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Article: Officials Weigh Risk to Medical Mailings from Irradiation
This aritcle appeared in today's Washington Post and thought it would be of
interest.
Personally, I think irradiation of the mail is based on a knee-jerk reaction
to the anthrax letters that were recieved. This is an example to the lack
of consideration about the cost and consequences of what irradiation will
do. I would like to see the money put into public health that would allow
the government to identify and track suspected outbreaks of disease, and
better testing methods.
-- John
John Jacobus, MS
Certified Health Physicist
3050 Traymore Lane
Bowie, MD 20715-2024
jenday1@email.msn.com (H)
Officials Weigh Risk to Medical Mailings from Irradiation
By Lauran Neergaard
Associated Press
Sunday, November 18, 2001; Page A07
The doses of radiation the Postal Service plans to use to sterilize mail
that may contain anthrax could destroy some prescription drugs and other
medical products, a federal health expert said Friday.
The Postal Service pledged to find a way to separate shipments from
mail-order pharmacies so drugs are not irradiated. But that may not be
enough to protect all medical shipments, according to Food and Drug
Administration physicist Orhan Suleiman, who is advising the Postal Service
on irradiation.
As an example, he recently showed postal workers the process for a common
test for colon cancer -- the fecal occult blood test. Patients mail a stool
sample for the test to their doctors in an unmarked envelope -- not a
special package that postal workers would know would have to be kept away
from radiation.
Would 5.6 million rads of radiation, the dose being used to sterilize mail,
affect the results of that test? Suleiman said the FDA has no way of knowing
because it has never been tested.
Suleiman told a State Department employee not to use a prescription drug
that an embassy had irradiated in a diplomatic mail pouch, because there was
no way of knowing if the medication had been harmed.
"It's very obvious that many pharmaceuticals can't be irradiated, especially
not at the radiation doses being used here," he said. "We have been drumming
this message home."
So far, only a small percentage of letters -- mail gathered from
anthrax-tainted post offices and government buildings, not the packages most
medical products would be shipped in -- is being irradiated.
But the plan is to sterilize far more mail eventually. The Postal Service is
developing a way to identify and isolate shipments from mail-order
pharmacies so drugs are not irradiated, said spokesman Jerry Kreienkamp.
It would not be difficult, "when we know who the mailer is," to separate a
special shipment, he said. After all, drugs aren't the only issue. Post
offices are also working to separate film and other items that irradiation
would harm.
But Kreienkamp could not answer how the Postal Service would handle other
shipments, such as those from Internet companies that often mail bottles of
pills in unmarked padded envelopes or those from patients mailing medical
samples from home.
"These are all new processes we're going to have to work out," he said.
Suleiman has rejected initial suggestions from postal workers that the FDA
certify which products it is acceptable to irradiate.
An informal survey of major drug manufacturers by the Pharmaceutical
Research and Manufacturers Association confirms his suspicions that no
scientific data are available to determine the safety of irradiating
medications.
Electron beam technology is used to kill germs in meat and other foods but
has not been used on medications. Scientists do know that weaker ultraviolet
radiation can affect certain medical products.
To know which products can withstand irradiation would require testing
"absolutely product by product," said Janet Trunzo, a physicist with the
Advanced Medical Technology Association, which represents makers of
diagnostic tests and other medical supplies. "Some materials are very
resistant to radiation . . . whereas others may be very sensitive."
Suleiman said he suspects that industry will create radiation-proof
packaging for drugs, but that's not here yet. Meanwhile, medical
manufacturers are seeking meetings with the FDA to determine what, if
anything, they should do while the Postal Service figures out how to use
irradiation.
© 2001 The Washington Post Company
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