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244. Why did the TGA approve molnupiravir despite the fact there were concerns that the drug may cause cancer mutations? It is known in medicine that mutation of a single base is sufficient to cause disease, sickle cell anaemia being one example. – https://quadrant.org.au/opinion/public-health/2022/08/the-suppression-of-usefulcovid-19-treatments/ 261. Until recently patients presenting with anti-bodies to their thyroids have had it stated on their blood results that ‘the antibody pattern suggests an underlying autoimmune inflammatory process e.g. Graves’ and Hashimoto’s’. The way to examine these results was changed on 06/09/21 and the reference interval was updated. Why has the reference interval been updated/changed and is it true that Medicare requested QML that such wording be removed from patients’ written test results?

Question Number: 275
PDR Number: SQ22-000646
Date Submitted: 21/11/2022
Department or Body: Department of Health

Question 244 Quadrant magazine is not a reputable medical journal. Even though the decision to provisionally approve molnupiravir was made on the basis of short-term efficacy and safety data, the data submitted to support the quality, safety and efficacy of molnupiravir was comprehensively evaluated and showed a positive benefit-risk ratio. Based on the totality of the genotoxicity data, molnupiravir was found to be of low risk for genotoxicity or mutagenicity in clinical use. This finding is clearly communicated in the Product Information (PI) document (available at: www.tga.gov.au/sites/default/files/ausparmolnupiravir-220207-pi.pdf) and Australian Public Assessment Report (available at: www.tga.gov.au/sites/default/files/auspar-molnupiravir-220207.pdf). Question 261 The TGA does not regulate how laboratories report results from pathology tests they perform, nor ways in which laboratories report test results. In 2021, the Australian Government did not make changes to how thyroid stimulating hormone and thyroid function tests are reimbursed under Medicare or how tests results should be reported.

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