Trump Wins Again & Again & Begins Pulling Troops Out Of Iraq After 17 Years

President Trump has just Slam Dunked the New Hampshire Primaries, winning it with more votes than any president in over 4 decades.

In the mean time National Socialists (NAZI') are fighting over who gets more delegates.

And the Iowa Democratic Delegate Vote was released. Even though "Bernie The NAZI" got more vote, he only received 12 Delegates while "CIA Buttigeig" got 14 Delegate.

So the Demon-crats can;t count - can't put out a budget in 14 years - and they want to run the nation?

Further - the President has just signed a Preliminary SALT Nuclear Arms Treaty with Russia and will add in China, German, North Korea and other Nuclear Armed nations very soon.

Further - a Peace Treaty was just signed in Afghanistan and - if it holds  - US Troops will no longer be there protecting the Bush Opium Fields and leave Afghanistan.

Why build bridges in Afghanistan and Iraq when we need them here?

Further  President Trump just secured funding to build 1,000 miles of the US/Mexican Wall and Mexico IS paying for the wall.

"The Wall" means the Drug Wars in Mexico may go way down - with a registered murder rate of over 31,000 per year and the flow of guns into Mexico by the Demon-Rats will plummet.

As for the caves that run under the Boarder Wall - our Military Cell Phones could read caves up to 100 feet deep almost 30 years ago - along with Blood Sugar Levels and lots of other very interesting things - like what your vehicle's computer says is wrong with your vehicle.

Much more on the video:


VIDEO:   (52) Trumps Wins Again & Again & Begins Withdrawing US Army From Iraq - YouTube


the Wall Of Truth

Dr William B. Mount


We are preparing to be healthy - so we just bought 6 bottles of Astraxanthin from:

https://www.getthetea.com
======================================================

WHAT WE ARE TRYING TO PREVENT ON THIS CHANNEL:

The Shameful Streets Of America

All across America - thanks to the poor economy and Massive Drug Use across this nation, more and more people are becoming Homeless

Rather that sending them to Work Camps where they can work and live they powers that be collect $40,000/Year in grants per homeless person and pocket the money and not 1, NOT 1 Mayor has been arrested for this TREASON by the Useless Dept Of Justice and the HOT AIR BAG WILLIAM BARR

Thus - As American's Homeless Population now tops 10,000,000 people the drugs are now making these Homeless Violent

Yes - the surveys of Homeless do not count those in Hospital Rooms or Recovery Centers, those sleeping in dark alleys, those outside the Metro Areas or those parked along a river.

So here we are - with a lawless society - where Homeless Criminals randomly attack people for fun and if you defend yourself YOU will be arrested.

Years ago GOD showed us this and we began to protect ourselves from it

For 10 Years I worked with the Homeless - now all our Video Profits go to keep people from being homeless because once there - it's almost impossible to get them back in a home.

After the FBI made this Ambassador Homeless by stealing everything I had - I lived out there for over 5 months and learned a little about it - it stinks -there is no help - and these Homeless are mostly Violet Criminals wit ha Drug Habit

So these Criminal Drug Users are accumulating in the Libtard Cities like Seattle, San Francisco and Los Angeles and now randomly attacking the public.

You do learn one thing on the streets - EVERY level of the Government is totally and completely Corrupt and is there to destroy EVERY level

The Bigger the Government - the more corrupt it is

So when President Trump has a $137 Billion Dollar Federal Deficit this month - it is because he is finding a Bigger Government - with an Annual Deficit of around $2 Trillion Dollars.

So our streets are becoming Toxic -

No Arrests For Treason At The Top - Trump is 0 for 20,000 do far

Then No Arrests At The Bottom for TREASON

Not very complimentary for our Savior Donald Trump - is it?

So now nation after nation is pulling away from the United States as these Demon Possessed Traitors seem to have taken over America.

Watch a flood of International Businesses leave America now

& Watch as GOD tears up our weather and destroys our crops

& Tears our Social Infrastructure Apart

So GOD has said it - so it shall be.


Pray for President since GOD still has a plan for him


VIDEO....  (1109) America's Streets Of Shame - YouTube


The Wall Of Truth

Dr William B. Mount
======================================================
Prepare by going here

SEDONA Pro PEMF Wellness System - USA Sales, Support & Training

Or Just Call Coach Jimmy K at 503-395-4142

=====================================================

Deep State Getting America Hooker On Drugs

The Deep State is working hard to get us ll addicted on drugs

The CIA/FBI have become nothing but Drug Pushers World Wide - giving guns to their operative to sell these drugs across this planet.

It's what they do - who they are - SLAVES of Lucifer the Pig.

Try to walk out of that Slavery and keep your jobs and your Drug Money - Your a dead man/Woman.

Even as a Doctor - Preach the Truth - and you are a Dead Man/Woman.

From the GMO Foods to the WiFi - w will all soon be hooked on something from Big Pharma

And once hooked on 1 drug

In will come 12 to 15 more to counter the effects of this one drug

Then try to get off them

Withdraws Symptoms and - in many cases - a stroke.

We had a friend try and get off 10 drugs at once - she had a massive stroke massive. She could not speak or drive or see straight. It took 3 weeks to reverse this Stroke Damage.

So now what???


VIDEO:  (928) Deep State Is Getting America Hooked On Drugs - Now What? - YouTube


The Wall Of Truth

Dr William B. Mount
======================================================

To Get Off This Marry Go Round We Go Here...

Best Herbal Tea for Weight Loss In Arizona- Get The Tea.

Call Ronnie to discuss your options at 928-308-0408

Nothing cures anything - but some things help your body deal with it.
=====================================================

THE CURE FOR CANCER UPDATE #1

WHAT YOU ARE ABOUT TO READ IS PROHIBITED TO REDO ON ANY VIDEO CHANNEL

In 1946 we published THE CURE FOR CANCER in the US Army.

It guided our policies on Nuclear Tests in the US Navy for years to come.

We learned at Hiroshima that when a Patient ate Bitter Wormwood grown by the sea not only did their radiation burns heal but those with cancer got rid of their cancer withing 6 months.

The next year the soldiers figured out that Sea Weed did the same thing so they picked Sea Weed growing in Hiroshima Bay - yes -- it was dirty and radioactive - and their cancers healed as well.

In the 1970's all sorts of tests - currently ongoing for 50 years - learned that the Soap - Surfactant - boiled out of Kelp reduced the size of Tumors.

I lost my first wife to cancer.

When I met Jane she had very high blood pressure and 3 types of cancer.

Today her Blood Pressure is 120/80 and her 3 cancers have not returned after 11 years.

We can honestly say that all f those we sent Immusit and Sea Weed to lost their cancer, their MS Haled and their Blood Pressure is now normal.

I get no money to tell you this - and am at great risk doing so - but we believe YOU have a right to know

YOU CAN BEAT CANCER - WE WON

THE FIGHT IS OVER - HERE IT IS

PLEASE MAKE THIS STORY GO VIRAL


VIDEO:   (878) THE CURE FOR BREAST CANCER - YouTube


The Wall Of Truth

Ambassador, Dr William B. Mount
==============================

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1) IMMUSIST - IMMUSIST - Assist Your Immune System Today!

2) GET THE TEA - PotentSea Sea Vegetables | Life Change Tea

3) PEMF MEDICAL DEVICE - EarthPulse™ PEMF Therapy Device - Denas
==========================================================

WE BEAT CANCER WITHOUT DRUGS

Big Pharma CEO's Now Being Arrested

Per President Trump's Orders, Big Pharma Executives Are Now Being Arrested For Illegal Distribution Of Mind Altering Drugs

Further - Military Units Are now Being Deployed Along The US/Mexican Boarder

Further -  DEA Admits To Dumping Over 50,000 Illegals A Month Into The United States

And we show the World Leadership Organizational Chart

And More

Video:  Big Pharma CEO's Now Being Arrested - YouTube

The Wall Of Truth

Dr William B. Mount
=================

Brought To You By What We Use to Help Slow Down Aging

http://www.StemUp.com/


+++++++++++++++++

LAURENCE DOUD 3RD

FORMER CEO OF ROCHESTER DRUG COOPERATIVE

CHARGED CRIMINALLY





HELL IS FOREVER MR DOUD THE 3RD

BUSTED AND FINED $20 MILLION

Who Is Responsible For The mess We Are In

Exactly who is responsible for the mess this nation is in?

Who is responsible for not prosecuting individuals who purposely commit

Voter Fraud
Not Prosecuting Illegal Aliens
Banker fraud
Illegal drug Selling

Learn who is responsible: (338) Exactly Who Os Responsible For The Mess We Are In??? - YouTube

The Wall Of Truth

Dr William B. Mount

CDC Mafia Exposed: Embezzlement, Fraud, Murder..

CDC MAFIA EXPOSED: FRAUD, EMBEZZLEMENT, BLACKMAIL & MURDER

CDC Mafia Exposed - Fraud, Embezzlement, Blackmail, Murder - YouTube

Sounds like an Agatha Christy Novel, Right?

Or maybe a Hot, New TV Show???

Nope - it is a New Book called:

Master Manipulator - The Explosive Story Of Fraud Embezzlement and Government Betrayal At The CDC by James Ottar

It can be found at Barnes and Noble.



This is a story about how the CDC used a Con-Man to gull the public and got conned himself.

This book exposes the links between the CDC-FDA-NIH and Big Pharma and how the approval of Drugs and Vaccines is merely a matter of Payoffs.

As soon as this book came out the Coast To Coast Show - Owned not by the Bush Family - had a Pro-Vaccine show. Last night started out good until we realized the guy was a sell-out to Big Pharma.  He lied for money.
==========
In other news - the Weather world wide has gone bonkers .

The Eastern US is now shut down with huge Snow Storms as the West gets pummeled with rain.

Here in Tacoma/Seattle we are getting 5 inches of rain in one day and Montana is about to get 6 inches of warm rain on top of 6 feet of snow - this is not a good situation.

Of course - it has nothing to do with Chemtrails or the Sun, right???
==========

In other news

1) UK Parliament has vOted to accept BREXIT

2) Dutch Elections will soon leave those in Holland in a Position to leave the EU. If Wilder wins the election the Illegal Immigration to Holland ceases immediately and they Illegal Aliens get shipped back to Syria  and they begin the process of pulling out of the EU.

3) The largest bank in Russia (Sberbank) has just hired the Podesta Pizza Gate (Eating Human Meat on Pizzas) Group to lobby in DC to remove American Sanctions from Russia.

Please pray that those who sacrifice Humans and eat them on their Pizza get busted immediately - thrown in jail forever.

4) The Federal Reserve is ready to make yet another $1 Trillion Dollars to try and stabilize the US Economy rather than doing as GOD directs.

Please pray that those who resist GOD are removed from power immediately.

5) Finally - a Photo shopped UFO Document using Fort Lewis in the back round as can be evidenced by the Fort Lewis Buildings and Mount Rainier in the back round - another CIA You Tube Website.

========================

----SAVINGS TIP OF THE DAY---

Tomorrow we may get to interview Ronnie from Get The Tea and discuss more on how to feel Great so - hang on folks…

Jane Mecklenburg Famous Quote: Better to feel good naturally than get hooked on Drugs the Doctors Give you.
=========================

Please pray that these who run this planet do as GOD has directed them to do.

=========================

The News You Need

Dr William B. Mount

Author exposes the “Vaccine Deep State” … a massive criminal fraud and embezzlement ring inside the CDC – NaturalNews.com

UK Parliament approves for Article 50 "BREXIT" legislation





Dutch election underway: Nationalist Geert Wilders takes on Globalist Mark Rutte in Netherlands

LARGEST BANK IN RUSSIA CONFIRMS IT HIRED THE PODESTA GROUP (i.e. DEMOCRATS) TO LOBBY IN U.S. AGAINST SANCTIONS

The Fed Is Now Preparing 1 Trillion In QE For The Upcoming Economic Crisis – InvestmentWatch

UFO intercepted by US helicopters ?! March 2017 - YouTube

SOHO Real Time MPEG Movies





PARTING THOUGHTS OF THE DAY:







THIS ONE TOUCHED MY HEART:








MY FAVORITE:

Obama On The Run - Drug Cartel Going Down

In a great move on 1 March of this year President Trump ordered the importation of drugs into the United Estates (US) territory terminated and send out his military to stop the St Michelle Ship right in her tracks.

You really need to see the video to fully understand why President Obama is in hiding.

A US Navy plane flew over the ship and it's electronics went down - it was dead in the water.

When it was boarded they found huge amounts of Columbian Cocaine.

This video will make you very, very happy:

Last Pres Goes Into Hiding After Huge Drug Bust - YouTube

========================

Please pray that we get more happy news about these drug dealing Rattfinks going down.

========================

---SAVINGS TIP OF THE DAY---

Avoid drugs at all costs

========================

The News You Need

Dr William B. Mount

Obama Flees After Massive Drug Bust Aboard Lady Michelle Vessel In Caribbean

Vincentian Boat Held in Record-Breaking Drug Bust at Sea | Caribbean360

Vincentian boat found with US$125m in cocaine on board – iWitness News

12 TSA Agents Just Indicted For Smuggling $100 Million Worth Of Cocaine | Zero Hedge

CARIBBEAN: 71 million dollars worth of drugs found on Vincentian fishing boat - St. Lucia News Online

Over 4.2 tons of Cocaine:








The International Airport Development Company Limited

Argyle Airport debt is $400 million – iWitness News

Saint Vincent and the Grenadines - Wikipedia

TRUMP WINS ELECTORAL VOTE

TRUMP WINS ELECTORAL VOTE

VIDEO:   TRUMP WINS PRESIDENTIAL NOMINATION !!!! - YouTube

Donald Trump has secured the Presidential Nomination.

At about 5:30 PM Eastern Standard Time Donald Trump secured the Nomination for President after Texas Voted.

Apparently about 15 Delegates across the nation are going to Jail - If the FBI actually does what we pay them to do. It is state law.

Unfortunately- it’s the FBI and their Cross Dressing Leadership of Girly Boys have proved to be very unreliable in the past.

So yaaa hoo Trump wins

Other news of the day - Zha Zha died at 99. She one great actress and we loved her performances in Green Acres with Eddie Albert.

Next - the Russian Ambassador to Turkey was assassinated  today over an arms deal.

Finally - this may not be a very good Christmas for retailers as Target is already advertising their After Christmas Sales.

Managers across the nation of Target, Nordstroms and Macys are telling us that sale are up over November - but no where near last year levels and it looks like it will be a very bad Christmas - even on line.

=========================

Please pray with me that the Biological Weapon to be released 25 December in DC is contained.

Pray that your family is ready for what these NAZIs are now ready to throw at us.

Your Prayers ARE making the difference.

=========================

The News You Need

Dr William B. Mount

=========================

----SAVINGS TIP OF THE DAY----

NEVER BUY UNLESS IT IS ON SALE

PULL IN THE REINS AND PREPARE FOR SOME KILLER AFTER CHRISTMAS SALES

THERE IS SOMEONE HERE MUCH BIGGER THAN LUCIFER AND THEY ARE NOW CALLING THE SHOTS AND THE FALLEN ANGELS KNOW THIS AND HAVE SAID NOTHING AT THE UN - BUT THEY WILL

GIVE IT TIME

WHEN THEY DO - I WILL REPORT IT TO YOU


Donald Trump Seals Electoral College Victory, Officially Becomes 45th US President | Zero Hedge

Russian ambassador to Turkey assassinated in Ankara - CNN.com


Zsa Zsa Gabor Dead at 99 | TMZ.com

Target Christmas 2016: After Christmas & Christmas Sales, Deals & Ads

PSD - DRUG BUST USED TO HOLD THE PRICE OF HEROIN HIGH - IT IS DOWN OVER 90% IN PRICE ON THE STREETS IN THE US.

SO THE DEA HELD SHIPMENT OF TONS OF IT UNTIL PRICES GO BACK UP.

$60mn drug bust: 'Largest known seizure of heroin' in Afghanistan revealed by DEA — RT America

USD SOLDIERS GUARDING POPPY FIELDS IN AFGHANISTAN TO SUPPORT FBI / CIA DRUG DEALERS LED BY THE BUSH'S AND THE CLINTON PIGS.









AMERICAN LIVES FOR BUSH AND CLINTON PROFITS AS THEIR WHORES IN THE CIA AND FBI SELL THEIR DRUGS:




A GENERAL WHO IS A WHORE FOR THE CLINTONS - I GUESS YOU CAN SAY HE IS A GENERAL WHORE:




MY FIRST HOME - THE HOME OF THE FIRST INFANTRY DIVISION WHORES SO PROUD TO BE GUARDING THE CLINTON AND BUSH DRUG CARTEL:

IF THEY ARE DRACONIANS - PLEASE - SOMEBODY RELEASE A VIRUS THAT KILLS DRACONIANS



NEW US C-130j CARGO PLANES LINED UP TO TAKE THE NEWLY PROCESSED HEROIN TO AMERICA - THE PIGS.




DONALD TRUMP HAS AN AWFUL LOT OF CLEANING UP TO DO AFTER HE GETS IN OFFICE.

Clinton Evils Overshadow Economic Collapse

CLINTON’S EVILS OVERSHADOW ECONOMIC COLLAPSE

VIDEO:   Clinton Evil Overshadows Economic Collapse - YouTube

First - the Evils of the Clinton's seem to be overshadowing every other piece of news that is hitting the airways.

It their latest set of Emails released President Clinton has clearly been shown to have raped a 13 year old girl and Hillary not only denied this happened on many occasions but destroyed many women Bill did rape

So where did these Evil Acts occur?

Where is “Orgy Island?’

The Island is called St James Island and is part of the Unincorporated Islands connected to the Virgin Islands.

What this means is that US Laws apply there. It is a territory - like the US States were back in the 1800s.

They sue the US Dollar and must obey all US Laws.

So now that we know President Clinton is guilty of Rape and Hillary got a man off who raped a 13 year old child and bragged about it - why are there no arrests?

Oh - We are sure that the FBI is ready to arrest - but why have they taken no action????

So the only way President Clinton could get away with this is if he was given a Presidential Pardon.

Under the Original Constitution the only military authorized in a time of Peace is the US Navy. Even today the Naval JAG runs each and every operation the US Conducted - like the killing of Civilians in Syria, Lebanon, Libya, Tanzania, Brazil, Columbia.

The US Embassy’s of Consulates in the area to host these Naval JAG folks - all Lawyers - and they literally run these wars. In the case of the Syrian Conflicts the “War Room” is located in the US Consulate in Istanbul.

So legally - the US Navy is charged with arresting President’s that commit Treason and they are no where to e seen in the FBI Headquarters and their Chief General in not only not investigating any President for rape and treason they never will.

If the arrests do come they will likely come after the election and they will be approved by Hillary and President Obama and will all be for show.
=========================

Second -- the World Wide economy is in a free fall.

HANG ON - WHAT YOU ARE ABOUT TO HEAR WILL NOT BE COVERED ANY WHERE ELSE

For the last 100 years ht entire Industrial Revolution has been led by Oil and Coal. Most alternate forms of energy production have been squashed by those who own the Oil and Coal fields - primarily the Rockefellar’s, Rothchild’s and the English Royalty.

You build a Carburetor that gets 100 MPG in America, you die.

The only exception seems to be in the Small Cars in Germany, which get around 300MPG. An example is the VW XL1, and it is so Top Secret it is on Wikipedia.

Today - as you sit there in your chairs -  we are seeing a huge cut back in what the oil companies are willing to spend as Profits Collapse.

A we saw several years ago - the Rothchilds sold much of their Oil Stock in preparation for this Oil Collapse.

World use of Oil is falling and when the North Dakota Oil Pipeline reaches the Navigable part of the Mississippi River - it is over for the Middle Eastern Oil Producers.

China has Iran and the Gulf Of Mexico for their oil

The US will use its own oil

Russia and their satellites have Russian Oil

Africa does not use much oil

Europe - they will see primarily Norwegian and Russian Oil.

Again,  when the North Dakota Oil Pipeline reaches the Mississippi River it is over for the Middle East and the “Clinton’s Oil For Weapons Programs” in the Middle East will no longer be needed.

The Weapons Sales and Revolutions are to come here to the United States.

The US will become the New Muslim Terror Zone

The Clinton Crime Organization (Oil For Guns, Drugs for Guns) is now being dismantled as most of the Leaders in the Middle East turn to Russia to support them after the collapse of Oil Prices.

Already the FBI exchanges Guns for Drugs with most of the Drug Dealing Gangs across America - but they have lost control as these guns kill each other for control of drug areas. Already in Detroit, for example, there have already been over 3,000 shootings.

Now the FBI is bringing in Muslims to sell the Drugs because they have a Huge Control Network that is very organized. I personally ran in to this when I tried to contact the Head Imam (Priest) in Oakland California. I had a message for him but his secretaries were meaner that a rattle snake that had just been kicked by a horse. A few months later he was arrested for selling drugs and guns out of his “Muslim House Of Worship.”

After that - in 2008 - the FBI changed direction and began coordinating the Wars with the Clintons, the Refugee problems, and the importations of the Muslim Drug Lords and their staff into America.

The mass shootings in our inner cities - all related to FBI Drug Sales.

Now that the economy is collapsing and their Drug Dealing Muslim Terrorists are here they can increase the amount to Terrorism here to control Americans.

Selling Drugs in the Name of Allah makes this a very easy organization ofr the FBI to run through the Jesuits

Remember - Congressman Tim Caine is on the Board of Directors of most Muslims Terrorist Organizations here in America.

For those of you who think you are free - try talking to those in the FBI or Homeland Security about anything - anything. Not only are they rude, arrogant and stupid - they are told nothing. Most of them are there just to have a job.

So the FBI Plan is to Appoint Hilary as President, have her go away, and leave Tim Caine the Demon Possessed Jesuit as President to begin his “OPERATION REIGN OF TERROR” on America.

In the mean time - Hillary is not going down without a fight and it is Hillary vs. Obama vs. Trump in an internal war for America and their Drug Sales - both legal and illegal.
=========================

There are many FBI Agents who know what you have just read and find it deplorable so treat any FBI agent as if their mother lives behind you - because they just may.

=========================
Pray your family is ready for what is coming

Please have enough food and water and cash (Or Silver) to survive for 3 months - something we struggle with daily.

Finally - try praying by sending Love and Gratitude to every drop of water in the White House for the next 6 days.
========================

-----SALE ITEMS-----

We began this section to help us [prepare for what is coming. The more you can buy ion same the more you can have.

My wife has a rule:

NEVER BUY UNLESS IT IS ON SALE

=========================
The News You Need

Dr William B. Mount

=========================

Girl Child Raped By Bill Clinton Admits To FBI Hillary Paid Her To Accuse Donald Trump

 Video Showing Bill Clinton Rape Of 13-Year-Old Girl Plunges Presidential Race Into Chaos

St. James Island exposed: The elites best kept secret, until now » Intellihub

Unincorporated territories of the United States - Wikipedia

Volkswagen 1-litre car - Wikipedia

Oil Sold for -$0.50 per Barrel. A Negative Price! | OilPrice.com

Oil Sold for -$0.50 per Barrel. A Negative Price!

Shell Kicks Off Drilling Program Offshore Tanzania - Oil and Gas News

NO MORE OIL PIPELINES IN THE MIDDLE EAST. ITS OVER FOR OPEC...

Mass of Delayed Projects Risks Future Supply Slump, U.A.E. Says - Oil and Gas News

BY BY DUBAI:

Iraq Asks Oil Majors to Downsize Costly Dubai Offices - Oil and Gas News

OBAMA TRADING LIVES FOR PROFITS. INCREDIBLE EVIL IN THE WHITE HOUSE. 

Unbelievable Evil In The White House

President Obama is Considering Rerouting the Dakota Access Pipeline - Oil and Gas News

VA Medications Are Bad

Do to certain telephone calls received I have been compelled by our Intel Agencies to file the following form and follow up with a Treasury 211 form.

Thank You

Your form has been submitted to the OIG Hotline. You may wish to print a copy of this page for your records.

Release and Identity Preference: Standard

First Name: William

Last Name: Mount

Title: Captain

Address: 8864 South D Street

City: Tacoma

State: WA

Zip: 98444

Telephone: 2536866290

Email: williammount@aol.com

VA facility or office involved:
As a former Ambassador I have been asked by someone who sits at the dinner table with the US President to file one last complaint with the VA. All previous 14 Complaint Forms were trashed and no action was taken to correct the issues and no reward was received.

Names of wrongdoers:
VA Medication Procurement Office

Names of victims:
Every one who uses an Inhaler for Athesma

Alleged legal or policy violation(s) or other misconduct:
The medications you dispense are sub-grade, bad quality and often do not contain the medications you claim are in the containers.

Effect of the wrongdoing, such as dollars lost, delay produced, etc.:
Take Proventil - for example - for athesma. Every third one goes bad after normal use --- leaving 1/2 still in the inhaler. Thus the VA over spend by 1/6th because the medication is bad.

Date(s) when the event(s) occurred:
Ongoing

Names of witnesses:
Every Proventil User

Has this allegation been previously reviewed?: Yes

If yes, please provide the dates and who did the review:
By the local VA Pharmacy in Tacoma and Seattle.

Have you contacted the VA OIG about this issue before?: No

If yes, please provide date contact was made and to whom:


Additional Comments:
Your budget just got hacked by $2 Billion. Expect this to increase as the China begins to dump the US Dollar in a few months. In 30 days the one who "Sits With The President At Dinner" will more than likely get a full report on this complaint filed.

My guess is that if all 14 previous reports are not acted on and a 15% ongoing Reward on a month to month basis is not given out in perpetuity for the money saved at the VA Hospitals Nation Wide then this person will be somewhat upset.

I do not know what their actions will be but more than likely - not good for the VA Hospital System. 

Congress Ends Ban On Medical Marijuana

Congress quietly ends the ban on Medical Marijuana - leaving it up to the states to decide what to do.

http://www.latimes.com/nation/la-na-medical-pot-20141216-story.html

(((Pray that those who run the US Corporation who are evil are immobilized immediately)))

So if you have cancer, and wish to do dope and eat GMO Wheat and other GMO foods, rather than getting better by eating Sea Weed and Immusist and eating well, you will no longer be hindered by the Feds.
----------
The News You Need

Dr William B. Mount

42% Of All Drug Reactions Are Vaccine Related

Adverse Drug Reactions of Spontaneous Reports in Shanghai Pediatric Population

Hui Li,^#1 Xiao-Jing Guo,^#1 Xiao-Fei Ye,^#1 Hong Jiang,^#1,2 Wen-Min Du,³ Jin-Fang Xu,¹ Xin-Ji Zhang,¹ and Jia He^1,*

Malcolm Gracie Semple, Editor

Author information ► Article notes ► Copyright and License information ►

Go to:

Abstract

Background

Knowledge of drug safety in the pediatric population of China is limited. This study was designed to evaluate ADRs in children reported to the spontaneous reporting system (SRS) of Shanghai in 2009.

Methodology and Principal Findings

Crude ADR reports submitted to Shanghai SRS in 2009 for individuals aged from birth to 17 years (including 17 years) were included. Data were analyzed with respect to age, gender, category of ADR (System Organ Class [SOC]), the severity of reports and type of reporter.

Results

A male overrepresentation was observed regarding the total number of reports. The most frequently reported group of drugs were vaccines (42.15%). Skin rash and fever were the commonest symptoms reported in the total pediatric dataset. The proportion of children that suffered from a serious ADR was 2.16% and that for drug related deaths was 0.34%. And we found that the multiple drug exposure experienced a high proportion of serious ADRs compared with the single drug use (χ²=15.99, P<0.0001). Sixty-five percent of ADRs were for children less than 6 years of age. And more than half of reports were from doctors.

Conclusions

In our study, consumers were more likely to report new ADRs though they appear to contribute a relatively small percentage of total reports. We propose that patients would take an active role in reporting ADRs. More researches are needed in order to achieve better understanding the characteristics of ADRs in pediatric population of China.

Go to:

Introduction

Adverse drug reaction (ADRs) are defined as events related to a medication that are noxious, unintended and occur at normal doses used in humans for prophylaxis, diagnosis or therapy of disease, or for modification of physiological function by World Health Organization (WHO). This definition excludes accidental or deliberate excessive dosage or maladministration [1]. ADRs are one of the leading causes of morbidity and mortality in many countries [2], [3]. In the UK a major study of hospital patients found that up to 6.5% of admissions were due to ADRs, and 2.3% of those patients died after admission in hospital [3]. A systematic review have shown that the incidence rates for ADRs causing hospital admission ranged from 0.4% to 10.3% of all children (pooled estimate of 2.9% (2.6%, 3.1%)) and from 0.6% to 16.8% of all children exposed to a drug during hospital stay [4]. In addition, ADRs constitute a major cost factor in public health care. Almost 5% of hospital admissions in the pediatric setting and 10% of hospitalized pediatric patients are presumably due to drug related problems [5], [6], [7]. A large variety of drugs are used in children now [8], although many of them have been marketed without trials regarding the efficacy and safety in this population. Little attention has been paid to the safety of medicines in children [9], [10]. The ADRs resulting from the administration of a drug that has not been test and proven in the pediatric population through proper clinical trials may therefore lead to significant morbidity and death among children [11], [12]. In a meta-analysis of 17 prospective studies performed in the United States and Europe, the overall incidence of ADRs in hospitalized children was estimated to be 9.53% (95% CI 6.8 to 12.6) and in pediatric outpatients 1.46% (95% CI 0.7 to 3.3), and serious reactions accounted for 12% of the total number of ADRs. The contribution of ADRs to the hospitalization of children was estimated to be 2.09% (95% CI 1.02 to 3.77) [7]. Knowledge of drug safety is limited in the pediatric population, especially for off-label drugs. Less than half of those specifically intended for children are operated on the basis of clinical trials which demonstrate specific features of risk-benefit balance in children [13]. Spontaneous reporting of ADRs has been shown to be an important method of increasing such knowledge and the method could be considered particularly important in children since drugs are not routinely test in the pediatric population [14]. A major function of the spontaneous reporting system is early detection of signals of new, rare or serious ADRs. The SRS covers a large number of patients and a wide range of drugs. It is therefore a relatively cost-effective method for drug safety monitoring [15]. However, few studies were conducted to investigate knowledge of drug safety in Chinese children.

The Shanghai ADR SRS is a part of China ADR SRS and one of the major goals of this system is the timely detection of possible new ADRs. There are 12000–16000 ADR reports submitted to the system annually now. Both urban and rural areas in Shanghai are included in this ADR monitoring scheme, covering more than 17,000,000 inhabitants. Pharmaceutical manufactures, healthcare professionals (HCPs), and drug dealers are the main sources of reports. This scheme is a voluntary reporting system without any incentive. The monitoring scheme includes not only prescribed medications, but also over the counter, traditional Chinese remedies, etc. In this study, we demonstrated the characteristics of suspected pediatric ADRs reported to the Adverse Drug Reaction Monitoring Center of Shanghai.

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Methods

Data Acquisition

The data was downloaded automatically from the system via http://www.adr.gov.cn, which was developed by National Adverse Drug Reaction Monitoring Center of China. We cannot get ADR incidence rates as the true extent of drug use was unknown, so all the data in the manuscript were frequency of reports. Personal information was excluded in our dataset, and individual identify codes in SRS were marked with random numbers. The study was approved by the Ethics Committee of the Second Military Medical University, Shanghai, China. The ethics committee waived the need of informed consent for the study because of its retrospective nature and data were analyzed anonymously.

Data Coding

The ADR names were coded according to MedDRA (Medical Dictionary for Regulatory Activities, version 3.0.2b) terminology at SOC level. In addition, generic names of drugs were standardized and coded according to the catalogue of generic names for common prescription drugs issued by the Ministry of Health of China in 2007. The website http://app1.sfda.gov.cn/datasearch/face3/dir.html and Chinese Pharmacopoeia were also used as materials for our work [16]. We classified each ADR as a general, serious, new general or new serious reaction based on the Measures for the Reporting and Monitoring of Adverse Drug Reactions definitions [17]. Serious Adverse Drug Reactions means one of the following harmful situations caused by taking drugs: 1. Results in death; 2. Results in cancer, a persistent of significant disability/incapacity; 3. Results in life threatening; 4. A persistent of injury to organ function; 5. Results in hospitalization or prolongs an existing inpatient hospitalization. And new ADRs means adverse reactions that are not recorded and explained on the drug package insert [17]. Age -specific groups were classified into newborn (0–1 month), infant (1–23 months), preschool child (2–5 years), child (6–12 years), and adolescent (13–17 years, including 17 years) [18]. When a suspected ADR is reported more frequently on the combination of two drugs as compared with the situation where these drugs are used in the absence of each other, this association might indicate the existence of a drug-drug interaction (DDI) [19], [20]. By patient reporting we mean a slightly adapted version of the van Grootheest definition: ‘users of drugs (or their parents or cares) reporting suspected ADRs directly to a spontaneous reporting system [21].

Data Split

ADR report may contain one or more drugs and ADRs. In this study, all drug-event pairs, whether the role of the drug of interest was considered ‘suspect’ or ‘concomitant’, was included and the calculation was based on the counts of drug-event pairs in the analysis.

Data Analyses

Categorical data were compared by Chi-square test, and ranked data by Cochran-Mantel-Haenszel test. Fisher’s exact test was used when numerators were small number. Odds ratios (ORs) and 95% confidence intervals (CIs) between the rates of new ADRs report in different reporters were calculated using Logistic Regression. Only two-tailed tests were used. A P-value of 0.05 or less was considered to be significant and statistical analyses were performed using SAS 9.3 software (SAS Institute, Cary, NC, USA).

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Results

A total of 24292 reports were submitted to Shanghai SRS in 2009, and 3945 reports concerning children 0–17 years (including 17 years) were retrieved from the system. Of the 3945 reports, 97 were deleted from our analyses for the following reasons: drug administration was to the mother (n=1); out-of-range age (n=86); no suspected ADR (n=9); or no suspected drug (n=1). In total, we examined 3848 reports of suspected pediatric ADRs that were reported to the Adverse Drug Reaction Monitoring Center of Shanghai during the study period.

The 3848 reports included 4430 suspected ADRs, with an average of over 10 reports per day and 1.15 ADRs per child. There were 666 reports, which cited more than one suspected drug (Table 1). The total number of suspected drugs in pediatric reports was 4619 with a mean number of 1.20 drugs per child.

Table 1

Number of suspected drugs per ADRs report.

ADRs by Age and Gender

The age- and gender-specific prevalence of ADRs was presented in Fig. 1. In general, a total of 1790 ADRs (40.41%) and 2640 ADRs (59.59%) were reported for female and male patients, respectively. More ADRs were reported for boys than girls except the 0–1 month group. When the data were assessed in terms of age groups, almost two thirds of ADRs were reported for children from birth to 5 years of age (65.01%) and 39.46% concerned children aging 2 months-2 years (Fig. 1). Table 2 showed the number of serious ADRs report of different age groups. The highest proportion (6.58%) of serious reports was reported for newborn (0–1 month). A total of 110 serious ADRs were detected in our analysis with 57 (2.16%) in male patients and 53 (2.96%) in female patients. No statistically significant difference was observed between boys and girls by Fisher exact test (P=0.095, two sided test of proportions).

Figure 1

Age- and gender-specific prevalence of ADRs based on the data from Shanghai SRS (2009).

Table 2

Number of ADRs reports by age and severity category.

ADRs by Vaccines and Non-vaccines

The single most common reaction was exanthema, followed by fever, application site reaction and vomiting (Table 3). Regarding assessment of drugs, the most frequent reports were related to vaccine use (1622 reports, 42.15%). When the non-vaccine related reports were discriminated by excluding children that had been reported to have a suspected ADR of a vaccination, the total number of children, whom an ADR had been related to, were then reduced to 2649. Skin reactions were still most frequently reported. The most commonly reported drugs among serious reports were antibacterials for systemic use (32.82%), nervous system (17.56%) and vaccines (13.74%). When drugs were assessed, cefuroxime (382 reports), azithromycin (340 reports) and cefotiam (130 reports) were the most frequently reported non-vaccine related drugs. When assessing the serious ADRs, the frequency of the non-vaccine related increased to 83.64%, the most frequently reported non-vaccine drugs were ceftriaxone (9 reports), cefuroxime (7 reports) and lamotrigine (7 reports).

Table 3

Ten most frequently reported ADRs.

Multiple Drug Exposure and Serious ADRs

Among the total 3848 ADRs reports, there were 3182 single drug use and 666 multiple drug exposure reports (Table 1). Two point forty-eight percent (110/4430) of the adverse drug reactions were reported as serious reactions (48 new serious ADRs). The most frequently reported serious reactions were Anaphylactic Shock (17 reports, 15.45%) followed by exanthema (11 reports, 10.00%). Fifty-five (1.73%) and 28 (4.20%) reports in single drug use and multiple drug exposure, respectively, were registered as serious. It seemed that multiple drug exposure experienced a high proportion of serious ADRs compared with the single drug use (χ²=15.99, P<0.0001, two sided test of proportions).

Outcomes of ADRs Reports

Of all 3848 children, 1176 (30.56%), 2655(69.00%), 4(0.10%), 13(0.34%) children were reported to be cured, getting better, recovering with sequelae, and death, respectively (Table 4). Vaccine accounted for 50% of these cases, and others were central nervous system agents. The fraction of non-vaccine related reports with total recovery of the patients was 30.10% (670) and 69.45% (1546) of children were getting better. Two children had recovered with sequelae of non-vaccine related reports. There were 13 drug related deaths, with 8 of non-vaccine and 5 vaccine related reports (Table 5).

Table 4

Outcomes resulting from ADR Reports.

Table 5

Reported adverse drug reactions (ADRs) in children leading to death.

ADRs by Type of Reporter and Severity

Analysis of the ADR reports for children received in 2009 of spontaneous reporting system (SRS) of Shanghai showed that 9.68% (429) of the suspected ADRs were described as new to the Agency, of which 381 ADRs were general and 48 ADRs were serious. There were 52.03% (2002 reports), 24.27% (934 reports) and 15.46% (595 reports) of reports from physicians, pharmacists and other HCPs, respectively. For the total 3848 reports, Spontaneous reports from consumers (like patients themselves or their parents) appear to contribute a relatively small percentage of total reports (2.52%, 97 reports). Nearly 5.72% (220) of reporters did not give their occupations. The difference on distributions of severity between different reporters was not statistically significant (χ²_CMH=3.09, P=0.377). However, it was concluded that the sources of reports might have a difference between new and traditional ADRs (χ²_CMH=22.45, P<0.0001). When compared with reports from other HCPs, consumers were more likely to report new ADRs (OR=5.06, 95% CI 1.84 to 13.94, Table 6).

Table 6

The Logistic regression results of different reporters (new or traditional ADRs).

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Discussion

In our study, more than 50% of the ADRs were reported for children from birth to 5 years of age and almost 40% concerned children between 2 months and 2 years of age. Similar findings were observed in other studies [22], [23], [24]. Several reasons might contribute to the higher reporting rates in young children. Firstly, young children are more closely monitored by physicians and parents. Secondly, a large number of ADRs reported in this age group may also be due to the widely use of off-label and unlicensed drugs. Thirdly, Children under 5 were the most common age group for vaccination. The ADR rate causes by vaccine is much higher than other drugs, and this may be related to the types and number of vaccination being used in China, as the types of routine immunization vaccines in China reach up to 15 kinds, which is much higher than 7 kinds in India and Vietnam, 9 kinds in Thailand and 11 kinds in America, and most of the vaccines in China are attenuated live vaccines, which may bring greater potential safety hazard. In addition, previous studies suggested an increased risk of ADRs for drugs used off-label [25], [26], [27]. This was an important issue regarding children’s health risk. Some studies in adults demonstrated that female patients were more prone to develop ADRs than male patients whereas other studies did not [28], [29]. However, a recent pediatric study published in 2011 found that a high proportion of ADR reports among children were for boys [30]. For our research, there seems to be an overrepresentation of male patients in the ADR reports except the 0–1 month group, which is consistent with Star’s finding [30]. This may be explained by more attention being paid to ADRs in males than females in some parts of China or it is an indication that male patients truly suffer more often from ADRs than female ones. Further investigations are needed to explain this finding.

In the present survey, skin reactions were the most frequently reported ADRs, regardless of including or excluding of vaccine-related reports. And this is consistent with previous findings [23], [31]. Antibiotics were the most frequently reported pharmacological group of drugs in previous studies in contrast to our study where vaccines were most commonly reported [31], [32], [33]. This difference might be due to the occurrence of Type A H1N1 influenza in China this year, and HCPs or parents paid close attention to children who got flu vaccine to prevent the influenza. Our study showed that the majority of the children recovered without sequelae and about 1.04% recovered with sequelae. Vaccines were associated with the highest number of Children that recovered with sequelae, followed by central nervous system agents.

With the seemingly constant flow of new therapeutic agents and new treatment indications for existing medications, polypharmacy is increasingly common [34], [35]. Drug-drug interactions (DDI) occur when two or more drugs are taken in combination and one drug influences the effects of another drug. This may subsequently cause a change in the pharmacodynamic or pharmacokinetic parameters which may lead to lack of efficacy, or to an increase in the number of reported adverse drug reactions. The association between multiple drug exposure and the incidence of ADRs has been studied, consistently showing an exponentially increased risk with the increase of the number of drugs taken [36], [37]. When assessing the severity of the reported ADRs, our study confirmed that multiple drug exposure experienced a high proportion compared with the single drug use. This finding indicate that in order to minimize the risk of serious ADRs, HCPs should pay particular attention to children who are prescribed two drugs or more.

The majority of ADRs in children were reported by physicians, and equal shares of serious ADRs were reported by physicians, pharmacists, other HCPs and consumers. This was different with studies of other countries [22], [33]. Previous founding suggested that patients’ reports were more likely to be serious ADRs than health professional reports [38]. In our study, there were just a small proportion of reports from patients themselves or their parents, but they might report more new ADRs. The importance of patient reporting in not only contributing to ‘signal generation’ but also providing data on ‘adverse changes in the quality of life which can be very important, real and distressing to the medicine user yet are unlikely to be clear to a prescriber’ was also highlighted [39]. Patient reporting of suspected ADRs in Shanghai should be encouraged and their reports should be taken as seriously as reports from other sources.

There is so little known of ADRs in the Chinese population, especially for the children. Our study analyzed information reported to Shanghai ADR database on ADRs in pediatric population, and in conclusion, a male overrepresentation was observed regarding the total number of reports, most ADRs were for children less than 6 years of age, the multiple drug exposure experienced a high proportion of serious ADRs, and consumers just contributed a limited number of ADR reports. There were also several limitations of this study. We just evaluated ADRs in children reported to the SRS of Shanghai in 2009, in order to achieve better understanding the characteristics of ADRs in pediatric population more researches are needed. Substantial underreporting of ADRs is a well-known phenomenon, which makes it difficult to estimate the ADR incidence for pediatric patients. In this study, the results suggest that 2.16% of all ADRs were severe, and 0.34% were fatal. However, the true proportion is likely to be much lower than this because severe reactions are much more likely to be reported. We recommend more prospective investigations in outpatient and inpatient settings to better estimate the type and incidence of ADRs in Chinese children.

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Acknowledgments

We are indebted to the Adverse Drug Reaction Monitoring Center of Shanghai, who contributed the data.

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Funding Statement

This study was funded by three grants from the National Natural Science Foundation of China (No. 81072388, No. 81202285, No. 81373105), the key discipline construction of evidence-based public health in Shanghai (No. 12GWZX0602) and Natural Science Foundation of Shanghai (No. 12ZR1453700). The funders had no role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript.

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