>> hey, do i sound like jim lehrer? >> no. >> no. >> and do i look like jim lehrer? >> no. >> no, you don't. >> that's almost as good as the real thing. more tops at the top of the story when "cnn sunday morning" continues but first sanjay gupta m.d. begins right now. hey, there, and thanks for joining us. i'm back home after spending most of this past week chasing down answers in that meningitis outbreak. over there, that's the necc, the compounding facility. back here, it's a repsycycling facility, eventually a dump. you'll see what else i uncovered. next, sugar. we talk about it all the time.

puts the polar bears of coke under the knife. it's a cartoon but pretty graphic stuff. and hormone replacement therapy. this issue confuses women more than any other. i have an important answer based understood a new study. but we begin with the meningitis outbreak under a microscope. the plot thickens on the deadly and growing meningitis outbreak that's affecting so much of the country. contaminated ichb jekzs of 14,000 people in 23 states they may have received. they were made by necc. that's a compounding pharmacy in massachusetts that's licensed to distribute drugs in all 50 states. compound facilities were established so they could make custom dosages for paetsch epts with individual needs. the fda isn't in charge of regulating them because technically they're not making new drugs.

they're just customizing drugs already on the market. but in recent years it's grown into a much larger business. it accounts for 37 million prescription drugs taken by patients in the united states every year. it's big business, has little oversight, and it impacts all of us. you work here? >> i'm security for the facility. >> reporter: all week we've tried to dig up anything about how it could have become so deadly. >> unfortunately i have to ask you guys to lead the property. >> reporter: no one here really wants to talk. >> your call has been forwarded to an automatic. >> the number you dialed is not in service. >> your call has been forwarded to an automatic voice system. >> hello. >> hello. i'm trying to get ahold of barry cadden. that one, wrong number. is there someone we can talk to? i even went straight to the home of barry cadden. he's the owner of the facility.

there was a car parked at the end of the driveway. no visitors allowed. i would told they would call back. they didn't. we were tipped off about a recycling facility that shares space. it's literally in the backyard. it's literally a garbage dump. we saw a truck bringing waste from a nursing home to be deposited here. while there's no law with a compounding agency being next to, well, this, we found there's nothing wrong with that. look at the name of this. konigliarno. turns out to be the name of barry cadden's wife. a little more digging turned out

that his wife's brother is the owner of this facility. they wouldn't even let us on the parking lot here. now, if necc is big, then amary i dose is the 800-pound gorilla. ameridose, 400 employees generated $100 million in a year. ameridose doeses that. they do add mixing and that's regulated by the state pharmacy board. here's something else. there's a woman named. she was also appointed to the state pharmacy board back in 2008. we asked them about that and they say she's recused herself of all matters relating to ameridose and mecc. both businesses have done business with the united states government. more than 800,000 drug orders

were placed by government agencies since 2007. together they produce hundreds of thousands of medication doses and now both have shut down their operations. the massachusetts didn't of health says there isn't any direct relationship to it but the one thing it exposes is the incredible lack of oversight of compound pharmacies which can put the public at unnecessary risk as we saw here. we're going to continue to push the state department and fda to try to get you some answers. >> as you know, there's barely three weeks left to the presidential election. the next debate will be tuesday night. i'll be watching. i'm sure you will as well. i want to hear what mitt romney says about his hello health care plan. he wants to keep some ideas. >> you obviously studied up on my plan. in fact, i do have a plan that

deals with people of pre-existing conditions. that's part of my health care plan. >> listening to that he wants to mang sure everyone is guaranteed the right to purchase coverage no matter what. here's how he explained things on the "tonight show" that. was this spring. >> people with pre-existing conditioning, if they were insured before and they were. >> well, if they're 45 years old and they have heart tee cease, we say, hey, gierks can't play that. you get insurance when you're well and when you get ill, then you're covered. >> i see these patients all the time. they couldn't afford insurance when they're well. they can't afford it when they're sick, and 26,000 people die every year prematurely when they didn't need to. yes, strictly speaking is right. what the groovernor is saying i

pretty much what we have now. take a look at this. if you lose your job, you can keep your insurance through cobra. to give you an idea, for a family of four, that now costs $1,100 a month. if you carry it out, about 72,000 would be left unshourd. we wanted to talk to governor romney orr someone in his campaign, we e invited them to come on the show, please explain how this will all work because as far as we can tell tens of thousands of people's lives depnld on it. they said, sorry, can't make it. we're going to keep trying. one in fever don't know they're infected. but would you test your partner if you could? even do it perhaps secretly? there's a new test out there that might allow for just that. the writer's desktop and the coordinator's phone are working on a joke with local color.

the secure cloud just received a revised intro from the strategist's tablet. and while i make my way into the venue, the candidate will be rehearsing off of his phone. [ candidate ] and thanks to every young face i see out there. [ woman ] his phone is one of his biggest supporters. [ female announcer ] with cisco at the center... working together has never worked so well. but with advair, i'm breathing better. so now i can be in the scene. advair is clinically proven to help significantly improve lung function. unlike most copd medications, advair contains both an anti-inflammatory and a long-acting bronchodilator working together to help improve your lung function all day. advair won't replace fast-acting inhalers for sudden symptoms and should not be used more than twice a day. people with copd taking advair may have a higher chance of pneumonia. advair may increase your risk of osteoporosis and some eye problems. tell your doctor if you have a heart condition

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because of the hiv virus that i have obtained, i will have to retire from the lakers. today. >> who doesn't remember that day 21 years ago. hard to believe next month what nba legend magic johnson shocked the entire world with that announcement. he's alive today. he reiterated time and time again that he doesn't take drugs that only a man of his celebrity and wealth could afford. he says it's because of early detection. the mafer is the first first at-home rapid hav test. in fact, he 'peered on tuesday

with brooke baldwin to talk about this. >> look. doctors are already using this, so this is nothing like new and the great thing about it, they've been using it for many, many year and so now it's just available to the public. so when you think about the fear factor and you think about early detection can save your life, that's why i'm here 21 years. i found out early, jumped on -- started taking my meds, i make sure i still work out and made sure i was comfortable with my new status. >> he's encouraging everyone who engas in high-risk behavior to get tested. who are these people who should get tested? will it make a difference overall and how good of an idea is all of this. joining me from boston to talk about this is a physician on recognizable disease recognition. you pushed for hiv screening.

is this a big deal, a game change never your mind? >> thank you very much for having me. it's a pleasure to be here. since 2006 the centers for disease control and prevention have recommended routine hiv screening. people motivated to buy the tests themselves i think is a good idea. >> and i want to get into the specifics of should bit everybody, what it's going to do for them. it's available online in 30,000 stores, costs about $30. you basically use a swab to your upper and lower gums, place it into a vial of solution and in 20 minutes you get a response. one line shows up for negative, two for positive.

it sounds pretty simple. but dr. walensky, when people get tested, it's fornlt have counseling around. what about that if you're doing this at home? >> right. so that's an excellent question. i will tell you that orasure has provide add d a 24-hour-a-day ct line for people who are going to take the test by themselves. those who want to take the test or take control for their sexual health, i think there are many services available to patients when they conduct the test either through the orasure 24/7, through the department of public health or through their own health care provider. >> the was another medline that i'm sure you read. the dpaep says unintended to be clear. the use of the new test could

involve screening potential sexual partners maybe without them knowing. of those in the trial said they would either, quote, definitely or very likely use it to screen sexual partners. what do you think about that? is that wrong? is that unethical? >> i think that nobody should be tested for a disease without being informed that this is a good thing for them. i would find it hard -- >> even a sexual partner? >> even for a sexual partner. i think it would be great, new sexual partners wanted to conduct the test together and be there for each other as they both receive the results together and develop the test together. i can't conceive someone might swab someone's gum with this and not know that it's actually happening but indeed it should not be conducted without a person's knowledge for sure. >> who should be getting this

test? married couples for some time? should everybody do it? i think everybody should know their hiv status. if they want to purchase a test to find out the status that they want to get an hiv test with their doctor, i think everyone in the country should know their hiv status. one thing i want to say is one who should not use this test and i want to be clear about that because people can be falsely reassured. the people who should not use this test are those who had an encounter the night before that they're worried might have infected them. so to be very clear, this test does not measure the virus itself. it detects the body's immune production or antibody virus which takes some time to mount. so the test if conducted today tells someone of their hiv status about four to six weeks

ago. >> dr. walensky. about $40 again for this at-home test, the first test of its kind really to come about. thanks for joining us. hope to have you back. >> thank you very much. >> and still ahead, do you remember these ads? they were for the truth campaign and about smoking. the same guy who made those ads, has hit sights set on sugar. i decided enough is enough. ♪ [ spa lady ] i started enbrel. it's clinically proven to provide clearer skin. [ rv guy ] enbrel may not work for everyone -- and may not clear you completely, but for many, it gets skin clearer fast, within 2 months, and keeps it clearer up to 9 months. [ male announcer ] because enbrel®, etanercept, suppresses your immune system, it may lower your ability to fight infections. serious, sometimes fatal, events including infections, tuberculosis, lymphoma, other cancers, and nervous system and blood disorders have occurred. before starting enbrel, your doctor should test you for tuberculosis and discuss whether you've been to a region where certain fungal infections are common.

don't start enbrel if you have an infection like the flu. tell your doctor if you're prone to infections, have cuts or sores, have had hepatitis b, have been treated for heart failure, or if, while on enbrel, you experience persistent fever, bruising, bleeding, or paleness. if you've had enough, ask your dermatologist about enbrel. just a second. just, just one second. ♪ get outta the car. ♪ are you ok? the... get in the car. [ male announcer ] the epa estimated 42 mpg highway chevy cruze eco. for wherever life takes you. and now qualified buyers can get 0% apr financing for 48 months on a 2012 cruze. ♪

♪ sugar, sugar i want to make you happy like the sun you shine

you brighten up a gray day ♪ ♪ sugar, sugar so good, so good ♪ ♪ sugar >> that was the beginning of a clip from a new animated short film about the dangers of soda. this polar bear looks familiar. they're a little more crudely drawn versions of theamous coca-cola bears. m film the soda-loving family gets more and more overweight. papa bear loses a leg due to diabetes and has erect i'll dysfunction. it features an award winning song from jason moratz. michael jacobson is the head of the public science -- he joins me now from washington. good to see you again, michael. >> good to see you. thank you for having me. >> important topic, as you know. we do a lot of reporting on this, and let me get right to it. we know sugar-sweetened beverages lead to overweight and obesity, and we also seem to

have known that for a long time. why now make this movie? people will say sugar consumption is, many of the, maybe already going down, albeit slowly? >> yes, but sugar and soda consumption are going down slowly, but the scientific community has been doing studies and reached really a consensus that soft drinks are the one food or beverage that's been demonstrated to cause weight gain and obesity, and if we're going to deal with this obesity epidemic, that is the place to start. on the one hand, we see just coca-cola, forget pepsi and the other companies -- just coca-cola spends $2 billion a year on advertising and other forms of marketing for sugary drinks. we thought that that should be -- we should level the playing field a little bit giving people some real information that soda may cause temporary happiness in the

short-term, but in theong-term all too often soft drinks contribute to obesity, which is a cause of diabetes and other illnesses. >> i want to talk about the specifics. you did pick on coke specifically in this campaign with the polar bears. we did reach out to coca-cola for a response. you may have seen this response as well. they said, "this is irresponsible for the usual grandstanding from cspi. it's not going to help anybody understand manager balance, which is key according to recognized experts who have studied this issue, a group that doesn't include cspi. enough said." they suggested, by the way, we reach out to the american beverage association. they were unable to provide minimum to come on and talk about this or even provide a statement. they don't want to seemingly talk about this, but what they seem to be saying is that is this vilifying sugar specifically, and can't sugar be a part of a healthy die elt, even in the form of a drink, mike? >> well, occasionally, sure.

we're not trying to wipe out soft drinks, but we would like to see soft drinks returned to the dietary role they played in the 1950s, which was occasionally and in small portions. a special treat. now people are guzzling huge containers of soda pop every day of their lives practically. >> is there a right amount? just being specific. people say what does that mean? what is a safe amount? >> well, think of a can of coke, 12-ounce can contains about nine teaspoons of sugar. the american heart association recommends that women limit themselves to six teaspoons of sugar a day and men to nine teaspoons a day. so one coke and you have shot your wad for sugar. you are getting sugar from, you know, cookies and cakes and ice cream and countless other foods, but, you know, having one or who sodas a week would be

reasonable. having a 32-ounce giant coke at a fast poohed restaurant every day is a prescription for disease. >> they can't do that in new york anymore. something else we've talked about on the show. you know, we talked about this all the time. i hope to have you back. we invite the represent tefz from coke to come on the program as well as the beverage industry, but they both declined. to be continued. michael jacobs, thank you so much. snoo thank you so much, sanjay. >> don't go anywhere just yet. still ahead, chasing life. this is for the women out there. you'll want to hear this. with m. triple checking hydraulics. the evening brings more pain. so, back to more pills. almost done, when... hang on. stan's doctor recommended aleve. it can keep pain away all day with fewer pills than tylenol. this is rudy. who switched to aleve. and two pills for a day free of pain. ♪ [ female annncer ] and try aleve for relief from tough headaches.

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chasing life is for the ladies. there's controversy surrounding hormone replacement therapy. the biggest study found it led to increased cardiovascular risks, heart risks. a new study finds it might be a matter of timing. take a look at this. women who started hrt as soon as seven months after menopause didn't bear the same risks as compared to women who delayed taking hrt. the women who took the hormones earlier actually reduced their chances in the future the developing heart problems.