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Mission Health | Virtual Care

Start an online visit only if you are not at risk and in a safe location! If you have symptoms of heart attack or stroke, or feel that you’re in danger, call 911 or go to the nearest emergency room (ER) immediately.

Get convenient care online for only $35

Receive an online diagnosis and prescription (as needed) for your illness from the convenience of your home. Answer questions about your symptoms to begin your online doctor visit, and receive a response between  7am – 7pm within one hour.

Start your Virtual Clinic visit now View all Virtual Care Options 

Virtual Clinic Is Open Every Day from 7 am-7 pm

Skip the trip — just click.

A Mission Virtual Clinic consultation costs $35, payable online by any major credit card. It is $35 regardless of the insurance you have, or even if you do not have insurance.

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Illnesses we treat through the virtual clinic :

Respiratory infections and allergies.

  • Cold or sinus infection
  • Influenza (flu)*
  • Hay fever/allergies

Common Female Infections

  • Female bladder infection (UTI)
  • Vaginal yeast infection

Eye and Mouth Problems

  • Canker or cold sore
  • Pink eye (conjunctivitis)
  • Sty (bump or bumps on the eyelid)

Skin and Nail Problems

  • Athlete’s foot
  • Diaper rash
  • Fungal skin infection (tinea)
  • Skin irritation (contact dermatitis)
  • Unwanted or other skin conditions

Stomach Pains

  • Constipation and/or diarrhea (irritable bowel syndrome)
  • Heartburn or acid reflux (GERD)

Travel Medication

  • Malaria prevention
  • Motion sickness prevention

Medication to Prevent an Illness or Infection

  • Influenza prevention
  • Pertussis (whooping cough) exposure

*Strep throat and some flu consultations require a visit to a local clinic where a rapid test is performed to confirm diagnosis.

Click for video transcript

Learn more about the virtual clinic.

You can use Mission Virtual Clinic for the following conditions:

  • Cold, flu and allergies
  • Cold, sinus infection or sore throat
  • Influenza (flu)
  • Urinary tract infection (UTI)
  • Eczema and dermatitis

We've been careful to select only health conditions that can be safely diagnosed and treated online. If an online diagnosis is not right for you, we will direct you to the care you need.

Once you are done with the online interview, a board certified Mission Health provider will review your symptoms and develop a treatment plan unique to you.

A Mission Virtual Clinic visit takes approximately 5 minutes to complete. Depending on your symptoms and answers, the total number of questions for your condition will vary. Note: The interview is written questions/answers only; there is no interactive video component.

Mission Virtual Clinic is available to patients in North Carolina ages 2-65, depending upon the condition.

A Mission provider is available online every day Monday through Sunday, between 7 am – 7 pm. You can complete an online written interview anytime and receive a response within one hour. You can even complete it in the middle of the night and receive a response from 7-8 am the following morning.

If appropriate, Mission Virtual Clinic providers can prescribe medications that will be sent to the pharmacy of your choice. We treat minor health conditions, and we do not provide prescriptions for pain medications or narcotics. Mission Virtual Clinic is not an online pharmacy. You are responsible for the cost of any prescriptions, over-the-counter treatments or follow-up visits you may need. NOTE: Because Mission Virtual Clinic providers are licensed only in North Carolina, patients must be physically located in North Carolina in order to access it.

Strep throat and some flu consultations through Mission Virtual Clinic do require an extra step beyond the online virtual visit. This is called a ZipTicket, and here’s how it works:

  • A ZipTicket is an order from the Mission Virtual Clinic provider for a rapid test to confirm a specific diagnoses after completion of an online virtual visit.
  • Mission Virtual Clinic patients can select the nearest ZipTicket location, walk in without an appointment and complete rapid testing with minimal wait time.
  • Patients must activate their prescribed ZipTicket, choose the location and arrive within 24 hours from the time it is ordered. Patients check-in at the front desk and are seen by the next available medical assistant or nurse with a minimal wait time since they have already seen the medical provider online. The medical assistant or nurse completes the testing and enters the results through the Mission Virtual Clinic portal so that the patient may receive the final diagnosis and prescription (if applicable) online. The patient is not charged separately for the visit at the ZipTicket location since they are charged for the virtual visit online.

A consultation will cost $25, payable online by any major credit card. No fee is charged if we are unable to diagnose and offer a treatment plan.

Mission Virtual Clinic is a self-pay service. Depending on your insurance coverage, you may be able to submit your Mission Virtual Clinic receipt for reimbursement.

Please call Mission Virtual Clinic customer support at 828-222-7962 .

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Select  Blue Cross Blue Shield Global™ or GeoBlue  if you have international coverage and need to find care outside the United States.

The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies.

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How to see a doctor when you don’t have health insurance

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How to see a doctor without insurance | Without insurance doctor visit costs | Without insurance specialist costs | Without insurance medical care options | Savings

If you’re sick, you make an appointment to see a doctor, right? Well, if you’re in the United States and are one of the many people who is either uninsured or underinsured, getting medical care isn’t quite so simple. The healthcare system can be wildly expensive for those without insurance—or for those whose insurance doesn’t cover enough. Out-of-pocket medical bills can range from $68 to $234 for a simple visit to your primary care physician, and that is only for the doctor’s fee. Other services like imaging and blood work will run that bill up even more. 

So, how do you access a doctor without health insurance? Luckily, there are a few options available. However, they vary by where you live, what kind of treatment is required, and other factors specific to your circumstances. Healthcare costs can be a very intimidating thing, but the good news is that there are ways to be informed and make decisions that minimize your medical expenses.

How to see a doctor without insurance

First and foremost, people should not avoid going to the doctor strictly because of cost. It could cost your health and your wallet more down the line if you postpone getting the care you need. Even if you don’t have health insurance, you can still see a doctor and receive medical treatment—preventive care, acute care, urgent care, or emergency care. The difficult part is to find services that are affordable. Surveys have shown that most providers will provide you with pricing information upfront before scheduling. This allows you to shop for the best price and limit surprises in terms of the cost of a doctor’s visit.

How much does it cost to see a doctor without insurance?

Unfortunately, if you’re uninsured, getting medical care can be quite costly. Just how costly is difficult to determine, as it varies by the medical issue you’re having, type of provider you’re seeing, and where you live. While debt.org lists the average cost of a doctor visit somewhere between $70 and $250, this number rises if you need additional testing or prescriptions. It can be astronomical should you need to visit the emergency room. The healthcare costs for various accidents and illnesses can add up quickly when you factor in billable items like blood tests, X-rays, and ambulance rides. Many people end up being surprised by large bills after a medical event. 

The average cost for diagnostic tests can also vary by quite a bit depending on your region and where you went. According to the Healthcare Bluebook , a database that compiles rates, a blood count lab test can range anywhere between $15 and $100, a chest X-ray can range between $40 and $250, and a fetal ultrasound can set you back between $89 and $480. As you can see, it can be a real challenge to estimate just how much medical care might cost should you end up needing it.

Just how much you will pay can also depend on where you are receiving care. Some clinics can give discounts, or allow you to pay on a sliding scale that is based on your income. Community clinics may end up cheaper than going to a direct care provider, and urgent care clinics can be less expensive than a trip to the ER. Ultimately, what you will be paying varies a lot on your specific health problem and where you go for treatment. Before visiting a clinic, you can “shop around” to compare prices or find out if you can get the treatment you need somewhere cheaper. 

It’s important to call out that there are many people who are uninsured that don’t have to be. You can visit healthcare.gov or contact your local department of social services to find out whether you qualify for free or low-cost health insurance.

How expensive is it to see a specialist without insurance?

Like other visits, costs at specialists can vary depending on location, visit type, and additional services needed. A visit to the pediatrician for your child’s annual well exam can range anywhere from $130 to over $400. However, seeing your gynecologist for something like a uterine biopsy can be over $2000. Typically, at the point in which specialist care is needed, so are supportive imaging tests, lab draws, procedures, or prescriptions . These charges can add up quickly. Again, don’t let being uninsured or underinsured prevent you from addressing your health. Data has shown that fewer screenings and preventive health visits are completed by the uninsured, and negative health outcomes are higher because of this.  

Where can I go for medical care without insurance?

The best places to start are community health clinics, walk-in medical clinics, and direct care providers. One thing to consider as well is the type of medical provider or type of doctor you choose to see. Fees for mid-level medical professionals such as nurse practitioners and physician assistants may be lower than those for a medical doctor (MD). Fees for specialists tend to be higher than visits with a primary care doctor or general practitioner. Mid-level providers are well-equipped to treat common ailments such as urinary tract infections, upper respiratory infections, or minor injuries.

Community health clinics

Community health clinics are likely available in your area. These can be free or at a low cost to you. These clinics provide some of the most necessary care for people, such as preventive screenings and vaccinations, without the hefty price tag of a direct primary care provider or insurance requirements. Many of these allow people to pay on a “sliding scale” based on their income, or offer free medical care and services. Try searching your area through the directory on freeclinics.com .

Walk-in clinics

Walk-in clinics are also available for more routine issues, and they can take cash payments if you do not have insurance. You can see a doctor at a walk-in clinic for minor issues and be billed for the visit. However, not all of these are as affordable as others, so make sure to ask whether the costs are upfront. Some walk-in clinics offer care at low or reduced rates, while others may be able to help you apply for free or low-cost health insurance, like Medicaid.                                                                                           

Direct care providers

Even if you don’t have health insurance, it’s still possible to see a healthcare provider; however, it may come at a fee. There are clinics that cater to the uninsured, known as cash-only clinics, concierge clinics, or direct care providers. You may want to shop around to find a doctor that you like that also fits within your budget. 

Hospital emergency room

If you have an immediate medical emergency, you should go to the hospital emergency room or call 911. Emergency medical providers like hospitals generally can’t refuse care in a medical emergency because you don’t have health insurance. Let the staff know that you are uninsured, as you may be able to arrange repayment terms over time with their billing department, or get assistance applying for emergency medicaid or other insurance. However, emergency care is the most expensive type of care. Only use it if it’s a true emergency to avoid incurring expensive bills. In non-emergency situations, urgent care is typically a more affordable option.

Urgent care centers

Urgent care centers are available for immediate emergencies and other time-sensitive medical needs, and often are able to take direct payment from the patient. Urgent care visits may wind up being a cheaper alternative to a hospital visit, provided the clinic is able to address your medical needs. These centers are like a walk-in clinic for more serious concerns, such as broken bones, sprains, and wounds requiring stitches. They are better equipped for more detailed imaging and testing as compared to a walk-in clinic for these more serious matters. True emergency situations like cardiac arrest or anaphylactic shock still require an emergency room visit.

How to save money when you don’t have health insurance

When getting medical care without insurance, these are the cheapest way to access a doctor without insurance: 

  • Mention you are uninsured . Make sure you find out if there are any discounts that you may be eligible for. 
  • Shop around for care that fits your budget . Rates vary by location. Look for a free, or sliding scale clinic. 
  • Ask for a payment plan . Some healthcare providers will let you pay overtime to reduce upfront costs. 
  • Double-check your bills. Errors are common. Make sure you’re being charged the right amount. You can even negotiate bills after you receive them, just call and ask. You can utilize online tools to get information about average prices to help you know if perhaps an error has occurred.
  • Use prescription savings cards , like SingleCare to reduce the cost of any prescriptions you need. This is especially important for medications you continue to refill for chronic conditions.
  • Ask for drug samples or a generic version . This can greatly reduce the out-of-pocket price for medication.
  • Check to see if you’re eligible for Medicaid services. It’s based on income, household size, and where you live, among other factors.
  • Check out healthcare.gov to see if there are affordable plans for health insurance coverage or plans which may have some cost supplement provided to you. Based on your income, some plans may have very low out-of-pocket premiums and provide good insurance coverage to help control costs. On this website, you can also read more about the Affordable Care Act and how that could benefit you.

RELATED: How can I save on my medication?

Everything feels harder when you’re sick. Take these steps now as a proactive approach before you need healthcare to ensure you are in a better place financially later on. Looking for discounts, coupons, payment plans, and comparing prices can be immensely helpful for your wallet while trying to navigate the healthcare system. Self-pay pricing for medical care, prescription drugs, lab tests, and other procedures can vary greatly. Your best bet is to be prepared.

https://www.singlecare.com/es/recursos/como-ver-a-un-medico-sin-tener-seguro

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Russian Bible Church

OUR MINISTER

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Dr. Joseph Lozovyy was born into a Christian family in Elektrostal, Moscow Region, and was raised in a pastor’s home. From the age of fifteen, he began actively participating in the music ministry of the Baptist Church in Mytishchi, where his father served as a pastor, and also played in the orchestra of the Central Moscow Baptist Church. From 1989, he participated in various evangelistic events in different cities of Moscow Region and beyond. From 1989 to 1992, as a member of the choir and orchestra “LOGOS,” he participated in evangelistic and charitable concerts, repeatedly performing on the stages of the Moscow State Conservatory, the Bolshoi Theatre, and other concert halls in Russia and abroad. In 1992, his family moved to the United States. In 2007, after completing a full course of spiritual and academic preparation, Joseph moved to Dallas, Texas, to engage in church ministry. In 2008, he founded the Russian Bible Church to preach to the Russian-speaking population living in Dallas, Texas.

– Bachelor of Arts in Music (viola) from the Third Moscow Music School named after Scriabin, Russia (1987-1991)

– Master of Theology (Th.M); Dallas Theological Seminary, Texas (1999-2003);

– Doctor of Philosophy (Ph.D) Hebrew Bible (Books of Samuel): University of Edinburgh, Scotland, United Kingdom (2007).

– Doctoral research (2004-2005) Tübingen, Germany.

– Author of a theological work published in English: Saul, Doeg, Nabal and the “Son of Jesse: Readings in 1 Samuel 16-25, LHBOTS 497 [T&T Clark/Continuum: Bloomsbury Publishing]).

https://www.bloomsbury.com/us/saul-doeg-nabal-and-the-son-of-jesse-9780567027535/

Joseph and his wife Violetta and their son Nathanael live in the northern part of Dallas.

Saul, Doeg, Nabal, and the “Son of Jesse”: Readings in 1 Samuel 16-25: The Library of Hebrew Bible/Old Testament Studies Joseph Lozovyy T&T Clark (bloomsbury.com)

Joseph, his wife Violetta and their son Nathaniel live in North Dallas, Texas where he continues ministering to Russian-speaking Christians and his independent accademic research.

Published Work

1. bloomsbury:, 2. buy at christian book distributors:, 3. buy on amazon:.

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40 facts about elektrostal.

Lanette Mayes

Written by Lanette Mayes

Modified & Updated: 02 Mar 2024

Jessica Corbett

Reviewed by Jessica Corbett

40-facts-about-elektrostal

Elektrostal is a vibrant city located in the Moscow Oblast region of Russia. With a rich history, stunning architecture, and a thriving community, Elektrostal is a city that has much to offer. Whether you are a history buff, nature enthusiast, or simply curious about different cultures, Elektrostal is sure to captivate you.

This article will provide you with 40 fascinating facts about Elektrostal, giving you a better understanding of why this city is worth exploring. From its origins as an industrial hub to its modern-day charm, we will delve into the various aspects that make Elektrostal a unique and must-visit destination.

So, join us as we uncover the hidden treasures of Elektrostal and discover what makes this city a true gem in the heart of Russia.

Key Takeaways:

  • Elektrostal, known as the “Motor City of Russia,” is a vibrant and growing city with a rich industrial history, offering diverse cultural experiences and a strong commitment to environmental sustainability.
  • With its convenient location near Moscow, Elektrostal provides a picturesque landscape, vibrant nightlife, and a range of recreational activities, making it an ideal destination for residents and visitors alike.

Known as the “Motor City of Russia.”

Elektrostal, a city located in the Moscow Oblast region of Russia, earned the nickname “Motor City” due to its significant involvement in the automotive industry.

Home to the Elektrostal Metallurgical Plant.

Elektrostal is renowned for its metallurgical plant, which has been producing high-quality steel and alloys since its establishment in 1916.

Boasts a rich industrial heritage.

Elektrostal has a long history of industrial development, contributing to the growth and progress of the region.

Founded in 1916.

The city of Elektrostal was founded in 1916 as a result of the construction of the Elektrostal Metallurgical Plant.

Located approximately 50 kilometers east of Moscow.

Elektrostal is situated in close proximity to the Russian capital, making it easily accessible for both residents and visitors.

Known for its vibrant cultural scene.

Elektrostal is home to several cultural institutions, including museums, theaters, and art galleries that showcase the city’s rich artistic heritage.

A popular destination for nature lovers.

Surrounded by picturesque landscapes and forests, Elektrostal offers ample opportunities for outdoor activities such as hiking, camping, and birdwatching.

Hosts the annual Elektrostal City Day celebrations.

Every year, Elektrostal organizes festive events and activities to celebrate its founding, bringing together residents and visitors in a spirit of unity and joy.

Has a population of approximately 160,000 people.

Elektrostal is home to a diverse and vibrant community of around 160,000 residents, contributing to its dynamic atmosphere.

Boasts excellent education facilities.

The city is known for its well-established educational institutions, providing quality education to students of all ages.

A center for scientific research and innovation.

Elektrostal serves as an important hub for scientific research, particularly in the fields of metallurgy, materials science, and engineering.

Surrounded by picturesque lakes.

The city is blessed with numerous beautiful lakes, offering scenic views and recreational opportunities for locals and visitors alike.

Well-connected transportation system.

Elektrostal benefits from an efficient transportation network, including highways, railways, and public transportation options, ensuring convenient travel within and beyond the city.

Famous for its traditional Russian cuisine.

Food enthusiasts can indulge in authentic Russian dishes at numerous restaurants and cafes scattered throughout Elektrostal.

Home to notable architectural landmarks.

Elektrostal boasts impressive architecture, including the Church of the Transfiguration of the Lord and the Elektrostal Palace of Culture.

Offers a wide range of recreational facilities.

Residents and visitors can enjoy various recreational activities, such as sports complexes, swimming pools, and fitness centers, enhancing the overall quality of life.

Provides a high standard of healthcare.

Elektrostal is equipped with modern medical facilities, ensuring residents have access to quality healthcare services.

Home to the Elektrostal History Museum.

The Elektrostal History Museum showcases the city’s fascinating past through exhibitions and displays.

A hub for sports enthusiasts.

Elektrostal is passionate about sports, with numerous stadiums, arenas, and sports clubs offering opportunities for athletes and spectators.

Celebrates diverse cultural festivals.

Throughout the year, Elektrostal hosts a variety of cultural festivals, celebrating different ethnicities, traditions, and art forms.

Electric power played a significant role in its early development.

Elektrostal owes its name and initial growth to the establishment of electric power stations and the utilization of electricity in the industrial sector.

Boasts a thriving economy.

The city’s strong industrial base, coupled with its strategic location near Moscow, has contributed to Elektrostal’s prosperous economic status.

Houses the Elektrostal Drama Theater.

The Elektrostal Drama Theater is a cultural centerpiece, attracting theater enthusiasts from far and wide.

Popular destination for winter sports.

Elektrostal’s proximity to ski resorts and winter sport facilities makes it a favorite destination for skiing, snowboarding, and other winter activities.

Promotes environmental sustainability.

Elektrostal prioritizes environmental protection and sustainability, implementing initiatives to reduce pollution and preserve natural resources.

Home to renowned educational institutions.

Elektrostal is known for its prestigious schools and universities, offering a wide range of academic programs to students.

Committed to cultural preservation.

The city values its cultural heritage and takes active steps to preserve and promote traditional customs, crafts, and arts.

Hosts an annual International Film Festival.

The Elektrostal International Film Festival attracts filmmakers and cinema enthusiasts from around the world, showcasing a diverse range of films.

Encourages entrepreneurship and innovation.

Elektrostal supports aspiring entrepreneurs and fosters a culture of innovation, providing opportunities for startups and business development.

Offers a range of housing options.

Elektrostal provides diverse housing options, including apartments, houses, and residential complexes, catering to different lifestyles and budgets.

Home to notable sports teams.

Elektrostal is proud of its sports legacy, with several successful sports teams competing at regional and national levels.

Boasts a vibrant nightlife scene.

Residents and visitors can enjoy a lively nightlife in Elektrostal, with numerous bars, clubs, and entertainment venues.

Promotes cultural exchange and international relations.

Elektrostal actively engages in international partnerships, cultural exchanges, and diplomatic collaborations to foster global connections.

Surrounded by beautiful nature reserves.

Nearby nature reserves, such as the Barybino Forest and Luchinskoye Lake, offer opportunities for nature enthusiasts to explore and appreciate the region’s biodiversity.

Commemorates historical events.

The city pays tribute to significant historical events through memorials, monuments, and exhibitions, ensuring the preservation of collective memory.

Promotes sports and youth development.

Elektrostal invests in sports infrastructure and programs to encourage youth participation, health, and physical fitness.

Hosts annual cultural and artistic festivals.

Throughout the year, Elektrostal celebrates its cultural diversity through festivals dedicated to music, dance, art, and theater.

Provides a picturesque landscape for photography enthusiasts.

The city’s scenic beauty, architectural landmarks, and natural surroundings make it a paradise for photographers.

Connects to Moscow via a direct train line.

The convenient train connection between Elektrostal and Moscow makes commuting between the two cities effortless.

A city with a bright future.

Elektrostal continues to grow and develop, aiming to become a model city in terms of infrastructure, sustainability, and quality of life for its residents.

In conclusion, Elektrostal is a fascinating city with a rich history and a vibrant present. From its origins as a center of steel production to its modern-day status as a hub for education and industry, Elektrostal has plenty to offer both residents and visitors. With its beautiful parks, cultural attractions, and proximity to Moscow, there is no shortage of things to see and do in this dynamic city. Whether you’re interested in exploring its historical landmarks, enjoying outdoor activities, or immersing yourself in the local culture, Elektrostal has something for everyone. So, next time you find yourself in the Moscow region, don’t miss the opportunity to discover the hidden gems of Elektrostal.

Q: What is the population of Elektrostal?

A: As of the latest data, the population of Elektrostal is approximately XXXX.

Q: How far is Elektrostal from Moscow?

A: Elektrostal is located approximately XX kilometers away from Moscow.

Q: Are there any famous landmarks in Elektrostal?

A: Yes, Elektrostal is home to several notable landmarks, including XXXX and XXXX.

Q: What industries are prominent in Elektrostal?

A: Elektrostal is known for its steel production industry and is also a center for engineering and manufacturing.

Q: Are there any universities or educational institutions in Elektrostal?

A: Yes, Elektrostal is home to XXXX University and several other educational institutions.

Q: What are some popular outdoor activities in Elektrostal?

A: Elektrostal offers several outdoor activities, such as hiking, cycling, and picnicking in its beautiful parks.

Q: Is Elektrostal well-connected in terms of transportation?

A: Yes, Elektrostal has good transportation links, including trains and buses, making it easily accessible from nearby cities.

Q: Are there any annual events or festivals in Elektrostal?

A: Yes, Elektrostal hosts various events and festivals throughout the year, including XXXX and XXXX.

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Where is the 'faux-tox' coming from? Not from legitimate sources, doctors say

A box of Botulinum Toxin Type A Botox

Warnings about fake Botox injections given by people not trained to give the shots are growing. On Friday, the New York City Health Department said that three people have had to go to emergency departments after getting injections of botulinum toxin in their face, neck, upper back or armpits.

Within days or weeks of getting the shots, the three developed a range of symptoms, from double vision and drooping eyelids to difficulty swallowing, breathing and raising their arms.

Two were hospitalized, and one needed to be admitted to an intensive care unit.

The new insights come as both the Centers for Disease Control and Prevention and the Food and Drug Administration investigate other cases of people who’ve had to be hospitalized with potentially severe side effects after getting fake Botox shots from unlicensed providers.

On Friday, the CDC reported that at least 22 people in 11 states have had bad reactions, including slurred speech, trouble breathing and blurry vision, after receiving counterfeit versions of the wrinkle-smoothing treatment.

Eleven of those patients were hospitalized, the CDC said, and six were treated with

No deaths have been reported.

Of 20 people with information available, 11 (55%) people were hospitalized and 6 (27%) were treated with botulism antitoxin because of concerns that the botulinum toxin could have spread beyond the injection site. Of seven people tested for botulism, six people had negative results. Results are pending for one person.

All reports came from people identifying as females, ranging in age from 25 to 59 years, with a median age of 41 years. Twenty (91%) people reported receiving botulinum toxin injections for cosmetic purposes. All people reported receiving these injections from unlicensed or untrained individuals or in non-healthcare settings, including homes and spas.

All are women between the ages of 25 and 59, most around age 40. The women had received the shots in “non-healthcare settings,” such as homes and spas, the CDC said. Reports of symptoms possibly related to the fake Botox were first reported in early November 2023.

“People should not be getting injections from friends or at parties,” NYC Health Commissioner Dr. Ashwin Vasan said in a press release Friday. “A price that is too good to be true, or if a service provider does not explain the risks and side effects of the procedure, are clear warning signs that the products or services may not be legitimate and could pose a risk to your health.”

The FDA said that there’s no indication that authentic Botox, from the drugmaker AbbVie, is linked to any of the illnesses.

The drug uses a purified form of a neurotoxin called botulinum toxin that causes muscle paralysis. Injected in precise amounts into specific areas of the face, it can relax muscles that cause wrinkles.

In an email to NBC News, the FDA said that it’s “actively working” with state and federal health authorities to investigate the source of counterfeit Botox.

“The question is, is this ‘faux-tox’ all one and the same?” asked Dr. Adam Friedman, a dermatologist and chair of dermatology at George Washington University. “Or are multiple people creating different versions of it? We don’t know the answer to that.”

Dr. Kate Dee, a physician and founder of Glow Medispa in Seattle, blamed the recent illnesses on unregulated medical spas , which have ballooned in recent years, becoming a $15 billion  wellness industry. 

“The problem is not that there’s fake Botox around and doctors might accidentally use it. That’s not what’s happening. Doctors get real Botox, and we pay lots of money to do things legally and legitimately,” she said. “It’s these people who are busy trying to make money from the med spa industry, the esthetics industry, who are getting it because it’s so much cheaper.”

Cases linked to counterfeit Botox have been detected so far in California, Colorado, Florida, Illinois, Kentucky, Nebraska, New Jersey, New York, Tennessee, Texas and Washington. At least 11 patients have been hospitalized, according to the CDC.

Some symptoms, such as blurred vision and drooping eyelids, appeared near the injection site, while others were more widespread, including fatigue and generalized weakness.

Other potentially concerning symptoms could include constipation, incontinence, dry mouth and difficulty lifting the head, the FDA said.

The difference in side effects from fake Botox

Usually, adverse events related to real Botox injections are the result of “poor technique,” such as injecting the toxin into the wrong muscle or in the wrong location, Friedman said.

“But if these patients might be going into respiratory distress or failure because of systemic poisoning,” he said, “that’s different from what doctors usually see.”

The FDA said there are several ways to identify counterfeit Botox products:

  • The outer carton and vial contain lot number C3709C3.
  • The outer carton displays the active ingredient as “Botulinum Toxin Type A” instead of “OnabotulinumtoxinA.”
  • The outer carton and vial indicate 150-unit doses, which is not a unit made by AbbVie.
  • The outer carton has language that is not English.

Dee recommends that patients ask to see the vial of toxin before getting the shots. “At the very least, look at the vial because if it’s in any other language besides English, it’s not real Botox.”

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Erika Edwards is a health and medical news writer and reporter for NBC News and "TODAY."

19th Edition of Global Conference on Catalysis, Chemical Engineering & Technology

  • Victor Mukhin

Victor Mukhin, Speaker at Chemical Engineering Conferences

Victor M. Mukhin was born in 1946 in the town of Orsk, Russia. In 1970 he graduated the Technological Institute in Leningrad. Victor M. Mukhin was directed to work to the scientific-industrial organization "Neorganika" (Elektrostal, Moscow region) where he is working during 47 years, at present as the head of the laboratory of carbon sorbents.     Victor M. Mukhin defended a Ph. D. thesis and a doctoral thesis at the Mendeleev University of Chemical Technology of Russia (in 1979 and 1997 accordingly). Professor of Mendeleev University of Chemical Technology of Russia. Scientific interests: production, investigation and application of active carbons, technological and ecological carbon-adsorptive processes, environmental protection, production of ecologically clean food.   

Title : Active carbons as nanoporous materials for solving of environmental problems

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Russia's Nuclear Deterrent Command Center Imperiled by Winter Freeze—Report

A Russian nuclear deterrent command center in Moscow has been imperiled by power outages that have impacted more than one-quarter of the region's cities amid freezing temperatures, a Russian Telegram channel has reported.

The VChK-OGPU outlet, which purports to have inside information from Russian security forces, reported that the 820th Main Center for Missile Attack Warnings—part of the Russian Space Forces, a branch of the country's Aerospace Forces—near Solnechnogorsk in Moscow is without power.

It serves as the space forces early warning network against potential ballistic missile attacks.

The development comes as Russians are reported to be suffering from power outages in their homes in the Moscow region caused by technical issues at plants amid subzero temperatures.

 Russian Yars intercontinental ballistic missile launcher

On January 4, a heating main burst at the Klimovsk Specialized Ammunition Plant in the town of Podolsk, which is about 30 miles south of central Moscow. Since then, tens of thousands of Russians are reported to have no heating in their homes.

Affected areas include the cities of Khimki, Balashikha, Lobnya, Lyubertsy, Podolsk, Chekhov and Naro-Fominsk, a map published by a Russian Telegram channel and shared on other social media sites shows.

Other Russian media outlets reported that in Moscow, residents of Balashikha, Elektrostal, Solnechnogorsk, Dmitrov, Domodedovo, Troitsk, Taldom, Orekhovo-Zuyevo, Krasnogorsk, Pushkino, Ramenskoye, Voskresensk, Losino-Petrovsky and Selyatino are also without power.

The Telegram channel said that at the 820th Main Center for Missile Attack Warnings, "the crew...is on duty around the clock."

"It is here that the decision on a retaliatory nuclear strike is executed," the channel said.

  • Russia maps show 25% of Moscow without power amid winter freeze "emergency"
  • Serbian mercenary turns on Russian leaders: "They treat us like cattle"
  • Winter freeze threats come back to bite Russia as power outages spread

Newsweek could not independently verify the report and has reached out to the Russian Defense Ministry by email for comment.

Power outages have also been reported in Russia's second-largest city, St. Petersburg, in the country's western Voronezh region, in the southwest city of Volgograd, and in Rostov, which borders Ukraine, a country that Russia has been at war with since February 24, 2022.

On Sunday, two shopping malls in St. Petersburg were forced to close because of problems with light and heating, reported local news outlet 78.ru. Hundreds of other homes in the city have had no electricity, water or heating for days amid temperatures of -25 C (-13 F).

Russian authorities have also been forced to compensate passengers of a train that ran from Samara to St. Petersburg (a 20-hour journey) without heating during -30 C (-22 F) temperatures. Videos circulating on social media showed carriage windows frozen over. A passenger also said the toilet didn't work during the trip because of frozen pipes.

Do you have a tip on a world news story that Newsweek should be covering? Do you have a question about the Russia-Ukraine war? Let us know via [email protected].

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About the writer

Isabel van Brugen is a Newsweek Reporter based in Kuala Lumpur. Her focus is reporting on the Russia-Ukraine war. Isabel joined Newsweek in 2021 and had previously worked with news outlets including the Daily Express, The Times, Harper's BAZAAR, and Grazia. She has an M.A. in Newspaper Journalism at City, University of London, and a B.A. in Russian language at Queen Mary, University of London. Languages: English, Russian

You can get in touch with Isabel by emailing [email protected]  or by following her on X @isabelvanbrugen

To read how Newsweek uses AI as a newsroom tool, Click here.

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Study record managers: refer to the Data Element Definitions if submitting registration or results information.

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Double-blind, Placebo-controlled, Randomized Study of the Tolerability, Safety and Immunogenicity of an Inactivated Whole Virion Concentrated Purified Vaccine (CoviVac) Against Covid-19 of Children at the Age of 12-17 Years Inclusive"

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Recruitment of volunteers will be competitive. A maximum of 450 children aged 12 to 17 years inclusive will be screened in the study, of which it is planned to include and randomize 300 children who meet the criteria for inclusion in the study and do not have non-inclusion criteria, data on which will be used for subsequent safety and immunogenicity analysis.

Group 1 - 150 volunteers who will be vaccinated with the Nobivac vaccine twice with an interval of 21 days intramuscularly.

Group 2 - 150 volunteers who will receive a placebo twice with an interval of 21 days intramuscularly.

In case of withdrawal of volunteers from the study, their replacement is not provided.

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Inclusion Criteria:

  • Volunteers must meet the following inclusion criteria:

Type of participants • Healthy volunteers.

Age at the time of signing the Informed Consent

• from 12 to 17 years inclusive (12 years 0 months 0 days - 17 years 11 months 30 days).

Paul • Male or female.

Reproductive characteristics

  • For girls with a history of mensis - a negative pregnancy test and consent to adhere to adequate methods of contraception (use of contraceptives within a month after the second vaccination). Girls should use methods of contraception with a reliability of more than 90% (cervical caps with spermicide, diaphragms with spermicide, condoms, intrauterine spirals).
  • For young men capable of conception - consent to adhere to adequate methods of contraception (use of contraceptives within a month after the second vaccination). Young men and their sexual partners should use methods of contraception with a reliability of more than 90% (cervical caps with spermicide, diaphragms with spermicide, condoms, intrauterine spirals).

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  • A case of established COVID-19 disease confirmed by PCR and/or ELISA in the last 6 months.
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  • Burdened allergic history (anaphylactic shock, Quincke's edema, polymorphic exudative eczema, serum sickness in the anamnesis, hypersensitivity or allergic reactions to the introduction of any vaccines in the anamnesis, known allergic reactions to vaccine components, etc.).
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Dr Pepper is bringing a new, limited-time coconut flavor to a store near you: What to know

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Dr Pepper has a new flavor coming out just in time for summer.

The company announced Dr Pepper Creamy Coconut and Dr Pepper Creamy Coconut Zero Sugar will be available beginning May 1 at retailers nationwide through the end of July.

The flavor will be sold in 12-oz 12-packs and also 20-oz bottles, the company said, and "brings together the perfect combination of the original 23 Dr Pepper flavors with layers of tropical coconut flavor and a delicious, creamy finish."

Dr Pepper says the new flavor "pairs perfectly with a hot summer day" and is the only "coconut-cream-flavored dark soda on the market."

New drink: Starbucks releases 'swicy' refresher beverages built off sweet heat trend

Dr Pepper also released coconut-flavored creamer

The new flavor comes about a month after the soda company partnered with Coffee Mate to create a new coconut lime-flavored creamer that is made specifically to be mixed with Dr Pepper to create dirty sodas.

The creamer, also available for a limited time, combines "notes of refreshing coconut and zesty lime flavors" that, when mixed with Dr Pepper, creates a "classic dirty soda – no extra ingredients required," according to the companies.

“We are excited to collaborate with Dr Pepper merging the worlds of coffee creamer and soda, making it easy to make the viral Dirty Soda trend that’s taken the world by storm," said Leonardo Aizpuru, vice president of brand marketing for the beverage division and business unit at Nestle, in a statement to USA TODAY last month.

Gabe Hauari is a national trending news reporter at USA TODAY. You can follow him on X  @GabeHauari  or email him at [email protected].

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  14. 40 Facts About Elektrostal

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  20. Double-blind, Placebo-controlled, Randomized Study of the Tolerability

    Recruitment of volunteers will be competitive. A maximum of 450 children aged 12 to 17 years inclusive will be screened in the study, of which it is planned to include and randomize 300 children who meet the criteria for inclusion in the study and do not have non-inclusion criteria, data on which will be used for subsequent safety and immunogenicity analysis.

  21. Dr Pepper Creamy Coconut: See when the new flavor will be available

    Dr Pepper has a new flavor coming out just in time for summer. The company announced Dr Pepper Creamy Coconut and Dr Pepper Creamy Coconut Zero Sugar will be available beginning May 1 at retailers ...