LiveJournal started as a personal journaling application, which was later transformed into a website that others could use as well.

The idea of LiveJournal was inspired by the WELL, an online community that was one of the earliest virtual communities.

LiveJournal combined blogging and social networking features, making it unique compared to other blogging platforms.

Initially, LiveJournal was used as a site for keeping up with school friends, showcasing its early social networking aspects.

As the platform evolved, it emerged as a social networking business model, allowing users to publish and comment on records, as well as add friends and follow other users' records.

LiveJournal also featured collective blogs and communities, which further enhanced its social networking capabilities.

The platform allowed users to keep online diaries, providing a space for personal expression and reflection.

In comparison to other social networking sites, such as SixDegrees.com, which peaked at approximately 3.5 million users, LiveJournal's unique features set it apart.

Myspace, another social networking site, had open membership and gave users the freedom to customize their pages, but LiveJournal's focus on journaling and community-building differentiated it from other platforms.

Facebook, which launched in 2004 for college students and later opened to everyone in 2006, eventually became a major competitor to LiveJournal, contributing to its decline in popularity.

LiveJournal's evolution from a personal journaling application to a public platform was marked by its growth in features and user base, but it eventually faced challenges in maintaining its user base and competing with other social networking sites.

The key technical decisions made by Brad Fitzpatrick when transforming the personal journaling application into the LiveJournal website included storing information in a MySQL database.

The use of AJAX technology was another important technical decision made by Brad Fitzpatrick to update the LiveJournal website.

The logic of the LiveJournal website was written in PHP scripts, which was a crucial implementation decision made by Brad Fitzpatrick.

These technical decisions and implementations played a significant role in shaping the LiveJournal website and distinguishing it from other blogging platforms.

LiveJournal's decline can be attributed to censorship, which contributed to the loss of users to other social networking sites like Facebook.

Censorship speed in LiveJournal increased over time, leading to a decline in user base as people migrated to other platforms such as Telegram and Facebook.

The acquisition of LiveJournal by Sberbank influenced its content, and the platform censored posts about Covid-19 and vaccines, removing critical posts from ratings.

LiveJournal's new ownership led to increased censorship, which ultimately contributed to its decline.

The platform removed posts critical of vaccination from ratings, and Russian social networks, including LiveJournal, were censored by the government.

In contrast, Western social networks were found to self-censor without external influence.

Censorship decisions were made by Kazakhstan's judicial authorities, and LiveJournal removed terrorism and extremism materials from its platform.

LiveJournal's failure to adapt to trends and intense competition from other social media platforms also contributed to its decline.

The emergence of alternative social media platforms and lack of innovation led to the decline of older sites like LiveJournal.

LiveJournal introduced censorship and revised its rating principle during a war, which led to the cancellation of anonymous names.

The algorithm changes restricted "unreliable" users' ratings, regardless of their engagement, and high engagement no longer increased the rating.

The rating decreased even with many comments and likes, and some users were squeezed out or had their ratings halved.

The rating changes affected user inclusion in Top posts, and LiveJournal's rating principle became secretive.

The censorship and algorithm changes affected LiveJournal's objectivity and led to a decline in its popularity.

Censorship played a significant role in LiveJournal's decline, contributing to user loss as users left for other platforms like Telegram and Facebook due to censorship.

Censorship was one of the main factors that contributed to LiveJournal's decline, with the platform's ownership change leading to increased censorship.

LiveJournal's resistance to censorship was unequal in force, and the platform eventually implemented soft censorship, which initially affected user engagement.

The platform's censorship control increased with COVID statistics, and posts about COVID were censored on LiveJournal, with censored posts being removed from LiveJournal ratings.

Censorship led to a decline in user ratings and post visibility on LiveJournal, with the platform's rating system becoming less objective due to censorship.

Some users were squeezed out of LiveJournal due to censorship, with users' ratings being halved or driven down due to censorship.

LiveJournal's mechanisms were disrupted by censors and censorship, causing users to lose their rankings and post visibility.

Censorship was a factor in LiveJournal's decline, with the platform's introduction of censorship and cancellation of anonymous names during the war contributing to user loss.

LiveJournal's decline was also contributed by its removal in Kazakhstan due to censorship, although access was later restored after the removal of terrorism and extremism materials.

Russia's blocks on Facebook and Twitter due to censorship also affected LiveJournal's user base, as Russians sought alternative platforms for online anonymity.

The increased censorship on LiveJournal led to a decline in its user base, with users seeking more open and uncensored platforms like Facebook.

The introduction of censorship on LiveJournal led to a decline in user engagement, as users switched to other platforms such as Telegram and Facebook due to the increasing censorship.

The speed of censorship on LiveJournal increased over time, contributing to the decline of user engagement and ultimately the decline of the platform's user base.

LiveJournal introduced censorship, which affected user engagement and led to a decline in the user base, with the platform's new ownership changing its content policies.

The acquisition of LiveJournal by Sberbank contributed to the introduction of censorship, which in turn led to a decline in user engagement and retention.

Posts about sensitive topics were removed from ratings, further contributing to the decline of user engagement and retention on the platform.

The censorship on LiveJournal became more prominent over time, leading to a decline in user engagement and retention, as well as a decline in the platform's user base.

The introduction of censorship and the cancellation of anonymous names on LiveJournal affected user ratings, causing them to decline.

The algorithm on LiveJournal restricted "unreliable" users' ratings, which decreased daily, and posts with high engagement no longer increased user ratings after the introduction of censorship.

The rating system on LiveJournal changed after the war started, and highly read posts no longer increased user ratings, leading to a decline in user engagement and retention.

The censorship on LiveJournal broke the platform's mechanisms of work, with "unreliable" users being treated differently by the algorithm, and some users' ratings being halved or squeezed out entirely.

User engagement no longer affected ratings after the introduction of censorship on LiveJournal, leading to a decline in user retention and ultimately the decline of the platform's user base.

LiveJournal started as a personal journaling application, which was later transformed into a website that others could use as well.

Title:

Content: Regulators Seem to Think That Facebook Is the Internet

That’s a problem.

In 1997, SixDegrees.com was the first real attempt at social networking, creating a space where users could upload their information and list their friends. The site peaked at approximately 3.5 million users before it shut down in 1999.

Since then, a series of social networking business models have emerged, each time offering more advanced tools for user interaction. LiveJournal, a site for keeping up with school friends, combined blogging and social networking features inspired by the WELL; Friendster was a social network that allowed for increased interaction and control by users; Myspace had open membership and gave users the freedom to customize their pages. In 2005, it—and its 25 million user base—was sold to News Corp. But within three years, Myspace had been surpassed by Facebook, which launched in 2004 for college students and opened to everyone in 2006.

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As that history shows, in the early days of the internet, disruption was profound and constant: New companies emerged in music, video, e-commerce, publishing, and telephony on an almost yearly basis. The internet appeared to be a space where competition could thrive.

Not anymore.

Today, disruption happens in much smaller ways. The examples are getting fewer because economies of scale have concentrated innovation in the hands of a few players.

More often, disruption comes from regulation—for better or, often, for worse. Current regulation attempts focus on the actions and behavior of some actors—chiefly Facebook—while creating unintended consequences for the internet, particularly fragmentation, or the splintering of the global internet into one that more closely hews territorial borders.

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It’s understandable that both the public and regulators might think that regulating “the internet” means focusing on the biggest players. Much of it has to do with the fact that users are often exposed to various types of illegal behavior and content through some of the most popular services that exist on the internet. Fix misinformation, or extremism, or ideological silos, or security on Facebook, the thinking goes, and you’ve fixed it on the internet as a whole.

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But this is an unhelpful and misguided narrative. First, the internet is not a monolith, so treating it as if it is simply will not work. Second, many of the issues regulators are trying to address are not internet problems; they are societal. Terrorism, child abuse, and mis- and disinformation are not an offspring of the internet; they existed before the internet, and they will continue to exist after it as they are ingrained in human societies. Yet, they are treated as if they are exclusively internet problems. Third, and most importantly, regulators should stop thinking of the internet as Facebook and treating it as such. In the internet regulatory landscape, there is a mixed bag of different issues, and Facebook’s involvement in all of them, direct or indirect, adds to the current complexity. Content moderation, privacy, intermediary liability, competition, encryption—these are all broader issues related to the internet, not just Facebook. Yet, the pattern that has emerged is to treat them as Facebook issues. What this means is that, instead of focusing on trying to address them in ways appropriate for the entire internet ecosystem, they are addressed through the Facebook lens. This has been quite accurately characterized as the “Facebook Derangement Syndrome.”

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The global regulatory agenda is replete with such examples. In the United Kingdom, the Online Safety legislation wants to ban end-to-end encryption because of Facebook’s plan to introduce it as a default setting in its Messenger service. On the other side of the Commonwealth, Australia recently introduced a media bargaining code mainly targeting Facebook. Facebook famously “left” the country before renegotiating a new agreement. Similarly, in what seems to be a coordinated effort, Canada has vowed to work with Australia in an attempt to impose regulatory restrictions on Facebook.

And this trend is not limited to the Commonwealth.

India’s new intermediary guidelines aim at tightening a regulatory grip on Facebook and its partner company WhatsApp while Brazil’s fake news bill, which got approved by the Senate, is focusing on content moderation on Facebook and traceability on WhatsApp. In France, there have been conversations about the introduction of “new rules” for Facebook, while Germany’s Network Enforcement Law—NetzDG—was drafted with the primary focus of taming Facebook. Finally, in the United States, the Trump administration issued an unsuccessful executive order that aimed to regulate Facebook for bias.

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This approach of limiting regulation to Facebook is not entirely unusual. It reflects the principal-agent conundrum that, over the years, has allowed companies like Facebook to  propose policies and deploy tools that can have an impact on the way regulation gets to be enforced. The principal-agent problem is predominantly characterized by conflict of interest and moral hazards. Due to information asymmetries, the agent holds the bargaining power, and this creates a few unknowns: The principal is in no position to know the information the agent holds. Even when she does, she cannot be certain that the agent is acting to her best interest. So, the principal ends up focusing squarely on the agent, disregarding any peripheral issues that might be significant.

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The principal-agent problem may help explain why governments appear ready to introduce regulation targeting Facebook; however, it does not help explain why, in the process of doing so, the main loser is the internet and its users.

Over the past couple of years, Facebook has said, “We support regulation,” and “we want updated internet regulations to set clear guidelines for addressing today’s toughest challenges.” This statement would be significant if it did not come across as self-serving. At this stage, regulation is inescapable and Facebook knows it—as does the rest of big tech. In an effort to adapt to this new reality, companies often take advantage of their dominant position to drive regulatory processes, often at the expense of regulation itself.

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In this context, the question we should be asking is not whether regulation is appropriate, but what are the real implications of regulating in such a manner? There is already an argument that focusing on a few, big players has an impact on the health of innovation and the ability of newcomers to compete. And, then, there is the internet. The internet’s global reach is one of its main strengths. It is a feature, not a bug. Among other things, it allows the maintenance of supply chains all over the world; it allows people to communicate; it lowers costs; and it makes information sharing easier, all the while helping to address societal issues like poverty or climate change.

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To this end, the attempt to regulate based on one—or a handful—of companies can jeopardize this very important goal of the internet. It can create fragmentation, in the sense of not allowing data to flow across borders or networks to interconnect, and this can be very real and have a very big impact. It can impose limits on the way information and data gets to be shared and the way networks may interoperate. These are significant trade-offs, and they must be part of any regulation’s process.

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So where do we go from here?

For sure, the answer cannot be to stop regulating. We must accept, however, that the current approach often generates unintended consequences that only superficially affect those who must be regulated.

In this light, a possible way forward is to experiment with regulation. Experimental regulation is a relatively underused approach, yet it is flexible enough to accommodate dynamic markets, like the internet. Originally associated with the work of John Dewey, this idea is premised on the fact that, in policymaking, the way we approach theories and strategies of justice depends on “the experience of their pursuit; it is these changes that then allow us to consider how best to achieve our objectives.” The advantage of this thinking is that it considers unintended consequences as an opportunity to better define appropriate regulatory frameworks and how to achieve the desired goals.

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Internet regulation does not experiment enough, and when it does, it appears to have the wrong focus. In Australia, for instance, the effort to ensure robust journalism in an age of disinformation in social media platforms led to a “link tax” that undermines the architecture, history, and economics of the internet. This is partly due to the role big tech companies play in the regulatory process. One of the immediate things one can observe with internet regulation is the process some actors deploy: In the beginning, they operate in favor of sustaining existing policies and bureaucracies. The thinking is that longevity brings legitimacy, and as a result, the policy becomes its own cause. Once this strategy is embedded in process, these powerful forces move toward pushing their own regulatory agenda.

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It is for this reason that there is a certain appeal toward flexible regulatory systems that allow different units to experiment with different approaches and make room for assessments that separate the relevant from the nonrelevant and preexisting rules. Although experimentation neither offers a drastic approach nor aims to replace traditional routes of regulation, it can limit the risks of politicization, as politics become more context focused.

One of the first things we need is an internet impact assessment that looks at the different parts of the internet’s infrastructure and the effect that regulation may have. It is no longer just about regulating a few actors. It is about protecting the global infrastructure that we all depend on daily.

The internet has a Facebook problem, but the internet is not Facebook.

This article represents the views of the author and not those of his employer, the Internet Society. Facebook is an organization member of the Internet Society.

Future Tense is a partnership of Slate, New America, and Arizona State University that examines emerging technologies, public policy, and society.

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The idea of LiveJournal was inspired by the WELL, an online community that was one of the earliest virtual communities.

LiveJournal combined blogging and social networking features, making it unique compared to other blogging platforms.

Initially, LiveJournal was used as a site for keeping up with school friends, showcasing its early social networking aspects.

As the platform evolved, it emerged as a social networking business model, allowing users to publish and comment on records, as well as add friends and follow other users' records.

Title:

Content: LiveJournal is back in Kazakhstan
519
Anna VLADIMIROVA
Access to the "Live Journal" was restored after the administration of the LiveJournal blog platform executed the decisions of the judicial authorities of Kazakhstan on the removal of illegal materials posted on the resource.
Representatives of LiveJournal reported on the removal from the blogging platform of materials containing signs of propaganda of terrorism and religious extremism, public calls to commit acts of terrorism and the manufacture of explosive devices.
Earlier, the Saryarka court of Astana issued a decision to close access to the “Live Journal ” from August 20, 2011 due to the distribution of these materials.
As a result, the Committee of Communications, Informatization and Information of the Ministry of Investment and Development of the Republic of Kazakhstan decided to resume access to the resource on the territory of Kazakhstan from November 11 this year.
LiveJournal also plans to open a representative office in Kazakhstan and develop the Kazakhstan segment of the blogging platform.
For reference: “Live Journal ” is a blogging platform for keeping online diaries (blogs).
Provides the ability to publish your own and comment on other people ’ s records, conduct collective blogs (“communities ”), add other users to friends and follow their records in the“ friends feed ”.
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• [[year]]
• [[month.label]]
• [[day]]

LiveJournal also featured collective blogs and communities, which further enhanced its social networking capabilities.

The platform allowed users to keep online diaries, providing a space for personal expression and reflection.

In comparison to other social networking sites, such as SixDegrees.com, which peaked at approximately 3.5 million users, LiveJournal's unique features set it apart.

Myspace, another social networking site, had open membership and gave users the freedom to customize their pages, but LiveJournal's focus on journaling and community-building differentiated it from other platforms.

Facebook, which launched in 2004 for college students and later opened to everyone in 2006, eventually became a major competitor to LiveJournal, contributing to its decline in popularity.

LiveJournal's evolution from a personal journaling application to a public platform was marked by its growth in features and user base, but it eventually faced challenges in maintaining its user base and competing with other social networking sites.

The key technical decisions made by Brad Fitzpatrick when transforming the personal journaling application into the LiveJournal website included storing information in a MySQL database.

Title:

Content: Profile description is missing
• The application site consists of 4 pages.
To work on smartphones.
All displayed information is in the MySQL database.
The information is updated using AJAX technology.
We can write the logic around the database in PHP scripts ourselves, if you want, you can do it.
Appeal to the DB...
Closed
8 years ago

The use of AJAX technology was another important technical decision made by Brad Fitzpatrick to update the LiveJournal website.

The logic of the LiveJournal website was written in PHP scripts, which was a crucial implementation decision made by Brad Fitzpatrick.

These technical decisions and implementations played a significant role in shaping the LiveJournal website and distinguishing it from other blogging platforms.

LiveJournal's decline can be attributed to censorship, which contributed to the loss of users to other social networking sites like Facebook.

Title:

Content: Opinion: “Consolation ” – in another
18.04.2022, 23: 00, Miscellaneous
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The previous record was “frozen ” – this time literally an hour after publication.
The speed of censorship in LiveJournal is steadily increasing – it is impossible not to admit.
Really, it makes me unstoppably stupid.
Well, at least something in this country is growing.
And for the rest – there is my Telegram and FB.
Source: Reflections of a Free Sociologist
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Censorship speed in LiveJournal increased over time, leading to a decline in user base as people migrated to other platforms such as Telegram and Facebook.

The acquisition of LiveJournal by Sberbank influenced its content, and the platform censored posts about Covid-19 and vaccines, removing critical posts from ratings.

Title:

Content: Opinion: Sber pulls LiveJournal
09.12.2021, 4: 30, Miscellaneous
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The lords of the vaxers have not long to endure the godless Shoemaker in LiveJournal.
The tendency to silence “too sharp ” topics, which I have already mentioned, is becoming clearer and clearer.
Still, it was not in vain that the change of ownership occurred, and LiveJournal passed into the hands of Comrade Gref and Sberbank.
Pay attention to my last 4 (!) posts about kovid - about Germany, the Czech Republic, Ukraine, etc.
None of them is not that “did not get to the top ” – God would be with him; all four were out of the LiveJournal rating at all.
It was as if they “didn ’ t notice ” them.
And it's funny - one still flew into the Top, and immediately in the top ten - and literally an hour later was hastily thrown out of it.
At the same time, from the rating in general.
It's censorship, my friends.
So far, as soft as possible.
I pay tribute to the old LJ - he resists as much as he can.
But no – the forces are too unequal, I understand.
The crazier and frankly ridiculous everything becomes – covid-statistics, the requirement to “vaccinate everyone ”, the rationale for“ the need for codification ”, etc. – the stronger will take control of social networks.
Moreover, they are clamped on two sides: Russian (VK, Zen, LiveJournal) will thin out censors from the government, Western (FB, YouTube, Instagram) do not need censors from the outside, they themselves are the embodiment of censorship.
The exception from the rating “completely ” is, of course, the mildest form of influence so far.
But, as Leo Tolstoy said, “By reducing the ideal by its weakness, one can never find the limit at which one should stop. ”
Source: Reflections of a Free Sociologist
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What happened when censorship was instituted on LiveJournal?

Objective rating mechanism was destroyed

LiveJournal's new ownership led to increased censorship, which ultimately contributed to its decline.

The platform removed posts critical of vaccination from ratings, and Russian social networks, including LiveJournal, were censored by the government.

What happened at the start of an unspecified war? (probably the war on Ukraine)

In contrast, Western social networks were found to self-censor without external influence.

Censorship decisions were made by Kazakhstan's judicial authorities, and LiveJournal removed terrorism and extremism materials from its platform.

LiveJournal's failure to adapt to trends and intense competition from other social media platforms also contributed to its decline.

Title:

Content: 23 / 06 / 2023 - 13: 25
The rise and fall of social networking sites: major projects that have faded over the past years
In recent years, the Internet has seen the rapid rise and subsequent disappearance of social media platforms, which according to studies can be attributed to the failure to adapt to changing trends, privacy concerns, intense competition, and the emergence of more alternatives.
(Getty)
The rapid development of the digital age has brought many changes to the ways of communication over the past years, as the Internet world has witnessed the rise and fall of various communication sites, platforms that once flourished and flourished but eventually faded into oblivion.
In recent years, the Internet has seen the rapid rise and subsequent disappearance of social media platforms, which according to studies can be attributed to the failure to adapt to changing trends, privacy concerns, intense competition, and the emergence of more alternatives, which also indicate the rapid pace of technological progress and the need for continuous innovation.
MySpace has enjoyed unprecedented popularity during the mid-2000s, providing users with a platform to connect, share media and express themselves creatively, however, the decline of MySpace began when Facebook emerged as a dominant force in the social media landscape, studies show that MySpace failed to adapt to the changing preferences of their user base. This resulted in a loss of relevance and decreased user engagement.
Launched in 2004, Orkut was a pioneer in social networking, particularly in countries such as Brazil and India, and despite its early success, Orkut struggled to combat spam, privacy concerns and the rise of rival platforms such as Facebook and Twitter.
As studies indicate, the lack of innovation and failure to address these issues eventually led to their demise in 2014, which also happened with the site "First Messenger" which was once an integral part of the lives of many people on the Internet, allowing users to communicate in real time and facilitate conversations and enhance communication between users. Like WhatsApp and Facebook Messenger, they have wiped out the site ’ s last hope of survival, amidst this massive and rapid technological development.
In 2011, Google Plus was launched, which was aimed at competing with Facebook and creating a social network within Google ’ s ecosystem, and despite the company ’ s vast resources, it failed to attract a large user base, which led to the fall of the application in 2019, which led to the company ’ s closure of the project due to a decline in the number of users.
In another example, Vine had gained immense popularity with its unique six-second videos, which served as a breeding ground for budding creators and led to numerous viral trends, however, Vine ’ s downfall is attributed to its failure to monetize content effectively, and the emergence of rival and powerful platforms such as Instagram and Snapchat.
Delicious is a harsh example of the fall of a social media platform, where the site faced major challenges due to the lack of effective monetization strategies, and the emergence of new competitors on the platform, which led to a sharp decline in the user base, and ultimately sold and re-launched, under new ownership.

The emergence of alternative social media platforms and lack of innovation led to the decline of older sites like LiveJournal.

LiveJournal introduced censorship and revised its rating principle during a war, which led to the cancellation of anonymous names.

Title:

Content: Opinion: Rating in Russian
27.05.2022, 22: 21, Miscellaneous
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Starting from February 24, interesting metamorphoses occur with my LJ rating (trifle, but unpleasant).
LiveJournal, apparently, defined me as an “unreliable ” user – and therefore he is just monotonically declining.
Of course, the principle of forming LiveJournal ratings has always remained a terrible military and commercial secret, but the general principle could be caught: if you are read a lot, your posts have a lot of comments and likes, the rating increases; if you read a little, there are no comments, or you do not write anything at all, the rating decreases.
It's kind of simple.
But with the beginning of the war, LiveJournal not only introduced censorship and canceled anonymous names, but also, it seems, revised the principle of rating.
Now the “unreliable ” users ratings simply decline no matter what.
I noticed it back in April – when on one of the posts (about AvtoVAZ) there was almost a record attendance – 75 thousand per day, about 1000 comments – and the rating, as if nothing had happened, continued to decline.
I am almost certain that the LJ algorithm has a restriction, according to which it by default believes that “Shoemaker writes nothing ”; accordingly, every day my personal rating gradually dries up, although I still have, even in conditions of censorship and general militaristic insanity, extremely“ fruitful ” posts.
All this is understandable – LJ, while he was “in the shadows ” and outside the attention of the“ ideologists ” of the regime, lovingly debugged his mechanisms of work and brought them almost to perfection, but when censors and censorship came, it breaks everything down in a few months, since the mechanisms were made with an emphasis on the objectivity of measurements, and no objectivity of ideology is needed.
I just don ’ t understand why it ’ s so half-hearted.
With other "unreliable" treated much cooler.
Kungurov was simply squeezed out of LiveJournal, Nikonov was squeezed out, Mitrich ’ s rating was simply halved in one fell swoop, Alex Rozoff was driven somewhere in the end of the first rating hundred (although his posts are read and discussed in the same way, if not more than before the sad Free Date) – and my rating is just slowly and sadly “blown away ” (about minus 8 thousand points), and almost ceased to include posts in the Top.
The only thing is that I ’ m treated about the same as El Murid: he ’ s also “slowly and sadly ” losing in the rankings, although his posts are read almost more than mine (but since we have the same rate of fall in the“ they write nothing ” mode, I can ’ t fall lower than him).
These are the ratings quirks.
Source: Reflections of a Free Sociologist
View commentsNo comments
Privacy Policy - GDPR
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For information cooperation, advertising and publication of ads, write to the address: [email protected]
Support the project:
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18 + © 2002-2021 RYBINSKonLine: All you wanted to know...

What happened at the start of an unspecified war? (probably the war on Ukraine)

Censorship was instituted
Anonymous posters were removed

The algorithm changes restricted "unreliable" users' ratings, regardless of their engagement, and high engagement no longer increased the rating.

What happened when censorship was instituted on LiveJournal?

Objective rating mechanism was destroyed

The rating decreased even with many comments and likes, and some users were squeezed out or had their ratings halved.

What happened when censorship was instituted on LiveJournal?

Objective rating mechanism was destroyed

The rating changes affected user inclusion in Top posts, and LiveJournal's rating principle became secretive.

What happened when censorship was instituted on LiveJournal?

Objective rating mechanism was destroyed

The censorship and algorithm changes affected LiveJournal's objectivity and led to a decline in its popularity.

What happened when censorship was instituted on LiveJournal?

Objective rating mechanism was destroyed

Censorship played a significant role in LiveJournal's decline, contributing to user loss as users left for other platforms like Telegram and Facebook due to censorship.

Censorship was one of the main factors that contributed to LiveJournal's decline, with the platform's ownership change leading to increased censorship.

LiveJournal's resistance to censorship was unequal in force, and the platform eventually implemented soft censorship, which initially affected user engagement.

The platform's censorship control increased with COVID statistics, and posts about COVID were censored on LiveJournal, with censored posts being removed from LiveJournal ratings.

What happened when censorship was instituted on LiveJournal?

Objective rating mechanism was destroyed

Censorship led to a decline in user ratings and post visibility on LiveJournal, with the platform's rating system becoming less objective due to censorship.

What happened when censorship was instituted on LiveJournal?

Objective rating mechanism was destroyed

Some users were squeezed out of LiveJournal due to censorship, with users' ratings being halved or driven down due to censorship.

What happened when censorship was instituted on LiveJournal?

Objective rating mechanism was destroyed

LiveJournal's mechanisms were disrupted by censors and censorship, causing users to lose their rankings and post visibility.

What happened when censorship was instituted on LiveJournal?

Objective rating mechanism was destroyed

Censorship was a factor in LiveJournal's decline, with the platform's introduction of censorship and cancellation of anonymous names during the war contributing to user loss.

What happened at the start of an unspecified war? (probably the war on Ukraine)

Censorship was instituted
Anonymous posters were removed

LiveJournal's decline was also contributed by its removal in Kazakhstan due to censorship, although access was later restored after the removal of terrorism and extremism materials.

Russia's blocks on Facebook and Twitter due to censorship also affected LiveJournal's user base, as Russians sought alternative platforms for online anonymity.

Title:

Content: UVAGA!
Help Zbroynim Silam Ukrainy, zdіysnyvshi rekaz z payment card for tsym posilannyam.
Russia blocks Facebook and Twitter
Freedom of speech is not for slaves.
Photo by Getty Images / Global Images Ukraine
On the night of March 3-4 in Russia, many Facebook users were unable to enter the popular social network.
There are also reports of problems logging in to Twitter.
This is due to the strict censorship imposed in connection with the attack on Ukraine.
Roskomnadzor, the state body that controls media, information technology and the media, has repeatedly appealed to Google to block individual pages and resources that show the real picture in Russia and the world.
So, even Wikipedia was attacked because of an article about the Russian invasion of Ukraine.
The material contains data on a large number of victims among the civilian population and the Russian military.
In addition to attacking social networks and free encyclopedias, Roskomnadzor is also fighting the media.
So, in the Russian Federation has already banned the activities of a number of publications: Medusa, Deutsche Welle, the local BBC service, Radio Liberty.
The Russians massively download the VPN extension and install the TOR browser, which allows you to preserve the anonymity of the user.
On the website of Roskomnadzor has already appeared a claim to YouTube regarding the spread of “disinformation aimed at forming a distorted perception of events in the Russian Internet audience and creating protest moods. ”
We add that on Friday, March 4, the state Duma of the Russian Federation adopted a law on criminal punishment for the dissemination of information about the actions of the armed forces of Russia.
In some cases, people face up to 15 years in prison.
It should be noted that from the first days of the war, Russia denied losses during the operation, but in the end admitted the death of 498 people.
According to the Ministry of Defense of Ukraine, the enemy has already lost more than 9,000 people killed.
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Chernomorchik (Odessa)
They wanted the USSR.
Get - censorship deficit iron curtain .and apogee beggar population.
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Olegyurchak (Khmelnytskyi)
This swamp needs to be isolated from the normal world for a long time.
I read their comments: there are no people there.
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After Russian users could no longer use foreign social networks, where did they post their blogs?

What happened with foreign social networks after the start of the Russian military operation in Ukraine?

The increased censorship on LiveJournal led to a decline in its user base, with users seeking more open and uncensored platforms like Facebook.

The introduction of censorship on LiveJournal led to a decline in user engagement, as users switched to other platforms such as Telegram and Facebook due to the increasing censorship.

The speed of censorship on LiveJournal increased over time, contributing to the decline of user engagement and ultimately the decline of the platform's user base.

LiveJournal introduced censorship, which affected user engagement and led to a decline in the user base, with the platform's new ownership changing its content policies.

The acquisition of LiveJournal by Sberbank contributed to the introduction of censorship, which in turn led to a decline in user engagement and retention.

Posts about sensitive topics were removed from ratings, further contributing to the decline of user engagement and retention on the platform.

The censorship on LiveJournal became more prominent over time, leading to a decline in user engagement and retention, as well as a decline in the platform's user base.

The introduction of censorship and the cancellation of anonymous names on LiveJournal affected user ratings, causing them to decline.

What happened when censorship was instituted on LiveJournal?

Objective rating mechanism was destroyed

The algorithm on LiveJournal restricted "unreliable" users' ratings, which decreased daily, and posts with high engagement no longer increased user ratings after the introduction of censorship.

What happened when censorship was instituted on LiveJournal?

Objective rating mechanism was destroyed

The rating system on LiveJournal changed after the war started, and highly read posts no longer increased user ratings, leading to a decline in user engagement and retention.

What happened when censorship was instituted on LiveJournal?

Objective rating mechanism was destroyed

The censorship on LiveJournal broke the platform's mechanisms of work, with "unreliable" users being treated differently by the algorithm, and some users' ratings being halved or squeezed out entirely.

What happened when censorship was instituted on LiveJournal?

Objective rating mechanism was destroyed

User engagement no longer affected ratings after the introduction of censorship on LiveJournal, leading to a decline in user retention and ultimately the decline of the platform's user base.

What happened when censorship was instituted on LiveJournal?

Objective rating mechanism was destroyed


The US prescription drug shortage list includes over 250 medications, with 2023 being the worst year for shortages in about a decade.

Most prescription drugs in shortages are generic, which account for 90 percent of US prescriptions.

The main cause of prescription drug shortages is linked to manufacturing problems.

Low drug supplies have caused a 16.6 percent price increase, with alternatives costing at least three times more.

The FDA and the American Society of Health-System Pharmacists track prescription drug shortages affecting millions in the US.

In 2021, 111 US drugs were out of stock, which the FDA monitors to address shortages.

The US relies heavily on foreign suppliers, with 80-90% of some US drugs being made abroad.

Drug shortages significantly impact healthcare, delaying prescriptions in one-third of hospitals and affecting over half a million patients.

US medicine shortages last an average of 18 months, with some lasting up to 15 years.

Cancer chemotherapy drugs, including 32 in the US, are among those in short supply.

The COVID-19 pandemic has contributed to drug shortages due to delayed production by major manufacturers.

The FDA relies on phone calls to understand drug shortages due to a lack of transparency in the supply chain.

The EU has proposed a 180-day limit for drug evaluations and may require pharmaceutical companies to hold safety stocks.

The European Commission and US have announced measures to address drug shortages, including a proposed $3.26-5.11 billion US investment.

The US is facing shortages of 323 drugs, including Ozempic, Mounjaro, Adrenaline, and Amoxicillin.

Adderall is in short supply due to manufacturing issues and high demand.

The medication shortage is a complex issue caused by production delays, quality issues, and discontinuations.

Pharmaceutical companies are increasing production to meet demand and address the shortage.

The FDA website is a valuable resource for primary caretakers regarding drug shortages.

The US prescription drug shortage list includes over 250 medications, with 2023 being the worst year for shortages in about a decade.

Title:

Content: Prescription drug shortages lead to higher prices

Reporter: Andryanna Sheppard
Published: Updated:
Lea este artículo en Noticias WINK

Millions of people in the United States depend on prescription drugs to manage pain, treat medical conditions, and even to help them stay alive. However, the country’s drug shortage is making it hard for some people to get the medication they need or pay for the drugs that are available.

Federal Drug Administration data shows 90 percent of prescriptions in the US are for generic drugs. According to the National Institutes of Health, most prescription drugs involved in shortages are generic options.

There are currently more than 250 medications on the nation’s prescription drug shortage list, according to the American Society of Health-System Pharmacists. The organization says 2023 marked the worst year for shortages in about a decade.

Jessica Kahn’s two sons were diagnosed with ADD.

“I would say tricky, tricky to navigate,” Kahn described.

For the past year, Kahn said getting their medication has been frustrating.

“I have my list of all the pharmacies. I’ve even driven all the way up north to Walgreens or a CVS, some random place to go pick up a kids’ prescription,” Kahn added.

According to the FDA, prescription drug shortages are often linked to manufacturing and quality problems, delays, and discontinuations. Two drugs used in chemotherapy, Adderall, lidocaine, and amoxicillin are just a couple of the prescription medications on the shortage list.

When drug supplies are low, prices tend to increase. According to the US Department of Health and Human Services, there is a 16.6 percent increase in the price of drugs involved in a shortage. And in some cases, alternative drugs were priced at least three times higher.

“You got to be very conscientious that it might not be available and that it is not an option,” Kahn advised. “No matter how many places you call, it’s not there.”

Beating the prescription drug shortage

Health experts offer these tips:

  • Check the national drug shortage list for your medication and possible alternatives.
  • Don’t wait until your prescription is almost gone to refill it.
  • Check other pharmacies for availability and if you can’t find the generic version, look for coupons or programs that offer payment help. Some patients have reported that they receive additional help to reduce some prescription costs from $100 to $10, it’s not allowed if you are already on Medicare.
  • Websites and apps like GoodRX, RX Saver and WellRX can help you find the cheapest place that has your medication and coupons for it.

Contributors to this news report include: Lindsay Dailey, Producer; Bob Walko, Editor

Copyright ©2024 Fort Myers Broadcasting. All rights reserved.

This material may not be published, broadcast, rewritten, or redistributed without prior written consent.

Most prescription drugs in shortages are generic, which account for 90 percent of US prescriptions.

The main cause of prescription drug shortages is linked to manufacturing problems.

Title:

Content: US supply chain crisis continues, FDA points to 111 drug shortages
Global Social Hotspot 16: 35 2021 / 12 / 05
Share:
The supply chain crisis in the United States continues, and many goods are facing shortages.
The US media said that the US pharmacies have a number of critical prescription drugs in stock. The US Food and Drug Administration (FDA) pointed out that about 111 drugs are out of stock in the United States. The FDA stressed that it will continue to take measures to monitor the supply chain.
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The Federal Reserve warned on Wednesday that large parts of the United States had begun to be affected by supply chain disruptions and labor shortages last month.
According to the FDA website, 111 drugs are out of stock in the United States, including the heart disease drug digoxin injection, the chemical drug Dacarbazine and some antibiotics.
The authorities say there are many reasons for the shortage, including production problems, quality problems, drugs and even the suspension of production.
According to the FDA, about 80% of the manufacturers of active pharmaceutical ingredients are located overseas, and the manufacturers have provided the FDA with most of the drug shortage information.
The Administration will also work closely with these manufacturers to address the drug shortage.
【 Omicron variant 】 Study: Omicron carries a cold virus gene or helps avoid the immune system 【 Next 】
Long Island Newspaper Newsday quoted Tom D'Angelo, president of the New York State Association of Pharmacists, as saying the shipping of a large number of medicines, including those for common blood pressure and for the treatment of colds and flu, was blocked.
Because of supply chain problems, the owner of a New York drugstore said there were fewer brands for some drugs, including Ibuprofen.
The National Association of Community Pharmacists (NCPA) released a survey last month that found that most non-chain pharmacies are struggling to fill employee vacancies and cope with supply chain disruptions.
Sixty percent of pharmacies surveyed said they were dealing with supply chain disruptions, and nearly 70 percent said it was difficult to fill staff vacancies.
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Low drug supplies have caused a 16.6 percent price increase, with alternatives costing at least three times more.

The FDA and the American Society of Health-System Pharmacists track prescription drug shortages affecting millions in the US.

In 2021, 111 US drugs were out of stock, which the FDA monitors to address shortages.

The US relies heavily on foreign suppliers, with 80-90% of some US drugs being made abroad.

Title:

Content: The New York Times Original
Continue reading Growing drug shortage in the United States has become a threat to national security
The shortage of medicines in the United States last year increased compared to 2021 by 30%, according to The New York Times.
However, the article notes that the growing shortage of inexpensive but critical drugs poses a national security threat to the United States.
The growing shortage of inexpensive but critical drugs poses a threat to U.S. national security and forces hospitals to make “terrible ” choices, writes The New York Times, citing a report prepared for hearings in the U.S. Senate.
According to this report, the shortage of medicines last year increased by almost 30% compared to 2021, with an average shortage of medicines observed for 18 months, and for some drugs – 15 years.
Among the drugs in short supply are conventional antibiotics and anesthetics, the article said.
Senator Gary Peters, a Democrat from Michigan and chairman of the Senate Committee on Homeland Security and Government Affairs, said that these problems are related to economic factors, an opaque supply chain and the fact that 80% to 90% of some products are made abroad.
“Taken together, these underlying causes not only raise serious concerns about ensuring proper patient care, but also pose a serious threat to national security, ” Peters said.
Dr. Andrew Schumann, an oncology surgeon from Michigan, told senators at the hearing that the shortage of drugs in his field is "a tragedy occurring in slow motion."
As Schumann noted, recently due to the shortage of one cheap, but well-proven cancer drug, he had to choose which patients will receive this drug.
The article notes that many of the cheapest drugs tend to be made in countries such as India and China, where they are inexpensive to manufacture.
However, this concentration of production capacity creates an additional level of vulnerability to problems such as natural disasters and political unrest, emphasizes The New York Times.
The materials of InoTV contain estimates of exclusively foreign media and do not reflect the position of RT
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Drug shortages significantly impact healthcare, delaying prescriptions in one-third of hospitals and affecting over half a million patients.

Title:

Content: General Supervision
Elham Aboul Fath
Editor-in-Chief
Thank you for your patience.
General Supervision
Elham Aboul Fath
Editor-in-Chief
Thank you for your patience.
An Unexpected Catastrophe in the World ’ s Largest Country: The Complete Story of U.S. Drug Shortages
The deficit is at a record level.
According to data from the American Society of Health System Pharmacists and the University of Utah Drug Information Service, organizations began tracking drug shortages for the first time in 2001. Steady since 2021 – now reaching a record high of 323 drugs in the first three months of 2024.
Paul Abramowitz, CEO of the American Society of Health System Pharmacists, wrote in a blog post on Thursday: “It ’ s been a long time to end drug shortages, ” and wrote:“ All drug classes are vulnerable to shortages, some of the most worrisome shortages include sterile injectable generic drugs, including cancer chemotherapy drugs and emergency drugs stored in hospital vans and procedural areas. It is dangerous for doctors and patients. ”
In addition to the 32 chemotherapy drugs that are deficient, the five categories of drugs with the greatest deficiency include central nervous system stimulants, antimicrobials, hormonal agents, and intravenous fluids. [1] The Drug Deficiency Database maintained by the American Society of Health System Pharmacists and the University of Utah is based on voluntary reports from practitioners, patients, and others that have been confirmed by manufacturers. The U.S. drug is in short supply, because it captures broader effects on service providers and patients.
The crisis has lasted a year and a half.
More than half of the treatment shortages have lasted for more than two years, according to an analysis by health consultancy IQVIA, and the average shortage affects at least half a million patients, many of them elderly, according to the US Office of Health and Human Services under the Assistant Secretary for Planning and Evaluation, which shared its analysis with Congress in May.
Growing demand can play a role in drug shortages, as with the recent shortage of weight-loss drugs, but often manufacturing and quality problems, such as supply chain gaps and downtime, are the root cause. And varied.
But the American Society of Health System Pharmacists has “serious concerns ” about parts of this proposal, especially financial sanctions imposed on hospitals that lack the resources to comply with the recommendations, Abramowitz wrote:“ We all know that managing shortages is not enough and is not a sustainable solution to the worsening crisis, and there is still a lot of work to be done at the federal level to fix the root causes of drug shortages. ”
Why Shortage Occurs
Shortages can be caused by high demand, as with the recent shortage of weight-loss drugs, but this is not usually the main problem.
The FDA also blames manufacturing and quality problems, supply chain gaps, and downtime, and Dr. Emily Tucker, a drug shortage expert and an assistant professor of industrial engineering at Clemson University, says that when there is an indication of shortages, large health systems often also proactively place large orders, adding to the system ’ s stress.
“I don ’ t blame anyone.
“When I talk to all the stakeholders – whether it ’ s wholesalers, manufacturers, or the government – everyone wants this problem to end, ” she said.
Lack of transparency
Dr. Julie Grallo, chief medical officer and executive vice president of the American Society of Clinical Oncology, told the House Committee earlier that the shortage puts providers in a terrible position: “The drug shortage crisis is forcing providers to make impossible choices, and it is also hindering the development of new drugs. Health drugs are purchased only on a price basis, and manufacturers do not have to disclose the source of their acquisition of the ingredients.
The shortage of this generic chemical drug came due to the closure of one factory in India that manufactures the active ingredient after a surprise FDA inspection found “significant quality issues, ” says Jarallo:“ We didn ’ t know, and there was no transparency regarding the company ’ s supply of the majority of active pharmaceutical ingredients to all manufacturers across the board.
Knowing this in advance, we could have responded much faster, ” Dr. Steven Schundlemeyer, director of the PRIME Institute of the University of Minnesota School of Pharmacy, which focuses on economic and management issues, told the committee that as with defense contractors in the United States, New Zealand requires manufacturers to disclose their suppliers, and that information is required.
Easily accessible in the database.
Related Topics

Title:

Content: International
International News
Dependent on foreign raw materials fluctuate, big pharmaceutical companies chase short-term profit loss production
The shortage of ADHD drugs is just the tip of the iceberg of the current drug shortage in the United States. According to the FDA, more than 135 drugs are in short supply, including chemotherapy drugs for cancer.
A survey released by the American Society of Health System Pharmacists (ASHP) in early August showed that one-third of the 1,100 hospitals surveyed had no prescription, delayed or reduced prescriptions due to drug shortages to meet the supply window.
Expert analysis, pharmaceutical companies to pursue short-term profit first business model, so that the production of life-saving drugs and demand out of line, drug shortage problem is difficult to improve.
Experts urge pharmaceutical companies to face social responsibility
Rita Numerof, a medical industry consultant, wrote in Forbes magazine that in order to reduce costs, US pharmaceutical companies have long relied on foreign suppliers such as China, India and Italy to import raw materials for the production of drugs, which is prone to fluctuations in supply. They are looking to develop drugs that are more likely to be used for long-term diseases.
Teva, a manufacturer of ADHD drugs and the world ’ s largest generic drug manufacturer, announced earlier that it would reduce the production of some generic drugs and focus on more profitable products. Rumelove warned that if pharmaceutical companies are unwilling to address their social responsibilities and strengthen supply risk management, public trust in the pharmaceutical industry will continue to weaken, and ultimately public health and safety will pay a heavy price.
Focus on the organization to accelerate the use of new generic drugs to increase production incentives
The American Association for Access to Medicines (AAM) released a report last month, saying that because of restrictions on the supply of generic drugs, the supply price of generic drugs is limited, and the return of investment in new drugs is not high. The situation.
(Forbes / DrugTopics)
(Global Hot Talk)
Related Words: Adderall Drug Shortage Attention Deficit and Hyperactivity Disorder (ADHD)
Previous / Next News

US medicine shortages last an average of 18 months, with some lasting up to 15 years.

Cancer chemotherapy drugs, including 32 in the US, are among those in short supply.

Title:

Content: As drug shortage list grows, many hospitals face tough decisions on rationing care

More than half of hospital pharmacists are reporting a critical shortage of chemotherapy drugs and nearly all are reporting overall medicine supply gaps as prescription drug shortages near an all time high, according to a new survey.

Hospital pharmacists said drug shortages have forced 1 in 3 health systems to delay, cancel or ration care or switch to alternate drugs to continue to treat patients. And 99% are reporting some drug supply shortages, an American Society of Health-System Pharmacists survey of more than 1,000 pharmacists released Thursday found.

The organization reported shortages of 309 drugs, near the all-time high of 320 shortages in 2014. The scarcity of key drugs is prompting hospitals to find or substitute drugs and change treatment plans as needed.

“In some cases, there are no alternatives to the affected drugs, which puts patients at risk," ASHP Chief Executive Officer Paul W. Abramowitz said in a statement. "This issue requires quick action from Congress to address the underlying causes of shortages and ensure patients have the medications they need.”

Cancer drug shortages

In June, the Food and Drug Administration said it will temporarily allow overseas drug manufacturers to import some chemotherapy drugs.

The FDA allowed Qilu Pharmaceutical, a drug manufacturer in China, to import the injectable chemotherapy drug cisplatin in 50-milligram vials. Toronto pharmaceutical company Apotex Corp. will distribute the medication in the United States.

More than a dozen cancer drugs have been in shortage in recent months, including cisplatin and carboplatin, used to treat lung, breast, prostate and gynecologic cancers. The National Cancer Institute said cisplatin and similar drugs are prescribed for 10% to 20% of all cancer patients.

In June, the National Comprehensive Cancer Network released a survey of 27 academic cancer centers that found 93% reported shortages of carboplatin and 70% faced shortages of cisplatin.

When cancer hospitals face such shortages, they attempt to make sure there's enough medication for patients to finish the course of treatment, said Mike Ganio, ASHP's senior director of pharmacy practice and quality.

Cancer hospitals facing such shortages might change medications for new patients starting on chemotherapy, said Ganio, a former pharmacy manager at an academic cancer center.

"You try to keep that patient on the same regimen as much as you can, unless they're failing it for some reason, and then you would switch," Ganio said.

Steroids, hormonal drugs also in short supply

More than 1 in 5 hospital pharmacists also reported shortages for steroids, hormonal drugs and oral liquids such as lidocaine, ibuprofen and amoxicillin.

A smaller number of pharmacists said heart medications, emergency prefilled syringes and drugs used for intensive care unit patients were in short supply. Others reported shortages of attention deficit hyperactivity disorder medicines, antimicrobial drugs and injectable opioids.

In all, about two-thirds of pharmacists said the shortages were "moderately impactful," which means they are managing shortages but patients are affected.

Pharmacists are managing the shortages by offering therapeutic alternatives, buying different vial sizes or concentrations and rationing medicines.

This article originally appeared on USA TODAY: Survey: Drug shortages are widespread, hospitals ration care

The COVID-19 pandemic has contributed to drug shortages due to delayed production by major manufacturers.

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The shortage of 323 medical drugs is the worst since 2001.
According to the American Society of Health-System Pharmacis (ASHP), 323 medical drugs are currently in short supply, breaking the previous record of 320 shortages in 2014 and the most severe since tracking drug shortages began in 2001.
ASHP ’ s collaborative survey with the Utah Drug Information Service found that drug shortages in the United States are increasing and show no signs of improvement.
The institute said that all kinds of drugs are at risk of being out of stock, and the most worrying is the lack of even general injection disinfection drugs, including cancer chemotherapy drugs, and emergency medicine stores in hospitals and surgery departments.
Adderall, which is used to treat ADHD and narcolepsy, is one of the most difficult drugs to track and has been in short supply since October 2022. The Drug Enforcement Administration said last fall that more than a dozen pharmaceutical companies said they intended to increase adderall production, but ASHP noted that the problem persists to this day.
Members of the Society of Pharmacists say there is a national shortage of drugs to treat ADHD, which is still causing problems for medical personnel and patients.
Adderall will be short of loans, one of the reasons is that during the Covid-19 period, the use of large, delayed production by major manufacturers, and other manufacturers can not meet production targets.
In its quarterly report, ASHP noted that most pharmaceutical companies are reluctant to disclose the cause of the drug supply shortage.
Experts believe that the rapid increase in demand, supply is too late, pharmaceutical companies are limited, and the supply chain of pharmaceutical materials is blocked.
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The FDA relies on phone calls to understand drug shortages due to a lack of transparency in the supply chain.

Title:

Content: Meitu
The first quarter of the United States serious drug shortage 323 drugs urgent cancer patients also have to be diverted and rationed!
CHU HENG NETWORK NEWS CENTER 2024-04-16 10: 42
According to the latest data from the American Society of Health System Pharmacists (ASHP) and the Utah Center for Drug Information Services, a total of 323 drugs in the United States were in severe shortages in the first quarter of this year, surpassing the record of 320 in 2014.
Among the drugs affected are the widely used diabetes drugs Ozempic and Mounjaro, the allergy treatment drug adrenaline, the common antibiotic amoxicillin for children, chemotherapy drugs and injections commonly used in hospitals in intensive care.
ASHP CEO Paul Abramowitz said in a statement that almost all categories of drugs are facing shortages, with non-patented sterile injectable drugs, including cancer chemotherapy drugs, and emergency drugs stored in hospital emergency vans and operating areas, the shortage of such drugs is the most worrying.
According to the American Cancer Society, chemotherapy is one of the top five drugs most affected by the shortage, which threatens to have a devastating impact on patients, and some hospitals and clinics say doctors have had to divert patients to ration their medications because of a shortage of some chemotherapy drugs.
In addition, ASHP noted that the continued nationwide shortage of ADHD drugs is “a problem for clinicians and patients. ”
The shortage of popular drugs is even more acute, with Mounjaro, the diabetes drug known as the “slimming pill ”, already in dire straits.
In response, Lilly said that the “unprecedented surge in demand ” for Mounjaro and its similar drug Zepbound has led to a shortage in the market, which the company is struggling to cope with.
Lilly is ramping up investments to boost production at Mounjaro and Zepbound in the second half of 2024.
The company said it expects intermittent supply disruptions in the near term due to unprecedented demand.
How to cure the drug shortage
The last major “drug shortage ” in U.S. history occurred in 2014, and it has only been alleviated in the years since.
Since 2021, the drug shortage situation seems to be increasing, and scholars in the field of medical health and economics in the United States believe that the reason for most drug shortages in the United States is the fragmentation of the drug supply chain.
The White House this month proposed spending between $3.26 billion and $5.11 billion over the next decade to help address the nation ’ s drug shortage.
The bill requires approval and funding from the U.S. Congress.
U.S. researchers and policymakers believe that a complete solution to the “drug shortage ” may require changes to the business model of the U.S. pharmaceutical industry, including measures to increase the price of generic drugs to attract more drug manufacturers.
Policymakers recommend giving the FDA more power to access more information about drug shortages and impending shortages.
Currently, the FDA relies primarily on phone calls to manufacturers asking if they can increase their supply to understand the situation.
The American Society of Health System Pharmacists said it is working with the federal government to advise the government on measures to address the drug shortage, including that Congress should require manufacturers to be more transparent on any supply chain issues and encourage more diversity in supply chains.
According to Abramowitz, “The federal government still has a lot of work to do to fundamentally address drug shortages, and the American Society of Health System Pharmacists will continue to engage regularly with policymakers to guide them in drafting and passing new legislation to address drug shortages and continue to advocate vigorously for proven solutions on behalf of our members. ”

The EU has proposed a 180-day limit for drug evaluations and may require pharmaceutical companies to hold safety stocks.

Title:

Content: French health groups put forward proposals to limit the damage of worsening drug shortages

Medicines such as cough syrup, lozenges and ointment are seen on a table in an apartment in Berlin, Tuesday, December 20, 2022. Copyright Stephanie Pilick/dpa via AP
Copyright Stephanie Pilick/dpa via AP
By Lauren Chadwick
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Pharmaceutical companies’ lack of transparency leads to rising drug prices and less control over public resources, the group of health organisations say.

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A group of French organisations have called for more transparency from pharmaceutical companies as drug shortages increase.

In a joint report, 14 civil society organisations outlined their recommendations to solve a “situation that has only worsened” since 2018.

The French medicines regulator signalled 4,925 drug shortages in 2023, compared to 3,761 in 2022 and 2,160 in 2021.

A 2024 survey from France Assos Santé, which represents patients, found that 44 per cent of people in France said they had faced a drug shortage this year.

One of the pharmacy unions in France has even planned a strike at the end of the month over drug shortages and what they say is worsening access to care.

Each health organisation contributed an article with recommendations for dealing with the drug shortages.

The League Against Cancer urged complete transparency on drug shortages and potential substitutions for health professionals.

They also called for monitoring of medicine stocks and their location in the country to guarantee equal access.

The organisation found in a survey published in February that 78 per cent of health professionals in oncology had been faced with a drug shortage.

Drug shortages or delays have led to anxiety among cancer patients, lost time, and worsening symptoms, the organisation said.

France Assos Santé, meanwhile, wrote that an urgent response should not be to support “the industrial sector which bears serious responsibilities” for abandoning the production of less profitable drugs, relocating drug production, and keeping insufficient medicine stocks.

They would like any cost increases justified by production costs or the risk of withdrawing a drug from the market due to it being unprofitable. They called for cost evaluations to be made public.

Their concerns also range from the use of public money to bring drug production to Europe to new government plans to prevent shortages.

Some changes at the EU level criticised

Last year, the European Commission announced several measures to reform the pharmaceutical industry and address critical drug shortages.

The European Parliament went on to adopt a position on pharmaceutical reform last month, that included “incentives for innovation” and an effort to limit overuse of antibiotics.

The non-profit organisation Prescrire, which focuses on information about medicine, wrote in a chapter they contributed to the report that while some of the European Commission’s measures were welcome, others were concerning.

One of the many measures they rejected included the Commission’s proposal to reduce the number of days of scientific evaluation of drugs from 210 to 180, which they said was necessary time rather than an “administrative obstacle”.

While the NGO welcomed some measures such as government drug shortage prevention plans, it said the Commission should allow EU states to require pharmaceutical companies to have safety stocks of medicine and sanction those that do not respect them.

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French consumer organisation UFC-Que Choisir and the European Consumer Organisation (BEUC) said that they had hoped MEPs would shorten the length of time for “data protection” to allow generic medicines to be marketed more quickly.

Instead, MEPs approved shortening the period to 7.5 years, “which is almost the same duration as the current 8 years [yet] within the framework of the text adopted by Parliament, companies can gain additional months of protection under certain conditions to reach a total of 8.5 years,” UFC-Que Choisir said.

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The European Commission and US have announced measures to address drug shortages, including a proposed $3.26-5.11 billion US investment.

The US is facing shortages of 323 drugs, including Ozempic, Mounjaro, Adrenaline, and Amoxicillin.

Adderall is in short supply due to manufacturing issues and high demand.

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Content: PORTLAND, Ore. (KOIN) — Concern is mounting after shortages of Adderall, a prescription medication used by both children and adults with ADHD, have gotten increasingly sparse since the quantities dropped several months ago.

The FDA says the shortage will resolve – but not until sometime in April.

Demand has skyrocketed, and while there are several alternative prescription medications, many of them are also in short supply.

Drug manufacturers say they can’t just make more of the medication because the FDA and the Drug Enforcement Administration limit the active ingredients, amphetamines, which can be abused and cause addiction. Even patients are limited in how much they can get at a time.

OHSU Psychiatrist Dr. James Hancey, who prescribes the medication, said finding the medicine is challenging because patients have to contact their doctor’s office to receive a prescription.

“It’s not one you can just walk around with to shop around for who might have the medication,” Hancey said.

There are some over-the-counter medications that some doctors are recommending as a way to get by, but Dr. Hansey said they are often not strong enough.

The shortage has been especially tough on kids who are prescribed ADHD medication to help them concentrate in school. Parents want to help their children, but are really frustrated.

There’s also concern that teenagers and adults could instead seek what could be deadly counterfeit drugs.

The medication shortage is a complex issue caused by production delays, quality issues, and discontinuations.

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Content: 2 major drugs are in short supply, FDA says. Both are widely prescribed to children.

NEW!

Drug shortages continue in the U.S., even as the COVID-19 pandemic nears the end of its third year.

Two drugs commonly prescribed to children — Adderall and liquid amoxicillin — recently joined the list, the Food and Drug Administration says.

The FDA announced last month that it was talking to manufacturers about a shortage of Adderall, the combination drug of amphetamine mixed salts used to treat attention deficit hyperactivity disorder.

Parents are also discovering liquid amoxicillin — an important antibiotic used to treat bacterial infections — is in short supply, according to the FDA. It added the oral solution of the antibiotic to its list of drug shortages on Oct. 28.

Both drugs are widely used by children as well as adults. The amoxicillin shortage comes at a vulnerable time, as we enter cold and flu season and U.S. hospitals continue to fill with respiratory infections. Amoxicillin is often used to treat ear infections and bronchitis.

The reason for the shortages? The FDA didn’t immediately respond to a request for comment Thursday. However, the agency cited a few factors on its website, including quality and manufacturing issues.

“There have been other reasons such as production delays at the manufacturer and delays companies have experienced receiving raw materials and components from suppliers,” the agency says. “Discontinuations are another factor contributing to shortages.

“FDA can’t require a firm to keep making a drug it wants to discontinue. Sometimes these older drugs are discontinued by companies in favor of newer, more profitable drugs.”

For a list of all drugs currently in short supply, visit FDA.gov.

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Pharmaceutical companies are increasing production to meet demand and address the shortage.

The FDA website is a valuable resource for primary caretakers regarding drug shortages.

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Content: The lack of medicine continues to burn!
The Ministry of Health and Welfare has proposed a short, medium and long-term strategy to deal with the current 5 coping mechanisms.
Journalist Yen Zhenzhen / Taipei Report
According to the Ministry of Health and Welfare, the shortage of drugs is not a single factor, but includes supply problems, manufacturing problems, clinical demand factors, uneven distribution of drugs, drug use habits and drug prices. In addition to dealing with the relatively high clinical demand items, it is properly allocated to all levels of medical institutions and pharmacies to fully meet the needs of clinical end-use drugs.
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In the face of the shortage of drugs, Wang said, the existing health insurance uses five major coping mechanisms, including 1, a single processing window, a dedicated person to help deal with the problem of drug purchase, and contact the Food and Drug Administration to put relevant information on the website of the NHI. (4) Drug price adjustment mechanism that does not meet the cost can be re-checked according to the way of raising the price of special drugs; (5) Alternative drugs can still declare the cost, if they are not irreplaceable, they can be replaced at the same price or lower than the original prescription drug price.
In addition, Wang pointed out that in the face of the international epidemic, the Russian-Ukrainian war, and labor shortage, drug shortage is a problem facing all countries. In order to strengthen the stable supply mechanism of drugs in China, the Ministry of Health and Welfare continues to actively respond to the short-term strategy to solve the problem of drug shortage. The Food and Drug Administration (FDA) and the pharmaceutical industry have made every effort to actively arrange production lines, strive for early import, increase production / import quantity, and properly distribute to all levels of medical institutions and pharmacies to fully meet the demand for clinical end use drugs.
In addition, to properly handle the issue of drug price adjustment, the Central Health Insurance Administration of the Ministry of Health and Welfare intends to implement the "Universal Health Insurance Cost Distribution Target System (DET)" in April this year, which will adjust the number of drug prices and adjust the quota in a suitable manner, taking into account factors such as the epidemic, the Russian-Ukrainian war and inflation.
In terms of medium-term strategy, Wang said that he will establish a permanent drug shortage treatment center and optimize drug supply information transmission.
In order to speed up the handling of drug shortage incidents, we will adopt dedicated personnel and cross-departmental cooperation to develop drug shortage prevention policies to prevent drug shortage in advance, strengthen cross-departmental data integration and proactive monitoring to detect drug shortage incidents at an early stage, and intervene early through cross-departmental cooperation to stabilize drug supply.
At the same time, the Food and Drug Administration (FDA) continues to disseminate drug supply and alternative drug information through various channels. In addition to posting on the “Drug Supply Information Platform ”, the FDA will notify medical institutions and pharmacies through VPN, and weekly letters to relevant medical associations and public associations to inform members. Management system.
In the long-term strategy section, it includes reviewing the current health insurance drug pricing policy and encouraging the production of domestically manufactured generic drugs.
Wang Bi-sheng pointed out that in the review of the current health insurance drug price policy, including the development of the price protection of indicative drugs, drug price review for the lack of drugs; start the review of drug expenditure target (DET), plan the establishment of a risk control mechanism, plan the national unified procurement trial plan; comprehensively review the health insurance drug price policy, give an appropriate price protection mechanism for necessary drugs, and also target the patent period. To encourage the production of domestic manufacturers to ensure that when there is a shortage of original pharmaceutical products, there are domestic famous drugs to respond.
Wang also stressed that the Food and Drug Administration has set up a "Drug Supply Information Platform" (https: / / dsms.fda.gov.tw /), reporting hotline (02) 27878249. If medical institutions and pharmacies have any shortage of drugs, they can go to the platform for enquiry or notification, and the department will deal with it immediately.
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