Glaucoma can sometimes be known as the silent sight stealer. The only way to diagnose glaucoma is to have a comprehensive dilated eye exam to detect the disease in its early stages.
By catching the disease early, it allows people to get treatments that can slow or prevent vision loss. Treatments for glaucoma include prescription eye drops, laser treatment and surgery.
The LighHouse Guide offers some advice on keeping an eye out for this sneaky disease in a recent article posted here.
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On Stay Safe Rx you will find current events and resources advocating for safe prescription labeling practices. When patients struggle to see, read or understand their prescription labels they are more likely to take the wrong medication, take it improperly, or not take it at all. Pharmacies can make prescription labels more accessible by incorporating dual-language, audible, large print, Braille, plain language, and user-friendly designs. Check out the resources in the side bar to assist your own advocacy efforts or browse through posts to see what others are working on or have achieved.
Accessible Prescription Label Law Timeline
Note: Bills with strike through mean they were not passed but were included
in history for reference. Bills in italic are still pending in
committee.
1973: Rehabilitation Act
banned discrimination on the basis of disability by recipients of federal funds
1977: Section 504 regulations were issued. It is these regulations which form the basis of the ADA
1990: Americans with Disabilities Act signed into law
2003: Medicare Prescription Drug Improvement and Modernization Act of 2003. This Act required the DHHS to study how to make prescription pharmaceutical information, including drug labels and usage instructions, accessible for the blind and low vision. The DHHS formulated study questions and the AFB responded with information about the blind population, access to prescription information, and existing and emerging technologies. They made some recommendations that the National Eye Health Education Program conduct an education program and publish materials letting patients and pharmacies know about assistive technologies and modalities for accessing prescription drug information. The NEHEP director, Neyal Ammary-Risch says that they never performed this work due to budget cuts and because the AFB published some really good information to their website and worked with the Pharmaceutical industry to create standards regarding labels (this occurred in 2012).
2004: Veterans Administration Announced the Standardization of Audible Prescription Reading Devices with ScripTalk as the standard.
2009: Indiana HB1627
introduced to require Braille or recorded audio device for prescription
labels. Engrossed. No further action.
2009: Massachusetts Senate
Bill 445 introduced An Act Relative to Coverage for Prescription
Drug Voice Synthesizers. No further action.
2010: Indiana HB1240
introduced various insurance matters
including language for accessible prescription drug labeling. House Engrossed. No further action.
2010: ADA Amendments provided detailed and clarified instructions on how public accommodations—specifically citing pharmacies—must provide auxiliary aids and services to blind or low-vision customers in order to provide effective communication. The new language goes on specifically to list large-print materials, Braille materials, and accessible electronic and information technology as recommended solutions.
2012: Indiana House Bill 1301 introduced bill to provide tax credit for
pharmacies piloting incorporation of assistive technologies into packaging of
prescriptions for blind or visually impaired. No further action.
2012: Food and Drug Administration Safety and Innovation Act
- February 2012: HR 4087 sponsor, Congressman Edward J. Markey D-Mass
- June 26, 2012: Senate passes S3187 Sponsor, Senator Tom Harken, D-IA
- July 9, 2012: Signed by President Barack Obama
- January 2015: Senator Markey requests feedback from major pharmacies on their progress of implementing “Best Practices
- December 9, 2016 Government Accountability Office reports: “Actions Needed to Increase Awareness of Best Practices for Accessible Labels for Individuals Who are Blind or Visually Impaired” http://www.gao.gov/products/GAO-17-115
- July 10, 2013: United States Access Board releases “Best Practices”
- National Council of Disability creates brochure. Full education campaign unfunded so not completed.
2016: Affordable Care Act Section 1557 Nondiscrimination in Health Programs and Activities final rule issued. § 92.202 Effective communication for individuals with disabilities. A covered entity must provide auxiliary aids and services to individuals with disabilities free of charge and in a timely manner when necessary to ensure an equal opportunity to participate and benefit from the entity’s health programs or activities.
2016 Government Accountability Office reports: “Actions Needed to Increase Awareness of Best Practices for Accessible Labels for Individuals Who are Blind or Visually Impaired” http://www.gao.gov/products/GAO-17-115
2017 Nevada SB 131 Requires pharmacies to tell customers that audible prescription reader is available. Enacted into Law
2018 Ohio HB 659 Engrossed. No further action.
2019 Oregon HB 2935 Requires pharmacies to notify and provide patients with audible prescription labels Enacted Into Law.
2019 Pennsylvania HB 125 require
pharmacies to make accessible prescription drug container labels available to
individuals who are deaf blind and visually-impaired when requested. No further action.
2019 Massachusetts S1252 legislation
relative to accessible prescription labeling. No further action.
2019 Ohio HB 214 shall notify the person purchasing the drug that a prescription reader can be made available. If that person requests a prescription reader,the terminal distributor shall provide a prescription reader forat least the duration of the prescription. In Health Committee
2020 Minnesota SF 3152 and HF3370 requiring pharmacists to dispense a prescription using an
audible
container label or braille container label. In Committees.
Unspoken Victims: At This Camp, Children of Opioid Addicts Learn to Cope and Laugh
Children are often called the hidden casualties of the opioid epidemic. They carry a lot of secrets and shame.
The majority of children at Camp Mariposa in Dayton, Ohio, have parents who are addicted to opioids. The nonprofit group Eluna runs camps in 13 states, many of them in areas hardest hit by the opioid crisis. All of these children have experienced trauma, sometimes abuse and neglect, and a growing number are in foster care. These children often struggle to reconcile the loving parents they remember with who they have become.
The majority of children at Camp Mariposa in Dayton, Ohio, have parents who are addicted to opioids. The nonprofit group Eluna runs camps in 13 states, many of them in areas hardest hit by the opioid crisis. All of these children have experienced trauma, sometimes abuse and neglect, and a growing number are in foster care. These children often struggle to reconcile the loving parents they remember with who they have become.
One of them is 8-year-old C.
Take a few minutes to learn their stories and hear their pain. To read this touching and heart-wrenching article, click here.
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