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| Well-established that medical records, particularly contemporaneous ones, should be considered "trustworthy evidence." Such "records contain information supplied to or by health professionals to facilitate diagnosis and treatment of medical conditions." Cucuras v. Secretary of HHS, 993 F.2d 1525, 1528 Fed. Cir. 1993 ; . See, e.g., Yergert v. Secretary of HHS, No. 90-2228V, 1995 WL 108673, at * 7 Fed. Cl. Spec. Mstr. Feb. 24, 1995 ; Special Master French Housand, 1996 WL 282882, at * 7 Special Master French ; . See, e.g., Robbins v. Secretary of HHS, No. 89-118V, 1990 WL 293867, at * 4 Cl. Ct. Spec. Mstr. Nov. 5, 1990 ; Chief Special Master Golkiewicz Wilson, 1992 WL 118955, at * 8 Special Master Wright Bobbitt v. Secretary of HHS, No. 90-1156V, 1992 WL 159524, at * 3- * 4 Cl. Ct. Spec. Mstr. June 10, 1992 ; Special Master French ; . 28.
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European Union -- A potential influenza pandemic remains currently of high public interest and the European Medicines Agency EMEA ; has provided a safety update on oseltamivir Tamiflu ; see page 274 ; . Oseltamivir is an antiviral approved in the European Union for the treatment of influenza in children between 1 and 13 years of age and for the prevention and treatment of influenza in adolescents over 13 years and adults. Two cases of alleged `suicide' associated with treatment of influenza involving a 17-year-old boy in February 2004 and a 14-year-old boy in February 2005 ; were reported to the EMEA. In both cases the adolescents exhibited abnormal disturbed behaviour, which led to their deaths. So far, no causal relationship has been identified between the use of Tamiflu and psychiatric symptoms such as hallucination and abnormal behaviour ; . The EMEA stresses that the assessment of psychiatric events during Tamiflu treatment is difficult because: Other medicines are often taken at the same time as Tamiflu; Patients with influenza and a high fever can show psychiatric symptoms. This is particularly relevant for children and elderly patients. All adverse reactions are monitored and assessed by the Agency's scientific committee, the Committee for Medicinal Products for Human Use CHMP ; on a continuous basis. At its meeting of 1417 November 2005, the CHMP decided to request the marketing authorization holder of Tamiflu to provide a cumulative safety review of all available data on serious psychiatric disorders, including all case reports with a fatal outcome where Tamiflu was involved. EMEA will make a statement on the outcome of this evaluation.
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