# \[e-drug\] Falsified medicines in Africa: all talk, no action (4)

**URL:** <https://talk.edrugplus.org/t/e-drug-falsified-medicines-in-africa-all-talk-no-action-4/40813>\
**Category:** e-drug\
**Created:** [September 7, 2014, 11:16am UTC](https://talk.edrugplus.org/t/e-drug-falsified-medicines-in-africa-all-talk-no-action-4/40813 "2014-09-07T11:16:32Z")\
**Posts on this page:** 2\
**Page:** 1

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**Author:** ![richardl1951](https://avatars.discourse-cdn.com/v4/letter/r/b3f665/32.png) [@richardl1951](https://talk.edrugplus.org/u/richardl1951)\
**Post date:** [September 7, 2014, 11:16am UTC](https://talk.edrugplus.org/t/e-drug-falsified-medicines-in-africa-all-talk-no-action-4/40813/1 "2014-09-07T11:16:32Z")

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E-DRUG: Falsified medicines in Africa: all talk, no action (4)  
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Thank you Bright for your message and the link to your web site.  
I would like to know your results. How many falsified medicines have been detected with these tools? Were they reported to the WHO ALERT system? Or does the presence of such a system prevent people putting such falsified medicines into the distribution chain. I assume that the system does not address the problem of substandard or poorly stored medicines?  
Thanks  
Richard

Richard Laing  
Professor International Health  
Boston University School of Public Health,  
801 Massachusetts Avenue Boston MA 02118  
Tel 617 414 1445 (Office) 617 435 7860 (Mobile)  
[http://www.bu.edu/pharm/the-program/](http://www.bu.edu/pharm/the-program/)  
E mail richardl@bu.edu

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**Author:** ![BrightSimons](https://dub1.discourse-cdn.com/flex013/user_avatar/talk.edrugplus.org/brightsimons/32/432_2.png) [@BrightSimons](https://talk.edrugplus.org/u/BrightSimons)\
**Post date:** [September 9, 2014, 12:49am UTC](https://talk.edrugplus.org/t/e-drug-falsified-medicines-in-africa-all-talk-no-action-4/40813/2 "2014-09-09T00:49:14Z")

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E-DRUG: Falsified medicines in Africa: all talk, no action (5)  
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Dear Richard,

The system was launched just a few weeks ago by the pharmaceutical society  
of Ghana. I understand that they shall be commissioning periodic reviews.  
For more information, please reach out to: info@preventfaking.com, and the  
secretariat will respond.

I believe this is the only system capable of providing the broadest  
transparency on fake, falsified, counterfeit and substandard medicines.

So long as the competent authorities responsible for managing GMP/GDP  
compliance in the territory plug their repositories into the system, then  
the patient will only receives a positive alert to a query about each  
specific pharmaceutical pack if the batch from which that package comes  
from has been cleared in the latest audit (which could have been  
accomplished by mobile screening equipment, by the way, and uploaded into  
the cloud in real-time).

Like all such systems, that presupposes a minimally functional, and  
cooperative, regulatory authority.

But the point is that in the absence of such a system, how can regulators  
communicate nearly personalised information to the patient/consumer that a  
particular pack of medicine has been compliant with good manufacturing and  
distribution practice \*to the best of the regulator's capacity and  
knowledge\*? Or that there is no record of such compliance and therefore  
that the patient is better off not taking the medicine? Or that the batch  
from which the medicine originates is high risk and therefore that the  
patient should get in touch with the authorities (super-useful during  
recalls and investigations)?

The way I see it, the system addresses the two main gaps in any system that  
relies solely on laboratory analysis and GMP/GDP certification:

1. You can't regulate what you can see (the root cause of both counterfeits  
and substandards is 'regulatory evasion'; and

2. Unless the patient has a trusted node of information, they will be  
deceived at the point of dispensing regardless whichever other measures are  
deployed in the supply chain.

Thanks.

Warm regards

Bright  
Bright Simons \<bbsimons@mpedigree.net\>
