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Indian health authorities said on Wednesday they had halted all production at the main factory of Maiden Pharmaceuticals near New Delhi after a WHO report that its cough syrups exported to Gambia may be linked to the deaths of dozens of children there.

India is testing samples of cough syrups produced by Maiden Pharmaceuticals after the World Health Organization said its products were linked to the deaths of dozens of children in Gambia, a government official said on Thursday.

India confirmed its first monkeypox death on Monday, a young man in the southern state of Kerala, in what is only the fourth known fatality from the disease in the current outbreak.

In the absence of global standards limiting toxic emissions produced by antibiotics at the point of manufacture, the pharmaceutical industry has come up with its own standard. The AMR Industry Alliance – a coalition of drugmakers, biotech, diagnostic and other companies involved in the field of antimicrobials – is adopting its own standards to ensure the responsible manufacture of antibiotics.