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publicado em 27/02/2013 às 09h58:00
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Half of the drugs distributed in Africa is fake

The conclusion of a study conducted by the National Academy of Science with participation of USP. In Brazil the rate reaches 8%

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African countries fighting rates that reach 50% in counterfeit pharmaceuticals. In these figures atigem worldwide average of 25%. These statements published by the World Health Organization (WHO) in 2011, served as a basis for study by the National Academy of Science (USA), with participation of the Faculty of Pharmaceutical Sciences (FCF) of USP.

The results of the study, commissioned by the Food and Drug Administration (FDA), point to the need for a global alert for the high number of counterfeit drugs. The lack of oversight in the movement of drugs and their active principles (supply chain) are cited as the main facilitators of the process, especially in underdeveloped countries.

Professor Marco Antonio Stephano, FHR, who represented Brazil in the research, says that the main targets of scams are called blockbuster drugs, with sales revenues exceeding $ 1 billion per year, as used in the treatment of cancer, chronic diseases like diabetes, Alzheimer's, erectile dysfunction, malaria and autoimmune diseases, explains.

According to the professor, in many countries the law does not consider that the active ingredient isolated from a plant or biological materials found in nature should be patented, why not adopt the counterfeit, making it difficult to control the production process. The study recommends increasing the traceability of medicines, besides expanding mechanisms for quality control and customer service. You must also create a culture in Medicine and Pharmacy courses so there is a greater identification of fraud.

Besides providing little protection against the counterfeit illness can cause serious side effects. These drugs pose potential threats around the world, but the nature of the risk varies by country, and in countries with little or no regulatory oversight. While developed countries are not immune (production negligent in a compounding pharmacy in Massachusetts killed 44 people between September 2012 and January 2013) the vast majority of problems occur in developing countries where these drugs affect millions.

According to the findings, it is difficult to measure the public health impact of counterfeit drugs and of low quality, the number of deaths they cause, or the amount of time and money are wasted with their use. Data gathered by the current study aims encotrar ways to minimize damage to public health

The study had the participation of the universities of Harvard, George Washington and Iowa State (United States), as well as researchers from India and South Africa

The findings and recommendations of the research were collected in the book Countering the Problem of Falsified and Substandard Drugs

With the information USP Agency and the Institute of Medicine of the National Academies

Veja os cuidados para evitar os falsificados no site da Anvisa

In Brazil

In Brazil the rate of counterfeiting is considered low, ranging between 5% and 8%. The main problem to be tackled is the deficiency in border control, which facilitates the entry of counterfeit. One reason for this lower incidence in the country is that most blockbuster drugs are offered by the Unified Health System (SUS) or their consumption is not the same as found in other countries.

The more forgeries found in the Brazilian market are drug or social entertainment, such as those used in the treatment of erectile dysfunction, and for anabolic physical strengthening. The professor warns that drugs from stolen cargo are also considered forgeries. Typically, these products are subjected to a process of inappropriate storage and packaging changes, which can lead to loss of their therapeutic activity, he says. Manufacturers are required to invest in transportation safety, which increases the price for consumers.

Although not located factories of fake medicines in Brazil, they enter the country illegally across borders, through the same routes of drug trafficking. Most products are manufactured in China, India, Paraguay and Bolivia, and in the two South American countries exs item with old equipment companies that produce counterfeits, says Stephano. You can find fake drugs for erectile dysfunction or cholesterol street vendors in large cities.

According to the professor, Brazilian law against counterfeit drugs is rigorous, but lack oversight. The penalties are very severe, counterfeiters can receive sentences of three to 15 years in prison, depending on the seriousness of the case, and companies fined $ 75 thousand points. However, the National Health Surveillance Agency (ANVISA) has a shortage of personnel to oversee the more than 300 000 registered medicines in the country. The agency, which also owns medical products and foods, should conduct public tender this year to contact 340 new employees.

Stephano recalls that in developed countries, the entry of counterfeit drugs is by direct purchase via the Internet, often without a prescription. Most drugs are sites outside Brazil because Brazilian online companies should follow the same proceedings of record companies entrepreneurship physical states. In this case, one of the recommendations is that they control the business of selling medicines over the internet with inspections and procurement of medicines in order to curb the sale of fake medicines.

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