As investigations continue into the New England Compounding Center (NECC), the news isn’t encouraging.

In fact, according to NBC News, the bacterial and fungal contamination at the Massachusetts Compounding Center may have spread beyond the injection epidural steroids that have already been linked to a meningitis outbreak, 541 infections and more than 36 fatalities.

Our Boston personal injury attorneys want to warn individuals of these new developments in the NECC investigation. As more information on the Compounding Center comes to light, we firmly hope that no more people will have to suffer the devastation that comes with a serious or fatal infection. 820943_injection.jpg

More Bacteria & Fungi Identified
A Health Alert released by federal officials on Monday December 3 has raised concerns that contamination at the compounding pharmacy may be more widespread than originally believed. New lab results have shown that fungi and bacteria are present in unopened vials of three different drugs produced by the compounding center.

This new discovery refers to three new drugs, in addition to the epidural steroids that were contaminated and in addition to the two other drugs that NECC already identified Bacillus bacteria in. The newly identified contaminated drugs include injection betamethasone; triamcinolone; and cardioplegia. They are used, respectively, to treat inflammation, severe itching and during heart surgery.

The new vials of these three drugs were found to contain a dozen types of fungal species and Bacillus bacteria including Aspergillus, Cladosporium and Peniciullum. Unfortunately, the Centers for Disease Control (CDC) indicates that some of these organisms have been linked to disease in humans.

The Risk to Patients
CDC alerts indicate that some patients have reported illnesses after receiving one of these three drugs produced at NECC. Reported complaints include inflammation of the membranes of the central nervous system, as well as other medical issues. However, there have been no confirmed reports to date of cases of fungal meningitis, spinal infections or para-spinal infections resulting from patients taking any of these three medications.

Because there have been no confirmed reports, CDC officials indicated that there is no evidence that non-methylprednisolone NECC products have caused meningitis outbreaks. However, this doesn’t mean that reports will not come to light in the future and it does not mean that the drugs are necessarily safe. According to NBC, officials from CDC are urging doctors to carefully monitor patients for any signs of fungal infection if they have been dosed with the potentially contaminated NECC medications.

The Investigation Continues
NECC is now closed but the consequences of their careless behavior are still coming to light and investigations still continue into the negligent and irresponsible behavior at the Compounding Center.

Evidence of environmental problems and unsanitary conditions in the lab dates back to at least January, and more than 14,000 patients were treated with the tainted epidural steroids that gave rise to the meningitis outbreak. New cases may still be reported from the epidural steroids or when the bacteria and fungus from these other contaminated drugs begins to manifest as an infection.
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On November 26, 2012, a new ordinance went into effect in the city of Boston. The new ordinance is designed to help reduce the number of concussions suffered by kids who play youth sports and to reduce the potential dangers associated with concussion.

Our Boston sports injury attorneys believe that the new ordinance may go a long way towards helping kids avoid devastating sports injuries. We urge all public and private educational institutes to take note of the new requirements and we encourage parents and kids who play sports to be aware of the new regulations in order to stay safer. 1387547_goal.jpg

The New Boston Youth Sports Rules and Sports Injuries
According to Fox Boston, thousands of young athletes suffer concussions each year while playing sports. Concussions are dangerous head injuries that can lead to complications including traumatic brain injury, memory problems and mood changes, especially if children suffer repeated concussions. Because of the known-dangers of concussions, lawmakers have now created new regulations aimed to protect kids.

According to the new Boston ordinance, all public and private school sports teams will now have to undergo concussion training and will need to have concussion management procedures in place before children under the age of 18 are permitted to play sports. The concussion training will help staff on youth sports teams to better identify head injuries and potential concussions. Staff members and coaches must receive this head injury training each year, with only visiting teams exempt from attending required annual training.

The new ordinance will also apply to any independent organization that makes use of city-owned facilities for sports practice or sporting events.

The Importance of Protecting Kids from Head Injuries
The new Boston ordinance was passed after five Southbridge children were injured in a Pop Warner football game and suffered concussions. The aim of the requirement is to expand on existing 2010 laws that were designed to protect middle and high school athletes. The training requirements now extend not just to teams with older kids playing sports but to teams with any kids playing sports. The expansion is an important one because any child is vulnerable to suffering a head injury on the field.

Getting treatment immediately is required in cases of serious head injury, and any child who does suffer a concussion needs to be examined and observed by an experienced physician for signs of potential head trauma or complications arising from the concussion. Kids can only get the help they need if the coaches and staff who are supposed to be responsible for them understand how to identify and respond to head injuries.

In certain instances, colleges and schools have been held legally accountable for kids who suffered head injuries during sporting events. When a school or sports organization is considered to have been negligent in fulfilling their obligations to a student athlete, the organization can become responsible for paying all costs associated with the concussion or other injury. These costs can be significant if a child was seriously harmed as a result of the schools failure.

The new ordinance on concussions now imposes an additional obligation on schools to ensure that their staff is trained in concussions. This new ordinance could, therefore, give students and parents greater legal rights to sue when a head injury is overlooked or improperly managed by a coach.
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As the weather in Massachusetts starts to get cooler, the chance of snow and ice lingering on the ground increases. Snow and ice on pathways, driveways, in parking lots and throughout the city present a significant risk to pedestrians and visitors since it is all-too-easy to fall and suffer a serious injury.

This winter season, our Boston personal injury attorneys want to remind homeowners and business owners to take precautions to make sure their property is safe so visitors aren’t at risk of slipping and falling. We also want to remind pedestrians to be cautious where they walk to avoid the risk of a fall. 1402289_chalet_in_snow_and_woods.jpg

Property Owner Responsibility for Snow and Ice
If you are a property owner and people come onto your property, whether those visitors are customers, friends, family or the mailman, you have a responsibility to make sure the property is reasonably safe. Normally, this means keeping your property in good repair and either fixing any dangers that you are aware of or warning guests that there is a hazard.

As winter approaches, however, your responsibility for keeping up your property may also extend to keeping your space free from dangerous snow and ice. If you fail in that responsibility, you may be held legally liable for damages if the ice or snow causes an injury.

Property owners in Massachusetts weren’t always subject to legal liability for all snow and ice on their property, but an important change in the law occurred in 2010. According to Mass Live.com, the Massachusetts’ courts changed a centuries-old rule that protected homeowners from liability. Under the old rule, property owners weren’t held responsible if they failed to remove natural accumulations of snow on their property. Natural accumulations were defined as snow put on the property by Mother Nature, as opposed to piles of snow made by the snowplow.

This changed, however, after a man broke his pelvis in a patch of ice on a parking lot in front of a Target store. The parking lot had been plowed, with a pile of snow left in the median strip. There was a dispute over whether the slippery patch that caused the fall was the result of a “natural accumulation” or not, but the Supreme Judicial Court ruled that it did not matter.

Effectively, a new rule was created by this case. The new rule mandates that any accumulation of snow or ice that presents a danger to visitors can be considered a “defect” with which a property owner has to deal.

Under this new rule, property owners would be wise to ensure that their properties are always kept clear of snow and ice that could be dangerous. This may mean a few minutes shoveling the walk, but it is worth avoiding the potential for legal liability.

Pedestrian Risks of A Slip and Fall on Ice
Pedestrians, too, should take steps to protect themselves from a fall this winter. This can mean wearing appropriate winter boots or shoes and watching carefully where you are walking.

Ultimately, however, it is the owner of a property who has a duty to visitors and guests to keep the property reasonably safe, and if a pedestrian is hurt as a result of a slip and fall on ice, the pedestrian may be able to take legal action to recover damages from the property owner.
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The time between Thanksgiving and New Years Eve is among the most dangerous periods to be on the road in Massachusetts and throughout New England. Recently, Boston.com reported that more accidents occur during the year-end holidays than at other times throughout the year, in large part because of more travelers as well as an increased risk of drunk and aggressive driving.

As you enter into the holiday season, our Boston personal injury attorneys urge you to understand the increased risk of auto accidents and to take steps to avoid the most dangerous behaviors that contribute to such wrecks. 1406789_winter_blizzard_scene.jpg

The Causes of Holiday Auto Accidents
There are many reasons why the number of accidents increase from Thanksgiving to New Years. One reason is that there are simply more drivers on the road as people go see friends, take trips and travel for the holidays. The bad winter weather may also contribute to the increased car accident risks. However, while these factors are beyond the control of drivers, there are also some driver behaviors that significantly up the chances of a holiday car wreck.

Law enforcement officials have identified three specific behaviors that tend to be factors responsible for causing holiday auto accidents. CBS Boston reports that state police in Massachusetts as well as the five other New England States will be teaming up to help put a stop to these behaviors this holiday season.

The behaviors of concern that lead to crashes over the holidays include:

  • Driver aggression
  • Driving while under the influence of drugs or alcohol
  • Driving while distracted

Each of these behaviors presents some serious dangers. For example, the National Safety Council (NSC) indicates that speeding, a form of aggressive driving, is a contributing cause of one out of every three deadly car crashes in the U.S. The AAA Foundation for Traffic Safety statistics also indicate that aggressive driving is a factor in 56 percent of U.S. fatal car crashes. Aggressive driving behaviors of concern include speeding, tailgating, failing to give another driver the right-of-way and engaging aggressively with another driver.

Distracted and drunk driving are no less dangerous. Statistics from Distraction.gov indicate that 3,092 car accident deaths in 2010 can be attributed to distracted driving and the Century Council reports that there were 114 drunk driving deaths in the state of Massachusetts in 2010. Distracted driving can include driving while on a cell phone, while texting or when otherwise focusing on anything besides the road. Drunk driving typically refers to driving with your blood alcohol content exceeding .08, but can also include other situations where your driving abilities are impaired by either alcohol or drugs.

Avoiding Auto Accident Dangers This Holiday Season
Law enforcement hopes that tougher enforcement, a larger police presence and driver education will help to curb these dangerous behaviors this holiday season. As a driver, you should be aware of the increased risk, however, and you should also be aware that you have legal rights if other drivers are careless or break the laws and cause you harm.
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On November 23, 2012, a Columbia Gas Co. worker responded to reports of a gas leak in the Springfield entertainment district. The worker followed markings intended to identify the location of the gas line and, working an appropriate distance away from where the gas line was supposed to be, used a metal tool intended to drive a hole to see if any gas was leaking outside. The tool, which was supposed to discover the source of the gas leak, unfortunately punctured a high-pressure gas line instead. A devastating explosion resulted, causing damage to 42 buildings and injuring 20.

According to USA Today, Columbia Gas Co. reported that the worker followed proper protocol and did what he was supposed to do. Unfortunately, the markings indicating the location of the gasline was outdated, thus leading to the terrible explosion.

Our Boston personal injury attorneys are concerned for the victims of this explosion and are also concerned that this explosion is a harbinger of things to come. 121124_springfield_explosion.jpg

The infrastructure in many major cities is aging, and CleanTechnica recently reported that Boston University and Duke University Researchers had identified more than 3,000 gas leaks in the aging pipelines within Boston. Natural gas leaks present very real dangers to people living near them, and explosions like this recent Springfield explosion may begin to occur more frequently if steps aren’t taken to make gas pipelines safer.

The Springfield Natural Gas Explosion
The Springfield natural gas explosion was a major one, with WDHD quoting a witness who described the aftermath as similar to the effects of a hurricane. Windows were blown out in buildings within a three block radius; a strip club was flattened; a daycare was severely damaged and three large buildings were damaged beyond repair. A six-story apartment building and more than 115 housing units were all affected by the blast.

Despite the massive destruction of property, however, those in the vicinity were relatively lucky as there were no fatalities in this explosion and only around 20 injuries. Most of the people who suffered injury were utility workers, police officers and fire fighters who took cover behind a utility truck immediately prior to the explosion. The truck was demolished, but saved the lives of the workers and the first-responders. Many lives were saved as a result of swift action on the part of the utility workers and firefighters in evacuating residents and individuals in nearby buildings.

The Consequences of the Natural Gas Explosion
With 42 buildings immediately condemned and 24 others requiring additional evaluation by structural engineers, this explosion caused millions of dollars in property damage. Those who were injured will also incur costs for treatment. Columbia Gas Co. intends to open a claims center on Monday for businesses and residents who were impacted by the explosion.

Those injured in a natural gas explosion may have legal recourse against the company that was responsible for the accident. Injured victims may recover damage for their financial losses as well as for other losses resulting from pain and suffering and medical expenses.
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Recently, customers of the Massachusetts Bay Transportation Authority’s (MBTA) four commuter rail lines were offered apps to allow them to purchase tickets to ride the train on their smartphones instead of using paper tickets.

This app is the first of its kind in the nation. It’s available through the MBTA mTicket app for Andriod and the iPhone. All a user has to do is show the ticket on the screen of their phone. It’s a digital “flash pass” that contains an encrypted bar code.
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“The new MBTA mTicket application is the latest innovation from MassDOT and the MBTA.” said Richard A. Davey, CEO and Secretary for the Massachusetts Department of Transportation (MassDOT).

Our Boston personal injury attorneys understand that customers can buy tickets in a matter of seconds now. The downloaded tickets are stored in the users “ticket wallet.” Now, customers don’t have to worry about losing their ticket. And even if you lose or break your cell phone, you can just transfer the tickets at any of the MBTA’s customer service locations. This is also helping customers to get out of those pesky surcharges that accompany paper ticket purchases. It’s also a lot easier, more convenient and even faster as riders don’t have to wait in line to purchase tickets anymore. It’s all done in the palm of your hand.

Lines Participating in the Pilot Project (Phase 1):

-Newbury/Rockport

-Haverhill
-Fitchburg
-Lowell
The second phase of the pilot project will allow customer using the Old Colony, Greenbush, Providence, Fairmount, Franklin and the Worcester Commuter Rail Lines to purchase these paperless tickets.

Customers will also soon be able to get monthly passes to ride on their phones. That’s expected to launch in the beginning of 2013. Pretty soon, there will be no more paper tickets left to ride with the MBTA.

And customers seem to be warming up to this new technology. According to the most recent reports, the app has been used about 6,000 times since it was released. The Boston Globe reports that this app is more cost effective than installing ticket machines at all of the Commuter Rails. Money is being saved and riders are having less time to wait in lines. It’s a win-win for everyone.

“There’s been a lot of positive feedback — many are excited about the app and it’s more convenient for them,” said acting General Manager Jonathan Davis.

You can get the app and buy these tickets with just a credit card. The ticket will appear black and white on your screen until you hit “activate.” Upon doing this, the ticket will pop into color and you’re ready to go!

It’s not only the customers who are liking the new app either. Conductors are saying it’s making everything a lot easier, too! Lines are dwindling, confusion is simmering and we’re saving a lot of trees in the process.

Don’t worry BlackBerry users. An app for your phone is currently in the works!
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Officials with the Massachusetts Department of Transportation (MassDOT) recently unveiled a new and more effective snow-clearing machine. It’s the Tow Plow and it can clean 2.5 travel lanes in just one pass. A typical snow plow can’t even clear one lane at a time.
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“This Mega Plow takes the place of three pieces of equipment. We are reducing emissions, man-power, and still clearing the roads for our customers,” said MassDOT CEO and Secretary Richard A. Davey.

Our Braintree personal injury attorneys understand that the snowplows may serve as a nice convenience for us as they help us to navigate our roadways in the snowiest of conditions, but they also serve up some serious dangers. Snowplow operators are typically safety-conscious, but they need your help. Stay back and allow them to safely do their job of clearing the road for you. Don’t take a chance. Don’t crowd the plow!

This season, there are 12 new Tow Plows on order and already 40 new plows with spreaders and 9 new loaders. There are also 4,000 private vendors who join MassDOT in working to clear our roadways.

This year’s ice and snow budget is $45 million. Already this year, District 2 (consisting of New Braintree to Westhampton and Warwick or Southwick) has spent close to $250,000 because of the storm on the 7th of November. Currently, District 2 has close to 80,000 gallons of liquid de-icers and anti-icers, more than 2,000 tons of sand and close to 40 tons of salt. All we need is safe drivers to help them to lay it down safely — without car accidents.

To help to keep you safe around these snow and ice-removing vehicles, we’re here to offer you some safe driving tips. Please review them and share them with your loved ones. Safe roadways is a group effort from all motorists.

Safety Tips — Snowplows:

-Remember that these vehicles have large blind spots and can’t see behind their vehicles. Sometimes they stop or backup to complete clearing the roadway. Keep your distance from these vehicles.

-Keep an eye out for these vehicles. They can be in one lane or in all of the lanes. Make sure you know where they are.

-Stay out of “authorized vehicle only” areas. These are areas for snowplows and other official vehicles to make turnaround.

-Slow down your speed when passing snowplows.

-Always wear a seat belt to help to prevent injury and death in the event of an accident.

-Make sure your headlights are on to increase your visibility and to help others to see more easily.

-Before heading out, check the weather and the traffic reports. This will help you to steer clear of congested and closed areas. This way you can plan a more effective route.

-Never drive through a snow cloud or in whiteout conditions.

-Keep it calm. Remember that snowplow operators periodically pull over to allow traffic to pass by.
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The Mayor of Boston, Thomas M. Menino, recently announced improvements to walkways and pathways to parks in downtown. Crews have already started working on the areas commonly traveled by pedestrians on Boston Common, the Commonwealth Avenue Mall and the Public Garden.
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According to the City of Boston, crews will be starting on the walkways that need work the most. In some areas, entire swaths of these walkways will be repaired while other areas will be “sport treated.” In areas being “spot treated,” these walkways have some serious tripping hazards and even have problems with puddling during and after rain. These walkways will be fixed with “minimal disturbance” to vegetation in the area. Officials plan on keeping tree canopies as they’re critical to the health of the parks as well as the appeal to residents and visitors.

Our Boston personal injury attorneys understand that our city and property owners have a responsibility to keep sidewalks safe for residents and visitors. When this doesn’t happen — accidents do. Premises liability is the legal responsibility that property owners have for injuries that occur on their property due to slip and fall accidents. If someone slips, trips or falls because of a dangerous condition, then it’s usually the property owner who is responsible for the damages. In many cases, you’re able to collect medical expenses, pain and suffering and even compensation for lost work.

In most cases, construction crews will be adding a new layer of concrete. This is going to help to get the sidewalks back to an even surface. Where more work is needed, construction crews will go in and will repair the sub-base.

While these repairs are being made, pedestrians are asked to be careful. The one thing that might be worse than these aged sidewalks are the dangers presented with crews on the scene working to repair.

Mayor Menino is asking departments to start brainstorming on ways to help keep our sidewalks in good-working order. He says that the Boston Parks and Recreation Department will be using the near $1 million capital project to help to make sure that the sidewalks and other walkways in the area will make it through the year.

In Boston Common, construction crews will be installing an filtration basin underneath the walkway. This park has seen a lot of issues with puddling and other water-related problems with the recent storms. This new system will help to drain storm water and help it seep into the ground so that pedestrians can walk along walkways now engulfed in puddles.

If you’re walking through the area, you’re going to see fencing and other signs of constrution. Statutes in the area will also be covered for preservation. Pedestrians might also run into plywood covering artworks and other obstructions.

Officials say that the entire project may not be completed until Spring 2013.
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In a recent ATV accident, a 10-year-old girl was seriously injured after the 9-year-old driver rolled the vehicle.

According to New England authorities, the young boy drove the ATV into a rock, causing it to flip over onto the both of them. The Boston Globe reports that it happened in Danville. Luckily, the boy wasn’t injured and was able to climb from underneath the ATV and run and get help for the young passenger who was still trapped underneath. Two men were able to flip the ATV over and call 9-1-1. The young passenger was transported to Boston Children’s Hospital. Thankfully, both riders were wearing their helmets when the accident happened.
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It’s during this time of year that we need to focus some attention on ATV and snowmobile safety. The temps are getting cool out there and kids will soon be off for Thanksgiving and Holiday break. During this time, they’ll be outside playing — many of them on ATVs and snowmobiles. Our Boston personal injury attorneys are asking parents and guardians to make sure that our youngsters do so safely and responsibly.

In 2009, there were close to 800 people killed in ATV accidents across the nation. An additional 132,000 people were injured in these incidents. Children under the age of 16 accounted for about 20 percent of all of the fatalities and a quarter of all of the injuries in these crashes. Parents are asked to make sure that their children complete safety training courses before heading out. It’s also important that these young riders are equipped with the proper protective gear. This includes a helmet, long sleeves, long pants and sturdy shoes. Goggles are also recommended to keep debris out of their eyes.

Young riders should avoid riding with a passenger. ATVs are usually designed to carry one person at a time. Passengers make these vehicles more difficult to control, too! Lastly, remember to keep these vehicles off of paved roads. They’re designed to be kept on grass, dirt and other natural terrain.

We also need to focus on snowmobile safety during this time of year. As the ground turns white and kids are let out of school, you better believe that they’re going to be heading out — on snowmobiles.

Each year, there are dozens of people who are killed in snowmobile accidents. Most of these accidents involve male riders and most of the accidents involve a snowmobile and a fixed object. Speed is one of the most common factors noted in these accidents. Just like driving a motor vehicle, alcohol is a serious factor, too!

When driving a snowmobile, it’s important to adjust your driving habits to the current conditions. Most snowmobile accidents are completely preventable!

Make sure that you wear the right helmet while riding, that you keep your snowmobile in good-working order and that your headlights and taillights are always working properly. Consider completing a snowmobile safety course while you’re at it. Although not required by the state of Massachusetts, it’s very beneficial in keeping you safe out there!
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Facing some measure of accountability for the 32 people who have died and more than 460 who have been sickened, the owner of the New England Compounding Center raised his right hand before the House of Representatives, swore to tell the truth and then refused to answer any questions. microphone.jpg

Our Boston meningitis attorneys are not surprised that the head of a company that has shown so little regard for the well-being of others would fail to take responsibility and provide answers to the families who have lost loved ones.

He will be called again to testify soon before a Senate committee, though it’s likely we can expect more of the same.

Perhaps even more troubling is that while Congress presses forward with efforts to obtain some insight, legislators had the opportunity nearly a decade ago to approve measures that might have prevented this in the first place – and shut down this dangerous operation.

Back in 2003, Dr. Steven Galson was a top official at the U.S. Food and Drug Administration. At the time, he testified before the Senate Health, Education, Labor and Pensions Committee, telling them that his agency had conducted a small survey on about a dozen compounding pharmacies.

If you recall, these are facilities where the intent is to make custom drugs at the request of physicians for certain patients. Instead, what we are finding is that they have been mass-producing medication without a license, which is partly what officials believe led to the contamination issues that spurred the nationwide fungal meningitis outbreak.

Galson at the time told the committee that of the 29 drugs tested, including steroids, hormones, antibiotics and drugs to treat asthma, erectile dysfunction and glaucoma, 10 failed quality testing. Nine of those failed potency tests, in some cases showing a potency of less than 70 percent.

When people are counting on these drugs to aid them in meeting critical medical needs, this is absolutely unacceptable.

Now compare those results to the tests conducted around the same time on products directly from drug manufacturers. Of 3,000 samples tested, only four failed quality control.

FDA officials say the government had ample warning of serious problems in the compounding industry, and yet chose not to act.

Shortly after Galson delivered his testimony, Congress shot down an effort to establish an FDA oversight committee specifically for compounding pharmacies. And there have been multiple efforts since then to establish a greater level of oversight – and legislators have continued to shoot them down. Before his death, Massachusetts Senator Ted Kennedy sponsored a bill that would have created better oversight, however lawmakers failed to pass it amid heavy lobbying by the pharmaceutical industry.

Lobbyists continue to stress the great need for compounding facilities. We could concede that, when operated as intended and according to the high standards set for other drug makers, these facilities serve a purpose. However, the problems began when Congress repeatedly denied oversight authority to the FDA.

Now, legislators are demanding answers from the NECC (and the Ameridose facility, also in Massachusetts). But the fact is, these problems were nothing new. Too bad that it took a tragedy of this scale for Congress to take action.
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