Hospitals & Asylums 






January 2011


It is Hospitals & Asylums bicentennial and the Rx to OTC drug monographs are done.  The United States now has the ampicillin and metronidazole to reverse the 0.1 year decline in life expectancy 2007-2008 and make headway against the cardio-toxins peddled as heart medicine.  The 1g cogentin to chop down psychiatry at the medical campus and replace the field with social work.  The 1 mL narcan to survive the third opium war.  The  1g azithromycin to prevent an 8th cholera epidemic from spilling the banks of the Ganges.  And the cigarettes to prevent the strangling of a Washington prison chapel guard in retribution for the mining of Haiti to a Utah prison false arrest and torture under the command of the disbarable brigadier (peon) general of the Utah National Guard in 2010.  The FDA demands industry sponsors to market these products.  Kroger Inc. has not yet responded to my proposal.  The financial transaction for metronidazole didn’t go through and importation must be reattempted.  DHS shall be abolished and replaced with Customs.  The Secretary, from Arizona, is so drunk on power Chief Judge John Rolls was killed and Rep. Gabrielle Giffords suffered traumatic brain injury, her embezzlement dishonors the $5 a night rental fee for squatting St. Elizabeth’s Hospital.  Now hiring a Customs Secretary with diplomatic immunity.  The monographs are all quite short, with the exception of the Cholera kit, 15 pgs., and very informative.


Model Cigarette Warning Label HA-31-1-11


Title II of the Family Smoking Prevention and Tobacco Control Act P.L.111-31 signed June 22, 2009 Section 201 Cigarette Labels and Advertising Warnings Section 4 (a) directs Each label statement shall comprise the top 50 percent of the front and rear panels of the package.  A model warning label has been prepared to consolidate the prescribed one liners into comprehensive instruction for cigarette consumers that states, Front flip top:  Cigarettes are addictive and a cause of osteoporosis, lung disease, cancer, strokes and heart disease, that can kill you. Front: Smoking during pregnancy can harm your baby.  Tobacco smoke can harm child development and cause fatal lung disease in nonsmokers.  Side: Quitting smoking now greatly reduces serious risks to your health. Please consult a physician or attend a local meeting of  Side: Nicotine withdrawal is a mental illness. Nicorette gum and prescription drugs help. Smoke Jimson weed for asthma and mullein for pulmonary ailments. E-cigarettes may be used in public. Back: Nicotiana tabacum (tobacco) was first cultivated for smoking by Native Americans.  After discovery people around the world became addicted.  American colonists used tobacco as money. As early 1761 snuff was linked to cancer.  Numerous U.S. Surgeon General Reports blame smelly tobacco smoke for deadly diseases more caused by nosocomial infection.  Many States have banned smoking in public places. Get plenty of cardiovascular exercise.  Although required to do so by July 22, 2010 the Federal Cigarette Labeling and Advertising Act has yet to be amended and industry to implement the new labels. 


Cholera Kit HA-30-1-11


In order to be prevent an 8th Cholera epidemic a cholera kit has been prepared, it includes – Oral Rehydration Salts (ORS), one dose Azithromycin 1g, Dukeral® Oral Traveller’s Diarrhea Vaccine, Water Purification and Rice Water Diet.  Cholera requires immediate ORS treatment because the disease can cause death within hours. A high infecting dose (as many as 10 11 organisms) is necessary to cause illness in healthy individuals. The usual incubation period is 2 to 5 days, although it can be as short as several hours. Severe cholera is characterized by a sudden onset of profuse, watery diarrhea accompanied by nausea and vomiting.  Over 50% of the most severe cases die within a few hours; however with prompt, effective ORS treatment, mortality is less than 1%.  Annual global figures (2009) reported to WHO included 221,226 cases and 4,946 deaths from 45 countries. Globally, mortality and morbidity relating to cholera is likely to be grossly underreported due to the limitations of surveillance systems. WHO estimates the actual global burden of disease as 3 to 5 million cholera cases and 100,000 to 130,000 deaths each year. The Pan American Health Organization reports that as of January 16, 2011, approximately 195,000 cases of cholera had been reported and that 3,819 people had died of the disease in Haiti. At least 35 cases have been confirmed in Venezuela, and six cases have been verified in Massachusetts.  88% of the 4 billion annual cases of diarrheal disease are attributed to unsafe water and inadequate sanitation and hygiene, and 1.8 million people die from diarrheal diseases each year. The WHO estimates that 94% of these diarrheal cases are preventable through modifications to the environment, including access to safe water and sanitation.  Cholera diarrhea is described as “rice water diarrhea” with flecks of mucus.  Rice water or vegetable broth is the traditional remedy for immediate treatment of diarrhea - eat nothing solid.  When the appetite improves try eating plain rice.  An Ayurvedic remedy is rice water of rice cooked with double the water and strained to produce a beverage and sticky rice.       


Cogentin and Narcan Singles Monographs HA-15-1-11


Rx to OTC Course under 21CFR§330.10. Sponsors permitted by U.S. Food and Drug Administration. Technical Writing (Not to Scale) for Production Software. Cogentin 1 mg tablet. Benztropine mesylate, Antiparkinson’s agent. Take One for Extra-pyramidal Side Effect of Antipsychotic Medicine. Right to refuse treatment Mental Health Bill of Rights 42USC((102)IV§9501(A,i,D). Contents: Narcan 1mL; 0.4 mg nalaxone hydrochloride injection, USP, suspended in 8.6 mg sodium chloride and 2 mg methylparaben.  Inject opioid antagonist in vein or muscle to prevent or reverse narcotic overdose. under 42USC(42)§3401


Metronidazole 400 mg Monograph HA-3-1-11


Rx to Over-the-counter Metronidazole course.  Sponsors permitted by U.S. Food and Drug Administration Drug Information Division. Sidebar 1: Contents:2 sealed packages of 10 tablets Metronidazole 400 mg Active Ingredients: 2-(2-methyl-5-nitroimidazol-1-yl)ethanol Inactive: cellulose, FD&C Blue No. 2 Lake, hydroxypropyl cellulose, hypromellose, polyethylene glycol, stearic acid, and titanium dioxide. Sidebar 2: Store at 15–25°C (60-80°F) up to 5 years.  Take for endocarditis, gynecologic, inter-abdominal and respiratory tract infections, septicemia, skin infections, vaginalis, giardiasis, amebiasis, antibiotic associated colitis, Crohn’s Disease, peptic and duodenal ulcers, urethritis, rosacea, tetanus and trichomoniasis. Consult a physician. Front: Metronidazole Flagyl ER 400 mg tablets Bactericidal, amebicidal, and trichomonacidal U.S. FDA Rx to OTC Course Effective against many extra-intestinal diseases caused by Anaerobic gram-negative bacilli, including most Bacteroides species, Fusobacterium, Veillonella; anaerobic gram-positive cocci Clostridium (including antibiotic resistant C. difficile), Eubacterium, Peptococcus, Peptostreptococcus, H. pylori, G. vaginalis and protozoa E. histolytica, T. vaginalis and Giardia lamblia. While the strong eat whatever they want the weak eat only vegetables (Romans 14:2) Back: Contraindications: Not active against fungi, viruses, and most other aerobic or facultative anaerobic bacteria.  Not for use by pregnant women in first trimester, nor with warfarin, barbituates, disulfiram or lithium.  Discontinue alcohol and breastfeeding until 48 hrs. after completing course. Discontinue if neurological symptoms manifest.  Carcinogenic. Not effective against all diarrheas. Wait 4 weeks between courses. Distributed Over-the-counter under 21CFR§330.10 by permission of


Ampicillin 500 mg Monograph HA-1-1-11


Rx to Over-the-counter Ampicillin course.  Sponsors permitted by U.S. Food and Drug Administration Drug Information Division.  Sidebar 1: Contents: 2 sealed packages of 10 capsules Ampicillin 500 mg Active: Ampicillin trihydrate of penicillin nucleus and 3 H2O Inactive: black iron oxide, gelatin, FD&C Blue #1, Red #3, Red #40, lactose monohydrate, silica gel and titanium dioxide. Sidebar 2: Store capsules in sealed container at 15–30°C (60-85°F) up to 24 months from manufacture.  Take for endocarditis, meningitis, respiratory infection, pertussis, septicemia, urinary tract, typhoid, salmonella and shigella infections. Consult a professional.  Front: Ampicillin 500 mg adult dose. Broad spectrum antibiotics. U.S. FDA Rx to OTC Course $20. Take on twice a day for 10 days.  Effective against many Schizomycetes infections including Strep infections dangerous to human life, S. pneumonia, clinical S. pyogenes, S. agalactiae (rheumatic heart disease), and nosocomial S. facecalis and S. sanguis (6 week endocarditis untreated); for which there is no vaccine.  Side effect: antibiotic associated colitis; take metronidazole for gastroenteritis.  Back: Only clean water and sanitation have extended human life expectancy longer than antibiotics.  This makes antibiotics the best medicine of the 20th century.  Lysol™ is 99.9% effective against environmental bacteria and viruses.  Distributed Over-the-counter under 21CFR§330.10 by permission of the U.S. Food and Drug Administration (FDA) Division of Drug Information


Book 6 Judicial Delinquency (JD)


To amend Chapter 6 Freemen’s Hospital §261-270.  Freeman’s Hospital and Asylum cared for freed slaves in the Washington DC area during the civil war era.  In 2005 a record 7 million people, one in every 32 Americans, were in prison or jail, an increase of 2.7% over the previous year.  In 2009 the state prison population declined for the first time since 1973.  Reductions in the prison population is a priority for the U.S., lawyers and judicial officers must focus on achieving this monumental task and cease corrupting political and commercial power with their negligence.  The prison population quintupled from 503,586 in 1980 (220 per 100,000) to 2,085,620 in 2004 (707 per 100,000).  The U.S. has the most and densest concentration of prisoners in the world comprising 24% of the 9 million global prisoners, more than Russia, the runner up, and more than China.  For the U.S. to achieve the legal limit of 250 detainees per 100,000 the total number of local jails and state and federal prison beds must be limited to less than 740,000.  One million is a good goal.  Nearly 650,000 people are released from prison to communities each year.  Each year the nation’s 3,200 jails release an excess of 10 million, 3% of the population back into the community.  Nearly two thirds of released State prisoners are expected to re-arrested for a felony or a serious misdemeanor within three years after release.  In 2005 7% of all prisoners were women, the number of women prisoners increased 2.6% while male prisoners rose 1.9%.  Racial disparities among prisoners persist, particularly in the 25-29 age group, 8.1% of black men, about one in 13, were behind bars, compared with 2.6% of Hispanic men and 1.1% of white men.  The plan is to acquit people falsely arrested, reduce sentences in both legislative and litigate practices, probate and parole criminal offenders to serve their sentences in halfway houses and equal employment opportunity programs to safely and sustainably reduce the prison to meet international minimum standards of detention of less than 250 prisoners per 100,000 with a 10 year community based corrections equality plan.  The U.S. needs to ratify the Optional Human Rights Protocols recognizing the Human Right Council, aiming for the abolition of the death penalty, eliminating all forms of discrimination against women and establishing national human rights institutions to hear complaints of torture and false arrest…856  


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