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In recognition of May as where to buy cipro online Mental Health Month, the cipro for bacterial vaginosis American Farm Bureau Federation launched a comprehensive, easy-to-use online directory of resources for farmers, ranchers and their families who are experiencing stress and mental health challenges. The directory, which is on the Farm State of Mind website at farmstateofmind.org, features listings for crisis hotlines and support lines, counseling services, training opportunities, podcasts, videos, published articles and other resources in every U.S. State and where to buy cipro online Puerto Rico. Listings for crisis support, counseling and behavioral health resources that are available nationwide are also included.

€œFor far too long, farmers and ranchers have been trying to cope with increasing levels of stress where to buy cipro online on their own,” said AFBF President Zippy Duvall. €œOur Farm State of Mind campaign is encouraging conversations about stress and mental health in farming and ranching communities. It is so important to spread the word that no one has to go where to buy cipro online it alone. €œThis new online directory of stress and mental health resources in every state gives farmers, ranchers and rural communities a user-friendly, one-stop shop to find services in their area that can help them manage farm stress and find help for mental health concerns.

Whether you’re looking for information about how to recognize and manage stress, trying to find counseling services in your area or are in need of crisis support, you can find help here.” National research polls conducted and published by AFBF in 2019 and 2021 showed that a number of factors including financial issues and the impact of the buy antibiotics cipro are impacting farmers’ mental health, highlighting the need to identify local resources that can help farmers and ranchers cope with chronic stress and mental health concerns. The Farm State of Mind directory lists resources specifically geared toward farmers, ranchers and rural communities where to buy cipro online in states where these specific services are available, with additional listings for county and statewide mental health and other support services in every state. The listings can be filtered by state and type of resource, including hotlines, counseling services and published information. AFBF partnered with the University of Georgia where to buy cipro online School of Social Work to research available resources across the U.S.

And Puerto Rico and compile the comprehensive information included in the directory. Farmers and ranchers are encouraged where to buy cipro online to share the directory with their family, friends and community networks to ensure widespread awareness of the availability of these important resources. Contact. Mike TomkoDirector, Communications(202) 406-3642miket@fb.org Ray AtkinsonDirector, Communications(202) 406-3717raya@fb.org Return to Newsroom.

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Abemaciclib 215268 cipres Verzenio Eli Lilly Canada Inc. N/A 2019-04-08 2025-04-08 N/A 2027-04-08 acalabrutinib 214504 Calquence AstraZeneca Canada Inc. N/A 2019-08-23 cipres 2025-08-23 N/A 2027-08-23 aclidinium bromide 157598 Tudorza Genuair AstraZeneca Canada Inc.

Duaklir Genuair 2013-07-29 2019-07-29 N/A 2021-07-29 afatinib dimaleate 158730 Giotrif Boehringer Ingelheim (Canada) Ltd. N/A 2013-11-01 2019-11-01 N/A 2021-11-01 aflibercept 149321 Eylea Bayer Inc. N/A 2013-11-08 cipres 2019-11-08 N/A 2021-11-08 albiglutide 165145 Eperzan GlaxoSmithKline Inc.

N/A 2015-07-15 2021-07-15 N/A 2023-07-15 alectinib hydrochloride 189442 Alecensaro Hoffmann-La Roche Limited N/A 2016-09-29 2022-09-29 N/A 2024-09-29 alirocumab 183116 Praluent Sanofi-aventis Canada Inc. N/A 2016-04-11 cipres 2022-04-11 N/A 2024-04-11 alogliptin benzoate 158335 Nesina Takeda Canada Inc. KazanoOseni 2013-11-27 2019-11-27 N/A 2021-11-27 alpelisib 226941 Piqray Novartis Pharmaceuticals Canada Inc.

N/A 2020-03-11 2026-03-11 N/A 2028-03-11 amifampridine (supplied as amifampridine phosphate) 232685 Firdapse Kye Pharmaceuticals Inc. N/A 2020-07-31 2026-07-31 N/A 2028-07-31 anthrax immune cipres globulin (human) 200446 Anthrasil Emergent BioSolutions Canada Inc. N/A 2017-11-06 2023-11-06 Yes 2026-05-06 antihemophilic factor (recombinant BDD), Fc fusion protein 163447 Eloctate Sanofi-Aventis Canada Inc.

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N/A 2016-12-12 cipres 2022-12-12 Yes 2025-06-12 anthrax antigen fiate 212387 Biothrax Emergent Biodefense Operations Lansing LLC N/A 2018-12-13 2024-12-13 N/A 2026-12-13 antihemophilic factor VIII (recombinant, B-domain truncated), PEGylated (turoctocog alfa pegol) 218531 Esperoct Novo Nordisk Canada Inc. N/A 2019-07-04 2025-07-04 Yes 2028-01-04 apalutamide 211942 Erleada Janssen Inc. N/A 2018-07-03 2024-07-03 N/A 2026-07-03 apremilast 169862 Otezla Amgen Canada Inc cipres.

N/A 2014-11-12 2020-11-12 N/A 2022-11-12 asfotase alfa 179340 Strensiq Alexion Pharma International Sàrl N/A 2015-08-14 2021-08-14 Yes 2024-02-14 asunaprevir 172617 Sunvepra Bristol-Myers Squibb Canada N/A 2016-03-09 2022-03-09 N/A 2024-03-09 atezolizumab 196843 Tecentriq Hoffmann-La Roche Limited N/A 2017-04-12 2023-04-12 N/A 2025-04-12 avelumab 204052 Bavencio EMD Serono, a Division of EMD Inc., Canada N/A 2017-12-18 2023-12-18 N/A 2025-12-18 axicabtagene ciloleucel 218389 Yescarta Gilead Sciences Canada Inc N/A 2019-02-13 2025-02-13 N/A 2027-02-13 azelastine hydrochloride 169604 Dymista Meda Pharmaceuticals Ltd. N/A 2014-10-23 2020-10-23 Yes 2023-04-23 baloxavir marboxil 227361 Xofluza Hoffmann-La Roche Limited N/A 2020-02-19 2026-02-19 Yes 2028-08-19 baricitinib 193687 Olumiant Eli Lilly Canada Inc. N/A 2018-08-17 2024-08-17 N/A 2026-08-17 bazedoxifene acetate 160681 Duavive Pfizer Canada cipres Inc.

N/A 2014-10-23 2020-10-23 N/A 2022-10-23 benralizumab 204008 Fasenra AstraZeneca Canada Inc. N/A 2018-02-22 2024-02-22 Yes 2026-08-22 bepotastine besilate 179294 Bepreve Bausch and Lomb Incorporated N/A 2016-07-27 2022-07-27 Yes 2025-01-27 bictegravir 203718 Biktarvy Gilead Sciences Canada, Inc. N/A 2018-07-10 2024-07-10 Yes 2027-01-10 cipres bilastine 184231 Blexten Aralez Pharmaceutials Canada Inc.

N/A 2016-04-21 2022-04-21 Yes 2024-10-21 binimetinib 237410 Mektovi Pfizer Canada ULC N/A 2021-03-02 2027-03-02 N/A 2029-03-02 blinatumomab 181723 Blincyto Amgen Canada Incorporated N/A 2015-12-22 2021-12-22 Yes 2024-06-22 bosutinib 152211 Bosulif Pfizer Canada Inc. N/A 2014-03-07 2020-03-07 N/A 2022-03-07 cipres botulism antitoxin heptavalen C/ D/ F/ G - (equine) 190645 Bat Emergent BioSolutions Inc. N/A 2016-12-08 2022-12-08 Yes 2025-06-08 brexpiprazole 192684 Rexulti Otsuka Pharmaceutical Co.

Ltd. N/A 2017-02-16 2023-02-16 Yes 2025-08-16 cipres brexucabtagene autoleucel 246355 Tecartus Gilead Sciences Canada, Inc. N/A 2021-06-08 2027-06-08 N/A 2029-06-08 brigatinib 210369 Alunbrig Takeda Canada Incorporated N/A 2018-07-26 2024-07-26 N/A 2026-07-26 brivaracetam 183355 Brivlera UCB Canada Incorporated N/A 2016-03-09 2022-03-09 Yes 2024-09-09 brodalumab 195317 Siliq Bausch Health, Canada Inc.

N/A 2018-03-06 2024-03-06 N/A 2026-03-06 brolucizumab cipres 226224 Beovu Novartis Pharmaceuticals Canada Inc. N/A 2020-03-12 2026-03-12 N/A 2028-03-12 bromfenac sodium sesquihydrate 171657 Prolensa Bausch &. Lomb Incorporated N/A 2015-03-26 2021-03-26 N/A 2023-03-26 burosumab 216239 Crysvita Kyowa Kirin Limited N/A 2018-12-05 2024-12-05 Yes 2027-06-05 cabotegravir sodium 227315 Vocabria ViiV Healthcare ULC N/A 2020-03-18 2026-03-18 N/A 2028-03-18 cabotegravir 227315 Cabenuva ViiV Healthcare ULC N/A 2020-03-18 2026-03-18 N/A 2028-03-18 cabozantinib (supplied as cabozantinib (S)-malate) 206230 Cabometyx Ipsen Biopharmaceuticals Canada Inc.

N/A 2018-09-14 2024-09-14 N/A 2026-09-14 calcifediol 205392 cipres Rayaldee Vifor Fresenius Medical Care Renal Pharma Ltd N/A 2018-07-10 2024-07-10 N/A 2026-07-10 canagliflozin 157505 Invokana Janssen Inc. InvokametInvokamet XR 2014-05-23 2020-05-23 N/A 2022-05-23 caplacizumab 230001 Cablivi Sanofi-Aventis Canada Inc. N/A 2020-02-28 cipres 2026-02-28 N/A 2028-02-28 carfilzomib 184479 Kyprolis Amgen Canada Inc.

N/A 2016-01-15 2022-01-15 N/A 2024-01-15 carglumic acid 171358 Carbaglu Recordati Rare Diseases N/A 2015-04-10 2021-04-10 Yes 2023-10-10 cedazuridine 234610 Inqovi Otsuka Pharmaceutical Co., Ltd. N/A 2020-07-07 2026-07-07 N/A 2028-07-07 ceftolozane 178006 Zerbaxa Merck Canada Inc. N/A 2015-09-30 2021-09-30 N/A 2023-09-30 cemiplimab cipres 218718 Libtayo Sanofi-Aventis Canada Inc.

N/A 2019-04-10 2025-04-10 N/A 2027-04-10 cenegermin 218145 Oxervate Dompé farmaceutici S.p.A. N/A 2019-02-08 2025-02-08 N/A 2027-02-08 ceritinib 175702 Zykadia Novartis Pharmaceuticals Canada Inc. N/A 2015-03-27 2021-03-27 N/A 2023-03-27 cipres cerliponase alfa 216539 Brineura Biomarin International Limited N/A 2018-12-19 2024-12-19 Yes 2027-06-19 coagulation factor IX (recombinant), albumin fusion protein (rIX-FP) 180793 Idelvion CSL Behring Canada Inc.

N/A 2016-01-26 2022-01-26 Yes 2024-07-26 coagulation factor IX (recombinant), pegylated (nonacog beta pegol) 201114 Rebinyn Novo Nordisk Canada Inc. N/A 2017-11-29 2023-11-29 Yes 2026-05-29 cipres coagulation factor IX, Fc fusion protein 163614 Alprolix Sanofi-Aventis Canada Inc. N/A 2014-03-20 2020-03-20 Yes 2022-09-20 cobimetinib 182788 Cotellic Hoffmann-La Roche Limited N/A 2016-02-22 2022-02-22 N/A 2024-02-22 crisaborole 206906 Eucrisa Pfizer Canada Inc.

N/A 2018-06-07 2024-06-07 Yes 2026-12-07 cysteamine bitartrate 191347 Procysbi Horizon Pharma Ireland Ltd. N/A 2017-06-13 2023-06-13 Yes 2025-12-13 daclatasvir 172616 Daklinza Bristol-Myers Squibb Canada cipres N/A 2015-08-13 2021-08-13 N/A 2023-08-13 daclizumab beta 190458 Zinbryta Biogen Canada Inc. N/A 2016-12-08 2022-12-08 N/A 2024-12-08 dacomitinib 214572 Vizimpro Pfizer Canada Inc.

N/A 2019-02-26 2025-02-26 N/A 2027-02-26 dalbavancin (supplied as dalbavancin hydrochloride) 212390 Xydalba cipres Cipher Pharmaceuticals Inc. N/A 2018-09-04 2024-09-04 N/A 2026-09-04 dapagliflozin propanediol 160877 Forxiga AstraZeneca Canada Inc. XigduoQtern 2014-12-12 2020-12-12 N/A 2022-12-12 daratumumab 187648 Darzalex Janssen Inc.

Darzalex SC 2016-06-29 cipres 2022-06-29 N/A 2024-06-29 darolutamide 226146 Nubeqa Bayer Inc. N/A 2020-02-20 2026-02-20 N/A 2028-02-20 deferiprone 162924 Ferriprox Chiesi Canada Corp. N/A 2015-02-13 cipres 2021-02-13 Yes 2023-08-13 defibrotide sodium 200808 Defitelio Jazz Pharmaceuticals Ireland Limited N/A 2017-07-10 2023-07-10 Yes 2026-01-10 difluprednate 154517 Durezol Novartis Pharmaceuticals Canada Inc.

N/A 2013-11-04 2019-11-04 Yes 2022-05-04 dimethyl fumarate 154776 Tecfidera Biogen Idec Canada Inc. N/A 2013-04-03 2019-04-03 Yes 2021-10-03 dinutuximab 212066 Unituxin United Therapeutics Corporation N/A 2018-11-28 2024-11-28 Yes 2027-05-28 dolutegravir sodium 161084 Tivicay ViiV Healthcare ULC TriumeqJulucaDovato 2013-10-31 2019-10-31 Yes 2022-05-01 doravirine 211293 Pifeo Merck Canada Inc. Delstrigo 2018-10-12 2024-10-12 N/A 2026-10-12 dulaglutide 168671 Trulicity Eli cipres Lilly Canada Inc.

N/A 2015-11-10 2021-11-10 N/A 2023-11-10 dupilumab 201285 Dupixent Sanofi-Aventis Canada Inc. N/A 2017-11-30 2023-11-30 Yes 2026-05-30 cipres durvalumab 202953 Imfinzi AstraZeneca Canada Inc. N/A 2017-11-03 2023-11-03 N/A 2025-11-03 edaravone 214391 Radicava Mitsubishi Tanabe Pharma Corporation N/A 2018-10-03 2024-10-03 N/A 2026-10-03 edoxaban 187363 Lixiana Servier Canada Inc.

N/A 2016-11-04 2022-11-04 N/A 2024-11-04 efinaconazole 159416 Jublia Bausch Health, Canada Inc. N/A 2013-10-02 2019-10-02 N/A 2021-10-02 elagolix 209513 Orilissa AbbVie Corporation N/A 2018-10-05 2024-10-05 N/A 2026-10-05 elexacaftor 246955 Trikafta Vertex Pharmaceuticals (Canada) cipres Incorporated N/A 2021-06-18 2027-06-18 Yes 2029-12-18 eliglustat tartrate 183050 Cerdelga Genzyme Canada, A division of Sanofi-aventis Canada Inc. N/A 2017-04-21 2023-04-21 N/A 2025-04-21 elosulfase alfa 170340 Vimizim Biomarin International Limited N/A 2014-07-02 2020-07-02 Yes 2023-01-02 elotuzumab 188144 Empliciti Bristol-Myers Squibb Canada N/A 2016-06-21 2022-06-21 N/A 2024-06-21 eluxadoline 190162 Viberzi Allergan inc.

N/A 2017-01-26 2023-01-26 N/A 2025-01-26 emicizumab 212635 Hemlibra Hoffmann-La Roche Limited N/A 2018-08-02 2024-08-02 Yes 2027-02-02 empagliflozin 162552 Jardiance Boehringer Ingelheim (Canada) Ltd. SynjardyGlyxambi 2015-07-23 2021-07-23 N/A cipres 2023-07-23 enasidenib mesylate 217033 Idhifa Celgene Inc. N/A 2019-02-06 2025-02-06 N/A 2027-02-06 encorafenib 237413 Braftovi Pfizer Canada ULC N/A 2021-03-02 2027-03-02 N/A 2029-03-02 entrectinib 227517 Rozlytrek Hoffmann-La Roche Limited N/A 2020-02-10 2026-02-10 Yes 2028-08-10 eptinezumab 233288 Vyepti Lundbeck Canada Inc.

N/A 2021-01-11 2027-01-11 N/A 2029-01-11 erdafitinib 224529 cipres Balversa Janssen Inc. N/A 2019-10-25 2025-10-25 N/A 2027-10-25 erenumab 208607 Aimovig Novartis Pharmaceuticals Canada Inc. N/A 2018-08-01 2024-08-01 N/A 2026-08-01 ertugliflozin 204724 Steglatro Merck Canada Inc.

SteglujanSegluromet 2018-05-09 2024-05-09 N/A 2026-05-09 eslicarbazepine acetate 165665 Aptiom Sunovion cipres Pharmaceuticals Canada Inc. N/A 2014-07-08 2020-07-08 Yes 2023-01-08 estetrol monohydrate 236197 Nextstellis Searchlight Pharma Inc. N/A 2021-03-05 2027-03-05 N/A 2029-03-05 evolocumab 178234 cipres Repatha Amgen Canada Inc.

N/A 2015-09-10 2021-09-10 Yes 2024-03-10 fedratinib (supplied as fedratinib hydrochloride) 229866 Inrebic Celgene Inc. N/A 2020-07-27 2026-07-27 N/A 2028-07-27 ferric pyrophosphate citrate 239850 Triferic Avnu Rockwell Medical Inc. N/A 2021-04-22 2027-04-22 Yes 2029-10-22 finafloxacin cipres 172450 Xtoro MerLion Pharmaceuticals GmbH N/A 2016-03-11 2022-03-11 Yes 2024-09-11 flibanserin 189352 Addyi Searchlight Pharma Inc.

N/A 2018-02-27 2024-02-27 N/A 2026-02-27 florbetaben (18F) 193105 Neuraceq Isologic Innovative Radiopharmaceuticals Ltd. N/A 2017-02-22 2023-02-22 N/A cipres 2025-02-22 follitropin delta 188743 Rekovelle Ferring Inc. N/A 2018-03-22 2024-03-22 N/A 2026-03-22 fostamatinib (supplied as fostamatinib disodium) 232078 Tavalisse Medison Pharma Canada Inc.

N/A 2020-11-19 2026-11-19 N/A 2028-11-19 fremanezumab 226828 Ajovy Teva Canada Limited N/A 2020-04-09 2026-04-09 N/A 2028-04-09 gadoterate meglumine 186333 Dotarem Guerbet N/A 2016-11-26 2022-11-26 Yes 2025-05-26 galcanezumab 219521 Emgality Eli Lilly Canada Inc. N/A 2019-07-30 2025-07-30 cipres N/A 2027-07-30 galsulfase 159020 Naglazyme BioMarin Pharmaceutical Inc. N/A 2013-09-16 2019-09-16 Yes 2022-03-16 gemtuzumab ozogamicin 223091 Mylotarg Pfizer Canada ULC N/A 2019-11-28 2025-11-28 Yes 2028-05-28 gilteritinib fumarate 227918 Xospata Astellas Pharma Canada Inc.

N/A 2019-12-23 2025-12-23 N/A 2027-12-23 givosiran (supplied as givosiran sodium) 237194 Givlaari Alnylam Netherlands B.V.. N/A 2020-10-09 2026-10-09 N/A 2028-10-09 glasdegib 225793 Daurismo Pfizer Canada ULC N/A 2020-04-28 2026-04-28 N/A 2028-04-28 glecaprevir, pibrentasvir 202233 Maviret AbbVie Corporation N/A 2017-08-16 2023-08-16 Yes 2026-02-16 glycerol phenylbutyrate cipres 174219 Ravicti Horizon Pharma Ireland Ltd. N/A 2016-03-18 2022-03-18 Yes 2024-09-18 grazoprevir, elbasvir 185866 Zepatier Merck Canada Inc.

N/A 2016-01-19 2022-01-19 N/A 2024-01-19 guanfacine hydrochloride 150741 Intuniv XR Takeda Canada Inc cipres. N/A 2013-07-05 2019-07-05 Yes 2022-01-05 guselkumab 200590 Tremfya Janssen Inc. N/A 2017-11-10 2023-11-10 N/A 2025-11-10 haemagglutinin strain A (H5N1) 115398 Arepanrix H5N1 ID Biomedical Corporation of Quebec N/A 2013-02-13 2019-02-13 Yes 2021-08-13 hemin 212276 Panhematin Recordati Rare Diseases Canada Inc.

N/A 2018-07-13 2024-07-13 N/A 2026-07-13 ibrutinib cipres 174029 Imbruvica Janssen Inc. N/A 2014-11-17 2020-11-17 Yes 2023-05-17 icatibant acetate 162918 Firazyr Takeda Canada Inc. N/A 2014-06-04 2020-06-04 Yes 2022-12-04 icosapent cipres ethyl 227235 Vascepa HLS Therapeutics Inc.

N/A 2019-12-30 2025-12-30 N/A 2027-12-30 idarucizumab 182503 Praxbind Boehringer Ingelheim (Canada) Ltd N/A 2016-04-29 2022-04-29 N/A 2024-04-29 idecabtagene vicleucel 244266 Abecma Celgene Inc. N/A 2021-05-26 2027-05-26 N/A 2029-05-26 idelalisib 172652 Zydelig Gilead Sciences Canada Inc. N/A 2015-03-27 cipres 2021-03-27 N/A 2023-03-27 inotersen sodium 214274 Tegsedi Akcea Therapeutics Inc.

N/A 2018-10-03 2024-10-03 N/A 2026-10-03 inotuzumab ozogamicin 204077 Besponsa Pfizer Canada Inc. N/A 2018-03-15 2024-03-15 N/A 2026-03-15 insulin degludec 198124 Tresiba Novo Nordisk Canada cipres Inc. Xultophy 2017-08-25 2023-08-25 Yes 2026-02-25 ioflupane (123I) 201481 Datscan GE Healthcare Canada Inc.

N/A 2017-12-07 2023-12-07 N/A 2025-12-07 iron isomaltoside 1000 193890 Monoferric Pharmacosmos A/S N/A 2018-06-22 2024-06-22 N/A 2026-06-22 isatuximab 229245 Sarclisa Sanofi-Aventis Canada Inc. N/A 2020-04-29 2026-04-29 N/A 2028-04-29 isavuconazole (supplied as isavuconazonium sulfate) 208919 Cresemba Avir cipres Pharma Inc. N/A 2018-12-19 2024-12-19 N/A 2026-12-19 ivabradine hydrochloride 166949 Lancora Servier Canada Inc.

N/A 2016-12-23 2022-12-23 Yes 2025-06-23 ivermectin 172733 Rosiver Galderma Canada Inc. N/A 2015-04-22 2021-04-22 N/A 2023-04-22 ixazomib (supplied as ixazomib citrate) cipres 190498 Ninlaro Takeda Canada Inc. N/A 2016-08-04 2022-08-04 N/A 2024-08-04 ixekizumab 184993 Taltz Eli Lilly Canada Inc.

N/A 2016-05-25 cipres 2022-05-25 Yes 2024-11-25 lanadelumab 213920 Takhzyro Takeda Canada Inc. N/A 2018-09-19 2024-09-19 Yes 2027-03-19 larotrectinib (supplied as larotrectinib sulfate) 219998 Vitrakvi Bayer Inc. N/A 2019-07-10 2025-07-10 Yes 2028-01-10 latanoprostene bunod 211732 Vyzulta Bausch &.

Lomb Incorporated N/A 2018-12-27 2024-12-27 N/A 2026-12-27 ledipasvir 173180 Harvoni Gilead Sciences cipres Canada Inc. N/A 2014-10-15 2020-10-15 Yes 2023-04-15 lefamulin acetate 233292 Xenleta Sunovion Pharmaceuticals Canada Inc. N/A 2020-07-10 2026-07-10 N/A 2028-07-10 lemborexant 231286 Dayvigo Eisai Limited N/A 2020-11-04 2026-11-04 N/A 2028-11-04 lenvatinib mesylate 180877 Lenvima Eisai Limited N/A 2015-12-22 2021-12-22 N/A 2023-12-22 letermovir 204165 Prevymis Merck Canada Inc cipres.

N/A 2017-11-01 2023-11-01 N/A 2025-11-01 levomilnacipran hydrochloride 167319 Fetzima Allergan Inc. N/A 2015-05-08 2021-05-08 N/A 2023-05-08 lifitegrast 199810 Xiidra Novartis Pharmaceuticals Canada Inc. N/A 2017-12-22 2023-12-22 N/A cipres 2025-12-22 linaclotide 161056 Constella Forest Laboratories Canada Inc.

N/A 2013-12-02 2019-12-02 N/A 2021-12-02 lixisenatide 193862 Adlyxine Sanofi-aventis Canada Inc. Soliqua 2017-05-25 2023-05-25 N/A 2025-05-25 lomitapide mesylate 160385 Juxtapid cipres Aegerion Pharmaceuticals Canada Ltd. N/A 2014-02-04 2020-02-04 N/A 2022-02-04 lorlatinib 215733 Lorbrena Pfizer Canada ULC N/A 2019-02-22 2025-02-22 N/A 2027-02-22 lubiprostone 179333 Amitiza Sucampo Pharma Americas LLC N/A 2015-10-14 2021-10-14 N/A 2023-10-14 lumacaftor 181715 Orkambi Vertex Pharmaceuticals (Canada) Incorporated N/A 2016-01-26 2022-01-26 Yes 2024-07-26 luspatercept 236441 Reblozyl Celgene Inc.

N/A 2020-09-25 2026-09-25 N/A 2028-09-25 lutetium177 Lu oxodotreotide 217184 Lutathera Advanced Accelerator Applications USA, Inc. N/A 2019-01-09 2025-01-09 N/A 2027-01-09 cipres macitentan 161372 Opsumit Janssen Inc. N/A 2013-11-06 2019-11-06 Yes 2022-05-06 mecasermin 235023 Increlex Ipsen Biopharmaceuticals Canada Inc.

N/A 2020-12-17 2026-12-17 Yes 2029-06-17 mepolizumab 179850 cipres Nucala GlaxoSmithKline Inc. N/A 2015-12-03 2021-12-03 Yes 2024-06-03 midostaurin 201101 Rydapt Novartis Pharmaceuticals Canada Inc. N/A 2017-07-21 2023-07-21 Yes 2026-01-21 mifepristone 160063 Mifegymiso Linepharma International Limited N/A 2015-07-29 2021-07-29 Yes 2024-01-29 migalastat hydrochloride 196956 Galafold Amicus Therapeutics UK LTD N/A 2017-09-05 2023-09-05 N/A 2025-09-05 modified vaccinia cipro (ankara-bavarian nordic) 144762 Imvamune Bavarian Nordic A/S N/A 2013-11-21 2019-11-21 N/A 2021-11-21 naloxegol oxalate 167790 Movantik Knight Therapeutics Inc.

N/A 2015-06-02 2021-06-02 N/A cipres 2023-06-02 necitumumab 193689 Portrazza Eli Lilly Canada Inc. N/A 2017-03-16 2023-03-16 N/A 2025-03-16 neisseria meningitidis serogroup A polysaccharide, neisseria meningitidis serogroup C polysaccharide, neisseria meningitidis serogroup W-135 polysaccharide, neisseria meningitidis serogroup Y polysaccharide, conjugated to tetanus toxoid carrier protein 154290 Nimenrix Pfizer Canada Inc. N/A 2013-03-05 2019-03-05 Yes 2021-09-05 neisseria meningitidis serogroup B recombinant lipoprotein 2086 (rLP2086) subfamily A and Neisseria meningitidis serogroup B recombinant lipoprotein 2086 (rLP2086) subfamily B 195550 Trumenba Pfizer Canada Inc.

N/A 2017-10-05 2023-10-05 Yes 2026-04-05 neratinib maleate 218224 Nerlynx cipres Knight Therapeutics Inc. N/A 2019-07-16 2025-07-16 N/A 2027-07-16 netupitant 196495 Akynzeo Elvium Life Sciences N/A 2017-09-28 2023-09-28 N/A 2025-09-28 nintedanib (supplied as nintedanib esilate) 176043 Ofev Boehringer Ingelheim (Canada) Ltd N/A 2015-06-25 2021-06-25 N/A 2023-06-25 niraparib 216792 Zejula GlaxoSmithKline Inc. N/A 2019-06-27 2025-06-27 N/A 2027-06-27 nivolumab 180828 Opdivo Bristol-Myers-Squibb Canada N/A 2015-09-25 cipres 2021-09-25 Yes 2024-03-25 nusinersen 200070 Spinraza Biogen Canada Inc.

N/A 2017-06-29 2023-06-29 Yes 2025-12-29 obeticholic acid 198418 Ocaliva Intercept Pharmaceuticals Inc. N/A 2017-05-24 2023-05-24 N/A 2025-05-24 obiltoxaximab 230825 Anthim Elusys Therapeutics, Inc. N/A 2020-07-30 2026-07-30 N/A 2028-07-30 obinutuzumab 168227 Gazyva Hoffmann-La Roche Limited N/A 2014-11-25 2020-11-25 N/A 2022-11-25 cipres ocrelizumab 198094 Ocrevus Hoffmann-La Roche Limited N/A 2017-08-14 2023-08-14 N/A 2025-08-14 ocriplasmin 161356 Jetrea ThromboGenics N.V.

N/A 2013-08-13 2019-08-13 N/A 2021-08-13 olaparib 182823 Lynparza AstraZeneca Canada Inc. N/A 2016-04-29 2022-04-29 N/A 2024-04-29 olaratumab 203478 cipres Lartruvo Eli Lilly Canada Inc. N/A 2017-11-23 2023-11-23 N/A 2025-11-23 ombitasvir, paritaprevir, dasabuvir sodium 174739 Holkira Pak Abbvie Corporation Technivie 2014-12-22 2020-12-22 N/A 2022-12-22 onasemnogene abeparvovec 239719 Zolgensma Novartis Pharmaceuticals Canada Inc.

N/A 2020-12-15 2026-12-15 Yes 2029-06-15 osimertinib mesylate 188171 Tagrisso AstraZeneca Canada Inc. N/A 2016-07-05 2022-07-05 N/A 2024-07-05 cipres ospemifene 222001 Osphena Duchesnay Inc. N/A 2021-07-16 2027-07-16 N/A 2029-07-16 ozanimod (supplied as ozanimod hydrochloride) 232761 Zeposia Celgene Inc.

N/A 2020-10-02 cipres 2026-10-02 N/A 2028-10-02 ozenoxacin 192925 Ozanex Ferrer Internacional, S.A. N/A 2017-05-01 2023-05-01 Yes 2025-11-01 palbociclib 182048 Ibrance Pfizer Canada Inc. N/A 2016-03-16 2022-03-16 Yes 2024-09-16 pasireotide diaspartate 145005 Signifor Novartis Pharmaceuticals Canada Inc.

Signifor Lar 2013-09-23 2019-09-23 N/A 2021-09-23 patiromer sorbitex calcium 210368 Veltassa Vifor Fresenius Medical Care Renal cipres Pharma Ltd. N/A 2018-10-03 2024-10-03 N/A 2026-10-03 patisiran (as patisiran sodium) 221896 Onpattro Alnylam Netherlands B.V. N/A 2019-06-07 2025-06-07 N/A 2027-06-07 peginterferon beta-1a 166974 Plegridy Biogen Idec Canada Inc.

N/A 2015-08-10 2021-08-10 N/A 2023-08-10 pembrolizumab cipres 175884 Keytruda Merck Canada Inc. N/A 2015-05-19 2021-05-19 Yes 2023-11-19 peramivir 191280 Rapivab BioCryst Pharmaceuticals Inc. N/A 2017-01-05 2023-01-05 N/A 2025-01-05 perampanel 153747 Fycompa cipres Eisai Limited N/A 2013-04-04 2019-04-04 Yes 2021-10-04 pitolisant hydrochloride 238175 Wakik Endo Ventures Ltd.

N/A 2021-05-25 2027-05-25 N/A 2029-05-25 plecanatide 215288 Trulance Bausch Health, Canada Inc. N/A 2019-10-10 2025-10-10 N/A 2027-10-10 polatuzumab vedotin 232303 Polivy Hoffmann-La Roche Limited N/A 2020-07-09 2026-07-09 N/A 2028-07-09 polidocanol 177359 Varithena Provensis Ltd. N/A 2015-08-04 cipres 2021-08-04 N/A 2023-08-04 pomalidomide 165891 Pomalyst Celgene Inc.

N/A 2014-01-20 2020-01-20 Yes 2022-07-20 pralatrexate 207545 Folotyn Servier Canada Inc. N/A 2018-10-26 2024-10-26 N/A 2026-10-26 pralsetinib 243731 Gavreto Hoffmann-La cipres Roche Limited N/A 2021-06-30 2027-06-30 N/A 2029-06-30 prasterone 198822 Intrarosa Endoceutics Inc. N/A 2019-11-01 2025-11-01 N/A 2027-11-01 ponatinib hydrochloride 165121 Iclusig Ariad Pharmaceuticals Inc.

N/A 2015-04-02 2021-04-02 N/A 2023-04-02 ponesimod 239537 Ponvory Janssen Inc. N/A 2021-04-28 2027-04-28 N/A 2029-04-28 propiverine hydrochloride 188323 Mictoryl / cipres Mictoryl Pediatric Duchesnay Inc. N/A 2017-01-05 2023-01-05 Yes 2025-07-05 radium - 223 dichloride 161312 Xofigo Bayer Inc.

N/A 2013-12-12 2019-12-12 N/A 2021-12-12 cipres ramucirumab 176810 Cyramza Eli Lilly Canada Inc. N/A 2015-07-16 2021-07-16 N/A 2023-07-16 ravulizumab 217955 Ultomiris Alexion Pharma GmbH N/A 2019-08-28 2025-08-28 N/A 2027-08-28 recombinant haemagglutinin protein-strain A (H1N1) recombinant haemagglutinin protein-strain A (H3N2) recombinant haemagglutinin protein-strain B (Victoria) recombinant haemagglutinin protein-strain B (Yamagata) 235672 Supemtek Sanofi Pasteur Limited N/A 2021-01-14 2027-01-14 N/A 2029-01-14 recombinant human papillomacipro types 31, 33, 45, 52 and 58 170006 Gardasil 9 Merck Canada Inc. N/A 2015-02-05 2021-02-05 Yes 2023-08-05 recombinant neisseria meningitidis group B NHBA fusion protein, recombinant neisseria meningitidis group B NadA protein, recombinant neisseria meningitidis group B FHBP fusion protein, outer membrane vesicle (neisseria meningitidis group B NZ98/254 strain) 147275 Bexsero GlaxoSmithKline Inc.

N/A 2013-12-06 2019-12-06 Yes 2022-06-06 recombinant porcine factor VIII (antihemophilic factor (recombinant), porcine sequence) 177290 Obizur Takeda Canada Inc cipres. N/A 2015-10-14 2021-10-14 N/A 2023-10-14 regorafenib monohydrate 157970 Stivarga Bayer Inc. N/A 2013-03-11 2019-03-11 Yes 2021-09-11 remdesivir cipres 240551 Veklury Gilead Sciences Canada, Inc.

N/A 2020-07-27 2026-07-27 N/A 2028-07-27 reslizumab 185873 Cinqair Teva Canada Limited N/A 2016-07-20 2022-07-20 Yes 2025-01-20 ribociclib (supplied as ribociclib succinate) 203884 Kisqali Novartis Pharmaceuticals Canada Inc. N/A 2018-03-02 2024-03-02 N/A 2026-03-02 rifaximin 161256 Zaxine Salix Pharmaceuticals Inc. N/A 2013-08-13 2019-08-13 cipres N/A 2021-08-13 riociguat 162761 Adempas Bayer Inc.

N/A 2013-09-19 2019-09-19 N/A 2021-09-19 ripretinib 234688 Qinlock Deciphera Pharmaceuticals, LLC N/A 2020-06-19 2026-06-19 N/A 2028-06-19 risankizumab 215753 Skyrizi AbbVie Corporation N/A 2019-04-17 2025-04-17 N/A 2027-04-17 risdiplam 242373 Evrysdi Hoffman-La Roche Limited N/A 2021-04-14 2027-04-14 Yes 2029-10-14 romidepsin 152293 Istodax Celgene Inc. N/A 2013-10-16 2019-10-16 N/A 2021-10-16 romosozumab 197713 Evenity Amgen Canada Inc. N/A 2019-06-17 2025-06-17 N/A 2027-06-17 rupatadine (supplied as rupatadine fumarate) 186488 Rupall Medexus cipres Pharmaceuticals Inc.

N/A 2016-07-20 2022-07-20 Yes 2025-01-20 sacubitril 182734 Entresto Novartis Pharmaceuticals Canada Inc. N/A 2015-10-02 2021-10-02 N/A 2023-10-02 safinamide (as safinamide mesylate) 207115 Onstryv Valeo Pharma cipres Inc. N/A 2019-01-10 2025-01-10 N/A 2027-01-10 sarilumab 191745 Kevzara Sanofi-aventis Canada Inc.

N/A 2017-01-12 2023-01-12 N/A 2025-01-12 satralizumab 233642 Enspryng Hoffmann-La Roche Limited N/A 2020-06-01 2026-06-01 Yes 2028-12-01 sebelipase alfa 204085 Kanuma Alexion Pharma GmbH N/A 2017-12-15 2023-12-15 Yes 2026-06-15 secukinumab 170732 Cosentyx Novartis Pharmaceuticals Canada Inc. N/A 2015-02-27 2021-02-27 Yes 2023-08-27 selexipag 182114 Uptravi Janssen cipres Inc. N/A 2016-01-20 2022-01-20 N/A 2024-01-20 selpercatinib 243748 Retevmo Loxo Oncology Inc.

N/A 2021-06-15 2027-06-15 Yes 2029-12-15 semaglutide 202059 Ozempic Novo Nordisk Canada cipres Inc. Rybelsus 2018-01-04 2024-01-04 N/A 2026-01-04 siltuximab 174291 Sylvant EUSA Pharma (UK) Limited N/A 2014-12-03 2020-12-03 N/A 2022-12-03 simeprevir 164021 Galexos Janssen Inc. N/A 2013-11-18 2019-11-18 N/A 2021-11-18 siponimod 223225 Mayzent Novartis Pharmaceuticals Canada Inc.

N/A 2020-02-20 2026-02-20 N/A 2028-02-20 sodium zirconium cyclosilicate 218799 Lokelma cipres AstraZeneca Canada Inc. N/A 2019-07-25 2025-07-25 N/A 2027-07-25 sofosbuvir 165043 Sovaldi Gilead Sciences Canada Inc. HarvoniEpclusaVosevi 2013-12-13 2019-12-13 N/A 2021-12-13 solriamfetol hydrochloride 237511 Sunosi Jazz Pharmaceuticals Ireland cipres Ltd.

N/A 2021-05-13 2027-05-13 N/A 2029-11-13 sonidegib phosphate 229407 Odomzo Sun Pharma Global FZE N/A 2020-06-12 2026-06-12 N/A 2028-06-12 sucroferric oxyhydroxide 201492 Velphoro Vifor Fresenius Medical Care Renal Pharma Ltd. N/A 2018-01-05 2024-01-05 N/A 2026-01-05 sugammadex sodium 180385 Bridion Merck Canada Inc. N/A 2016-02-05 2022-02-05 cipres N/A 2024-02-05 suvorexant 196367 Belsomra Merck Canada Inc.

N/A 2018-11-29 2024-11-29 N/A 2026-11-29 tafamidis meglumine 228368 Vyndaqel Pfizer Canada ULC Vyndamax 2020-01-20 2026-01-20 N/A 2028-01-20 tafluprost 165596 Saflutan Purdue Pharma N/A 2014-05-26 2020-05-26 N/A 2022-05-26 talazoparib (supplied as talazoparib tosylate) 220584 Talzenna Pfizer Canada ULC N/A 2019-09-06 2025-09-06 N/A 2027-09-06 taliglucerase alfa 140854 Elelyso Pfizer Canada Inc. N/A 2014-05-29 2020-05-29 Yes 2022-11-29 tedizolid phosphate 173603 Sivextro Merck Canada Inc. N/A 2015-03-17 2021-03-17 N/A 2023-03-17 cipres teduglutide 180223 Revestive Takeda Canada Inc.

N/A 2015-09-04 2021-09-04 Yes 2024-03-04 telotristat ethyl (as telotristat etiprate) 208730 Xermelo Ipsen Biopharmaceuticals Canada Inc. N/A 2018-10-10 2024-10-10 N/A 2026-10-10 tenapanor cipres hydrochloride 224850 Ibsrela Knight Therapeutics Inc. N/A 2020-04-15 2026-04-15 N/A 2028-04-15 tenofovir alafenamide hemifumarate 181399 Genvoya Gilead Sciences Canada Inc.

DescovyOdefseyVemlidySymtuzaBiktarvy 2015-11-27 2021-11-27 Yes 2024-05-27 tepotinib (supplied as tepotinib hydrochloride) 242300 Tepmetko EMD Serono, a Division of EMD Inc., Canada N/A 2021-05-27 2027-05-27 N/A 2029-05-27 teriflunomide 160646 Aubagio Genzyme Canada a division of Sanofi-aventis Canada Inc. N/A 2013-11-14 cipres 2019-11-14 Yes 2022-05-14 tesamorelin 131836 Egrifta Theratechnologies Inc. N/A 2014-04-29 2020-04-29 N/A 2022-04-29 tezacaftor 211292 Symdeko Vertex Pharmaceuticals (Canada) Incorporated N/A 2018-06-27 2024-06-27 Yes 2026-12-27 tildrakizumab 224036 Ilumya Sun Pharma Global FZE N/A 2021-05-19 2027-05-19 N/A 2029-05-19 tisagenlecleucel 213547 / 213698 Kymriah Novartis Pharmaceuticals Canada Inc.

N/A 2018-09-05 2024-09-05 Yes 2027-03-05 tofacitinib cipres 154642 Xeljanz Pfizer Canada Inc. N/A 2014-04-17 2020-04-17 Yes 2022-10-17 trastuzumab deruxtecan 242104 Enhertu AstraZeneca Canada Inc. N/A 2021-04-15 2027-04-15 N/A 2029-04-15 trastuzumab emtansine 162414 Kadcyla Hoffmann-La Roche Limited N/A 2013-09-11 2019-09-11 N/A 2021-09-11 trifarotene 221945 Aklief Galderma Canada Inc.

N/A 2019-11-25 cipres 2025-11-25 Yes 2028-05-25 tipiracil hydrochloride 205852 Lonsurf Taiho Pharma Canada Inc. N/A 2018-01-25 2024-01-25 N/A 2026-01-25 triheptanoin 242196 Dojolvi Uagenyx Pharmaceutical Inc. N/A 2021-02-15 2027-02-15 Yes 2029-08-15 tucatinib 235295 Tukysa cipres Seagen Inc.

N/A 2020-06-05 2026-06-05 N/A 2028-06-05 turoctocog alfa 170796 Zonovate Novo Nordisk Canada Inc. N/A 2014-12-08 2020-12-08 Yes 2023-06-08 umeclidinium bromide 161585 Anoro Ellipta GlaxoSmithKline Inc. Incruse Ellipta 2013-12-23 2019-12-23 N/A 2021-12-23 upadacitinib 223734 Rinvoq AbbVie Corporation N/A 2019-12-23 2025-12-23 N/A 2027-12-23 varicella-zoster cipro glycoprotein E (gE) 200244 Shingrix GlaxoSmithKline Inc cipres.

N/A 2017-10-13 2023-10-13 N/A 2025-10-13 vedolizumab 169414 Entyvio Takeda Canada Inc. N/A 2015-01-29 2021-01-29 Yes 2023-07-29 velpatasvir 190521 Epclusa Gilead Sciences Canada Inc. Vosevi 2016-07-11 2022-07-11 Yes 2025-01-11 venetoclax 190761 Venclexta AbbVie cipres Corporation N/A 2016-09-30 2022-09-30 N/A 2024-09-30 vernakalant hydrochloride 190817 Brinavess Cipher Pharmaceuticals Inc.

N/A 2017-03-13 2023-03-13 N/A 2025-03-13 vilanterol trifenatate 157301 Breo Ellipta GlaxoSmithKline Inc. Anoro ElliptaTrelegy Ellipta 2013-07-03 2019-07-03 Yes 2022-01-03 vilazodone hydrochloride 176820 Viibryd Allergan Inc cipres. N/A 2015-07-16 2021-07-16 Yes 2024-01-16 von willebrand factor (recombinant) (vonicog alfa) 213188 Vonvendi Takeda Canada Inc.

N/A 2019-01-10 2025-01-10 N/A 2027-01-10 vorapaxar sulfate 179320 Zontivity Toprol Acquisition LLC N/A 2016-05-13 2022-05-13 N/A 2024-05-13 voretigene neparvovec 233097 Luxturna Novartis Pharmaceuticals Canada Inc. N/A 2020-10-13 2026-10-13 Yes 2029-04-13 vortioxetine hydrobromide 159019 Trintellix Lundbeck Canada cipres Inc. N/A 2014-10-22 2020-10-22 Yes 2023-04-22 voxilaprevir 202324 Vosevi Gilead Sciences Canada Inc.

N/A 2017-08-16 2023-08-16 N/A 2025-08-16 zanubrutinib 242748 Brukinsa BeiGene Switzerland GmbH N/A 2021-03-01 2027-03-01 N/A 2029-03-01Date cipres. July 23, 2021Our file number. 21-113500-270Key messages Health Canada has proposed regulatory amendments that would restore potential access to restricted drugsFootnote 1, which include psychedelic drugs, through the Special Access Program (SAP).

Until such time as the regulations cipres are amended, access to these substances via the SAP remains prohibited. Should the regulations be amended, practitionersFootnote 2 would be able to request access to restricted drugs for their patients with a serious or life-threatening condition on a case-by-case basis when other therapies have failed and where there is sufficient evidence of safety and efficacy for the treatment of the patient's condition. The SAP does not have a wait list, as it is meant for emergency cipres access.

The proposed regulatory amendments do not signal any intent towards the decriminalization or legalization of restricted drugs, and they are not intended to create large-scale access to restricted drugs. Advertising of unauthorized drugs accessed through the SAP is prohibitedFootnote 3. Health care professionals wishing to access psychedelic cipres drugs for professional training purposes are not eligible for the SAP.

Clinical trials remain the best option to request access to restricted drugs (or any other unapproved drugs) and to generate scientific evidence. Sponsors who are considering cipres undertaking a clinical trial to investigate restricted drugs are encouraged to request a pre-application meeting with the Office of Clinical Trials to discuss their proposed trial and applicable regulatory requirements.Drugs are authorized for sale in Canada once they have successfully gone through the drug review process, which includes the assessment of the safety, efficacy and quality of the drug. However, Health Canada's SAP allows practitioners to request access to drugs that are not available in Canada for the emergency treatment of patients with serious or life-threatening conditions who have exhausted other treatment options.

Due to regulatory changes made in 2013, restricted drugs cannot currently be accessed through the SAP. Although restricted drugs do not generally have authorized medical cipres uses, the science regarding the efficacy and safety of certain restricted drugs has continued to advance. In December 2020, Health Canada published a Notice of Intent that proposed to reverse the regulatory changes made in 2013, and thereby restore potential access to restricted drugs through the SAP.

In practice, this would mean that practitioners could request access to restricted drugs through the SAP on a patient-by-patient basis on behalf of patients with serious or life-threatening conditions, in instances where other therapies have failed, are unsuitable or are not available in Canada. However, it is important to note that the proposed amendments would not guarantee that restricted drugs would be cipres approved through the SAP. The proposed amendments would simply treat restricted drugs like all other drugs for the purposes of the SAP.

The SAP is a science-based program that only grants access to an unapproved drug where scientific cipres evidence is available to support the potential effective and safe use of the drug for the treatment of the underlying medical condition. All requests will continue to be assessed on a case-by-case basis taking into consideration the level of evidence regarding the safety and efficacy for the proposed use, the quality of the drug, as well as the patient's condition and their clinical status.Next stepsShould Health Canada proceed with these proposed changes, the regulatory amendments will be published in the Canada Gazette.Contact usFor questions about SAP, please contact us at. Special Access ProgramHealth Canada Telephone.

613-941-2108Fax. 613-941-3194E-mail. Hc.sapd-pasm.sc@canada.caRelated links Footnote 1 Restricted drugs are controlled substances listed in the Schedule to Part J of the Food and Drug Regulations (FDR) (https://laws-lois.justice.gc.ca/eng/regulations/c.r.c.,_c._870/page-189.html#docCont).

Return to footnote 1 referrer Footnote 2 Section C.01.001. Of the FDR (https://laws-lois.justice.gc.ca/eng/regulations/c.r.c.,_c._870/page-94.html#h-574670) defines a practitioner as "a person who (a) is entitled under the laws of a province to treat patients with a prescription drug, and (b) is practising their profession in that province". Return to footnote 2 referrer Footnote 3 In accordance with Section C.08.002 of the FDR (https://laws-lois.justice.gc.ca/eng/regulations/c.r.c.,_c._870/page-142.html#docCont) Return to footnote 3 referrerOne billion children experience violence and abuse every year.

That shocking figure has risen even higherduring the buy antibiotics cipro. Violence prevention and response services have been disrupted for 1.8billion children living in more than 100 countries. 1.5 billion young people affected by school closures lost the protection and support that schools often provide.Measures to contain the cipro, along with economic hardship and family stress, have combined to create‘perfect storm’ conditions for children vulnerable to observing or experiencing physical, emotional andsexual abuse.

Despite the benefits of digital connectivity, a life lived more online for learning, socialising andgaming has significantly increased children’s exposure to those who wish to harm them.Today, we stand at a critical moment for the world’s children. Unless we act now and with urgency, we risklosing a generation of children to the long-term impacts of violence and abuse that will undermine childsafety, health, learning and development long after the cipro subsides. We cannot let that happen.As the world starts to emerge from the cipro, we have an opportunity to reimagine and create morepeaceful, just and inclusive societies.

Now is the time to redouble our collective efforts and translate what weknow works into accelerated progress towards the goal of a world where every child grows-up safe, secureand in a nurturing environment.We must create a world. Where every child can grow up and thrive with dignity. Where violence and abuse ofchildren is legally outlawed and socially unacceptable.

Where the relationship between parents and childrenprevents the intergenerational transmission of violence. Where children in every community can safely takeadvantage of the digital world for learning, playing and socialising. Where girls and boys experience strongerdevelopmental and educational outcomes because schools and other learning environments are safe,gender-sensitive, inclusive and supportive.

Where sport is safe for children. Where every effort is made toprotect the most vulnerable children from all forms of violence, exploitation and abuse, including those livingin situations of conflict and fragility (including climate-related fragility). And where all children can access safeand child-friendly help when they need it.The moral imperative and economic case for action to end violence against children are compelling.

Actiontoday will not only prevent the devastating intergenerational social and economic impacts of violence onchildren, families and societies. It will also help to address the wider impacts of buy antibiotics and supportprogress towards multiple Sustainable Development Goals.Together, as leaders of organisations committed to ending violence against children, we urge leaders ingovernment, the private sector, faith communities, multilateral organisations, civil society and sportsbodies to seize the moment and be champions of this agenda in their countries, organisations, networksand communities. We call on these leaders to prioritise protecting children in their policies, planning,budgets and communications, and to work together to deliver six game-changing actions to end violenceagainst children.

Ban all forms of violence against children by 2030Equip parents and caregivers to keep children safeMake the internet safe for childrenMake schools safe, non-violent and inclusiveProtect children from violence in humanitarian settingsMore investment, better spentAs global organisations working to end violence against children, we will continue to advocate for andinvest in effective child protection, promoting solutions that recognise the different ways in which girlsand boys experience violence and abuse. We will collectively develop and share technical resources andguidance for policymakers, practitioners, parents, caregivers and children themselves. And we will supportthe courageous health, education, child protection and humanitarian professionals working alongsidefaith leaders, community volunteers, parents and young people to keep children safe during theseunprecedented times.In recent years, we have made significant gains in protecting children from violence.

We must do all we canto keep children safe during the current turmoil, and work together to build back better — to end all forms ofviolence, abuse and exploitation of children.SignatoriesAlice Albright, CEO, Global Partnership for EducationNiklas Andréen, President and Chief Operating Officer, Carlson Wagonlit TravelInger Ashing, CEO, Save the Children InternationalAudrey Azoulay, Director-General, UNESCOIrakli Beridze, Head of the Centre for Artificial Intelligence and Robotics, UNICRIScott Berkowitz, President and Founder, RAINNAnna Borgstrom, CEO, NetCleanProfessor Lucle Cluver, Universities of Oxford and Cape TownJulie Cordua, CEO, ThornBob Cunningham, CEO, International Centre for Missing and Exploited ChildrenProfessor Jennifer Davidson, Executive Director, Inspiring Children’s Futures, Uni. Of StrathclydeMichelle DeLaune, Chief Operating Officer, National Center for Missing &. Exploited ChildrenIain Drennan, Executive Director, WeProtect Global AllianceSuzanne Ehlers, CEO, Malala FundHelga Fogstad,, Executive-Director, PMNCHHenrietta H.

Fore, Executive Director, UNICEFDr. Debi Fry, Co-Director, End Violence Lab, University of EdinburghVirginia Gamba, UN Special Representative of the Secretary-General for Children and Armed ConflictMeg Gardinier, Secretary General, ChildFund AllianceDr. Tedros Adhanom Ghebreyesus, Director-General, WHOFilippo Grandi, UN High Commissioner for RefugeesPaula Guillet de Monthoux, Secretary General, World Childhood FoundationSusie Hargreaves, CEO, Internet Watch FoundationMary Harvey, CEO, Centre for Sport and Human RightsDenton Howard, Executive Director, INHOPEIngrid Johansen, CEO, SOS Children’s Villages InternationalEylah Kadjar, Secretary General ad Interim, Terre des Hommes International FederationBaroness Beeban Kidron OBE, Founder and Chair, 5Rights FoundationPatrick Krens, Executive Director, Child Helpline InternationalDr.

A.K. Shiva Kumar, Global Co-Chair, Know Violence in ChildhoodDr. Daniela Ligiero, Executive Director and CEO, Together for GirlsElizabeth Lule, Executive Director, Early Childhood Development Action NetworkDr.

Najat Maalla M’jid, UN Special Representative of the Secretary-General on Violence Against ChildrenRev. Keishi Miyamoto, President, Arigatou InternationalPhumzile Mlambo-Ngcuka, Executive Director, UN WomenAndrew Morley, President and CEO, World Vision InternationalThomas Muller, Acting Executive Director, ECPAT InternationalRaj Nooyi, Interim CEO, Plan InternationalDr. Joan Nyanyuki, Executive Director, African Child Policy ForumMabel van Oranje, Founder and Board Chair, Girls Not BridesPramila Patten, UN Special Representative of the Secretary-General on Sexual Violence in ConflictJoy Phumaphi, Board Co-Chair, Global Partnership to End Violence Against ChildrenRev.

Prof. Dr. Ioan Sauca, Acting General Secretary, World Council of ChurchesDr.

Rajeev Seth, Chair of the Board, IPSCANYasmine Sherif, Director, Education Cannot WaitDr. Howard Taylor, Executive Director, Global Partnership to End Violence Against ChildrenHelle Thorning-Schmidt, Board Co-Chair, Global Partnership to End Violence Against ChildrenLiv Tørres, Director, Pathfinders for Peaceful, Just and Inclusive Societies, New York UniversityDr. Jennifer Wortham, Chair, World Day Global CollaborativeAlmost half (46%) of the world’s 1.7 million children living with HIV were not on treatment in 2020 and 150 000 children were newly infected with HIV, four times more than the 2020 target of 40 000In the final report from the Start Free, Stay Free, AIDS Free initiative, UNAIDS and partners* warn that progress towards ending AIDS among children, adolescents and young women has stalled and none of the targets for 2020 were met.

The report shows that the total number of children on treatment declined for the first time, despite the fact that nearly 800 000 children living with HIV are not currently on treatment. It also shows that opportunities to identify infants and young children living with HIV early are being missed—more than one third of children born to mothers living with HIV were not tested. If untreated, around 50% of children living with HIV die before they reach their second birthday.

“Over 20 years ago, initiatives for families and children to prevent vertical transmission and to eliminate children dying of AIDS truly kick-started what has now become our global AIDS response. This stemmed from an unprecedented activation of all partners, yet, despite early and dramatic progress, despite more tools and knowledge than ever before, children are falling way behind adults and way behind our goals,” said Shannon Hader, UNAIDS Deputy Executive Director, Programme. €œThe inequalities are striking—children are nearly 40% less likely than adults to be on life-saving treatment (54% of children versus 74% of adults), and account for a disproportionate number of deaths (just 5% of all people living with HIV are children, but children account for 15% of all AIDS-related deaths).

This is about children’s right to health and healthy lives, their value in our societies. It’s time to reactivate on all fronts—we need the leadership, activism, and investments to do what’s right for kids.”Start Free, Stay Free, AIDS Free is a five-year framework that began in 2015, following on from the hugely successful Global Plan towards the elimination of new HIV s among children by 2015 and keeping their mothers alive. It called for a super Fast-Track approach to ensure that every child has an HIV-free beginning, that they stay HIV-free through adolescence and that every child and adolescent living with HIV has access to antiretroviral therapy.

The approach intensified focus on 23 countries, 21 of which were in Africa, that accounted for 83% of the global number of pregnant women living with HIV, 80% of children living with HIV and 78% of young women aged 15–24 years newly infected with HIV.“The HIV community has a long history of tackling unprecedented challenges, today we need that same energy and perseverance to address the needs of the most vulnerable—our children. African leaders have the power to help us change the pace of care and should act and lead until no child living with HIV is left behind,” said Ren Minghui, Assistant Director-General of the Universal Health Coverage/Communicable and Noncommunicable Diseases Division of the World Health Organization.Although the 2020 targets were missed, the 21 focus countries in Africa made better progress than the non-focus countries. However, there were major disparities between countries, and these countries still bear the highest burden of disease.

11 countries account for nearly 70% of the “missing children”—those living with HIV but not on treatment. There was a 24% decline in new HIV s among children from 2015 to 2020 in focus countries versus a 20% decline globally. Focus countries also achieved 89% treatment coverage for pregnant women living with HIV, compared to 85% globally, but still short of the target of 95%, and there were huge differences between countries.

For example, Botswana achieved 100% treatment coverage, yet the Democratic Republic of the Congo only reached 39%.“While we are deeply distressed by the global paediatric HIV shortfalls, we are also encouraged by the fact that we largely have the tools we need to change this,” said Angeli Achrekar, Acting United States Global AIDS Coordinator. €œSo, let this report be a call to action to challenge complacency and to work tirelessly to close the gap.” The report outlines three actions necessary to end new HIV s among children in the focus countries. First, reach pregnant women with testing and treatment as early as possible—66 000 new HIV s occurred among children because their mothers did not receive treatment at all during pregnancy or breastfeeding.

Second, ensure the continuity of treatment and viral suppression during pregnancy, breastfeeding and for life—38 000 children became newly infected with HIV because their mothers were not continued in care during pregnancy and breastfeeding. Third, prevent new HIV s among women who are pregnant and breastfeeding—35 000 new s among children occurred because a woman became newly infected with HIV during pregnancy or breastfeeding. There has been some progress in preventing adolescent girls and young women from acquiring HIV.

In the focus countries, the number of adolescent girls and young women acquiring HIV declined by 27% from 2015 to 2020. However, the number of adolescent girls and young women acquiring HIV in the 21 focus countries was 200 000, twice the global target for 2020 (100 000). In addition, buy antibiotics and school closures are now disrupting many educational and sexual and reproductive health services for adolescent girls and young women, highlighting the urgent need to redouble HIV prevention efforts to reach young women and adolescent girls.“The lives of the most vulnerable girls and young women hang in the balance, locked into deeply entrenched cycles of vulnerability and neglect that must urgently be interrupted.

With the endorsement of United Nations Member States, the new global AIDS strategy recommits us all to address these intersecting vulnerabilities to halt and reverse the effects of HIV by 2030. We know that rapid gains can be achieved for girls and young women. What is needed is the courage to apply the solutions, and the discipline to implement these with rigor and scale,” said Chewe Luo, United Nations Children’s Fund Chief of HIV and Associate Director of Health Programmes.UNAIDS and partners will continue to work together to develop new frameworks to address the unfinished agenda.

New targets for 2025 were officially adopted by United Nations Member States in the 2021 Political Declaration on HIV and AIDS. Ending Inequalities and Getting on Track to End AIDS by 2030 in June this year, providing a road map for the next five years. €œIt is clear that ending mother-to-child transmission requires innovative approaches that support the whole woman throughout the life course, including intensified primary prevention efforts, such as pre-exposure prophylaxis (PrEP), access to comprehensive reproductive care, and focused attention on adolescent girls and young women.

The Start Free, Stay Free, AIDS Free report includes new the new targets for 2025 that, if met, will propel a new era of HIV prevention and treatment for women, children and families. This is not the time for complacency, but rather an opportunity to redouble investments to reduce and eliminate mother-to-child transmission,” said Chip Lyons, President and Chief Executive Officer of the Elizabeth Glaser Pediatric AIDS Foundation.*The United States President’s Emergency Plan for AIDS Relief, UNAIDS, the United Nations Children’s Fund and the World Health Organization, with support from the Elizabeth Glaser Pediatric AIDS Foundation. UNAIDS The Joint United Nations Programme on HIV/AIDS (UNAIDS) leads and inspires the world to achieve its shared vision of zero new HIV s, zero discrimination and zero AIDS-related deaths.

UNAIDS unites the efforts of 11 UN organizations—UNHCR, UNICEF, WFP, UNDP, UNFPA, UNODC, UN Women, ILO, UNESCO, WHO and the World Bank—and works closely with global and national partners towards ending the AIDS epidemic by 2030 as part of the Sustainable Development Goals. Learn more at unaids.org and connect with us on Facebook, Twitter, Instagram and YouTube.PEPFARPEPFAR is the largest commitment by any nation to address a single disease in history. Managed and overseen by the U.S.

Department of State, and supported through the compassion and generosity of the American people, PEPFAR has saved 20 million lives, prevented millions of s, and helped transform the global AIDS response.UNICEFUNICEF works in some of the world’s toughest places, to reach the world’s most disadvantaged children. Across more than 190 countries and territories, we work for every child, everywhere, to build a better world for everyone. Follow UNICEF on Twitter, Facebook, Instagram and YouTubeWHODedicated to the well-being of all people and guided by science, the World Health Organization (WHO) leads and champions global efforts to give everyone, everywhere an equal chance at a safe and healthy life.

We are the UN agency for heath that connects nations, partners and people on the front lines in 150+ locations – leading the world’s response to health emergencies, preventing disease, addressing the root causes of health issues and expanding access to medicines and health care. Our mission is to promote health, keep the world safe and serve the vulnerable. Www.who.int Elizabeth Glaser Pediatric AIDS FoundationEGPAF is a proven leader in the fight for an AIDS-free generation and has reached over 31 million pregnant women with services to prevent transmission of HIV to their babies.

Founded in 1988, EGPAF has supported over 15,000 sites and currently works in 17 countries to offer HIV counseling, prevention, diagnosis, and treatment services alongside high-quality family health care. Each stage of life—from infancy to adulthood—brings new and different challenges, and EGPAF is driven to see a world where no other mother, child, or family is devastated by this disease. For more information, visit www.pedaids.org..

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N/A 2019-10-10 2025-10-10 N/A 2027-10-10 polatuzumab vedotin 232303 Polivy Hoffmann-La Roche Limited N/A 2020-07-09 2026-07-09 N/A 2028-07-09 polidocanol 177359 Varithena Provensis Ltd. N/A 2015-08-04 2021-08-04 N/A 2023-08-04 pomalidomide where to buy cipro online 165891 Pomalyst Celgene Inc. N/A 2014-01-20 2020-01-20 Yes 2022-07-20 pralatrexate 207545 Folotyn Servier Canada Inc. N/A 2018-10-26 2024-10-26 N/A 2026-10-26 pralsetinib 243731 Gavreto Hoffmann-La Roche Limited N/A 2021-06-30 2027-06-30 N/A 2029-06-30 prasterone 198822 Intrarosa where to buy cipro online Endoceutics Inc. N/A 2019-11-01 2025-11-01 N/A 2027-11-01 ponatinib hydrochloride 165121 Iclusig Ariad Pharmaceuticals Inc.

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N/A 2020-10-13 2026-10-13 Yes 2029-04-13 vortioxetine where to buy cipro online hydrobromide 159019 Trintellix Lundbeck Canada Inc. N/A 2014-10-22 2020-10-22 Yes 2023-04-22 voxilaprevir 202324 Vosevi Gilead Sciences Canada Inc. N/A 2017-08-16 2023-08-16 N/A 2025-08-16 where to buy cipro online zanubrutinib 242748 Brukinsa BeiGene Switzerland GmbH N/A 2021-03-01 2027-03-01 N/A 2029-03-01Date. July 23, 2021Our file number. 21-113500-270Key messages Health Canada has proposed regulatory amendments that would restore potential access to restricted drugsFootnote 1, which include psychedelic drugs, through the Special Access Program (SAP).

Until such time as the regulations where to buy cipro online are amended, access to these substances via the SAP remains prohibited. Should the regulations be amended, practitionersFootnote 2 would be able to request access to restricted drugs for their patients with a serious or life-threatening condition on a case-by-case basis when other therapies have failed and where there is sufficient evidence of safety and efficacy for the treatment of the patient's condition. The SAP where to buy cipro online does not have a wait list, as it is meant for emergency access. The proposed regulatory amendments do not signal any intent towards the decriminalization or legalization of restricted drugs, and they are not intended to create large-scale access to restricted drugs. Advertising of unauthorized drugs accessed through the SAP is prohibitedFootnote 3.

Health care professionals wishing to access psychedelic drugs where to buy cipro online for professional training purposes are not eligible for the SAP. Clinical trials remain the best option to request access to restricted drugs (or any other unapproved drugs) and to generate scientific evidence. Sponsors who are considering undertaking a clinical trial to investigate restricted drugs where to buy cipro online are encouraged to request a pre-application meeting with the Office of Clinical Trials to discuss their proposed trial and applicable regulatory requirements.Drugs are authorized for sale in Canada once they have successfully gone through the drug review process, which includes the assessment of the safety, efficacy and quality of the drug. However, Health Canada's SAP allows practitioners to request access to drugs that are not available in Canada for the emergency treatment of patients with serious or life-threatening conditions who have exhausted other treatment options. Due to regulatory changes made in 2013, restricted drugs cannot currently be accessed through the SAP.

Although restricted drugs do not generally have authorized medical uses, the science regarding the efficacy and safety of certain restricted drugs where to buy cipro online has continued to advance. In December 2020, Health Canada published a Notice of Intent that proposed to reverse the regulatory changes made in 2013, and thereby restore potential access to restricted drugs through the SAP. In practice, this would mean that practitioners could request access to restricted drugs through the SAP on a patient-by-patient basis on behalf of patients with serious or life-threatening conditions, in instances where other therapies have failed, are unsuitable or are not available in Canada. However, it is important to note that the where to buy cipro online proposed amendments would not guarantee that restricted drugs would be approved through the SAP. The proposed amendments would simply treat restricted drugs like all other drugs for the purposes of the SAP.

The SAP where to buy cipro online is a science-based program that only grants access to an unapproved drug where scientific evidence is available to support the potential effective and safe use of the drug for the treatment of the underlying medical condition. All requests will continue to be assessed on a case-by-case basis taking into consideration the level of evidence regarding the safety and efficacy for the proposed use, the quality of the drug, as well as the patient's condition and their clinical status.Next stepsShould Health Canada proceed with these proposed changes, the regulatory amendments will be published in the Canada Gazette.Contact usFor questions about SAP, please contact us at. Special Access ProgramHealth Canada Telephone. 613-941-2108Fax. 613-941-3194E-mail.

Hc.sapd-pasm.sc@canada.caRelated links Footnote 1 Restricted drugs are controlled substances listed in the Schedule to Part J of the Food and Drug Regulations (FDR) (https://laws-lois.justice.gc.ca/eng/regulations/c.r.c.,_c._870/page-189.html#docCont). Return to footnote 1 referrer Footnote 2 Section C.01.001. Of the FDR (https://laws-lois.justice.gc.ca/eng/regulations/c.r.c.,_c._870/page-94.html#h-574670) defines a practitioner as "a person who (a) is entitled under the laws of a province to treat patients with a prescription drug, and (b) is practising their profession in that province". Return to footnote 2 referrer Footnote 3 In accordance with Section C.08.002 of the FDR (https://laws-lois.justice.gc.ca/eng/regulations/c.r.c.,_c._870/page-142.html#docCont) Return to footnote 3 referrerOne billion children experience violence and abuse every year. That shocking figure has risen even higherduring the buy antibiotics cipro.

Violence prevention and response services have been disrupted for 1.8billion children living in more than 100 countries. 1.5 billion young people affected by school closures lost the protection and support that schools often provide.Measures to contain the cipro, along with economic hardship and family stress, have combined to create‘perfect storm’ conditions for children vulnerable to observing or experiencing physical, emotional andsexual abuse. Despite the benefits of digital connectivity, a life lived more online for learning, socialising andgaming has significantly increased children’s exposure to those who wish to harm them.Today, we stand at a critical moment for the world’s children. Unless we act now and with urgency, we risklosing a generation of children to the long-term impacts of violence and abuse that will undermine childsafety, health, learning and development long after the cipro subsides. We cannot let that happen.As the world starts to emerge from the cipro, we have an opportunity to reimagine and create morepeaceful, just and inclusive societies.

Now is the time to redouble our collective efforts and translate what weknow works into accelerated progress towards the goal of a world where every child grows-up safe, secureand in a nurturing environment.We must create a world. Where every child can grow up and thrive with dignity. Where violence and abuse ofchildren is legally outlawed and socially unacceptable. Where the relationship between parents and childrenprevents the intergenerational transmission of violence. Where children in every community can safely takeadvantage of the digital world for learning, playing and socialising.

Where girls and boys experience strongerdevelopmental and educational outcomes because schools and other learning environments are safe,gender-sensitive, inclusive and supportive. Where sport is safe for children. Where every effort is made toprotect the most vulnerable children from all forms of violence, exploitation and abuse, including those livingin situations of conflict and fragility (including climate-related fragility). And where all children can access safeand child-friendly help when they need it.The moral imperative and economic case for action to end violence against children are compelling. Actiontoday will not only prevent the devastating intergenerational social and economic impacts of violence onchildren, families and societies.

It will also help to address the wider impacts of buy antibiotics and supportprogress towards multiple Sustainable Development Goals.Together, as leaders of organisations committed to ending violence against children, we urge leaders ingovernment, the private sector, faith communities, multilateral organisations, civil society and sportsbodies to seize the moment and be champions of this agenda in their countries, organisations, networksand communities. We call on these leaders to prioritise protecting children in their policies, planning,budgets and communications, and to work together to deliver six game-changing actions to end violenceagainst children. Ban all forms of violence against children by 2030Equip parents and caregivers to keep children safeMake the internet safe for childrenMake schools safe, non-violent and inclusiveProtect children from violence in humanitarian settingsMore investment, better spentAs global organisations working to end violence against children, we will continue to advocate for andinvest in effective child protection, promoting solutions that recognise the different ways in which girlsand boys experience violence and abuse. We will collectively develop and share technical resources andguidance for policymakers, practitioners, parents, caregivers and children themselves. And we will supportthe courageous health, education, child protection and humanitarian professionals working alongsidefaith leaders, community volunteers, parents and young people to keep children safe during theseunprecedented times.In recent years, we have made significant gains in protecting children from violence.

We must do all we canto keep children safe during the current turmoil, and work together to build back better — to end all forms ofviolence, abuse and exploitation of children.SignatoriesAlice Albright, CEO, Global Partnership for EducationNiklas Andréen, President and Chief Operating Officer, Carlson Wagonlit TravelInger Ashing, CEO, Save the Children InternationalAudrey Azoulay, Director-General, UNESCOIrakli Beridze, Head of the Centre for Artificial Intelligence and Robotics, UNICRIScott Berkowitz, President and Founder, RAINNAnna Borgstrom, CEO, NetCleanProfessor Lucle Cluver, Universities of Oxford and Cape TownJulie Cordua, CEO, ThornBob Cunningham, CEO, International Centre for Missing and Exploited ChildrenProfessor Jennifer Davidson, Executive Director, Inspiring Children’s Futures, Uni. Of StrathclydeMichelle DeLaune, Chief Operating Officer, National Center for Missing &. Exploited ChildrenIain Drennan, Executive Director, WeProtect Global AllianceSuzanne Ehlers, CEO, Malala FundHelga Fogstad,, Executive-Director, PMNCHHenrietta H. Fore, Executive Director, UNICEFDr. Debi Fry, Co-Director, End Violence Lab, University of EdinburghVirginia Gamba, UN Special Representative of the Secretary-General for Children and Armed ConflictMeg Gardinier, Secretary General, ChildFund AllianceDr.

Tedros Adhanom Ghebreyesus, Director-General, WHOFilippo Grandi, UN High Commissioner for RefugeesPaula Guillet de Monthoux, Secretary General, World Childhood FoundationSusie Hargreaves, CEO, Internet Watch FoundationMary Harvey, CEO, Centre for Sport and Human RightsDenton Howard, Executive Director, INHOPEIngrid Johansen, CEO, SOS Children’s Villages InternationalEylah Kadjar, Secretary General ad Interim, Terre des Hommes International FederationBaroness Beeban Kidron OBE, Founder and Chair, 5Rights FoundationPatrick Krens, Executive Director, Child Helpline InternationalDr. A.K. Shiva Kumar, Global Co-Chair, Know Violence in ChildhoodDr. Daniela Ligiero, Executive Director and CEO, Together for GirlsElizabeth Lule, Executive Director, Early Childhood Development Action NetworkDr. Najat Maalla M’jid, UN Special Representative of the Secretary-General on Violence Against ChildrenRev.

Keishi Miyamoto, President, Arigatou InternationalPhumzile Mlambo-Ngcuka, Executive Director, UN WomenAndrew Morley, President and CEO, World Vision InternationalThomas Muller, Acting Executive Director, ECPAT InternationalRaj Nooyi, Interim CEO, Plan InternationalDr. Joan Nyanyuki, Executive Director, African Child Policy ForumMabel van Oranje, Founder and Board Chair, Girls Not BridesPramila Patten, UN Special Representative of the Secretary-General on Sexual Violence in ConflictJoy Phumaphi, Board Co-Chair, Global Partnership to End Violence Against ChildrenRev. Prof. Dr. Ioan Sauca, Acting General Secretary, World Council of ChurchesDr.

Rajeev Seth, Chair of the Board, IPSCANYasmine Sherif, Director, Education Cannot WaitDr. Howard Taylor, Executive Director, Global Partnership to End Violence Against ChildrenHelle Thorning-Schmidt, Board Co-Chair, Global Partnership to End Violence Against ChildrenLiv Tørres, Director, Pathfinders for Peaceful, Just and Inclusive Societies, New York UniversityDr. Jennifer Wortham, Chair, World Day Global CollaborativeAlmost half (46%) of the world’s 1.7 million children living with HIV were not on treatment in 2020 and 150 000 children were newly infected with HIV, four times more than the 2020 target of 40 000In the final report from the Start Free, Stay Free, AIDS Free initiative, UNAIDS and partners* warn that progress towards ending AIDS among children, adolescents and young women has stalled and none of the targets for 2020 were met. The report shows that the total number of children on treatment declined for the first time, despite the fact that nearly 800 000 children living with HIV are not currently on treatment. It also shows that opportunities to identify infants and young children living with HIV early are being missed—more than one third of children born to mothers living with HIV were not tested.

If untreated, around 50% of children living with HIV die before they reach their second birthday. “Over 20 years ago, initiatives for families and children to prevent vertical transmission and to eliminate children dying of AIDS truly kick-started what has now become our global AIDS response. This stemmed from an unprecedented activation of all partners, yet, despite early and dramatic progress, despite more tools and knowledge than ever before, children are falling way behind adults and way behind our goals,” said Shannon Hader, UNAIDS Deputy Executive Director, Programme. €œThe inequalities are striking—children are nearly 40% less likely than adults to be on life-saving treatment (54% of children versus 74% of adults), and account for a disproportionate number of deaths (just 5% of all people living with HIV are children, but children account for 15% of all AIDS-related deaths). This is about children’s right to health and healthy lives, their value in our societies.

It’s time to reactivate on all fronts—we need the leadership, activism, and investments to do what’s right for kids.”Start Free, Stay Free, AIDS Free is a five-year framework that began in 2015, following on from the hugely successful Global Plan towards the elimination of new HIV s among children by 2015 and keeping their mothers alive. It called for a super Fast-Track approach to ensure that every child has an HIV-free beginning, that they stay HIV-free through adolescence and that every child and adolescent living with HIV has access to antiretroviral therapy. The approach intensified focus on 23 countries, 21 of which were in Africa, that accounted for 83% of the global number of pregnant women living with HIV, 80% of children living with HIV and 78% of young women aged 15–24 years newly infected with HIV.“The HIV community has a long history of tackling unprecedented challenges, today we need that same energy and perseverance to address the needs of the most vulnerable—our children. African leaders have the power to help us change the pace of care and should act and lead until no child living with HIV is left behind,” said Ren Minghui, Assistant Director-General of the Universal Health Coverage/Communicable and Noncommunicable Diseases Division of the World Health Organization.Although the 2020 targets were missed, the 21 focus countries in Africa made better progress than the non-focus countries. However, there were major disparities between countries, and these countries still bear the highest burden of disease.

11 countries account for nearly 70% of the “missing children”—those living with HIV but not on treatment. There was a 24% decline in new HIV s among children from 2015 to 2020 in focus countries versus a 20% decline globally. Focus countries also achieved 89% treatment coverage for pregnant women living with HIV, compared to 85% globally, but still short of the target of 95%, and there were huge differences between countries. For example, Botswana achieved 100% treatment coverage, yet the Democratic Republic of the Congo only reached 39%.“While we are deeply distressed by the global paediatric HIV shortfalls, we are also encouraged by the fact that we largely have the tools we need to change this,” said Angeli Achrekar, Acting United States Global AIDS Coordinator. €œSo, let this report be a call to action to challenge complacency and to work tirelessly to close the gap.” The report outlines three actions necessary to end new HIV s among children in the focus countries.

First, reach pregnant women with testing and treatment as early as possible—66 000 new HIV s occurred among children because their mothers did not receive treatment at all during pregnancy or breastfeeding. Second, ensure the continuity of treatment and viral suppression during pregnancy, breastfeeding and for life—38 000 children became newly infected with HIV because their mothers were not continued in care during pregnancy and breastfeeding. Third, prevent new HIV s among women who are pregnant and breastfeeding—35 000 new s among children occurred because a woman became newly infected with HIV during pregnancy or breastfeeding. There has been some progress in preventing adolescent girls and young women from acquiring HIV. In the focus countries, the number of adolescent girls and young women acquiring HIV declined by 27% from 2015 to 2020.

However, the number of adolescent girls and young women acquiring HIV in the 21 focus countries was 200 000, twice the global target for 2020 (100 000). In addition, buy antibiotics and school closures are now disrupting many educational and sexual and reproductive health services for adolescent girls and young women, highlighting the urgent need to redouble HIV prevention efforts to reach young women and adolescent girls.“The lives of the most vulnerable girls and young women hang in the balance, locked into deeply entrenched cycles of vulnerability and neglect that must urgently be interrupted. With the endorsement of United Nations Member States, the new global AIDS strategy recommits us all to address these intersecting vulnerabilities to halt and reverse the effects of HIV by 2030. We know that rapid gains can be achieved for girls and young women. What is needed is the courage to apply the solutions, and the discipline to implement these with rigor and scale,” said Chewe Luo, United Nations Children’s Fund Chief of HIV and Associate Director of Health Programmes.UNAIDS and partners will continue to work together to develop new frameworks to address the unfinished agenda.

New targets for 2025 were officially adopted by United Nations Member States in the 2021 Political Declaration on HIV and AIDS. Ending Inequalities and Getting on Track to End AIDS by 2030 in June this year, providing a road map for the next five years. €œIt is clear that ending mother-to-child transmission requires innovative approaches that support the whole woman throughout the life course, including intensified primary prevention efforts, such as pre-exposure prophylaxis (PrEP), access to comprehensive reproductive care, and focused attention on adolescent girls and young women. The Start Free, Stay Free, AIDS Free report includes new the new targets for 2025 that, if met, will propel a new era of HIV prevention and treatment for women, children and families. This is not the time for complacency, but rather an opportunity to redouble investments to reduce and eliminate mother-to-child transmission,” said Chip Lyons, President and Chief Executive Officer of the Elizabeth Glaser Pediatric AIDS Foundation.*The United States President’s Emergency Plan for AIDS Relief, UNAIDS, the United Nations Children’s Fund and the World Health Organization, with support from the Elizabeth Glaser Pediatric AIDS Foundation.

UNAIDS The Joint United Nations Programme on HIV/AIDS (UNAIDS) leads and inspires the world to achieve its shared vision of zero new HIV s, zero discrimination and zero AIDS-related deaths. UNAIDS unites the efforts of 11 UN organizations—UNHCR, UNICEF, WFP, UNDP, UNFPA, UNODC, UN Women, ILO, UNESCO, WHO and the World Bank—and works closely with global and national partners towards ending the AIDS epidemic by 2030 as part of the Sustainable Development Goals. Learn more at unaids.org and connect with us on Facebook, Twitter, Instagram and YouTube.PEPFARPEPFAR is the largest commitment by any nation to address a single disease in history. Managed and overseen by the U.S. Department of State, and supported through the compassion and generosity of the American people, PEPFAR has saved 20 million lives, prevented millions of s, and helped transform the global AIDS response.UNICEFUNICEF works in some of the world’s toughest places, to reach the world’s most disadvantaged children.

Across more than 190 countries and territories, we work for every child, everywhere, to build a better world for everyone. Follow UNICEF on Twitter, Facebook, Instagram and YouTubeWHODedicated to the well-being of all people and guided by science, the World Health Organization (WHO) leads and champions global efforts to give everyone, everywhere an equal chance at a safe and healthy life. We are the UN agency for heath that connects nations, partners and people on the front lines in 150+ locations – leading the world’s response to health emergencies, preventing disease, addressing the root causes of health issues and expanding access to medicines and health care. Our mission is to promote health, keep the world safe and serve the vulnerable. Www.who.int Elizabeth Glaser Pediatric AIDS FoundationEGPAF is a proven leader in the fight for an AIDS-free generation and has reached over 31 million pregnant women with services to prevent transmission of HIV to their babies.

Founded in 1988, EGPAF has supported over 15,000 sites and currently works in 17 countries to offer HIV counseling, prevention, diagnosis, and treatment services alongside high-quality family health care. Each stage of life—from infancy to adulthood—brings new and different challenges, and EGPAF is driven to see a world where no other mother, child, or family is devastated by this disease. For more information, visit www.pedaids.org..

What should I watch for while taking Cipro?

Tell your doctor or health care professional if your symptoms do not improve.

Do not treat diarrhea with over the counter products. Contact your doctor if you have diarrhea that lasts more than 2 days or if it is severe and watery.

You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how Cipro affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells.

Cipro can make you more sensitive to the sun. Keep out of the sun. If you cannot avoid being in the sun, wear protective clothing and use sunscreen. Do not use sun lamps or tanning beds/booths.

Avoid antacids, aluminum, calcium, iron, magnesium, and zinc products for 6 hours before and 2 hours after taking a dose of Cipro.

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The NSW Government has earmarked $46.8 million over four years as part of the 2020-21 NSW Budget to deliver 100 new school-based nurses to support the health and wellbeing needs of students and their families.The expansion of the successful Wellbeing and Health In-Reach Nurse (WHIN) program will see the highly skilled nurses embedded in more schools to ensure students can easily access health and social support when they need it.Treasurer Dominic Perrottet said the new funding would mean thousands more students across the State would have access to a nurse at school.“With the added stress of buy antibiotics on our young people, the further expansion of this program will ensure children, young people and families don’t miss out on the support they need,” Mr Perrottet said.“NSW Health will fund these positions, however the practitioners will work with the Department of Education, with data and evidence to be used to place the nurses in areas of most need.“This commitment is an investment in the mental health of young people across the state and will build a more resilient post-cipro NSW for the future.”Minister for Mental Health Bronnie Taylor said an evaluation of the pilot sites found the wellbeing nurses had successfully supported vulnerable students for a range of health and mental wellbeing issues.“With the pilot program, we saw that school children often go and see the nurse about general health issues and once they are there, open up about other problems they have been experiencing,” Mrs Taylor said.“The nurses will be given mental health training but are also there to deliver general health care and advice at the right time.“We are making sure we are delivering quality services for where to buy cipro online everyone, no matter their age or where they live.”Minister for Education Sarah Mitchell said WHIN nurses are currently based in secondary and primary schools in Young, Tumut, Cooma, Deniliquin, Murwillumbah and Lithgow.“These nurses are an important asset in our schools and as part of a combined approach with school counsellors and mental health training, our students will have every possible access to help when they need it,” Mrs Mitchell said.The WHIN program is a joint initiative of NSW Health and the NSW Department of Education, which launched as a pilot in 2018 in Cooma, Tumut and Young and extended to three other regional communities in 2020.The NSW Government is investing $6 million over three years as part of the 2020-21 NSW Budget to establish 12 Community Wellbeing Collaboratives in communities at high risk of suicide.The collaboratives organise the response from all services in the local area in times of need bringing together doctors, nurses, police, ambulance, media, teachers, parents, carers, Aboriginal organisations and local councils.Treasurer Dominic Perrottet said the funds would be directed to organisations including headspace and Lifeline, which will lead the coordination.“The NSW Government is investing in our people and our future, and we know this starts with providing quality services for everyone in NSW,” Mr Perrottet said.“The unique innovative collaborative model will use data identified from schools and local services to develop this grassroots approach to suicide prevention.”The Community Wellbeing Collaboratives will engage young people and adults, including people with a lived experience of mental illness and suicide.In the event of a suicide cluster, the collaboratives will coordinate a rapid response from the ground up.Minister for Mental Health, Regional Youth and Women Bronnie Taylor said the collaboratives would work with the community even when there wasn’t a crisis, to continually engage with local people and provide information to parents, teachers, carers and young people about mental health.“We know the majority of mental health care is delivered in the community, which is why we’re embedding both proactive and reactive layers of support outside the hospital setting, in the places where people live their lives every day,” Mrs Taylor said.“Evidence tells us that the best response to suicide comes from a local grass roots level. They know what works best for their communities and ultimately this program will allow us to better support young people and their families during the cipro and beyond.”This $6 million investment for the Community Wellbeing Collaboratives brings total funding where to buy cipro online committed to Towards Zero Suicides initiatives to $90 million.If you, or someone you know, is thinking about suicide or experiencing a personal crisis or distress, please seek help immediately by calling 000 or one of these services:Lifeline 13 11 14Suicide Call Back Service 1300 659 467NSW Mental Health Line 1800 011 511.

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