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"She will give birth to a son, and you are to give him the name Jesus, because he will save his people from their sins." Matthew 1:21
Each issue will include an editorial on a topic that is important for the profession of pharmacy, as well as a review of a new drug that includes a comparison of the new drug with previously marketed drugs that are most similar in activity, and a New Drug Comparison Rating (NDCR) for the new drug. Read on for this month's issue.

December 2020 Issue [Download PDF format]
In this issue:
Editorial: Immunization and Other Public Health Opportunities for Pharmacists
PEACE ON EARTH
THE GREAT BARRINGTON DECLARATION
Appreciation
Index for Volume 15, 2020
EDITORIAL:

Immunization and Other Public Health Opportunities for Pharmacists

In the 1990s, John Gans and his colleagues at the American Pharmacists Association, demonstrated the vision and leadership that resulted in pharmacists being provided the authority for administering vaccines. The underlying concern was that a large number of individuals were not receiving immunizations to protect them against preventable diseases. With strong support and collaboration from government/public health officials, national and state pharmacy association leadership, boards of pharmacy, and many individual pharmacists, and over a period of years of dedicated perseverance, pharmacists now have the authority in every state to administer immunizations. I consider this to be one of the greatest accomplishments of our profession in the last 50 years.

The COVID-19 pandemic, or anything similar, was certainly not anticipated in the 1990s. However, the value to individuals, society, and our profession of authorizing pharmacists to provide immunizations is even more important now than when this authority was implemented. As the most accessible health professionals, pharmacists are strategically positioned to not only participate in COVID-19 testing, but also to administer the vaccines when they become available. The high level of trust that society has for pharmacists will also be of great value in educating and reassuring patients and communities about the effectiveness and safety of the vaccines that many might otherwise refuse or be reluctant to receive.

Even with pharmacists having the authority to immunize, millions of Americans are still not receiving influenza, pneumococcal, and other immunizations that will substantially reduce societal health risks and deaths. The COVID-19 pandemic will require the participation of many qualified professionals for the forseeable future and, combined with other current and anticipated needs for immunizations, will necessitate an extensive and focused effort to greatly expand the provision of products and services of recognized value. Pharmacists are ideally situated to build on their important contributions to the health of the public by increasing the effectiveness and safety of medications. We have an established and convenient location and bridge to expand our involvement in providing immunizations and participating in other public health initiatives. Pharmacies can become the health education and immunization centers in their communities. Some pharmacists are already making "house calls" to their patients to provide immunizations, medications, and services. Some are actively engaged in smoking cessation, weight management, fitness, nutrition, and other programs that will improve public health.

The primary responsibilities of practicing pharmacists will continue to be the provision of medications and error avoidance, in a manner that assures optimum effectiveness, safety, counseling, and therapeutic outcomes. However, our professional roles and services can be readily extended by greater involvement and integration with immunizations and other public health initiatives. The opportunities and benefits are many and include:
  • Wellness and healthcare services for individuals and communities will be increased;
  • There will be increased communication and collaboration of pharmacists with physicians and other health professionals in their mutual commitment to meet the health needs of patients;
  • There will be increased visibility and respect for pharmacists and their roles in providing health education, products, and services;
  • There will be entrepreneurial opportunities for pharmacists that will increase the financial viability for pharmacies whose survival is threatened by inadequate compensation for medications and services.
Daniel A. Hussar
danandsue3@verizon.net

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Appreciation

This issue marks the completion of the fifteenth year of the publication of The Pharmacist Activist. The index for this Volume 15 (2020) is included. All issues in Volumes 1 through 15 (2006-2020) are available on the website, www.pharmacistactivist.com.

I wish to express my appreciation to Linda Corvari, and to the officers of the Delaware County (PA) Pharmacists Association for the financial support they have provided for the publication of The Pharmacist Activist. Linda is a friend and former student, and is the Founder and President of p-value communication (www.pvaluecomm.com). This support helps make it possible to continue to make this newsletter available free-of-charge via email to interested pharmacists and student pharmacists.

Appreciation is also extended to Jeff Zajac (Publications Director) and Pat Polli (Publisher), and my wife and Assistant Editor Suzanne Hussar for their expertise and skills in editing, preparing, and distributing the issues of The Pharmacist Activist.

Best wishes for a blessed Christmas season and a healthy and enjoyable new year!

Daniel A. Hussar

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PEACE ON EARTH

At this same time of year in which many throughout the world are celebrating the birth of Jesus, the realities of COVID, conflicts, and wars dominate the attention of countries and individuals. It has been my observation that many of those who can look to the future with hope and optimism find encouragement from their strong faith in God. We should intentionally take time out of our typical non-stop schedules and reflect on our faith, even if it has not previously been important, and derive meaning and encouragement from God's messages in Scripture and from the words/melodies of Christmas carols and other songs/festivities of this season. One such message/song that has an enduring theme and is particularly timely is "Let There Be Peace on Earth,"*, the words of which are below:

Let there be peace on earth
And let it begin with me;
Let there be peace on earth,
The peace that was meant to be.
With God as our Father
Brothers all are we,
Let me walk with my brother
In perfect harmony.
Let peace begin with me,
Let this be the moment now;
With every step I take,
Let this be my solemn vow:
To take each moment and live each moment
In peace eternally.
Let there be peace on earth
And let it begin with me.


*By Jill Jackson and Sy Miller: Copyright 1955, 1983 by Jan-Lee Music, ASCAP.

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THE GREAT BARRINGTON DECLARATION

As I finalize this issue of The Pharmacist Activist on December 6, I have just read the Great Barrington Declaration about the COVID-19 pandemic, the central tenet of which is Focused Protection. It is the most impressive, rational, and common sense commentary about the pandemic that I have seen. As of December 6, it has been signed by 37,893 medical practitioners, 12,662 medical and public health scientists, and 682,246 concerned citizens. I have just added my signature. I urge you to read it at www.gbdeclaration.org, as well as the accompanying information and frequently asked questions. If you agree, please add your signature.

Daniel A. Hussar

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Index for Volume 15, 2020

Volume 15, 2020

January 2020 (No. 1)
• Resolutions with 20/20 Vision: But What Pharmacy Needs Most is a Revolution!

February 2020 (No. 2)
• CVS Places Consumers at Risk of Harm, and is Destroying the Profession of Pharmacy! Part 1

March 1, 2020 (No. 3)
• CVS Places Consumers at Risk of Harm, and is Destroying the Profession of Pharmacy! Part 2
• New Drug Review: Istradefylline (Nourianz)


March 15, 2020 (No. 4)
• CVS Places Consumers at Risk of Harm, and is Destroying the Profession of Pharmacy! Part 3

April 1, 2020 (No. 5)(April Fools' Day)
• CVS Executives Enter Rehab! Can the Wicked* in Woonsocket be Reformed?

Easter 2020
• Life is Suspended, But God's Love Continues!

May 1, 2020 (No. 7)
• Coronavirus Conundrum: Science, Evidence, Knowledge, Reasoning, Opinion, Civility, and Lessons – All are Necessary!

May 15, 2020 (No. 8)
• Coronavirus Conundrum: Part 2: WHO, HCQ, FDA, Remdesivir, Moving Forward!

May 2020 SPECIAL EDITION (No. 9)
• Congratulations to the Real Pharmacists of the Class of 2020 at Their Virtual Commencement!
• New Drug Review: Upadacitinib (Rinvoq)


June 1, 2020 (No. 10)
• CVS is Destroying the Profession of Pharmacy: Part 3 (continued): Along with Rite Aid, Walgreens, and Walmart!
• New Drug Review: Solriamfetol hydrochloride (Sunosi)


June 15, 2020 (No. 11)
• CVS is Destroying the Profession of Pharmacy: Part 4!
• New Therapeutic Agents Marketed in the United States in 2019 (table)


July 1, 2020 (No. 12)
• INDEPENDENCE DAY for Independent and Chain Pharmacists From the Evil and Tyranny of Chain Executives, PBMs, and Health Insurance Companies! - CVS is Destroying the Profession of Pharmacy: Part 5!
• New Drug Review: Pitolisant hydrochloride (Wakix)


July 15, 2020 (No. 13)
• CVS is Destroying the Profession of Pharmacy: Part 6!
• New Drug Review: Bremelanotide acetate (Vyleesi)


August 1, 2020 (No. 14)
• Opioid Misuse and Overdoses: The Management of Walmart and Some Other Chain Stores Just Don't Care!

August 15, 2020 (No. 15)
• Four Executive Orders Regarding Drug Pricing: Two are Needed and Two Should be Rescinded!
• Hydroxychloroquine Hysteria
• New Drug Review: Romosozumab-aqqg (Evenity)


September 1, 2020 (No. 16)
• Opioid Misuse and Overdoses: Part 2: Dispensing Opioid Prescriptions Should be Restricted to Pharmacies Owned by Pharmacists

September 15, 2020 (No. 17)
• Coronavirus Conundrum: Part 3: We have learned enough to remove mandates/restrictions. Let's open up and go back to work and school!
• Hydroxychloroquine Hysteria! Part 2
• Election Prediction
• New Drug Review: Risankizumab-rzaa (Skyrizi)


October 1, 2020 (No. 18)
• Pharmacy at the Supreme Court The Language of God
• New Drug Review: Sarecycline hydrochloride (Seysara)


October 15, 2020 (No. 19)
• The Presidential Debate Debacle! Can we Proceed with Respect and Civility?
• Buy Local from Small Businesses!
• New Drug Review: Trifarotene (Aklief)


November 2020 (No. 20)
• THANK YOU! To the Front-line Heroes
• The Great American Smokeout
• New Drug Review: Brolucizumab-dbll (Beovu)


December 2020 (No. 21)
• Peace on Earth
• Immunizations and Other Public Health Opportunities for Pharmacists
• THE GREAT BARRINGTON DECLARATION
• Appreciation
• Index for Volume 15, 2020


All issues of The Pharmacist Activist are available without charge.

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