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Pharma fraud is a term to describe several illegal activities involving the manufacturing, marketing, and distribution of pharmaceuticals.


History

Because of a lack of regulation and enforcement, the quality, safety and efficacy of both imported and locally manufactured medicines in many developing countries cannot be guaranteed. Subsequently, smuggling and illegal importation of drugs are common. Substandard and counterfeit drugs are then not only sold in these countries but also exported or re-exported. According to the
World Customs Organization The World Customs Organization (WCO) is an intergovernmental organization headquartered in Brussels, Belgium. The WCO works on customs-related matters including the development of international conventions, instruments, and tools on topics su ...
, counterfeit drugs are a $200 billion a year industry that kills hundreds of thousands of people annually. The phrase "pharma fraud" was proposed by Ellen 't Hoen of MSF, during the 61st
World Health Assembly The World Health Assembly (WHA) is the forum through which the World Health Organization (WHO) is governed by its 194 member states. It is the world's highest health policy setting body and is composed of health ministers from member states. Th ...
meeting in Geneva. She proposed the phrase in response to controversies over the use of the term "counterfeiting" in draft WHA resolutions, to describe activities that often involved health risks from unsafe, substandard or fake medicines. The use of the term counterfeit was problematic and inaccurate to describe all of these activities, and health experts were seeking a new term to collectively describe these harmful activities.


Definition

Pharma fraud refers to: * Trade involving
counterfeit drugs A counterfeit medication or a counterfeit drug is a medication or pharmaceutical item which is produced and sold with the intent to deceptively represent its origin, authenticity, or effectiveness. A counterfeit drug may contain inappropriate qua ...
: the practice of falsely claiming to be an authorized product of another firm, including but not limited to the use of another firm's mark to deceive the public. * Deliberately manufacturing and marketing products that do not contain the required active ingredients or not contain the right amount of active ingredient. *
Packaging and labeling Packaging is the science, art and technology of enclosing or protecting products for distribution, storage, sale, and use. Packaging also refers to the process of designing, evaluating, and producing packages. Packaging can be described as a ...
of drugs that make false claims regarding medical properties, including but not limited to the active medical ingredients, the date of expiration of products, or the methods of storage. * Marketing of products using false claims regarding the efficacy of the product which will lead to the irrational use of medicines or deliberately failing to provide information about safety concerns of the product. * Deliberate suppression of data, including evidence from clinical trials, that reveal
adverse effects An adverse effect is an undesired harmful effect resulting from a medication or other intervention, such as surgery. An adverse effect may be termed a "side effect", when judged to be secondary to a main or therapeutic effect. The term complica ...
of the medicine.


Examples

In response to a meningitis epidemic in
Niger ) , official_languages = , languages_type = National languagesvaccination Vaccination is the administration of a vaccine to help the immune system develop immunity from a disease. Vaccines contain a microorganism or virus in a weakened, live or killed state, or proteins or toxins from the organism. In stimulating ...
campaign. In March 1995, Niger received a donation of 88,000 Pasteur Mérieux and
SmithKline Beecham GSK plc, formerly GlaxoSmithKline plc, is a British multinational pharmaceutical and biotechnology company with global headquarters in London, England. Established in 2000 by a merger of Glaxo Wellcome and SmithKline Beecham. GSK is the tent ...
vaccines from neighboring Nigeria. A
Médecins Sans Frontières (MSF; pronounced ), also known as Doctors Without Borders, is a humanitarian medical non-governmental organisation (NGO) or charity of French origin known for its projects in conflict zones and in countries affected by endemic diseases. ...
(MSF) team working with local health authorities noticed that the vaccines from
Nigeria Nigeria ( ), , ig, Naìjíríyà, yo, Nàìjíríà, pcm, Naijá , ff, Naajeeriya, kcg, Naijeriya officially the Federal Republic of Nigeria, is a country in West Africa. It is situated between the Sahel to the north and the Gulf o ...
had an unusual appearance and inquiries were made. Pasteur Mérieux laboratories confirmed that the batch numbers and the expiration dates did not correspond to their manufacturing records. The drugs supplied by these companies had been substituted with
counterfeit drugs A counterfeit medication or a counterfeit drug is a medication or pharmaceutical item which is produced and sold with the intent to deceptively represent its origin, authenticity, or effectiveness. A counterfeit drug may contain inappropriate qua ...
. Tests carried out found no traces of active product, which confirmed that they were false. Bottles and labels were, however, copied to perfection. According to estimates, around 60,000 persons were inoculated with false vaccines out of a total 5 million vaccinated during the campaign.


References

{{reflist Fraud Pharmaceutical industry Food and Drug Administration