

I take this opportunity in inviting our readers to PSM India & Consumer Online Foundation's Roundtable Discussion on the occasion of PATIENT SOLIDARITY DAY to deliberate on Universal Health Coverage (UHC) and Patient’s Right to Access Quality Healthcare. You may view the details of the event under our Upcoming Events section of this newsletter.
This edition of THE PRESCRIPTION brings up on the sterilization tragedy that happened in Bilaspur, Chhattisgarh and condemns the pitiable condition of patient safety in India. One unsafe medicine has threatened patient safety and caused merciless death of poor women of our villages. This unfortunate calamity should mark the beginning of a revolution against spurious medicines in every nook and corner of India. Each and every individual should raise concern on the rise of such fake drugs in our country.
Read this issue to know more on the rebellion across the world on menace of fake medicines in our Global injections Section. Also find newer developments on Drug laws and policies taking place in our country. You may find the recent names of banned drugs in India under Drug Dopes. This issue also brings forward important facts on blood bank and conditions of a blood donor in our section of Frequently Asked Questions.
Mark your calendar for upcoming events featured in this issue.
If you have any suggestions, comments or queries, please email me at pooja@jagograhakjago.com.
You may find our previous issues on our website jagograhakjago.com or in the NEWS ARCHIVE section of every issue of The PRESCRIPTION, in case you’ve missed any of them. You may also look us up on Facebook under Partnership for Safe Medicines India
"Call PSM India toll free helpline 1800 - 11- 4424, to bring cases of spurious medicines or any kind of adverse drug reaction to the notice of the authorities.
Please visit our website jagograhakjago.com if you wish to learn about us .
To register a complaint kindly visit our consumer redressal website jagograhakjago.com”
Happy Reading !
Stay Safe. Stay Healthy !
Pooja Khaitan
Chief Editor ,
The PRESCRIPTION
Partnership for Safe Medicines India.
“The number of people in the world suffering from diabetes is increasing. While governments have a role in prevention and control of diabetes, individuals can also make a difference by taking responsibility for their own health. Eating right and undertaking regular physical activity to maintain a healthy weight can cut the risk of diabetes or delay its onset”.
Dr. Poonam Khetrapal Singh,
Regional Director for WHO South-East Asia Region
Indian Public Health and Family Welfare has been in news worldwide this month for no good reason. With all utter shame, distress, sheer cry PSM India condemns the death of thirteen women who succumbed in Bilaspur, central Indian state of Chhattisgarh after undergoing sterilization procedures. PSM India mourns for their merciless death and express grief and sympathy to their kith and kin. The media outrage on this agonizing issue all over our nation and worldwide has bought forward in some dreading issues of negligence in the sector of public health in India and also the fact that this has been the issue of highest death toll from a sterilization campaign. This massive setback on minimum health of the nation makes us consciously feel that is India at all progressing?
The factors which came forward after initial investigation of the matter of sterilization deaths was mainly:-
1. Counterfeit or adulterated medicines were administered to the patients. The antibiotic tablet administered to the victims revealed after examination that medicines were adulterated with zinc phosphide, a chemical used in rat poison and if accidentally administered can result in high mortality rates. After the surgery, the women had complained of nausea, vomiting and abdominal pain and finally their death was caused by cardiac arrest, kidney failure and respiratory breakdown.
PSM India brings forward for readers slice of an interesting survey published by Local Circles (Social Media for Communities, Governance and Urban Daily Life) on “State of Healthcare Industry in India”- Collective inputs from over 160,000 Citizens looking forward to Issues, Root Causes and Proposed Solutions
Interpol warns of rise in fake medicines
DUBLIN, Nov 2014: At the Interpol conference on pharmaceutical crime in Dublin this week the global crime agency says the growth in crime involving fake or tampered-with medicines "threatens the lives of millions of people" and undermines health systems worldwide.
China vows harsher punishment for production, sale of fake drugsBEIJING, Nov 2014: China will hand out harsher punishment for the production and sale of fake and substandard drugs as the country combats increasingly severe drug scandals, judicial authorities said on Tuesday.
Raipur, Nov 2014: Indian women who underwent sterilization surgeries receive treatment at the District Hospital in Bilaspur, in the central Indian state of Chhattisgarh, Wednesday, Nov. 12, 2014, after at least a dozen died and many others fell ill following similar surgery.
A number of individual drugs as well as fixed dose combinations are banned in India. Drugs undergo rigorous testing before they are introduced into the market. They are first tested in animals and then in human beings during clinical trials. The efficacy as well as safety profiles of the drug are tested. In spite of this, some adverse effects of drugs appear only after the drug is used in the general population. These adverse effects are detected though a process of regular monitoring after the drug is released called pharmacovigilance. If the adverse effects are severe or the risks of using the drug outweigh the benefits, or if the drug is ineffective, the country may ban the drug or the Drug Company may itself voluntarily withdraw the drug. Some drugs may cause adverse effects only when combined with particular drugs. FDA approves Avastin for ovarian cancer
NOVEMBER, 2014: Roche has garnered a new indication for Avastin from US regulators, this time in combination with chemotherapy for the treatment of women with platinum-resistant, recurrent ovarian cancer.
FDA Warns About Undeclared Drugs Found in Weight-Loss Product
NOVEMBER, 2014: FDA is advising consumers not to purchase or use Sit and Slim II, promoted and sold as a dietary supplement with weight loss claims. Sit and Slim II has been found to contain undeclared phenolphthalein, sibutramine or a combination of both, which makes it an unapproved drug. Sibutramine was a controlled, FDA-approved substance for the treatment of obesity until it was removed from the U.S. market in 2010 for safety reasons. Phenolphthalein, once used in over-the-counter laxatives, is also not approved for marketing in the U.S. because of concerns that the substance can cause cancer.
Patients are growing concerned about reports of counterfeit drugs being provided by doctors. In February, 19 U.S. cancer clinics were warned by the FDA that they had received counterfeit versions of a cancer drug. Patients can protect themselves by asking their physicians questions about the origins of medicines they receive in their doctor's office. Authentic Avastin is made in the U.S. and moves through a closed, secure drug supply chain to American cancer clinics. The counterfeit medication, however, crossed four continents before arriving in the U.S. via unauthorized distributors. Investigators are working to identify those responsible for manufacturing this fake medicine. One thing they do know is that the fake product was not the vital, lifesaving chemotherapy patients expected.
Frequently Asked Questions Q1. What is meant by a blood bank?
Answer:A place or organization or unit or institution or other arrangements made by such organization, unit or institution for carrying out all or any of the operation for collection, apheresis, storage, processing and distribution of blood drawn from donor for preparation, storage & distribution of blood components. A blood bank may be a separate free-standing facility or part of a larger laboratory in a hospital.
Typically, each donated unit of blood (whole blood) is separated into multiple components. Each component is generally transfused to a different individual, each with different needs. Generally components like Packed red blood cells, Platelet concentrate, Fresh Frozen Plasma (FFP), washed red cells, Cryoprecipitate, granulocyte concentrate etc. are prepared from collected blood.
In India, blood bank license issued by the State Licensing Authority (DC) & approved by the Central License Approving Authority (DCGI) is required for functioning of a blood bank.
Q2. What are the conditions for Blood donor selection followed In India?
Answer:The general conditions which are looked for in donors are-
• Age ----Between 18-60 years
• Haemoglobin------not less than 12.5gm%
• Pulse--------50-100/min
• Blood-----Systolic 100-180 mm of Hg
• Diastolic-----50-100 mm of Hg
• Temperature-------Normal
• Body weight------not less than 45 Kg
Donor should be in a healthy state mind and body and they should also fulfill the following criteria-
➢ Past 1 year-----not been treated for Rabies
➢ Hepatitis & immunoglobulin-----Past 6 months
