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Unformatted text preview: Essay Focus 704 www.thelancet.com Vol 369 February 24, 2007 The appearance of raed drugs on pharmacists shelves only increases the need to attend to the myriad social sources of disparities in morbidity and mortality. Although to turn a profi t from fi ghting racial discrimination is di cult, eff ective medical care demands continued awareness of the complex social dimensions of diseases, such as hypertension and cancer. Con ict of interest statement I declare that I have no con ict of interest. References 1 Financial Times (London) , March 9, 2001: 16. 2 Cohn J N. The Vasodilator-Heart Failure Trials (V-HeFT): mechanistic data from the VA Cooperative Studies. Circulation 1993: 87 (suppl 6 ) : V 12. 3 Kahn J. How a drug becomes ethnic: law, commerce, and the production of racial categories in medicine. Yale J Health Policy Law Ethics 2004; 4: 146. 4 NitroMed. Press Release: NitroMed receives FDA letter on BiDil NDA, a treatment for heart failure in black patients. March 8, 2001. 5 Food and Drug Administration. FDA approves BiDil heart failure drug for black patients. June 23, 2005: http://www.fda.gov/bbs/ topics/NEWS/2005/NEW01190.html (accessed Dec 4, 2006). 6 Kahn, J. Misreading race and genomics after BiDil. Nat Genet 2005; 37: 65556. 7 Taylor AL, Ziesche S, Yancy C, et al, for the African-American Heart Failure Trial Investigators. Combination of isosorbide dinitrate and hydralazine in blacks with heart failure. N Engl J Med 2004; 351: 204957. 8 NitroMed. BiDil(R) named to American Heart Associations 2004 top 10 advances list: only cardiovascular drug recognized by AHA for dramatically improving survival in African American heart failure patients. PR Newswire USA, Jan 11, 2005. 9 Duster T. Race and reifi cation in science. Science 2005; 307: 105051. 10 Klag MJ, Whelton PK, Coresh J, Grim C, Kuller H. The association of skin color with blood pressure in US blacks with low socioeconomic status. JAMA 1991; 265: 599602. 11 Cooper RS, Wolf-Maier K, Luke A, et al. An international comparison study of blood pressure in populations of European vs African descent. BMC Med 2005; 3: 22. 12 Zamisak N, Whalen J. Cancer drug helps Asians even as it fails in other groups. Wall Str J May 4, 2005: 1. If direct-to-consumer advertisements come to Europe: lessons from the USA Jonathan M Metzl Direct-to-consumer (DTC) advertisements for pre- scription medications might one day be used in Europe. If some lobbies have their way, 1,2 European doctors and patients will face situations similar to those that have confronted their counterparts in the USA during the 9 years since the US Food and Drug administration relaxed its regulations on pharmaceutical advertising....
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This note was uploaded on 04/13/2010 for the course PSYCH 101 taught by Professor Gabbart during the Spring '08 term at Union College.
- Spring '08