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Public health interventions to protect against falsified medicines

Hamilton WL, Doyle C, Halliwell-Ewen M, Lambert G. |

Public health interventions to protect against falsified medicines


Fake medicines are deliberately fraudulent drugs that pose a direct risk to patient health and undermine healthcare systems, causing global morbidity and mortality. This paper aims to produce an overview of anti-falsifying public health interventions deployed at international, national and local scales in low and middle income countries (LMIC).

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Of the 1mil deaths per year due to #malaria, 200,000 could be avoided if patients weren't treated with #fakemeds

In 2013 US authorities published warning of fake #diabetes meds—ineffective & dangerous for patients

#Fakemeds: 32% have no active ingredients, 40% have incorrect ingredients & dose, 8.5% contain dangerous contaminants

#Fakemeds seized during #Biyela? Antibiotics, painkillers, meds for high blood pressure & diabetes

#Fakemeds seized in Le Havre in May 2013 were hidden in sachets of tea

#DidYouKnow? 96% of online pharmacies operate illegally

#fakemeds could be up to 15% of medicines in circulation worldwide

60% of all spam offers medicine- its an inexpensive way for #counterfeiters to target you with #fakemeds.

.@UNODC estimates the market value of fake #antimalarials at over US$400mil in west Africa alone

#Fakemeds can contain no active ingredients at all – a direct threat to patients that need treatment

1 out of 4 counterfeit products intercepted by EU customs in 2011 were #fakemeds

On internet sites that conceal their physical address 50% of the drugs are #fakemeds

1 medicine in 2 purchased on internet sites that conceal their physical address is a #fakemed

Every therapeutic class of pharmaceutical product has been the subject of #counterfeiting

123 countries are impacted by #fakemeds

More than 50% of medicine sold worldwide from illegal online sources are #fakemeds

From antibiotics to pain relievers, more than 500 versions of fake #pharmaceutical products are circulating #fakemeds

#DidYouKnow? Possession of #fakemeds is illegal, not just production or sale

Both branded and generic products are subject to counterfeiting

Up to 40% of the drug supply of some countries in Africa could be #fakemeds

.@INTERPO_HQ L Operation #PangeaVI seized 9.8 million illegal & counterfeit drugs #fakemeds

In 2013, Operation #Biyela seized 550 million doses of illicit medicine in #Africa

Criminals trafficking #fakemeds make profits 10x more than those trafficking illicit drugs

Decades of fighting #malaria could be put at risk by #fakemeds on the market

In the US only 4% of online pharmacies appear to be in compliance with pharmacy laws & practice standards

20% of all #malaria deaths worldwide can be directly associated with the use of #fakemeds

30% of countries have little or no regulation to effectively combat #fakemeds

2011: European Customs retained 27.5 million #fakemeds

Up to 30% of medicines in developing countries are #fakemeds

36% of #anti-malarial drugs in #SoutheastAsia are #fakemeds

#fakemeds are 10% to 30% of global medicine: less than 1% in some countries, +30% in parts of Africa Asia & Latin America

In 2013 1.2 million sachets of #fakemeds were seized in Le Havre, France. The biggest seizure in the #EU

Poisons found in #fakemeds include mercury, rat poison, boric acid, paint & antifreeze

India may have as much as 12-25% of their supply contaminated with substandard and #fakemeds

NIH 2012 study of 7 countries in southeast Asia reveals that 36% of #antimalarials are #fakemeds

700,000 people die because of #fakemeds to treat #malaria & #TB each year