Drug Information Bulletin (Electronic) : Number: 07 Content

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Drug Information Bulletin (electronic)

Volume: 4

Drug Information Centre (DIC) Indian Pharmaceutical Association, Bengal Branch Tele fax: 033 24612776, E-mail: [email protected] Web Site: http://www.ipabengal.org Contact: 09830136291

World No Tobacco Day 31st May 2010

Number: 07

Content
10 facts on gender and tobacco FDA Warned At Least 43 Drug Plants In Recent Months Over Manufacturing Practices. Health Min asks docs in govt. hospitals to mention generic equivalents while prescribing branded drugs

10 facts on gender and tobacco

Nick K. Schneider About 200 million of the worlds one billion smokers are women Far fewer women than men use tobacco. Globally, about 40% of men smoke as compared with nearly 9% of women. However, the epidemic of tobacco use among women is increasing in some countries. More research is needed to understand trends in tobacco use among women.

Saurabh Mittal/Courtesy of Photoshare As many girls as boys now smoke in some countries A WHO survey of smoking trends in youths showed that in half of the 151 countries surveyed, similar numbers of girls and boys smoked. Evidence suggests that most of these girls and boys will continue to smoke into adulthood. Bans on tobacco advertising, as called for in the WHO Framework Convention on Tobacco Control, could help to stop the increase in tobacco use among girls.

Germain P. Photoshare

Tabati/PICTA,

Courtesy

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Garrett L. Mehl Women are one of the biggest targets of the tobacco industry The tobacco industry gears richly-funded marketing campaigns towards women through advertisements that draw on gender stereotypes and falsely link tobacco use to concepts of beauty, prestige and freedom. The industry actively targets women because comparatively few women currently use tobacco, and women are increasingly able to afford tobacco.

Boys and girls start using tobacco for different reasons Many more girls than boys smoke in the false belief that it is a good way to control weight. Low self-esteem is associated with smoking among girls, and available evidence from some developed countries shows that girls have lower self-esteem than boys. Tobacco control strategies must recognize that boys' and girls' decisions to start using tobacco are influenced by different cultural, psychosocial and socioeconomic factors.

Rocco Rorandelli / TerraProject Every year, 1.5 million women die from tobacco use Of the more than 5 million people who die every year from tobacco use, approximately 1.5 million are women. Most (75%) of these women live in low- and middle-income countries. Unless urgent action is taken, tobacco use could kill up to 8 million people every year by 2030, of which 2.5 million would be women.

WHO/M. Gehner More women than men smoke "light" cigarettes Marketing strategies lure consumers with misleading categories, such as "light" or "low tar". More women than men smoke "light" cigarettes (63% versus 46%), often in the mistaken belief that "light" means "safer". In fact, light smokers often engage in compensatory smoking, inhaling more deeply and more frequently to absorb the desired amount of nicotine.

Deutsches Krebsforschungszentrum, Heidelberg Tobacco use harms women differently from men Women who smoke are more likely than those who do not to experience infertility and delays in conceiving. Smoking during pregnancy increases risks of premature delivery, stillbirth and newborn death, and may cause a reduction in breast milk. Smoking increases women's risk for cancer of the cervix.

Deutsches Krebsforschungszentrum, Heidelberg People who smoke should avoid exposing the people with whom they live and work to second-hand smoke Women and children often lack power to negotiate smoke-free spaces, including in their homes, in their workplaces and in other public spaces. Everyone, regardless of age or sex, should be protected from second-hand smoke.

Garrett L. Mehl Garrett L. Mehl Women constitute 64% of deaths from second-hand smoke Worldwide, second-hand smoke causes 430 000 adult deaths per year. Sixty-four per cent of these deaths occur in women. In some countries, second-hand smoke is a greater threat to women than the possibility that women might start using tobacco. More than 90% of the world's population is still not covered by comprehensive national smoke-free laws. Controlling tobacco use among women is an important part of any tobacco control strategy Tobacco prevention and cessation programmes should be integrated into maternal, child and reproductive health services. Warnings about the harmful effects of tobacco must take into account that illiteracy is higher among women than men, and should use clear pictures to ensure that those who cannot read are also able to understand the health risks of tobacco use.

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FDA Warned At Least 43 Drug Plants In Recent Months Over Manufacturing Practices. USA Today reports, "At least 43 drug factories supplying medication to thousands of US consumers have received government warnings in recent months for failing to correct shoddy manufacturing practices that may have exposed patients to health risks, a USA TODAY review of records shows." The violations "include plants using equipment and ingredients contaminated with bacteria or insects, failing to do proper testing to ensure drug strength and purity, and ignoring consumer complaints that products were making them sick." From 2002 to 2006, "more than half of inspections at domestic drug plants and 62% at foreign plants supplying the US had violations that didn't prompt warning letters, but were classified as requiring correction, FDA data published by the Government Accountability Office show. The FDA declined to provide more recent numbers." Health Min asks docs in govt. hospitals to mention generic equivalents while prescribing branded drugs In a major step towards encouraging the sale of generic medicines in the country, Union Health Ministry has directed the doctors at all the Central government hospitals and autonomous institutions to also give the names of equivalent generic medicines while prescribing branded drugs. The ministry has decided that whenever any branded drug is prescribed in the Central Government hospitals and autonomous institutions under the Ministry, it shall invariably also be mentioned that any other equivalent generic drug could be provided. With this prescription the hospitals could have the flexibility of providing generic equivalents of the prescribed medicine, an official release said. The decision was taken in the light of the fact that generic drugs are usually much cheaper than branded drugs. This will also curb the often observed practice of prescribing specific brands of medicine with a rider that no substitute should be supplied. The Directorate General of Health Services will regularly monitor the prescriptions in the above mentioned institutions for the compliance of the order, the release said. After the Department of Pharmaceuticals launched the generic campaign by setting up Jan Aushadhi generic outlets, the DoP has been pushing the States also to give instructions to the doctors in the government-run hospitals to prescribe generic drugs. Rajasthan had already issued an instruction to this effect. As constantly alerted by the public interest groups, the practice of prescribing branded drugs even by the government doctors has been increasing. The Common Review Mission of the National Rural Health Mission in December 2009 observed that the practice of prescribing branded drugs was rampant even though their generic alternatives were easily available. Some unofficial figures claimed that nearly 50 to 80 per cent of people in the country still did not have access to essential medicines and the practice of doctors in promoting branded medicines was one of the main reasons for this shortage. The Indian Medical Council (Professional Conduct, Etiquette and Ethics) Regulations, 2002 states that every physician should, as far as possible, prescribe drugs with generic names and he/ she shall ensure that there is a rational prescription and use of drugs.

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