By Prof. Lade Wosornu
Saturday, 01 December 2007
http://www.newtimesonline.com/content/view/12726/222/
Fake, fake and fake again. Bogus… Imitation… Counterfeit…You see them everywhere… Currencies spare parts perfume DVDs CDs cosmetics fabric dresses shoes booze bags accessories watches brief cases suit cases cigarettes cigars diamond gold bishops priests….
What makes you think that medicines should be free of fakes? Because human lives are directly at stake?
To whom can you turn?
The barons of fake drugs (fakes for short) do not give a jot about your life or mine. Money is their craze. And, it is war out there. They, in one camp, regulators in the other. They do not care what collateral damage is done as they pursue their ill-gotten gains. If Madam Aku Shika, fish monger at Chorkor, gets shot in the cross-fire, just too bad.
Of all the chilling manifestos of these new slave traders, few can be frostier than this: "If God didn’t want them sheered, He won’t have created them sheep."
So, to whom can you turn? Concerning drug regulation systems, it has been shown that only 20 per cent of WHO member states have well-developed ones; 30 per cent have none. In any event, governments and agencies can look out for you so far, but no further. You must learn to look after yourself.
Few fakes get caught, and even fewer deaths from fakes are detected. Best of all, if they get caught, the penalties are less severe.
Fake dealers know all that. They count on all that, as they tot up their dollars but ignore the corpses off whose flesh they feed.
The individual?
What can the individual do to protect himself or herself? Not much! Madam Veronica Gargo, chair, Tsokor Vigilantes, was explaining: "Don’t blame Aku Skika. The ‘pharmacist’ took her new Cedis and gave her capsules for fever. He even said: ‘Actually, Aku, you are lucky. These are the last six capsules left."
So, Madam Gargo shrugged her shoulders and sighed: "How for do!"
She is in good company as witness this report. "In developing countries, public education is also poor. A study in Laos showed that over 60 per cent of peddlers and 80-96 per cent of consumers knew nothing about fakes."
The report adds: "Better education might not make that great a difference. Over 50 per cent of the world lack access to hospitals. A sick man is a desperate man. He will take whatever he can get." Even if it’s fake?
"Ohiafo heor nii ke djirawale." This is Gã: "The poor buy expensively!" And, some times, it would seem, they pay with their lives. But, in this corner, who is counting the dead?
This is G "The poor buy expensively!" And, some times, it would seem, they pay with their lives. But, in this corner, who is counting the dead?
Even the enlightened
What makes you think that only un-lettered stereotypes are hood-winked, conned and down-right robbed in day light? Mr. Oto Weley, faceless ‘aplanke’ and stand-by driver who, first thing in the morning, shows up at the lorry park reeking of ‘fumes’? Or, Madam Mercy Badu, dealer in second-hand beads?
Professor Dr. Dr. Kofi Bosu, PhD, MB, ChB, is current president, Skin Researchers’ Guild. (Pardon me, but the gentleman really prefers the triple appellation: professor, doctor and again doctor.) An experienced traveler, the professor-double-doctor was buying another rolex at Laguna International.
"Is it genuine?" "Fake? Sir? How? Of course…Give you good discount." "How much?"
Gerald Abu, 25, unemployed, of no fixed abode, could scent blood. "You special customer… First today. 50 per cent.... 60…75 per cent..." And so, the professor-double-doctor paid $ 500 ($1,750 in duty-free) ….Smiles…Handshakes…. Two weeks later, in James Town, the ‘gold’ started to fade and the rolex stopped.
For ‘rolex’ substitute Viagra, Multivitamins and the unending life-style products.
Source
Technology makes fakes easier to produce and the Internet speeds the pace of commerce. Sales of fakes will reach $75 billion globally in 2010, an increase of over 90 per cent from 2005.
Fakes have found a natural home in some countries. There has grown a deadly industry. The poorest nations are paying the price, where 50-70 per cent of medicines are fake (WHO). It has been called "One of the greatest atrocities of our time… Mass murder… A form of terrorism against public health…Economic sabotage."
Serious imitation, serious business
Today’s fakes are often impossible to distinguish without chemical testing. The packaging is identical to the real McCoy.
"It used to be amateurs. Now scientists have entered the fray. They can replicate products quickly, complete with perfectly copied packages in amazing detail. Mind you, the content can be boric acid, floor wax and yellow paint."
The business may be criminal. But it is serious and highly organised. The countries which house the perpetrators, also have their share of victims. "Bi ni ker enye akawor ler, ler hu ewong." This is Ga. The child who says his mom should not sleep, also shall not sleep."
See how organised crime runs their fake businesses: networks with suppliers, buyers, distributors, financiers, markets. They have CEOs and CFOs with managers for production, shipping and follow-up.
The manufacturing is a multi-step process in the same town. One factory makes the pills, another ingredients, a third labels and even holographs…Then wholesale markets across the country, followed by global distributors – overland, by air and by ship and so to Africa. Shipments tend to go through mega-ports. Why? Because, where is the safest place to conceal pebbles? Pebble beach…
They also know the markets well. Different drugs for different populations: life-style versus life-saving. There’s also a price-point differential: Expensive (fake) brand names go up to rich Texas. Fake generics and over-the-counter stuff come down to Hwidiem.
Not all economies are created equal
The big boys take care of themselves. In developed countries, the big Pharmas are Alsatians. They jealously guard their brand, their market share and customers. Not so in developing countries. Our markets are less profitable, brand loyalty is fickle and societies less litigious. So, why should they look out for the likes of us?
Tackle the roots
Efforts are being made to cut the problem off at source. Central governments are becoming more effective in the war on fakes. But, problems remain at local authorities. Rules passed in capital cities are not always enforced in Kejebi.
Take this market as an example. A city, 650,000…Six hours south of a capital. Over 30,000 wholesale distributors…Over 40,000 different types of products. Between 80 to 90 per cent are perfect fakes. A host of other businesses support the market and employees. These include hotels, night clubs, transportation and storage.
A new slave trade
If an official were to shut down the fake market, that would ruin the local economy, bankrupt businesses, raise unemployment and create social unrest. This, social unrest, is one thing governments fear most- even more than the black plague.
Therefore, cracking down on known fake cities may be too little, too late. For one thing, factories shall move to shadier, less regulated places. For another, buyers from your town and mine will pursue the loot and not allow them to be closed.
Such are the moguls of this new slave trade. And, here is their favourite value statement: "If God didn’t want them sheered, He won’t have created them sheep".
You’d better watch out for yourself.
**Lade Worsonu is a Professor in Surgery, King Faisal University, Dammam, Saudi Arabia.
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