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Showing posts with label Medicines-Vaccines. Show all posts
Showing posts with label Medicines-Vaccines. Show all posts

Traditional herbs to be recognized in medical practice

Antara News, Mon, March 21 2011

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Surabaya (ANTARA News) - A discourse is going on in the Indonesian medical world to recognize traditional medicinal herbs as legal medicine which doctors can include in their prescriptions, the head of East Java`s health office. Dr. Dodo Anondo, said here Monday.

Herbal medicines.
"The idea was also discussed at a health ministry national working meeting in Batam a few days ago. however, many things still need to be considered before it can be implemented," he said.

The Indonesian health ministry had put the matter on its agenda since 2010 but its realization until recently had remained uncertain, he added.

He said there were still several things that should be considered before doctors could actually include herbs in their prescriptions although research conducted by the health ministry`s health research and development agency had found herbs to contain real medicinal properties.

Besides, certain regulations were needed to endorse the use and distribution of herbs as legal medicines in medical practice. Therefore, Dodo said, the health office in each province should take over the control of the distribution of medicinal herbs.

Meanwhile, polyclinics of traditional herbal medicine which existed in hospitals or community health centers should have a legal license to operate. The legal permits would be issued by the health minister as the government agency overseeing hospitals and community health centers in Indonesia.

Dodo said the preparation of implementing herbs as legal medicine for medical practice was aimed to encourage Indonesia to become a center of herbal medicine. Even more, Indonesia is a plentiful herbs country which most of the herbs can be used as medicine.

"Later on, the traditional herbal medicine can be applied in state and private hospitals in Indonesia," Dodo said.

Editor: Priyambodo RH

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Negative experiences can stop painkillers working

BBC News, By James Gallagher ,Health reporter, 16 February 2011

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A patient's belief that a drug will not work can become a self fulfilling prophecy, according to researchers.

Negative thoughts rendered painkillers ineffective
They showed the benefits of painkillers could be boosted or completely wiped out by manipulating expectations.

The study, published in Science Translational Medicine, also identifies the regions of the brain which are affected.

Experts said this could have important consequences for patient care and for testing new drugs.

Heat was applied to the legs of 22 patients, who were asked to report the level of pain on a scale of one to 100. They were also attached to an intravenous drip so drugs could be administered secretly.

The initial average pain rating was 66. Patients were then given a potent painkiller, remifentanil, without their knowledge and the pain score went down to 55.

They were then told they were being given a painkiller and the score went down to 39.

Then, without changing the dose, the patients were then told the painkiller had been withdrawn and to expect pain, and the score went up to 64.

So even though the patients were being given remifentanil, they were reporting the same level of pain as when they were getting no drugs at all.

Professor Irene Tracey, from Oxford University, told the BBC: "It's phenomenal, it's really cool. It's one of the best analgesics we have and the brain's influence can either vastly increase its effect, or completely remove it."

The study was conducted on healthy people who were subjected to pain for a short period of time. She said people with chronic conditions who had unsuccessfully tried many drugs for many years would have built up a much greater negative experience, which could impact on their future healthcare.

Professor Tracey said: "Doctors need more time for consultation and to investigate the cognitive side of illness, the focus is on physiology not the mind, which can be a real roadblock to treatment."

Brain scans during the experiment also showed which regions of the brain were affected.

The expectation of positive treatment was associated with activity in the cingulo-frontal and subcortical brain areas while the negative expectation led to increased activity in the hippocampus and the medial frontal cortex.

Researchers also say the study raises concerns about clinical trials used to determine the effectiveness of drugs.

George Lewith, professor of health research at the University of Southampton, said: "It's another piece of evidence that we get what we expect in life.

"It completely blows cold randomised clinical trials, which don't take into account expectation."

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US pharm industry creates diseases to cure them

RT, 14 February, 2011

US pharmaceutical companies get creative when it comes to disorders and drugs to treat almost anything, from canine depression to female sexual dysfunction.

The American drug trade is a multi-billion-dollar business, and is only getting bigger. Meanwhile the industry has been accused of illegally pushing medicine onto the market, often endangering the lives of patients.

In the US, the most common medication prescribed for dogs is to treat aggression and anxiety disorders. Pharmacists admit that Prozac works terrifically on dogs.

Yes, there is such a thing as doggy Prozac, a beef-flavored version of the well-known “human” anti-depressant, government-approved and being proscribed by veterinarians for canines in crisis.

“There is a significant population of dogs which is really suffering from separation anxiety,” reveals veterinary behaviorist E'Lise Christensen, from NYC Vet Specialists.

The drug company, one of the largest, is banking on that. They believe up to 17 per cent of US dogs are suffering from this mental affliction. It is an idea some would scoff at, and as Christensen says “I definitely understand being skeptical.”

“Companies are desperate to keep up their profit margin, and do things to keep the margin up, even though the number of new drugs that are important in the pipeline has diminished,” argues Dr. Sidney Wolfe, director of Public Citizen’s Health Research.

It turns out those companies do not need doggy drugs in order for critics to make that case. Medical researchers have crunched the numbers and found the pharmaceutical industry now tops the defense industry as the number one defrauder of the US government.

“That was a finding that I didn't expect. No one had really ever looked at it before and it shows you how out-of-control really the pharmaceutical industry really is,” Dr. Sidney Wolfe said.

In some cases it is criminally out of control, perhaps helping this industry go from selling US$40 billion to $234 billion a year in prescription drugs. Over the last two decades, companies have been cheating and endangering patients. Their biggest violations are overcharging the government by billions and illegally marketing their drugs to treat conditions for which they have not proven safe or effective.

One of the largest criminal penalties ever levied against an American corporation involved the drugs giant Pfizer. The illegal practices included essentially hiring positions despite the buzz about the drug, telling their colleagues to prescribe it for a condition it was not approved for.

And when it comes to the drug companies, disease-pushers may not be an unfair way of describing them, as well as drug pushers – that is what one filmmaker found when tracing a newly-minted disorder.

“Female sexual dysfunction itself is something the pharm industry really pushed for and had a hand in creating,” believes Liz Canner, filmmaker of Orgasm Inc.

That is the conclusion Canner came to after following the process of a drug company developing female Viagra. She says only a small number of women need it, but the company has other plans.

“Their marketing and the amount of money they’re pouring into it really says they’re trying to sell this to the whole population,” insists Liz Canner.

And with commercials for prescription drugs airing on TV in the US, companies are in a position to do just that.

With billions being made and not much to lose, critics say even in the case of crime, for this industry nothing is likely to change.

“Unless people go to jail unless the fines are much larger than they have been the companies will find that it's cheaper to cheat” Dr. Sidney Wolfe said.

Companies that stop short of nothing to find some-syndrome, someone or something new to medicate.


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Doctors asked to prescribe generic drugs

Antara News, Sun, February 13 2011

Jakarta (ANTARA News) - Coordinating Minister for People`s Welfare Agung Laksono has reminded that doctors in all government hospital and other health care centers should prescribe generic drugs for their patients.

"It has been regulated that doctors at government health facility centers are obliged to prescribe generic drugs for their patients," the coordinating minister said here on Sunday.

With the prescription, patients could obtain generic drugs at pharmacies or at non-government health facility centers, he said.

He said that the aim of generic drug prescription was to alleviate the burden of patients and their families in buying medicines.

The prescription of cheaper generic drugs is also intended to inform people that they should not merely be tempted to purchase expensive drugs which might not be more effective than generic ones.

He said that generic drugs also came from branded medicines whose patent rights had expired so that their production cost was lower.

Therefore, he said, the popularization of generic drugs should be focused not only on low prices but also on their quality which was relatively the same as that of branded ones.

"Therefore, doctors and health workers at government hospitals, including at public health care centers, play a decisive role in encouraging people to use generic drugs," he said.

Editor: Aditia Maruli

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Jayawijaya region rich in medicinal plants

Antara News, Tuesday, December 14, 2010

Jayapura, Papua (ANTARA News) - Located at an altitude of 1,900 meters above sea level, Jayawijaya district in Papua province is rich in medicinal plants.

The plants have for thousands of years been known by the Dani tribe in Baliem Valley as effective cures for various kinds of disease.

A lecturer at Santo Thomas Aquinas Agricultural Science College (STIPER). Yunus Paelo, said here on Tuesday a lot of plants in the mountains of Jayawijaya district had medicinal properties that could be developed for the local people`s welfare.

"The Dani ethnic community`s knowledge about the medicinal plants is in line with cultural development in the realm of medication," Yunus said, adding that many of the medicinal plants were endemic and only grew in the Jayawijaya mountain region.

He said among the medicinal plants growing in the region were Rhododendron macgregoriae which is effective to fight bacteria , Myrmecodia aureospinosa that can cure cancer and other diseases, and Pandanus conoideus which is popularly known as red fruit.

About the red fruit, Yunus said each fruit contains 35.9 percent of oil with 79.9 percent of oleic acid, 19.6 percent of palmitoleat acid, and 0.48 percent of stearat acid.

According to him, there were more than 70 kinds of medicinal plants with 62 genera and 37 families in the district.

Most of them were being cultivated by the local people and the rest was still growing in the wild such as Mucuna pruriens for Parkinson;s disease, Solanum nigrum for digestive problems, Rhododendron macgregoriae to fight bacteria, and many more.

Yunus expressed hope that the medicinal plants in Jayawijaya could be conserved, developed, and introduced to the public at large at home and abroad.

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Experts admit swine flu jab 'may cause' deadly nerve disease

Daily Mail, By JO MACFARLANE, 16th October 2010

Health chiefs have for the first time acknowledged that the swine flu jab may be linked to an increased risk of developing a deadly nerve condition.

Experts are examining a pos sible association between the controversial jab and Guillain-Barre Syndrome, according to a report from official watchdog the Medicines and Healthcare products Regulatory Agency (MHRA).

Previously, the Government has always stressed there is no evidence to link the paralysing condition to the H1N1 vaccine.

Fears: GBS victim Hilary Wilkinson wants
more research on the vaccine
After The Mail on Sunday revealed in August 2009 that doctors were being asked to monitor cases of GBS during the swine flu pandemic, a letter from the Health Protection Agency’s chief executive Justin McCracken stated: ‘There is no evidence to suggest an increased risk of GBS from the vaccines being developed to fight the current pandemic.’

Now the MHRA’s newly published report suggests the Government’s position has changed.

It says: ‘Given the uncer tainties in the available information and as with seasonal flu vaccines, a slightly elevated risk of GBS following H1N1 vaccines cannot be ruled out. Epidemiological studies are ongoing to further assess this possible association.’

It is not known precisely what causes GBS but the condition attacks the lining of the nerves, leaving them unable to transmit signals to muscles effectively.

It can cause partial paralysis and mostly affects the hands and feet – but it can be fatal.

The MoS report last year
Mother-of-two Hilary Wilkinson, 58, from Maryport, Cumbria, developed GBS following a chest infection and spent three months in hospital learning to walk and talk again.

She said: ‘It’s a frightening illness and I think more research needs to be done on the effect of the swine flu vaccine.’

A vaccine used to combat a different form of swine flu in the US in 1976 led to 25 deaths from the condition, compared with just one death from swine flu itself.

Amid fears there could be a repeat, neurologists were asked to record cases of GBS in the UK swine flu outbreak. Millions of people this year will be exposed to the swine flu vaccine as it has been included within the seasonal flu jab.

Government experts say there is no evidence of an increase in risk similar to 1976, but the MHRA report reveals they are calculating if there might be a smaller raised risk.

The MHRA had 15 suspected GBS cases after vaccination – and six million doses of the swine flu jab Pandemrix were given. It is not known if swine flu or the vaccine could have caused the suspected cases.

A spokeswoman for the MHRA said the risk with the vaccine had not changed and that the report ‘simply expands’ on ongoing GBS analysis.

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Broccoli could provide potent pill to treat six million osteoarthritis sufferers

Daily Mail, By DAILY MAIL REPORTER, 16th September 2010

Broccoli has been hailed by scientists as a 'super food' for joints which could cure millions of arthritis sufferers.

The green vegetable is rich in the compound sulforaphane and initial research has suggested this may play a key role in protecting bones and joints and stop them from wasting away.

The humble broccoli has anti-cancer properties and scientists now believe it may also protect joints

Scientists at the University of East Anglia have found the chemical blocks the enzymes that cause joint destruction in osteoarthritis, which is the most common form of arthritis.

The team are now launching a new project that they hope will lead to a new broccoli-based treatment for Britain's six million arthritis sufferers.

Professor Ian Clark said: 'We all know broccoli is good for you but this is the first time it has been linked to a osteoarthritis.

'We know there is a chemical, sulforaphane, in broccoli that can slow down cartilage destruction and we want to see if this can actually get into the joints and stop the progress of the condition.

'The UK has an aging population and developing new strategies for combating age-related diseases such as osteoarthritis is vital - to improve the quality of life for sufferers but also to reduce the economic burden on society.'
Around 30 patients will be fed the cruciferous vegetable ahead of joint replacement operations.

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They will then be examined after their surgery to see if sulforaphane has successfully entered their joints.

If the test is found to be effective then more patients will be recruited for a larger clinical trial.

Professor Clark said: 'The results could mean we prevent many, many more needing to go for surgery because progress of the disease will either be slowed down or completely halted. It really is a breakthrough project.'

Currently, people suffering from arthritis can only choose between short-term pain relief or joint replacement operations.

Arthritis Research UK and the Diet and Health Research Industry Club (DRINC), is funding the £650,000 project.

Osteoarthritis is the leading cause of disability in the UK where it affects around six million people.

It is a degenerative joint disease which gradually destroys the cartilage in the joints, particularly in the hands, feet, spine, hips and knees of older people.

Broccoli has previously been linked with reducing the risk of cancer and is regarded as a 'super food'. However, there has not yet been a major study of its effects on joint health


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WHO gives leprosy aid in South Sumatra

The Jakarta Post | Thu, 09/02/2010 10:37 AM

PALEMBANG: The World Health Organization (WHO) gave medicine to leprosy patients at Dr. Rivai Abdullah Hospital in Sungai Kendur, Palembang, on Wednesday.

WHO representative Yohei Sasakawa said he hoped the aid would help free the province from leprosy.

Sasakawa said he appreciated the hospital’s treatment of leprosy patients and told the local administration not to discriminate against people afflicted by the disease.

The Nippon Foundation, which is chaired by Sasakawa, provided the medicine to WHO for patients in Indonesia.

Governor Alex Noerdin said he hoped the package would help reduce the province’s number of leprosy patients.

“We are determined to free South Sumatra from leprosy,” he said.

Hospital director Dr Heriadi Manan said the facility was currently treating 40 leprosy patients and housing 50 rehabilitated patients.

“They have already recovered from the illness, but because of their physical defects, they are reluctant to return to their society because they fear being exiled,” he said. — JP

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Who’s to blame for our antibiotics addiction?

Triwik Kurniasari, The Jakarta Post, Jakarta | Sun, 08/29/2010 11:19 AM

The widespread use of antibiotics has become a major global public health sector problem. The UN World Health Organization (WHO) has urged countries to reinforce national policies on the prudent use of antibiotics to reduce the alarming increase in poorly monitored consumption.

A traveler walks past a drug store at Gambir train
station in Central Jakarta. Different brand of antibiotics
 are easily available as over-the-counter medicine,
 which contributes to the excessive use of the drugs.
JP/Ricky Yudhistira
How have antibiotics become a new source of addiction?

As health experts are busy debating the impact of excessive use of antibiotics, the WHO has called on governments, medical practitioners and the pharmaceutical industry to guard against possible problems associated with antibiotics, especially the potential for microbial resistance.

But what exactly is an antibiotic?

An antibiotic is essentially a substance used for curing illnesses by killing or injuring microbes, including bacteria, pharmacologist Nicolaski Lumbuun of the Pelita Harapan University Medical School said.

Antibiotics have widely been used since the 19th century following research on bacteria by Louis Pasteur and Robert Koch, who discovered that some microorganisms were capable of destroying other microorganisms.  The experiment led to Alexander Fleming’s discovery of penicillin in 1928, which was developed further by English and German scientists.

The invention resulted in a medical revolution, first by significantly reducing mortality rate, Nicolaski said.

“Antibiotics are safe for most human beings, but it have side effects causing allergies, rashes, itching, swelling and even Stevens-Johnson syndrome, which can lead to death,” Nicolaski told The Jakarta Post recently. 

Stevens-Johnson syndrome is a life-threatening condition affecting the skin.

Antibiotics should only be used to treat bacterial infections with symptoms such as fever or inflammation lasting longer than five days, Nicolaski said.

“Antibiotics fight bacteria-related illness, so they are not suitable for treating influenza or the common cold, which are caused by viruses,” he added.

In Indonesia, people tend to excessively consume antibiotics because they are over-the-counter medicines that can be found in drugstores, or even in roadside stalls. In many cases, physicians easily prescribe antibiotics in hopes that their patients swiftly recover. 

Nicolaski once again warned about the side effects of antibiotics.

“First, it is a waste of money because antibiotics are usually expensive. They can lead to allergic reactions and digestion problems. But the most serious effect is that excessive use of antibiotics can
raise the resistance to dangerous bacteria. This situation makes it difficult for doctors to control
infections.” 

Some bacteria become immune if an antibiotic is used over a long period of time, Nicolaski said, adding that this is why some countries have imposed strict regulations over the use of antibiotics.

“In Singapore, for instance, drug stores can only give antibiotics to customers with a prescription from licensed physicians. Such regulations protect citizens,” Nicolaski said.

Other experts have warned about the issue of antibiotics resistance because of microorganisms’ ability to mutate and develop immunity, the chairman of Eijkman Institute for Molecular Biology Malaria Laboratory, Syafruddin, said.

Research indicated that some organisms, such as Staphylococcus aureus, had built up immunity against meticillin, a penicillin-class antibiotic used to treat infection, he said.

Syafruddin also blasted doctors who over-prescribed antibiotics despite knowledge of the associated risks, and suggested that doctors asked their patients about allergies to antibiotics.

“If doctors are not sure about their diagnoses, they shouldn’t give their patients antibiotics,” he said.
Syafruddin added that doctors should be encouraged to provide patients with more general medicines to prevent antibiotic resistance. 

While many doctors freely offer their patients antibiotics, there are other doctors who are more cautious.

Nina, a doctor who refused to give her full name, said that she only prescribed antibiotics if her patient suffered from a high fever for more than three days.

“I will prescribe regular [non-antibiotic] medication if my patient’s fever lasts less than three days. If the fever lasts longer than three days, I will prescribe an antibiotic. But I check the patient’s condition before I make the prescription,” she said.

It is also important to ask patients whether they have allergies when they request prescriptions for antibiotics, Nina said.

“Sometimes parents panic when their children are sick and ask the doctor to prescribe antibiotics. Many people think that antibiotics will solve illnesses immediately.

I myself will not prescribe antibiotics if the patients don’t need it, and I will give the reason why,” Nina said, adding that pregnant women have to be careful because the consumption of antibiotics can give harm the fetus.

But some people are simply clueless about antibiotics and the possible effects they may have. 

“I don’t even know what an antibiotic is. All I know is that if the doctor gives us an antibiotic, we must eat it, but I never ask my doctor why,” said Gayatri Nur Andewi, a 28-year-old mother of two.

“I don’t want my kids taking too much of any medicine, and I stop giving them the drugs once they feel better.

The most important thing is that the sickness is gone,” Gayatri said. She said she never bought antibiotics without a prescription because it was too risky.

“It’s a matter of safety. I don’t know what antibiotics are available in stores,” she said.

For others, antibiotics are their drugs of choice. Private employee Gracia Maya Savitri said she bought antibiotics from drugstores without a prescription.

“Yes, I bought Amoxicillin for my toothache. My dentist suggested I take the antibiotic and I buy them without a prescription,” she said.

“I used to give my sick toddlers antibiotic syrup, but I only gave it for three days,” she said.

Why does not she consult a physician? “I don’t want to stand in line, especially as my pediatrician
has a lot of patients,” Gracia said. 

Nicolaski urged the public not to buy antibiotics without a prescription.

“If you get a cough, cold or flu [for less than three days], it’s not recommended to take antibiotics without a doctor’s prescription, because these illnesses are caused by viruses and antibiotics won’t work,” Nicolaski said. The excessive use of antibiotics to fight ailments like common colds has contributed to a global antibiotic resistance crisis, he said.

“Don’t use antibiotics for prevention, such as taking antibiotics before or after having sexual intercourse with a sex worker. The medicine will not prevent sexually transmitted infections,” he said.

Nicolaski also encouraged patients to prevent infection and side effects by maintaining discipline when a doctor prescribed an antibiotic.

The WHO also recommended that governments ensure rational use of antibiotics by educating healthcare workers and the public on the most appropriate dosage.

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WHO swine flu experts 'linked' with drug companies

BBC News, Friday, 4 June 2010 12:14 UK

Governments around the world stockpiled antiviral drugs

Key scientists behind World Health Organization advice on stockpiling of pandemic flu drugs had financial ties with companies which stood to profit, an investigation has found.

The British Medical Journal says the scientists had openly declared these interests in other publications yet WHO made no mention of the links.

It comes as a report from the Council of Europe criticised the lack of transparency around the handling of the swine flu pandemic.

A spokesman for WHO said the drug industry did not influence its decisions on swine flu.

Guidelines recommending governments stockpile antiviral drugs were issued by WHO in 2004.

The advice prompted many countries around the world into buying up large stocks of Tamiflu, made by Roche, and Relenza manufactured by GlaxoSmithKline.

A year after the swine flu pandemic was declared, stocks are left unused in warehouses and governments are attempting to unpick contracts.

Conflict of interest

The BMJ, in a joint investigation with The Bureau of Investigative Journalism, found that three scientists involved in putting together the 2004 guidance had previously been paid by Roche or GSK for lecturing and consultancy work as well as being involved in research for the companies.

Although the scientists involved had freely declared the links in other places and said WHO asked for conflicts of interest forms prior to expert meetings, the ties were not publically declared by WHO.

It is not clear whether these conflicts were notified privately by WHO to governments around the world, the BMJ said, and a request to see conflict of interest declarations was turned down.

In addition, membership of the "emergency committee" which advised WHO's director general Margaret Chan on declaring an influenza pandemic has been kept secret.

It means the names of the 16 committee members are known only to people within WHO, and as such their possible conflicts of interest with drug companies are unknown.

On its website, WHO says: "Potential conflicts of interest are inherent in any relationship between a normative and health development agency, like WHO, and a profit-driven industry.

"Similar considerations apply when experts advising the Organization have professional links with pharmaceutical companies.

"Numerous safeguards are in place to manage possible conflicts of interest or their perception."

ANALYSIS

  • Fergus Walsh, Medical correspondent, BBC News

    Be open. Be transparent. That seems to be the key learning point for the WHO from this joint investigation.

    It is common practice for academic experts to work closely with the pharmaceutical industry, such as getting funding for drug trials, or to be paid for attending meetings.

    On all clinical papers authors must publicly declare any competing interests.

    So it is surely advisable that the WHO follows the same policy with its advisors.

    And there is surely no logic in refusing to name the members of the emergency committee which advised the WHO about the pandemic.

    To fail to do so presents an own goal to critics and conspiracy theorists.

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Insulin giant pulls medicine from Greece over price cut

BBC News, by Malcolm Brabant, Saturday, 29 May 2010 10:53 UK

BBC News, Athens The Danish company's decision has been criticised in Greece

The world's leading supplier of the anti-diabetes drug insulin is withdrawing its medication from Greece.

Novo Nordisk, a Danish company, objects to a government decree ordering a 25% price cut in all medicines.

People with diabetes in Greece have condemned the Danish action as "brutal capitalist blackmail".

More than 50,000 Greeks with diabetes use Novo Nordisk's state of-the-art-insulin, which is injected via an easy-to-use fountain pen-like device.

A spokesman for the Danish pharmaceutical company said it was withdrawing the product from the Greek market because the price cut would force its business in Greece to run at a loss.

The company was also concerned that the compulsory 25% reduction would have a knock-on effect because other countries use Greece as a key reference point for setting drug prices.

'Insensitive'

Greece wants to slash its enormous medical bill as part of its effort to reduce the country's crippling debt.

International pharmaceutical companies are owed billions in unpaid bills. Novo Nordisk claims it is owed $36m (£24.9m) dollars by the Greek state.

The father of a 10-year-old Greek girl with diabetes called Nephele has written to Novo Nordisk's chairman saying there was more to health care than the bottom line.

"You could not have acted in a more insensitive manner at a more inopportune time," he wrote.

The Greek diabetes association was more robust, describing the Danes' actions as "brutal blackmail" and "a violation of corporate social responsibility".

The Danish chairman, Lars Sorensen, wrote to Nephele's father stressing that it was "the irresponsible management of finances by the Greek government which puts both you and our company in this difficult position".

People with diabetes in Greece have warned that some could die as a result of this action.

But a spokesman for Novo Nordisk said this issue was not about killing people. He pledged that the company would make traditional insulin products available free of charge to compensate.

Related Article:

Second firm withdraws drugs from Greece over cuts


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Chinese Medicine: Does a Pill a Day Keep Illness at Bay?

Jakarta Globe, Marcel Thee, February 07, 2010


Why do some people willingly risk their health and money on dubious Chinese-made pills and creams?

Yes! Exactly! You just need to work on your meal schedule and stick to it. Slowly but surely you’ll become thinner. But remember, it won’t happen instantly. You need to be patient and let the medicine work. Don’t worry, koko [Chinese for older brother] will guide you.”

Anton, a beady-eyed, smooth-tongued businessman, is talking rapidly into the telephone in the small ruko, or shop-house, where he and a friend teach Mandarin. He is busy doing what he seems to do best — hawking traditional Chinese medicines over the phone.

His inventory includes everything from appearance enhancers such as diet pills, weight-gain pills and breast enhancement creams — “You can have a body like Miyabi!” Anton proclaims — to pills for a host of illnesses like diabetes, asthma and tumors.

On Anton’s Web site, there are two photos of him in the section for diet pills: one of him overweight and another of him thinner. The strategic placement of the photos — chubby on the left and slim on the right — suggests that the chubby Anton is the “before” photo and the slim Anton the “after.” This is completely inaccurate, of course. Swap the photos around and one gets the real picture.

“It’s not lying” Anton says so passionately he’s almost hopping up and down. “It’s just people’s assumption [when they see the photos] that I was overweight but now I’m thin because of the diet pills. Really, I am much bigger now than when I was younger. I just put those photos there, but I didn’t write ‘before’ or ‘after’ below them.”

It isn’t clear why Anton feels the need to resort to such tricks, though. The number of repeat customers who call him day and night, as well as testimonials from buyers on his Internet forum thread praising his products, suggests that most of the pills and creams he sells seem to actually work.

Anton is just one of the many sellers of traditional Chinese medicine prowling the Internet for buyers. Previously, one had to travel to ethnic Chinese enclaves in Jakarta, such as Glodok or Kota, to buy these health items. As a matter of fact, this is where Internet merchants like Anton buy their medicines in bulk. But these areas are not easy to get to, and finding what your looking for in the crowded, narrow alleyways is always a challenge.

If one chooses to scour those maze-like passageways, however, there is a wealth of unlabeled jars filled with pills and creams that claim to be able to cure whatever ails you. Some of these even sport cheap-looking printed stickers.

As with other goods in Indonesia, Chinese medicines are often fake. The Web site okezone.com quoted Charles Saerang, chairman of the Jamu Producers Association, as saying that a loophole in the regulations passed by the Health Ministry’s Food and Drug Monitoring Agency (BPOM) allows makers of Chinese medicine to directly connect with health clinics around the country.

“The clinics themselves are legal, but the medicines themselves are questionable,” Charles says.

While their authenticity cannot be verified, most medicines sold at toko obat cina (Chinese medicine shops) on Jalan Pancoran in the Glodok area come with markings purportedly from the Food and Drug Monitoring Agency.

The bleach-haired Ling — who asked that her real name not be used — runs a Web site whose name she does not want mentioned, but should be the first thing that comes up if you type in the key words “selling Chinese medicine” in Bahasa Indonesia on Google.

She says that Chinese medicines do not have side effects because they are all herbal. “The way it works, the herbal medicines clear up the blood vessels first,” she says.

Ling explains that after the “detox” process comes the “balancing” process, where the body’s energy is balanced and normalized. After that, a “reactivation” of the body happens, before it undergoes “strengthening, where the “qi” (life energy) re-energizes the body’s immune system.

“You have to routinely take the medicines, though, to achieve real results,” Ling adds.

“Benny,” a merchant on Pancoran, says the side effects from the different pills include vomiting, diarrhea and stomach ulcer in some rare cases. But these occur very rarely, he says, and are usually very mild.

“Anita,” a 23-year-old bank employee who asked that her real name not be used, experienced some of these side effects. She says that she had to defecate four times or more each day for about a week after taking Anton’s diet pills.

“It wasn’t painful, but obviously, having to go to the bathroom so often is bothersome, especially when I was at work” she says.

She immediately called Anton, who helped put her mind at ease.

“He told me it was due to the detox process that the [diet] pills put you through,” Anita says. “So basically, it’s cleansing all the bad elements from your body.” “Detox” is one of the most frequent reasons that sellers give whenever customers complain about stomach-related problems.

The popularity of Chinese medicines is on the rise, not only because of their increasing visibility on the Internet thanks to online sellers, Web forums and social networking sites, but also because of effective word of mouth.

Eve, a 27-year-old housewife, purchased a lotion designed to smoothen and whiten skin. She says that the product’s effect was immediate.

“All my friends saw how much my skin changed for the better, which all made them immediately want to buy the medicine,” she says.

The skin lotion is in tube form, with a sticker bearing the ironically Japanese-sounding name of Mashiroi.

Eve has a series of photos showing her skin’s transformation, which she claims occurred only after a month. With numerous friends asking her where to buy the medicine, Eve has now become a reseller of Mashiroi, peddling the lotion for almost double the original price of Rp 800,000 ($86).

The paunchy “A Hong,” a merchant in Pancoran who also asked that his real name not be used, says that skin lotions like Mashiroi work wonders by forcing the users’ skin to “die” and be replaced by “new, younger skin.”

But since one’s skin is often theoretically not “dead” yet, the lotion forces it to dry and peel prematurely. This results in an extremely visible skin peeling on the user.

“Susan” is another Mashiroi user. Like Eve, the 29-year-old mother of one has also kept a photo diary of her skin transformation, from a yellowish tone into a fairer complexion. But the whitening came at a price.

“The worst thing was the itching as my skin peeled. There was dead skin everywhere, on my face, which itself turned reddish,” she recalls. “But my mother and a lot of people I know prefer [these remedies], which makes me believe in them even more.”

Randy is a merchant in Pancoran whose store has been around since the 1930s. He says that the tradition of selling Chinese medicines in Indonesia goes back a long way.

“All the medicine that is sold here [in Pancoran] comes directly from China,” he explains. “You do have some other Chinese medicine stores in other areas in Jakarta, like in Kelapa Gading, but they are mostly labeled and licensed medicines and are not made and mixed in China.”

Randy adds that every good Chinese medicine store must carry three essential licensed brands: Pien Tze Huang, Angong Niuhuang Wan and Yunnan Baiyao.

While he claims that the skin, ulcer, hepatitis, heart, cholesterol and other medicines he has at his store “work, it is a case of compatibility. It may work for some patients but perhaps not for others.”

Anton says that the problem with selling medicines for other illnesses is that there are a significant number of fake medicines in the market that sellers claim as being made in China.

Seated in front of a closet filled with medicines such as cungkuo cegenduan (for hemorrhoids), pientan fuyenwan (for stroke victims) and anti cancerlin (for cancer), Anton says that Chinese medicines work, especially the herbal ones. However, he acknowledges that it is increasingly difficult to verify the authenticity of these medicines with suppliers.

“I try to mostly to stay away from that [selling health-related medicines] because the result of taking those fake meds could be life-threatening,” he says. “I don’t really want to sell ill people fake medicine, even if it is just by accident.”


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