Monday 29 October 2012

Fake ARVs in Tanzania: Consumers at a crossroads


Counterfeit drugs around the World
It is well known that fake drugs cost a lot of lives in developing countries, where it is a home of most of fake drugs. This has been a serious challenge to the integrity of public health systems as well as serious threat to the national security in these countries and probably is a major cause of death (from curable diseases) than anything else.
Of recent, in Tanzania, the Minister of Health and social Welfare , Dr. Hussein Mwinyi  suspended top officials of the Medical sores department (MSD) and halted the production of all drugs by TPI ( alleged to have manufactured fake ARVs) to allow investigation to take place. He also urged all people under medication to continue using ARVs drugs because they are safe as the fake ones have already been removed from the hospitals.
It is by now a public knowledge that most of the drugs produced locally are of low quality due to the widespread corruption in political circles in the country. Also, the fact that global counterfeit black market thrives better in poor countries, makes Tanzania vulnerable in all aspects. The profits from this “crime” are being co-opted by an array of organised criminal groups, who see that this the only way they can survive.
Although the Minister of Health and social welfare has assured the public that the drugs that are in the market today are of good quality, critics can still think that the MSD officials who were suspended are the ones who know exactly what the public is consuming. Earlier this year I posted an article on  fake malaria drugs circulating in the country. The issue here is; who exactly knows the network behind these fake drugs in the country? How can we make our medicines safe? What about the patients who have consumed these fake drugs? The first question might probably be answered by the committee formed by the Minister. I am not sure about the remaining questions!
It has been always said (at least by most policy makers) that having appropriate policies and adequate power to reinforce the policies is the only way to control these crimes. This might be true at least in theory. Corruption has made the aforementioned statement useless because people who are supposed to make (guide the formulation of) such policies and reinforce are the ones who are involved in these criminal networks. I think, it is a time now for the consumers (the victims) to do something rather than waiting for committees or flawed expert reports. Here you are talking of about 500,000 Tanzanians  who are on Antiretroviral therapy

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