Vast Malaria Drug Theft Leaves Patients Untreated
The Global Fund to Fight AIDS, Tuberculosis and Malaria have discovered that millions of dollars of donated malaria drugs have been stolen since 2009, vastly exceeding the suspected levels of theft.
The Global Fund developed a new anti-corruption program after exposed grant fraud prompted donors to demand greater transparency, reports the Associated Press.
Officials identified thirteen countries, mostly in Africa, where the drugs have gone missing from government supplies and have been resold, possibly tampered with or improperly stored, on the black market.
“Heat, high humidity and exposure to sunshine can cause accelerated decomposition of the stolen product,” says Dr. Marv Shepherd, Director of the Center for Pharmacoeconomic Studies at University of Texas-Austin’s College of Pharmacy. When these products are re-sold on the black market, they could be ineffectve at treating malaria and contribute to the growing resistance problem.
Global Fund spokesman Jon Liden said that $2.5 milion worth of malaria drugs are suspected of being stolen from Toga, Tanzania, Sierra Leone, Swaziland and Cambodia, adding, “We take this very seriously and we will do what it takes to protect our investment.”
Western Cambodia is undergoing an outbreak of artemisinin resistant malaria, the first known worldwide, caused, in part, by poor malarial treatments. The treatments are poor due to improper drug treatment regiments, or because medications purchased for these regiments may have been diluted or stored improperly and therefore weakened. Additionally, counterfeit pills with limited or no effectiveness may have been repackaged in the legitimate medicine packaging.
Tom Kubic, President and CEO of the Pharmaceutical Security Institute is concerned. “Theft of this magnitude of life saving medication is a very serious global health concern. Every time medication leaves the legitimate supply chain it is vulnerable to tampering, including dilution of injectable drugs. Additionally, there have been incidents were counterfeit medicines were found in genuine, reused packaging. Gravely ill patients are at risk of receiving ineffective treatment and again, the most needy suffer.”
Malaria patients near Thai-Cambodian border
–By Talea Miller, Online NewsHour via Flickr.
The Global Fund to Fight AIDS, Tuberculosis and Malaria have discovered that millions of dollars of donated malaria drugs have been stolen since 2009, vastly exceeding the suspected levels of theft.
The Global Fund developed a new anti-corruption program after exposed grant fraud prompted donors to demand greater transparency, reports the Associated Press.
Officials identified thirteen countries, mostly in Africa, where the drugs have gone missing from government supplies and have been resold, possibly tampered with or improperly stored, on the black market.
“Heat, high humidity and exposure to sunshine can cause accelerated decomposition of the stolen product,” says Dr. Marv Shepherd, Director of the Center for Pharmacoeconomic Studies at University of Texas-Austin’s College of Pharmacy. When these products are re-sold on the black market, they could be ineffectve at treating malaria and contribute to the growing resistance problem.
Global Fund spokesman Jon Liden said that $2.5 milion worth of malaria drugs are suspected of being stolen from Toga, Tanzania, Sierra Leone, Swaziland and Cambodia, adding, “We take this very seriously and we will do what it takes to protect our investment.”
Western Cambodia is undergoing an outbreak of artemisinin resistant malaria, the first known worldwide, caused, in part, by poor malarial treatments. The treatments are poor due to improper drug treatment regiments, or because medications purchased for these regiments may have been diluted or stored improperly and therefore weakened. Additionally, counterfeit pills with limited or no effectiveness may have been repackaged in the legitimate medicine packaging.
Tom Kubic, President and CEO of the Pharmaceutical Security Institute is concerned. “Theft of this magnitude of life saving medication is a very serious global health concern. Every time medication leaves the legitimate supply chain it is vulnerable to tampering, including dilution of injectable drugs. Additionally, there have been incidents were counterfeit medicines were found in genuine, reused packaging. Gravely ill patients are at risk of receiving ineffective treatment and again, the most needy suffer.”
“This crime is despicable,” says Dr. Bryan Liang, who directs the Institute of Health Law Studies, California Western School of Law and San Diego Center for Patient Safety, UCSD School of Medicine. “It exploits some of the most vulnerable patients worldwide by precluding their access to life saving drugs. But it also cheats future generations because lack of access drives patients to suspect locales and markets to try and access these key medications–only to be subject to fake and substandard drugs that may accelerate broad community resistance to first line treatment.”
Malaria kills more than one million people annually, according to the CDC, and is a predominant cause of death in children under five in Africa. Documents obtained by the Associated Press show that in about 70 percent of cases, the drugs were stolen at government-operated warehouses by security personnel, warehouse managers and doctors.
“The cases show that drug misappropriations are well-organized and predominantly planned by insiders using falsified documents,” one of the reports said. The documents also state that pilfered drugs are being shipped to other countries for resale, often within hours of their arrival.
Tom Kubic, Bryan Liang, and Marv Shepherd are all board members of the Partnership for Safe Medicines.