Thanks to international travel and the spread of the Aedes aegypti mosquito that carries chikungunya, the disease has spread extremely rapidly throughout the Caribbean and southern United States. Dermatologists should make themselves aware of skin signs and symptoms.
The world’s leading 30 pharmaceutical companies spent a combined $112 billion on research and development (R&D) in 2013, an increase of $723 million over the previous year. According to our new Global Pharmaceutical Benchmark Report, Roche was the R&D spending leader, outlaying nearly $10 billion in 2013. Meanwhile, Novartis and Johnson & Johnson (J&J) increased their R&D spend the most between 2012 and 2013, with each adding around $500 million to their respective clinics. Novartis’ R&D spending grew by 5.6% to $9.8 billion, and J&J spent $8.2 billion, which was up by 6.8% from 2012.
You are on call as a local pediatric infectious disease physician and receive a message from a colleague at a nearby primary care clinic. A 10-year-old boy is being referred to you for persistent fever and intermittent dry cough that began 4 weeks ago after a week spent visiting family in Karachi, Pakistan.