California tightened up its pharmacy rules dramatically after a contamination at a Walnut Creek compounding pharmacy cost lives. Still, tainted injections from the New England Compounding Center reached four California pharmacies and some 600 patients received injections, though none has yet developed meningitis. Now California’s pharmacy board is considering tightening regulations again.

The nationwide meningitis outbreak linked to contaminated steroid injections made in a Massachusetts specialty pharmacy bears chilling similarities to the case of Doc’s Pharmacy in Walnut Creek. In this latest case, the New England Compounding Center in Framingham, Mass., has been linked to a growing meningitis outbreak that has killed more than 20 people and sickened about 300 in 16 states.

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