement documents.

“It's just a huge inconsistency,” said Zoe Soslow, who leads overdose prevention work in Pennsylvania for the public health organization Vital Strategies. “It's causing a lot of confusion.”

Though sterile syringes can be purchased from pharmacies without a prescription, handing out free ones to make drug use safer is generally considered illegal — or at least in a legal gray area — in most of the state. In Pennsylvania's two largest cities, Philadelphia and Pittsburgh, officials have used local health powers to provide legal protection to people who operate syringe services programs.

Even so, in Philadelphia, Mayor Cherelle Parker, who took office in January, has made it clear she opposes using opioid settlement money, or any city funds, to pay for the distribution of clean needles, The Philadelphia Inquirer has reported. Parker's position signals a major shift in that city's approach to the opioid epidemic.

On the other side of the state, opioid settlement funds have had a big effect for Prevention Point Pittsburgh, a harm reduction organization. Allegheny County reported spending or committing $325,000 in settlement money as of the end of last year to support the organization's work with sterile syringes and other supplies for safer drug use.

“It was absolutely incredible to not have to fundraise every single dollar for the supplies that go out,” said Prevention Point's executive director, Aaron Arnold. “It takes a lot of energy. It pulls away from actual delivery of services when you're constantly having to find out, ‘Do we have enough money to even purchase the supplies that we want to distribute?'”

In parts of Pennsylvania that lack these legal protections, people sometimes operate underground syringe programs.

The Pennsylvania law banning drug paraphernalia was never intended to apply to syringe services, according to Scott Burris, director of the Center for Public Health Law Research at Temple University. But there have not been court cases in Pennsylvania to clarify the issue, and the failure of the legislature to act creates a chilling effect, he said.

Carla Sofronski, executive director of the Pennsylvania Harm Reduction Network, said she was not aware of anyone having faced criminal charges for operating syringe services in the state, but she noted the threat hangs over people who do and that they are taking a “great risk.”

In 2016, the CDC flagged three Pennsylvania counties — Cambria, Crawford, and Luzerne — among 220 counties nationwide in an assessment of communities potentially vulnerable to the rapid spread of HIV and to new or continuing high rates of hepatitis C infections among people who inject drugs.

Kate Favata, a resident of Luzerne County, said she started using heroin in her late teens and wouldn't be alive today if it weren't for the support and community she found at a syringe services program in Philadelphia.

“It kind of just made me feel like I was in a safe space. And I don't really know if there was like a come-to-God moment or come-to-Jesus moment,” she said. “I just wanted better.”

Favata is now in long-term recovery and works for a medication-assisted treatment program.

At clinics in Cambria and Somerset Counties, Highlands Health provides free or low-cost medical care. Despite the legal risk, the organization has operated a syringe program for several years, while also testing patients for infectious diseases, distributing overdose reversal medication, and offering recovery options.

Rosalie Danchanko, Highlands Health's executive director, said she hopes opioid settlement money can eventually support her organization.

“Why shouldn't that wealth be spread around for all organizations that are working with people affected by the opioid problem?” she asked.

In February, legislation to legalize syringe services in Pennsylvania was approved by a committee and has moved forward. The administration of Gov. Josh Shapiro, a Democrat, supports the legislation. But it faces an uncertain future in the full legislature, in which Democrats have a narrow majority in the House and Republicans control the Senate.

One of the bill's lead sponsors, state Rep. Jim Struzzi, hasn't always supported syringe services. But the Republican from western Pennsylvania said that since his brother died from a drug overdose in 2014, he has come to better understand the nature of addiction.

In the committee vote, nearly all of Struzzi's Republican colleagues opposed the bill. State Rep. Paul Schemel said authorizing the “very instrumentality of abuse” crossed a line for him and “would be enabling an evil.”

After the vote, Struzzi said he wanted to build more bipartisan support. He noted that some of his own skepticism about the programs eased only after he visited Prevention Point Pittsburgh and saw how workers do more than just hand out syringes. These types of programs connect people to resources — overdose reversal medication, wound care, substance use treatment — that can save lives and lead to recovery.

“A lot of these people are … desperate. They're alone. They're afraid. And these programs bring them into someone who cares,” Struzzi said. “And that, to me, is a step in the right direction.”

At her nonprofit in western Pennsylvania, Botteicher is hoping lawmakers take action.

“If it's something that's going to help someone, then why is it illegal?” she said. “It just doesn't make any sense to me.”

This story was co-reported by WESA Public Radio and Spotlight PA, an independent, nonpartisan, and nonprofit newsroom producing investigative and public-service journalism that holds power to account and drives positive change in Pennsylvania.

KFF Health News is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF—an independent source of health policy research, polling, and journalism. Learn more about KFF.

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By: Ed Mahon, Spotlight PA and Sarah Boden, WESA
Title: Clean Needles Save Lives. In Some States, They Might Not Be Legal.
Sourced From: kffhealthnews.org/news/article/clean-needles-syringe-services-programs-legal-gray-area-risk-pennsylvania/
Published Date: Fri, 17 May 2024 09:00:00 +0000

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Kaiser Health News

Watch: John Oliver Dishes on KFF Health News’ Opioid Settlements Series

Published

24 hours ago

May 17, 2024

Staff Editor

Fri, 17 May 2024 09:00:00 +0000

Opioid manufacturers, distributors, and retailers are paying tens of billions of dollars in restitution to settle lawsuits related to their role in the nation's overdose epidemic. A recent broadcast of “Last Week Tonight With John Oliver” examined how that money is being spent by state and local governments across the United States.

The segment featured reporting from the KFF Health News series “Payback: Tracking the Opioid Settlement Cash.” You can learn more about the issue and read our collection of articles by Aneri Pattani here.

——————————
Title: Watch: John Oliver Dishes on KFF Health News' Opioid Settlements Series
Sourced From: kffhealthnews.org/news/article/watch-john-oliver-kff-health-news-payback-opioid-settlements-series/
Published Date: Fri, 17 May 2024 09:00:00 +0000

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