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Shortage of chemotherapy drugs forces treatment delays for some Iowa cancer patients

By Matt Kelley (Radio Iowa)

Cancer patients in Iowa are facing delays in potentially-life-saving treatments as two important drugs used in chemotherapy are in very short supply.

Dr. Richard Deming, medical director of the Richard Deming Cancer Center at MercyOne in Des Moines, says almost 50% of the cisplatin and carboplatin used in the U.S. were made by a single factory in India — which recently stopped making those drugs. “The cancers that are most impacted are some very significant cancers,” Deming says, “lung cancer, head and neck cancer, ovarian cancer, and testicular cancer, just to mention a few.”

While those key drugs are being made elsewhere, there’s now such a tight supply and high demand for them that chemotherapy treatments are having to be pushed back. Deming, who founded the Above + Beyond Cancer program in 2011, says nine in ten cancer treatment centers nationwide are being forced to delay treatments.

“Even the delay of a week can cause intense psychosocial distress on patients and their families,” Dr. Deming says. “And if the delay goes into months, then you’re looking at the real possibility that the delay in treatment may impact the overall ability to cure someone of a curable cancer.”

There are strict quality control procedures and protocols for manufacturing these types — and all types — of medicines, and Deming says pharmaceutical companies can’t simply switch over to making these scarce drugs. It’s creating stress for everyone involved, especially the cancer patients.

“So it’s become a real difficulty,” Deming says, “not just in terms of the overall treatment, but in terms of the psychosocial distress that patients are experiencing as they wait to see whether the drug that is the best possible drug to treat their cancer is going to be in supply.” A statement from the American Cancer Society says the shortage of certain cancer drugs has become “a serious and life-threatening issue for cancer patients across the country,” and Deming agrees.

“We are part of a global economy,” he says. “There are advantages to being able to get supplies from the rest of the world but there’s disadvantages as well. This just brings to mind, what do we need to do to make sure that something as crucial as a critical chemotherapy drug is going to be in supply?”

The experts say some of the drugs that are in short supply have -no- effective alternative. An official with the ACS says as first-line treatments for a number of cancers, including some breast cancers, ovarian cancer and leukemia, the shortage could lead to delays in treatment that “could result in worse outcomes.”

A report from the University of Iowa-based Iowa Cancer Registry projects 20,800 Iowans will be diagnosed with cancer this year, and 6,200 will die from it.

Air Quality Advisory Extended through Tomorrow for Eastern Half of Iowa

DES MOINES — The Iowa Department of Natural Resources has issued an air quality advisory for all counties in the eastern half of Iowa, approximately from Interstate-35 to the east. Fine particulate levels near or above EPA health standards are expected to remain elevated today and persist in these areas through tomorrow. Elevated levels of fine particulates may be a concern over the next several days as the smoke moves through the state.

The DNR recommends people reduce long or intense outdoor activities, and take more breaks during outdoor activities until air quality conditions improve.

The national standard for fine particulate matter is 35 micrograms per cubic meter (µg/m3) averaged over a 24-hour period, and this level is considered “unhealthy for sensitive groups.” Groups sensitive to particulate matter include people with heart or lung disease, older adults, children and teenagers, and outdoor workers. Fine
particulate levels could reach levels considered “unhealthy” where even healthy adults should consider limiting their activities.

Real-time air quality maps and information about the air quality index can be found on EPA’s airnow.gov site. A graphic approximation of the extent and trajectory of the smoke plume can be seen on the map at fire.airnow.gov/.

Highway T15 Closure Updates: Full Closure Extended through Friday Afternoon

KNOXVILLE — The U.S. Army Corps of Engineers, Rock Island District, has extended the full closure of Highway T15 across Red Rock Dam until 3 p.m. on June 30, pending a successful strength test for the recently placed concrete. The road closure is necessary to allow for proper concrete curing and installation of a roadway hatch on the newly repaired bridge deck. The closure was initially scheduled to last through June 12 and was recently extended through June 26.

A single-lane road closure to Highway T15 across the Red Rock Dam will begin July 6. It is anticipated that single-lane closures will only be in effect Monday through Friday each week with the road fully open to traffic on the weekends.

Starting July 12, a full road closure over Red Rock Dam is scheduled and will last through approximately July 14. During that time a detour will be in place. Additional partial and full road closures may be needed through 2024 for rehabilitation projects on the dam.

For more information, please contact the US Army Corps of Engineers at Lake Red Rock at 641-828-7522 or via email at lakeredrock@usace.army.mil.

Kevin Spacey faces sex assault trial in London on allegations over a decade old

LONDON (AP) — Two-time Oscar winner Kevin Spacey walked into a London courtroom Wednesday to face trial on charges of sexually assaulting four men as long as two decades ago.

The actor was dressed in a dark blue suit, light blue shirt and pink tie as he was called by his full name and asked if he was Kevin Spacey Fowler.

“I am,” he said as he stood behind a window in the dock.

Spacey, 63, has pleaded not guilty to a dozen charges including sexual assault, indecent assault and causing a person to engage in sex activity without consent. He could face a prison sentence if convicted.

Spacey has said an acquittal in the case could revive a career that has largely been on ice since sexual misconduct allegations surfaced against the star who won his first Academy Award for supporting actor in “The Usual Suspects” in 1995.

“There are people right now who are ready to hire me the moment I am cleared of these charges in London,” Spacey said in a rare interview published this month in Germany’s Zeit magazine. He said the media had turned him into a “monster.”

The charges involving men now in their 30s or 40s date from 2001 to 2013 — covering most of the decade when he lived in Britain and served as artistic director of the Old Vic Theatre until 2015.

Jurors were to be selected on the first day of the trial and opening statements are scheduled Friday.

The actor, who is free on bail, arrived at London’s Southwark Crown Court about two hours before the trial was due to start.

Spacey’s downfall came amid the #MeToo movement in the United States when allegations led to him being written off the Netflix political thriller “House of Cards,” where he played lead character Frank Underwood, a ruthless and corrupt congressman who becomes president. He was cut from the completed film “All the Money in the World,” and the scenes reshot with Christopher Plummer.

Spacey became one of the most celebrated actors of his generation in 1990s, starring in films including “Glengarry Glen Ross” and “LA Confidential.” He won his second Oscar, for best actor, in the 1999 movie “American Beauty.”

Spacey recently had his first film roles in several years, appearing in 2022 in Italian director Franco Nero’s “The Man Who Drew God,” and playing the late Croatian President Franjo Tudjman in biopic “Once Upon a Time in Croatia.” He also stars in the unreleased U.S. film “Peter Five Eight.”

Italy’s National Cinema Museum in Turin gave him its lifetime achievement award in January. He also taught a masterclass and introduced a sold-out screening of “American Beauty” in what were billed as Spacey’s first speaking engagements in five years.

Spacey saluted organizers for “making a strong defense of artistic achievement” and for having “le palle” — the Italian word for male body parts synonymous with courage — to invite him.

Knoxville Raceway’s state tax break extended to 2030

By O. Kay Henderson (Radio Iowa)

Managers of the Knoxville Raceway are getting five more years to accumulate a state tax break of up to one-point-eight MILLION dollars to finance facility improvements. Iowa lawmakers originally approved a sales tax rebate nearly a decade ago, letting the track keep state sales taxes charged on services and goods sold at the track.

The rebate was set to end in 2025. “We all know what happened. COVID came along and that really disrupted things,” Senator Julian Garrett of Indianola said on the last day of the 2023 legislative session. “Some of their big races they were not able to have and the ones they did have had very limited attendance, so they’re way behind in what they would have normally had in the amount of money collected from these rebates.”

A state law that goes into effect Saturday, July 1 extends the state sales tax rebate for the Knoxville track until 2030.

“In a way, you could say it’s not really changing anything,” said Garrett, who represents Knoxville in the legislature. “It’s just giving them a little more time to collect the money they would have been able to collect by 2025 had it not been for COVID and some of these other things.”

One of them was a dispute with the Iowa Department of Revenue. It prevented the track from claiming the sales tax rebate for a couple of years.

Knoxville’s population of about 7500 will swell to more than 30,000 during each of the four days of racing for the Knoxville Nationals in August. Senator Bill Dotzler said the races attract sprint car racing fans from around the world.

“These are cultural events. They mean something,” Dotzler said during Senate debate. “People in Iowa love racing.”

Weekly stock car racing began in 1954 on the Marion County Fairgrounds, but a few years later lighter weight sprint cars began racing on the track. The first Knoxville Nationals were held in 1961.

Air Quality Advisory In Effect Through Tonight

DES MOINES — The Iowa Department of Natural Resources has issued an air quality advisory for the entire state with the worst air quality expected in the eastern third of Iowa. Eastern Iowa is currently recording fine particulates at concentrations the EPA considers unhealthy. At this level sensitive groups of people, as well as the general public, may experience health effects.

Elevated levels of fine particulates may be a concern over the next several days as the smoke continues to move through the state. The DNR recommends people reduce long or intense outdoor activities, and take more breaks during outdoor activities until air quality conditions improve.

The national standard for fine particulate matter is 35 micrograms per cubic meter (µg/m3) averaged over a 24-hour period, and this level is considered “unhealthy for sensitive groups.” Groups sensitive to particulate matter include people with heart or lung disease, older adults, children and teenagers, and outdoor workers. Fine
particulate levels could reach levels considered “unhealthy” where even healthy adults should consider limiting their activities.

Real-time air quality maps and information about the air quality index can be found on EPA’s airnow.gov site. A graphic approximation of the extent and trajectory of the smoke plume can be seen on the map at fire.airnow.gov/.

EPA’s specific guidelines on what precautions can be taken to minimize the impact of high ozone and fine particulate levels are available at airnow.gov/activity-guides.

Mahaska Health Promotes Men’s Health with 4th Annual Tractor Ride Celebration

OSKALOOSA — Mahaska Health celebrated Men’s Health Month on Saturday, June 24th, 2023, with its 4th annual tractor ride at the Southern Iowa Fairgrounds. The event featured a range of complimentary health screenings and educational opportunities by Mahaska Health Physicians, Providers, and care teams including cholesterol checks, blood pressure assessments, blood sugar tests, and sleep assessments in addition to the Tractor Ride around Oskaloosa.

Over 60 community members participated in the Tractor Ride and screenings. Attendees enjoyed the opportunity to showcase their tractors, reconnect with friends and neighbors, and learn about important health topics.

“We were thrilled with the turnout for this year’s tractor ride event,” shared Eric Miller, DO, Mahaska Heath Primary Care Physician, and Accountable Care Medical Director. “Every year, we look forward to connecting with our community and offering vital screenings that promote overall health and well-being.”

“By creating a platform that blends tradition, community, and health education, we work to empower individuals to make informed choices about their health,” shared Dr. Miller. “We would like to thank the Southern Iowa Fair Board for supporting the event, Mahaska County CERT for providing the tractor ride escort, and the Mahaska County Cattleman’s Association for the delicious lunch available for all attendees following the tractor ride.” 

Mahaska Health is committed to promoting men’s health and inspiring men to prioritize their well-being. The annual tractor ride is just one of Mahaska Health’s initiatives to achieve this goal. Next year’s Men’s Health Screening event and Tractor Ride is planned for Saturday, June 22nd, 2024. For more information about Mahaska Health and ongoing efforts to enhance community well-being, please visit mahaskahealth.org.

Osky Schools Participating in Summer Lunch Program

OSKALOOSA — Oskaloosa Schools is participating in the Summer Food Service Program.  Meals are being provided to all children without charge and are the same for all children regardless of race, color, national origin, sex, age or disability, and there will be no discrimination in the course of the meal service.  Meals are provided, at a first come, first serve basis, at the sites and times as follows:

The sites below are serving grab & go meal packets every Wednesday through August 2nd:

  Oskaloosa Public Library – 301 S Market Street, Oskaloosa 11:15-11:45am

  Oskaloosa Middle School – 1704 North 3rd Street, Oskaloosa 11:30am-12:00pm

  University Park Community Center – 1204 Center Street, University Park 11:45am-12:15pm

  Oskaloosa Elementary School – 1801 Orchard Avenue, Oskaloosa 11:30am – 12:30pm

You can follow along to view the weekly menus and summer lunch photos on Facebook by searching for Oskaloosa Summer Lunch Program.  Summer lunch pick-up is held rain or shine.  In the case of inclement weather, some sites may move disbursement indoors at the sites listed above. Please check the Oskaloosa Summer Lunch Program Facebook page for any announcements.

In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, disability, age, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA.

Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at 800-877-8339. Additionally, program information may be made available in languages other than English.

To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027) found online at: https://www.usda.gov/oascr/how-to-file-a-program-discrimination-complaint, any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call 866-632-9992. Submit your completed form or letter to USDA by:

  1. Mail: U.S. Department of Agriculture
    Office of the Assistant Secretary for Civil Rights
    1400 Independence Avenue, SW
    Washington, D.C. 20250-9410
  2. Fax: 202-690-7442
  3. Email: program.intake@usda.gov

This institution is an equal opportunity provider.

Iowa Non-Discrimination Statement:  

“It is the policy of this CNP provider not to discriminate on the basis of race, creed, color, sex, sexual orientation, gender identity, national origin, disability, age, or religion in its programs, activities, or employment practices as required by the Iowa Code section 216.6, 216.7, and 216.9.  If you have questions or grievances related to compliance with this policy by this CNP Provider, please contact the Iowa Civil Rights Commission, Grimes State Office building, 400 E. 14th St. Des Moines, IA 50319-1004; phone number 515-281-4121, 800-457-4416; website: https://icrc.iowa.gov/.”

Biden calls mutiny a ‘struggle within the Russian system’ and says US and NATO played no part

WASHINGTON (AP) — President Joe Biden declared Monday that the United States and NATO played no part in the Wagner mercenary group’s short-lived insurrection in Russia, calling the uprising and the longer-term challenges it poses for President Vladimir Putin’s authority “a struggle within the Russian system.”

Biden and U.S. allies supporting Ukraine in its fight against Russia’s invasion emphasized their intent to be seen as staying out of the mercenaries’ stunning insurgency, the biggest threat to Putin in his two decades leading Russia. They are concerned that Putin could use accusations of Western involvement to rally Russians to his defense.

Biden and administration officials declined an immediate assessment of what the 22-hour uprising by the Wagner Group might mean for Russia’s war in Ukraine, for mercenary chief Yevgeny Prigozhin or for Russia itself.

“We’re going to keep assessing the fallout of this weekend’s events and the implications from Russia and Ukraine,” Biden said. “But it’s still too early to reach a definitive conclusion about where this is going.”

Putin, in his first public comments since the rebellion, said “Russia’s enemies” had hoped the mutiny would succeed in dividing and weakening Russia, “but they miscalculated.” He identified the enemies as “the neo-Nazis in Kyiv, their Western patrons and other national traitors.”

And Foreign Minister Sergey Lavrov said the special services were already investigating whether Western intelligence services were involved in Prigozhin’s rebellion.

Over the course of a tumultuous weekend in Russia, U.S. diplomats were in contact with their counterparts in Moscow to underscore that the American government regarded the matter as a domestic affair for Russia, with the U.S. only a bystander, State Department spokesman Matthew Miller said.

American diplomats also stressed to Moscow that they expected Russia to ensure the safety of the U.S. Embassy in Moscow and Americans detained in Russia, Miller said.

In a video call between Biden and leaders of U.S.-allied countries over the weekend, all were determined to give Putin “no excuse to blame this on the West,” Biden told reporters at the White House.

“We made clear that we were not involved. We had nothing to do with it,” Biden said. “This was part of a struggle within the Russian system.”

Michael McFaul, a former U.S. ambassador to Russia, said Putin in the past has alleged clandestine U.S. involvement in events — including democratic uprisings in former Soviet countries, and campaigns by democracy activists inside and outside Russia — as a way to diminish public support among Russians for those challenges to the Russian system.

The U.S. and NATO “don’t want to be blamed for the appearance of trying to destabilize Putin,” McFaul said.

A feud between Prigozhin and Russia’s military brass that has festered throughout the war erupted into the mutiny that saw the mercenaries leave Ukraine to seize a military headquarters in a southern Russian city. They rolled for hundreds of kilometers toward Moscow, before turning around on Saturday, in a deal whose terms remain uncertain.

Biden’s national security team briefed him hourly as Prigozhin’s forces were on the move, the president said. He had directed them to “prepare for a range of scenarios” as Russia’s crisis unfolded, he said.

Biden did not elaborate on the scenarios. But national security spokesman John Kirby addressed one concern raised frequently by the public, news media and others as the world watched the cracks opening in Putin’s hold on power — worries that the Russian leader might take extreme action to reassert his command.

Putin and the Kremlin have made repeated references to Russia’s nuclear weapons since invading Ukraine 16 months ago, aiming to discourage NATO countries from ratcheting up their support to Ukraine.

“One thing that we have always talked about, unabashedly so, is that it’s in nobody’s interest for this war to escalate beyond the level of violence that is already visited upon the Ukrainian people,” Kirby said at a White House news briefing. “It’s not good for, certainly, Ukraine and not good for our allies and partners in Europe. Quite frankly, it’s not good for the Russian people.”

In the aftermath of the mutiny, both Prigozhin and Russian Defense Minister Sergei Shoigu made public comments Monday aiming to play down the crisis.

In an 11-minute audio statement, Prigozhin said he acted “to prevent the destruction of the Wagner private military company” and in particular in response to an attack on a Wagner camp that killed some 30 of his fighters.

Biden spoke with Ukrainian President Volodymyr Zelenskyy over the weekend, telling him, ”’No matter what happened in Russia, let me say again, no matter what happened in Russia, we in the United States would continue to support Ukraine’s defense and sovereignty and its territorial integrity.” Biden said. He said he intended to speak with Zelenskyy again late Monday or early Tuesday.

The Pentagon is expected to announce Tuesday that it is sending up to $500 million in additional military aid to Ukraine, including more than 50 heavily armored vehicles and an infusion of missiles for air defense systems, U.S. officials said Monday. They spoke on condition of anonymity because the aid has not yet been publicly announced.

Biden, in the first weeks after Putin sent tens of thousands of Russian forces into Ukraine in February 2022, had issued a passionate statement against the Russian leader’s continuing in command. “For God’s sake, this man cannot remain in power,” he said then, as reports emerged of Russian atrocities against civilians in Ukraine.

On Monday, U.S. officials were careful not to be seen as backing either Putin or his former longtime protege, Prigozhin, in public comments.

“We believe it’s up to the Russian people to determine who their leadership is,” Kirby said.

White House officials were also trying to understand how Beijing was digesting the Wagner revolt and what it might mean for the China-Russia relationship going forward. China and Russia are each other’s closest major partner. The White House says Beijing has considered — but not followed through on — sending Russia weaponry for use in Ukraine.

“I think it’d be fair to say that recent developments in Russia had been unsettling to the Chinese leadership,” said Kurt Campbell, coordinator for the Indo-Pacific at the White House National Security Council, speaking at a forum hosted by the Center for Strategic and International Studies in Washington. “I think I’ll just leave it at that.”

China values Russia as a friend in part to keep from standing alone against the U.S. and its allies in disputes. With Russia’s invasion and resulting international sanctions sapping Russian resources and now sparking a rebellion, McFaul said, Ukraine and its allies could make the case: “‘Xi Jinping, you know, if you want your buddy to stay in power, maybe this is the time to put some pressure on him to wrap up this war.”’

AAA predicts record travel for the Independence Day holiday

By Matt Kelley (Radio Iowa)

Over the upcoming holiday weekend, tens of thousands of Iowans will be declaring their independence from their houses and heading off on road trips.

Brian Ortner, spokesman for AAA Iowa, says travel records are being forecast for the four-day weekend, both for the Midwest and for the nation. “Looking at our region,  AAA is forecasting more than 3.7-million travelers are going to be taking a trip of at least 50 miles or more between this Friday and Tuesday, July 4th,” Ortner says. “That’s 140,000 more holiday travelers than the previous high that was set last year, which tied the record that was originally set in 2019, our pre-pandemic numbers.”

For the nation, AAA predicts 50.7 million Americans will be traveling over the long weekend, which is over two million more than over the 4th of July last year. As far as the travel industry is concerned, the pandemic is a distant memory now, as all travel numbers are back to where they were before COVID-19 disrupted the world.

“This year is really going to be the benchmark for that, because we were looking back at pre-pandemic numbers,” Ortner says, “and if we look at where we were for holiday travel during Christmas and Thanksgiving last year, we were edging up on those pre-pandemic numbers, and then Memorial Day we broke pre-pandemic numbers.”

Since the majority of travelers will be in cars, trucks, SUVs and other motor vehicles, gasoline prices are key, and Ortner says compared to a year ago, they’re down considerably. “Last year, between July 1st and July 6th across the state of Iowa, the average price per gallon for gas was $4.57 to $4.61 a gallon, so definitely, we were over that $4 mark last year,” Ortner says. “If we look at gas prices today in Iowa, the average is $3.36, so a dollar-plus more in savings.”

The financial news isn’t all good for vacationers, though, as AAA also says airfares and hotel rates are more expensive than last year.

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