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This document discusses the issue of counterfeit medicines and potential solutions. It begins by defining counterfeit medicine and explaining that they can lack active ingredients or contain incorrect dosages. According to the WHO, over 25% of medicines in some low-income countries are counterfeit. Counterfeits can contribute to antimicrobial resistance and disease spread. Factors encouraging counterfeits include unregulated online sales and high drug prices. Methods to identify counterfeits include checking for spelling errors and matching package details. The WHO launched initiatives like IMPACT in 2006 to encourage reporting and combat the issue. An 8-step SAFEDRUG approach is provided to help ensure medicine safety. Several examples of tragedies caused by ineffective

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Sarvesh Sogani
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24 views20 pages

Untitled Presentation

This document discusses the issue of counterfeit medicines and potential solutions. It begins by defining counterfeit medicine and explaining that they can lack active ingredients or contain incorrect dosages. According to the WHO, over 25% of medicines in some low-income countries are counterfeit. Counterfeits can contribute to antimicrobial resistance and disease spread. Factors encouraging counterfeits include unregulated online sales and high drug prices. Methods to identify counterfeits include checking for spelling errors and matching package details. The WHO launched initiatives like IMPACT in 2006 to encourage reporting and combat the issue. An 8-step SAFEDRUG approach is provided to help ensure medicine safety. Several examples of tragedies caused by ineffective

Uploaded by

Sarvesh Sogani
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPTX, PDF, TXT or read online on Scribd
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COUNTERFEIT MEDICINE AND IT’S

PREVENTION
By- Roshani Bhagat 81
Sahil Choudhary 82
Samiksha Saraf 83
Sanskriti Agrawal 84
Sanyam Sohgani 85
CONTENTS -
COUNTERFEIT -
What is COUNTERFEIT -
Prevalance -
Problem Statement -
Effect of COUNTERFEIT MEDICINE -
Factors Encouraging -
Identifying COUNTERFEIT MEDICINE -
Measure’s to Combat COUNTERFEIT -
S.A.F.E.D.R.U.G Approach -
Tragedies -
Reference-
COUNTERFEIT -
To imitate something authentic with intent to
steal, destroy or replace the original for use in
illegal transactions or to deceive individuals
into believing that fake is equal or of greater
value than the real thing
WHAT IS COUNTERFEIT MEDICINE ?
According to WHO's definition, a drug/medicine is
counterfeit if it is produced with an intention to cheat. This
can include mis-labelling (including fudging expiry date), or
no active ingredients, a wrong ingredient, or the correct
ingredient in an insufficient quantity. Both branded and
generic products can be counterfeited.
PREVALANCE -
1. According to WHO,60% of counterfeit drugs are from low per capita nations,
where it is estimated that more than 25% of drug supply is counterfeit.
2. In India, the biggest centre of counterfeit drugs is national capital region
(NCR), which includes Delhi,Faridabad and Noida.
3. In developed countries, there is increase in 15% of counterfeit sales in
European countries.
4. European union is threatened by a flood of counterfeit
medicines,particularly those sold on the internet.
5. WHO estimates that 5% to 7% of all drugs sold in U.S. were counterfeit.
PROBLEM STATEMENT -
Counterfeiting is greatest in regions where regulatory and enforcement systems for
medicines are weakest.

1. In many African countries, and in parts of Asia, Latin ,America, and countries in
transition, a much higher percentage of the medicines on sale may be SFFC.
2. In most industrialized countries with effective regulatory systems and market
control, incidence of SFFC medicines is extremely low – less than 1% of market
value according to the estimates of the countries concerned. – i.e. Australia,
Canada, Japan, New Zealand, the United States of America, and most of the
European Union,
3. Variation can also be significant within countries – e.g. between urban and rural
areas, and between cities.
4. An estimated 10% medical products in low and middle income countries is
substandard or falsified.
EFFECT OF COUNTERFEIT MEDICINE -

1- contribute to antimicrobial resistance

2- Drug resistance infections.

3- may cause adverse effect.

4- may be ineffective( contain no or little drugs).

5-may have lost potency .

6- may be produced under filthy conditions.


FACTORS ENCOURAGING -
Unregulated websites, social media platforms and smartphone applications can also be direct conduits of sub-
standard and falsified medical products.

Consumers should be cautious of :

1. Spam email advertising medicines.

2. lack of authenticity or no verification logo or certificate.

3. Spelling mistakes and poor grammar on packaging:

4. Websites that do not display a physical address or landline

5. Websites offering prescription only medicines without a prescription.

6. High price of medicines.

7. Demand exceeding supply.

8. Lack of regulations by exporting countries.


IDENTIFYING COUNTERFEIT MEDICINE -
1. Examining the packaging (condition, spelling mistakes or grammatical errors)

2. By matching details on the outer and inner packaging

(expiry and manufacturing dates)

3. Ensuring the medicine looks correct (not discoloured, degraded or has an


unusual smell)
MEASURE’S TO COMBAT COUNTERFEIT -
In 2006, WHO launched the international medical products Anti-Counterfeiting
Task Force (IMPACT)

2013, WHO launched the Global Surveillance and Monitoring System to


encourage countries to report incidence of sub-standard and falsified medical
products in a structured and systematic format

to help develop a more accurate and validated assessment of the problem.


1. An overview of the situation and suggestions as to what health professionals can do to help
fight counterfeit medicines

2. A reporting form that can be copied and used to report any suspected counterfeit (This form
serves as a model and does not replace any existing ones in-country)

3. A visual inspection check list that can be used if a counterfeit medicine is suspected

4. An information leaflet that you can share with health professionals

5. A patient information leaflet for distribution to patients or in community areas

6. A poster that can be put in waiting rooms


An 8-Step Medicine Safety [S.A.F.E.D.R.U.G. Approach]
Sample (Request a sample from your physician)

Appearance (Compare the prescription medicine

Feel (taste and any associated feelings)

Evaluate (are you benefiting from the medication?)

Doctor (if anything wrong contact to the doctor)

Report [contact the pharmacy where you purchased them FDA can be contacted by
calling toll-free no. or site

Unavailable( make unavailable counterfeit drug)

Gather (Gather all the information you can find on how)


TRAGEDIES CAUSED BY COUNTERFEIT MEDICINE -

In 1999 at least 30 people died in Combodia after taking counterfeit antimalarial prepared with
Sulphadoxine-Pyrimethamine which were sold as Artesunate.

• In 2001 a study conducted in South-East Asia revealed that 38% of 104 antimalarial drugs on sale in
pharmacies did not contain any active ingredients and had resulted in number of preventable
deaths.

• One million deaths occur from malaria annually of which 200,000 deaths would be avoidable if the
medicine available were effective, of good quality and used correctly.
REFERENCE -
https://www.ajtmh.org/view/journals/tpmd/104/5/article-p1936.xml

Park's textbook of preventive and social medicine

https://healthpolicy-watch.news/better-data-fake-drugs-needed-fight-scourge/

https://images.app.goo.gl/Faxc9fWUijDEDBRTA

https://www.google.com/url?sa=t&source=web&rct=j&opi=89978449&url=https://www.who.int/
&ved=2ahUKEwjp9OH30_-BAxUtklYBHT9oA2QQFnoECAcQAQ&usg=AOvVaw3w5WZMkYep0vzSNC95FZZ9

https://www.unodc.org/e4j/en/organized-crime/module-3/key-issues/falsified-medical-products.htm
THANK YOU

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