Celobar Incident
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Celobar Incident
The Celobar incident was a pharmaceutical fraud that occurred in Brazil in 2003, and resulted in the death of more than twenty X-ray patients by barium poisoning.''Caso Celobar: diretores do laboratório fabricante do medicamento são condenados''Court Sentence Summary(in Portuguese) by JusBrasil Notícias Jurídicas, extracted from the Rio de Janeiro Court of Justice proceedings of January 30, 2009. Accessed on 2009-06-30.''Justiça condena 2 por mortes por Celobar''. Folha de S.Paulo, January 30, 2009Online versionaccessed on 2009-06030. Laboratório Enila was a small Brazilian pharmaceutics manufacturer who made an oral X-ray contrast medium trademarked Celobar. The medium's main ingredient was pharmaceutics-grade barium sulfate (BaSO4) imported from Germany. In 2003, without having the necessary expertise or authorization, they tried to manufacture BaSO4 in-house from much-cheaper technical-grade barium carbonate (BaCO3). They saved US$100.
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Pharmaceutical Fraud
Pharmaceutical fraud is when pharmaceutical companies engage in illegal, fraudulent activities to the detriment of patients and/or insurers. Examples include counterfeit drugs that do not contain the active ingredient, false claims in packaging and marketing, suppression of negative information regarding the efficacy or safety of the drug, and violating pricing regulations. Definition Pharma fraud refers to: * Trade involving counterfeit drugs: 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 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 o ...
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Brazil
Brazil, officially the Federative Republic of Brazil, is the largest country in South America. It is the world's List of countries and dependencies by area, fifth-largest country by area and the List of countries and dependencies by population, seventh-largest by population, with over 212 million people. The country is a federation composed of 26 Federative units of Brazil, states and a Federal District (Brazil), Federal District, which hosts the capital, Brasília. List of cities in Brazil by population, Its most populous city is São Paulo, followed by Rio de Janeiro. Brazil has the most Portuguese-speaking countries, Portuguese speakers in the world and is the only country in the Americas where Portuguese language, Portuguese is an Portuguese-speaking world, official language. Bounded by the Atlantic Ocean on the east, Brazil has a Coastline of Brazil, coastline of . Covering roughly half of South America's land area, it Borders of Brazil, borders all other countries and ter ...
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X-ray
An X-ray (also known in many languages as Röntgen radiation) is a form of high-energy electromagnetic radiation with a wavelength shorter than those of ultraviolet rays and longer than those of gamma rays. Roughly, X-rays have a wavelength ranging from 10 Nanometre, nanometers to 10 Picometre, picometers, corresponding to frequency, frequencies in the range of 30 Hertz, petahertz to 30 Hertz, exahertz ( to ) and photon energies in the range of 100 electronvolt, eV to 100 keV, respectively. X-rays were discovered in 1895 in science, 1895 by the German scientist Wilhelm Röntgen, Wilhelm Conrad Röntgen, who named it ''X-radiation'' to signify an unknown type of radiation.Novelline, Robert (1997). ''Squire's Fundamentals of Radiology''. Harvard University Press. 5th edition. . X-rays can penetrate many solid substances such as construction materials and living tissue, so X-ray radiography is widely used in medical diagnostics (e.g., checking for Bo ...
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Radiocontrast
Radiocontrast agents are substances used to enhance the visibility of internal structures in X-ray-based imaging techniques such as computed tomography (contrast CT), projectional radiography, and fluoroscopy. Radiocontrast agents are typically iodine, or more rarely barium sulfate. The contrast agents absorb external X-rays, resulting in decreased exposure on the X-ray detector. This is different from radiopharmaceuticals used in nuclear medicine which emit radiation. Magnetic resonance imaging (MRI) functions through different principles and thus MRI contrast agents have a different mode of action. These compounds work by altering the magnetic properties of nearby hydrogen nuclei. Types and uses Radiocontrast agents used in X-ray examinations can be grouped in positive (iodinated agents, barium sulfate), and negative agents (air, carbon dioxide, methylcellulose). Iodine (circulatory system) Iodinated contrast contains iodine. It is the main type of radiocontrast used for intra ...
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Barium Sulfate
Barium sulfate (or sulphate) is the inorganic compound with the chemical formula Ba SO4. It is a white crystalline solid that is odorless and insoluble in water. It occurs in nature as the mineral barite, which is the main commercial source of barium and materials prepared from it. Its opaque white appearance and its high density are exploited in its main applications.Holleman, A. F. and Wiberg, E. (2001) ''Inorganic Chemistry'', San Diego, CA. Academic Press, . Uses Drilling fluids About 80% of the world's barium sulfate production, mostly purified mineral, is consumed as a component of oil well drilling fluid. It increases the density of the fluid, increasing the hydrostatic pressure in the well and reducing the chance of a blowout. Radiocontrast agent Barium sulfate in suspension is often used medically as a radiocontrast agent for X-ray imaging and other diagnostic procedures. It is most often used in imaging of the GI tract during what is colloquially known as a ...
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Germany
Germany, officially the Federal Republic of Germany, is a country in Central Europe. It lies between the Baltic Sea and the North Sea to the north and the Alps to the south. Its sixteen States of Germany, constituent states have a total population of over 84 million in an area of , making it the most populous member state of the European Union. It borders Denmark to the north, Poland and the Czech Republic to the east, Austria and Switzerland to the south, and France, Luxembourg, Belgium, and the Netherlands to the west. The Capital of Germany, nation's capital and List of cities in Germany by population, most populous city is Berlin and its main financial centre is Frankfurt; the largest urban area is the Ruhr. Settlement in the territory of modern Germany began in the Lower Paleolithic, with various tribes inhabiting it from the Neolithic onward, chiefly the Celts. Various Germanic peoples, Germanic tribes have inhabited the northern parts of modern Germany since classical ...
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Barium Carbonate
Barium carbonate is the inorganic compound with the formula BaCO3. Like most alkaline earth metal carbonates, it is a white salt that is poorly soluble in water. It occurs as the mineral known as witherite. In a commercial sense, it is one of the most important barium compounds. Preparation Barium carbonate is made commercially from barium sulfide by treatment with sodium carbonate at 60 to 70 °C ( soda ash method) or, more commonly carbon dioxide at 40 to 90 °C: In the soda ash process, an aqueous solution of barium sulfide is treated with sodium carbonate: : Reactions Barium carbonate reacts with acids such as hydrochloric acid to form soluble barium salts, such as barium chloride: : Pyrolysis of barium carbonate gives barium oxide. Uses It is mainly used to remove sulfate impurities from feedstock of the chlor-alkali process. Otherwise it is a common precursor to barium-containing compounds such as ferrites. Other uses Barium carbonate is widely used in t ...
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Carbonate
A carbonate is a salt of carbonic acid, (), characterized by the presence of the carbonate ion, a polyatomic ion with the formula . The word "carbonate" may also refer to a carbonate ester, an organic compound containing the carbonate group . The term is also used as a verb, to describe carbonation: the process of raising the concentrations of carbonate and bicarbonate ions in water to produce carbonated water and other carbonated beverageseither by the addition of carbon dioxide gas under pressure or by dissolving carbonate or bicarbonate salts into the water. In geology and mineralogy, the term "carbonate" can refer both to carbonate minerals and carbonate rock (which is made of chiefly carbonate minerals), and both are dominated by the carbonate ion, . Carbonate minerals are extremely varied and ubiquitous in chemically precipitated sedimentary rock. The most common are calcite or calcium carbonate, , the chief constituent of limestone (as well as the main component of ...
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Nova Iguaçu
Nova Iguaçu (, ''New Iguaçu'') is a municipality in Rio de Janeiro state in Brazil. Geography Location The city is named after the Iguaçu River that runs through it and empties into Guanabara Bay (not to be confused with the Iguaçu River in Paraná state, which forms the Iguaçu Falls). It is part of the Greater Rio de Janeiro metropolitan area. It was the state's second largest city in population until Mesquita was split off, and now it is the fourth largest behind São Gonçalo, Duque de Caxias and the state capital, Rio de Janeiro. It lies northwest of Rio de Janeiro, in the centre of the northern part of its metropolitan area, Baixada Fluminense. The current mayor is Rogério Lisboa ( PR). The city is the seat of the Roman Catholic Diocese of Nova Iguaçu. Nova Iguaçu has an estimated population of around 800,000 people. Although not best defined as a commuter town, it is a suburb of Rio de Janeiro under the influence of the capital – to which tens of thou ...
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Rio De Janeiro
Rio de Janeiro, or simply Rio, is the capital of the Rio de Janeiro (state), state of Rio de Janeiro. It is the List of cities in Brazil by population, second-most-populous city in Brazil (after São Paulo) and the Largest cities in the Americas, sixth-most-populous city in the Americas. Founded in 1565 by the Portuguese people, Portuguese, the city was initially the seat of the Captaincy of Rio de Janeiro, a domain of the Portuguese Empire. In 1763, it became the capital of the State of Brazil, a List of states of the Portuguese Empire, state of the Portuguese Empire. In 1808, when the Transfer of the Portuguese Court to Brazil, Portuguese Royal Court moved to Brazil, Rio de Janeiro became the seat of the court of Queen Maria I of Portugal. She subsequently, under the leadership of her son the prince regent John VI of Portugal, raised Brazil to the dignity of a kingdom, within the United Kingdom of Portugal, Brazil and the Algarves, United Kingdom of Portugal, Brazil, and Algar ...
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Nilópolis
Nilópolis (, , ) is a municipality in Brazil, located in the Rio de Janeiro state's southwestern region, bordering São João de Meriti, Mesquita and Rio de Janeiro. It is the smallest municipality in Rio de Janeiro state, with a total area of 19.39 km2. The population of 162,693 inhabitants living in an area of 9 km2 and the remaining area corresponds to the Gericinó's Natural Park. Officially, the population density exceeds 8,120 inhabitants/km2, but if calculated just 9 km2 occupied, it becomes the most densely populated city in Brazil with more than 17.400 inhabitants/km2. Currently, São João de Meriti has the highest population density, with 12,897 inhabitants/km2. The city was named after Nilo Peçanha, a President of Brazil. Transport Nilópolis is served by bus companies owned by the municipality, such as Nilopolitana Cavalcanti & Cia, and other companies that are not based in the city but provide services to its population. Railway Nilópolis a ...
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Barium
Barium is a chemical element; it has symbol Ba and atomic number 56. It is the fifth element in group 2 and is a soft, silvery alkaline earth metal. Because of its high chemical reactivity, barium is never found in nature as a free element. The most common minerals of barium are barite ( barium sulfate, BaSO4) and witherite ( barium carbonate, BaCO3). The name ''barium'' originates from the alchemical derivative "baryta", from Greek (), meaning 'heavy'. ''Baric'' is the adjectival form of barium. Barium was identified as a new element in 1772, but not reduced to a metal until 1808 with the advent of electrolysis. Barium has few industrial applications. Historically, it was used as a getter for vacuum tubes and in oxide form as the emissive coating on indirectly heated cathodes. It is a component of YBCO (high-temperature superconductors) and electroceramics, and is added to steel and cast iron to reduce the size of carbon grains within the microstructure. Barium compounds ...
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