வெள்ளி, 12 ஆகஸ்ட், 2016

NEWS UPDAE-MEDICAL COMPANIES GAMBLES AND OUR HEALTH IS AT RISK

CORRUPT COMPANIES-OUR HEALTH IS AT RISK

Read the following news from Indian Express patiently if you are really interested in your health.Full news has been copied and pasted below with he full report given by the Singapore Arbitration Tribunal.
The important point is the drug company Ranbaxy was sold to a Japanese company Daiichi.At the time of transaction when it was sold and upto now they coveniently hidden the fact that the company has duped the drug control departments in about 40 countries to get quick approval of some 200 formulations including formulations for AIDS.
When Daiichi came to this fact in the latest development the Ranbaxy ex-owner Mr.Malvender Singh who sold the company cleverfully replied that it is a matter of malpractice by some employees and not by Ranbaxy and is conspired by Pfizer.
Now who ever they conspired against whom it does not matter to us but we the public and our health is under serious danger and conspiracy.
The center of the matter is they gave fraud and duped reports about their formulations in about 40 countries to get quick approvals.Their aim is only to make billions and trillions by putting public health at risk.
Now one kitten has come out but we do not know how many kittens are still in hide.
These big big drug companies like pfizer they have a number of cases against them in USA.
The medical profession has been purely commercialised.Highly bueuarocratic.
The Forensic Law clearly states that high risk medicines,such as sedative,norcotics and those which may affect the normal physiology of the body should not be dispensed on the counter as OTC.
But drug companies are freely advertice their products which are prescription medicines in the newspapers and magazines with attractive images and descriptions which may encourages a person to go for  self medication without caution as the advertisement does not mention about its side effects.
Paracetamol a commonly used for fever and headache has liver effects on over usage.How many people knows this.Aspirin if use frequently to a child may precipitate serious Rye's Syndrom in which the baby become gray in colour with serious complications.
Tetracyclines should not be given to a child in growing age as it will affect bone growth.
Please be care with drugs and drug companies.

 







Should bury data, said Ranbaxy chief when R&D head revealed fudge: Tribunal order

7 / 33

The Indian Express




On October 14, 2004, Rajinder Kumar, head of R&D, presented the Self Assessment Report (SAR) to the company’s science committee detailing how the pharma giant had “falsified data” for more than 200 drugs to obtain quick regulatory approvals from authorities in over 40 countries.
Present in the room were chairman Tejendra Khanna; Malvinder Singh, then president of pharmaceuticals and Ranbaxy’s owner; Brian Tempest, Chief Executive Officer (CEO); and top executives.
Khanna, according to Tempest who recalled that meeting at the Singapore arbitration tribunal, “said something to the effect that ‘Ranbaxy should just bury the data.” As reported Thursday, the order implicates the Ranbaxy top brass in a range of alleged irregularities.
Apparently frustrated at how the top management had responded to his findings, Kumar resigned the next day. Seven months later, in a letter to the management, he put on record some of the responses at the meeting: One board member (said): “Can we bury the data.” Falsification of data, said another senior Ranbaxy executive, only happened with few products and everyone did it.
Chairman Khanna quit the board three years later and was appointed by the UPA government as Lieutenant Governor of Delhi.
Significantly, the minutes of this crucial science committee meeting — circulated internally — made no mention of the SAR or of any board member’s response to the document.
In his letter on April 20, 2005, Kumar expressed his disappointment with the Ranbaxy management and, referring to the October 14 meeting, said that he had presented a plan to resolve the SAR issues.
READ | How Ranbaxy ‘buried info on fraud, duped its owners’
When contacted by The Indian Express, Khanna said: “The statement supposedly attributed to me by Dr Brian Tempest is completely denied. I always stood for complete and unfailing compliance with all regulatory requirements and emphasised that Ranbaxy should maintain an impeccable and zero tolerance record in such matters. In my Chairman’s messages which can be seen from published Annual Reports of the Company, there were unequivocal exhortations to maintain highest standards of quality assurance and regulatory compliance”.
Tempest did not reply to an emailed query from The Indian Express.
The tribunal fined Malvinder Singh and his brother Shivinder Singh Rs 3,500 crore for defrauding Daiichi Sankyo by “deliberately” withholding information about the SAR and its significance from the Japanese pharma company. Daiichi had purchased a majority stake in Ranbaxy from the Singh brothers and for Rs 19,804 crore on November, 2008.
The tribunal noted that SAR, which was forwarded to the US Food and Drug Administration by Kumar’s principal assistant Dinesh Thakur in 2005, was the basis of investigations by USFDA and the US Department of Justice. It culminated with Ranbaxy, under Daiichi, paying $500 m to the DOJ in 2013.
RECOMMENDED | Terrible… put patients at risk: Ranbaxy’s own expert Richard Cooper on Ranbaxy
Internal emails exchanged between Tsutomu Une, Ranbaxy Board chairman and Daiichi Sankyo’s points person in India, and Daiichi’s consultant Dick Van Duyne also reinforce the tribunal’s indictment.
On November 19, 2009, according to the tribunal, well over a year after Daiichi acquired Ranbaxy, Une commented that the DOJ had a “smoking gun” (a reference to the SAR) that could have, according to his diary entry for that day, created a “high possibility of a criminal penalty”.
In due course, this and Une’s other diary entries had a central role in the indictment.
Une’s email to Daiichi’s consultant Duyne noted that “the bad thing is the involvement of top management in the current compliance issues are identified”. He also recorded that he had come to know that Ranbaxy “management wanted the evidence destroyed”.
Van Duyne wanted to know who was this “top” management. Une replied: “The in-house email communications before 2006 has been provided by the whisperer...and DOJ found out that R’s (Ranbaxy’s) auditor as well as outside auditor cautioned to the Board members the issues which are exactly the same reasons as those relevant to the AIP (Application Integrity Policy).”
The FDA had invoked AIP which effectively suspended all new or pending applications or supplemental applications for drug approval against Ranbaxy on February, 2009.
Une added: “Furthermore, Dr Tempest and MS (an apparent reference to Malvinder Singh) ordered to break all the documents relating to the issues.This is the reason why the cases could be criminal even (though) no patients was (sic) harmed by the products. Also this is why FDA insists the issues caused by the corporate culture.”
RHC Holding, where Malvinder and Shivinder Singh are the promoters, was asked specifically by The Indian Express about this statement of Une talking about Malvinder Singh asking to “break (discarding) the documents.” The company replied: “The matter is sub judice and we cannot offer any comment in view of the confidentiality requirements.” Une, who is still with Daiichi Sankyo, did not respond to queries from The Indian Express.
 

Consider the salient points made in the arbitration order:
# SAR listed more than 200 drugs, including antiretroviral drugs for AIDS patients, where Ranbaxy is alleged to have used fabricated data to get approvals from authorities of more than 40 countries.
# Daiichi did not have a clue about SAR because Ranbaxy top brass withheld the report and its significance. The top brass named in the tribunal’s order include former owner and CEO Malvinder Singh, former COO Atul Sobti (who became CEO after Singh left the company in May 2009), former executive director of regulatory affairs Abha Pant, Ranbaxy’s General Counsel and senior Vice President of Global Intellectual Property Jay Deshmukh and his successor Lavesh Samtani. (Malvinder Singh’s brother Shivinder Singh was a non-executive director and was said to be not involved in the day to day affairs)
# Even Sanjeev Puri, Malvinder Singh’s then personal attorney, and V K Kaul, Malvinder Singh’s close family friend who was Ranbaxy’s independent director until late 2008, were also well aware of the SAR’s significance. Both were in touch with Daiichi Sankyo though the entire duration of the sale process and the subsequent handholding phase but did not reveal anything about it to the new owners.
# Had it not been for the SAR, the fine for Ranbaxy’s alleged violations of Current Good Manufacturing Practice (cGMP) violations, would not have been beyond $100 million — the cGMP regulations for drugs and biological products stipulate certain minimum requirements that must be met for the methods, facilities, and controls used in manufacturing, processing and packaging.
# That Daiichi was unaware of the fraud is evident in the fact that even after it took control of the Ranbaxy board in December 2008, Malvinder Singh was allowed to continue as the CEO till May 2009. That’s the year Daiichi forced him to step down for “incompetence”, rather than “dishonesty”. It was only in November 2009, that Daiichi came to know of SAR and its significance, and its impact on the US regulatory investigations on the company.
# In deal talks in 2007-08, Malvinder Singh and his team told Daiichi, in “carefully crafted language,” that the DOJ investigations were merely a “fishing expedition.” That it could only implicate some employees and not Ranbaxy, that it was a conspiracy initiated by its competitor Pfizer. These were not “honest answers.” And Malvinder Singh and his team knew that these were not accurate and “which they knew would provide the claimant with the comfort to enter the share purchase and share subscription agreement.”
Malvinder Singh’s stance changed during the arbitration hearing: he first claimed that he “did not know” about the SAR but later claimed that he did not regard the SAR as important to the ongoing FDA and DOJ investigations and therefore there was no reason to mention it to Daiichi. “His adherence to his position at the hearing undermined his overall credibility in the eyes of the tribunal and leads it to conclude that he must have taken a conscious decision not to inform Daiichi”, the tribunal said.
Ironically, midway through the Singapore tribunal hearing, the Singh brothers said that documents disclosed to Daiichi Sankyo before the signing of share purchase deal — which happened in June, 2008 — had given them enough “cause” to be concerned that Ranbaxy was a “corrupt’ organisation. Therefore, the brothers claimed that despite the assurance of Malvinder Singh and his team, Daiichi Sankyo ought to have been aware of such “corrupt” concerns but had decided to ignore them and proceed with the acquisition.
Tearing this apart, the tribunal made it clear that it “is not an attractive argument for the Singh brothers to make, especially in circumstances where they simultaneously have argued that no false representation were made”.
The Indian Express contacted key players indicted in the Singapore order
“The matter is sub judice and we cannot offer any comment in view of the confidentiality requirements.” The brothers have a majority shareholding in RHC Holding, a private limited company with assets of over Rs 10,000 crore. Listed companies such as Fortis Healthcare and Religare, and unlisted companies including SRL Diagnostics and Fortis Healthworld, are controlled through RHC Holding.
Jay Deshmukh, who was Ranbaxy’s then General Counsel: “Everything I did or did not do in dealing with Daiichi Sankyo (DS) at the time of the merger was pursuant to the express instructions of Malvinder Singh (who I reported to) — I objected to those instructions at the time, but felt I had no choice. I urged the management and Mr Singh to remedy the problems and to tell DS (Daiichi Sankyo) the truth, but he refused. Since leaving Ranbaxy, I have done everything in my power to remedy the situation.” Deshmukh is in Washington as partner at a California-based law firm.
Abha Pant resigned in 2011 as Vice President, Regulatory Affairs. “I am not aware of what is written in the tribunal and would not comment on anything till I see what you are referring to you.”
Rajinder Kumar, who was the Head, Research and Development, Ranbaxy in 2004, did not reply to the emailed queries. Kumar resigned a day after he presented the SAR to the Ranbaxy management on October 15, 2004. Kumar currently is President and chief medical officer of Vitas Pharma. He works from the company’s British office.
Mails sent to Daiichi Sankyo did not elicit a response. Atul Sobti, who resigned as the CEO of Ranbaxy in August 2010, did not respond to the emailed queries. Lavesh Samtani, who became Ranbaxy’s de facto General Counsel once Deshmukh left the company in March, 2009, did not respond to the emailed queries. He is currently the General Counsel and Executive Vice-President (Business Development) of New Jersey based pharma company BionPharma. The newspaper could not get in touch with V K Kaul and Sanjeev Puri.


புதன், 10 ஆகஸ்ட், 2016

Antimicrobial resistance: clear and present danger

  NEWS FROM THE HINDU

Antimicrobial resistance: clear and present danger: 

After years of doing little to tackle the silent but potentially deadly proliferation of antibiotic-resistant bacteria in India, all hell broke loose in 2008, when New Delhi was tacked onto the name New Delhi Metallo Beta-lactamase-1(NDM-1) an enzyme make virulant antibiotic resistant strains discovered in New Delhi in 2008.The bug is highly resistant to all beta lactamase antibiotics such as Penicillins,and cephalosporins.

Only after the detection of the New Delhi Metallo-beta-lactamase-1 super bug, India sat up to the danger of anti-microbial resistance within its boundaries, and is beginning to understand the disastrous societal consequences of rendering certain life-saving drugs impotent. Photo: Special Arrangement
Only after the detection of the New Delhi Metallo-beta-lactamase-1 super bug, India sat up to the danger of anti-microbial resistance within its boundaries, and is beginning to understand the disastrous societal consequences of rendering certain life-saving drugs impotent. Photo: Special Arrangement

India awoke late to risks of antibiotic overuse and is scrambling to contain the surge in drug resistance.

After years of doing little to tackle the silent but potentially deadly proliferation of antibiotic-resistant bacteria in India, all hell broke loose in 2008, when New Delhi was tacked onto the name of a one such bug.
The New Delhi Metallo-beta-lactamase-1 was an enzyme that rendered bacteria resistant to a broad spectrum of antibiotics. A strain of the NDM1 had crossed the shores and spread resistance in the U.K. as well.
Despite its outrage over being associated with a resistant bug the nation sat up to the danger of anti-microbial resistance within its boundaries, and is beginning to understand the disastrous societal consequences of rendering certain life-saving drugs impotent.
Prior to the detection of the NDM, isolated calls for regulating antibiotics use were being made by doctors in surgeries and those manning Intensive Care Units.
It was in 2011 that the Union government came up with a National Policy for Containment of Antimicrobial Resistance in India, seeking to reverse what seemed to be spiralling healthcare concern.
The policy makes no bones about recognising the real threat: “Antimicrobial resistance in pathogens causing important communicable diseases has become a matter of great public health concern globally including our country. Resistance has emerged even to newer, more potent antimicrobial agents like carbapenems.”
A March 2016 paper on ‘Antibiotic Resistance in India: Drivers and Opportunities for Action’ in PLOS Medicine makes a convincing case for action against resistance: “Antibiotic resistance is a global public health threat, but nowhere is it as stark as in India. The crude infectious disease mortality rate in India today is 416.75 per 100,000 persons… twice the rate in the U.S. (200) when antibiotics were introduced.”
Among the key factors responsible are the widespread use and availability of practically all the antimicrobials across the counter, increasing and wanton use of antibiotics in livestock production, inappropriate doses, and irrational use of antibiotics in hospitals.
Attempts have begun to regulate at least the human consumption of antibiotics: there are now guidelines for appropriate antibiotics usage which have revised Schedule H drugs to make over-the-counter availability of certain antibiotics nearly impossible.
Stringent enforcement of drugs control, making the dispensing of some antibiotics over the counter punishable, is the need of the hour.



Comment

Antibiotics are wonderful medicines to give relief from various infections.But they should be handled very carefully.They should be prescribed only by professionals.In many developed countries and some countries in the third world such as in UAE (Abudhabi) antibiotics have been already labelled as 'only by prescription' medications.Abudhabi has a well designated and highly controlled medical authority known as Health Authority of Abu Dhabi (HAAD)
In these countries antibiotics are semi controlled and should be kept in separate racks away from the OTC medicines.Pharmacists are not allowed to dispense antibiotics.
Doctors are also not advised to overscribe any antibiotic as resistance may develop and put the patient in danger.
Before prescribing antibiotics to a patient the patient should be thoroughly consulted about his past history of tolerance for antibiotics.Patients should submit all the details of his past history and treatments to the present doctor.
Remember any drug can produce unwanted side effects if they were over used.Because a drug is a substance which would yield the desired effect by affecting or changing the physiology of your body.
Similarly antibiotics also they give the required releif by affecting many physiological aspects of your body.For example chloromycetin a old fashioned drug used to treat salmonella typhi,an organism that causes typhoid fever,was killing not only the organism but kills everything else that crosses infront of it including your red blood cells.Hence the drug is mostly withdrawn from use.
Antibiotics are safe if used with care.
But in India especially in Tamilnadu a peculiar state of bureaucracy and corruption with a recorded mal practices of nearly 10 years dispensing  of expired medicines, antibiotics are vehemently misused and over prescribed in pharmacies,clinics and even in I/Care of big hospitals.
Recently a lady doctor was arrested in Tamil nadu as she has impersonated with a dead person's mark sheet to get a medical seat.We do no know still how many of such fraud doctors are practicing in the state unnoticed.
General precautions of Antibiotic Use:
1.Be sure that you are not allergic to the antibiotic.
2.After you start the course of antibiotics please complete the full course as per your doctor's prescription.Do not stop it in the middle of the course even if you get complete relief.Bacterias are very clever and become silent and calm at the middle of the course but when you stop the medication they become more strong and virulence by a process of mutation and resist the antibiotic.
3.Take the medicines in time.
4.Many antibiotics are effective in empty stomach but may be unfriendly to the stomach.In that case take it 1 hour before food or 2 hours after food.

செவ்வாய், 9 ஆகஸ்ட், 2016

News Comments-A DUPED DOCTOR

A DUPED DOCTOR

A  news from TOI 9-8-16:-


Impersonation: Suspended woman doctor's bail plea rejected

PTI |

Chennai, Aug 8 () The Madras High Court today dismissed anticipatory bail plea of a woman doctor, suspended on charges of impersonating a deceased SC woman to get her medical seat, and directed police to probe the matter on a war-footing, saying the alleged offence is dangerous to society at large.
Justice S Vaidyanathan dismissed the bail petition of Archana Ramachandran, who apprehended arrest in connection with the case, observing that she had lived a dead woman's life in letter and spirit.

Comment:-

A very interesting case of a Doctor got a medical seat by impersonating with the marksheets and certificates of a deceased S/C girl.
The practice is clearly showing that how much the degree of bureaucracy and fraudulence are deeply rooted in our Government official systems.
Anybody can do anything else.Even it is doubtful that she also got her Doctor degree in this way only.Because she cannot use her original mark sheets which are worthless to get an MBBS seat for her.Hence she used another person's mark sheet.
This fraud lady doctor basically had very poor wisdom,and hence poor marks in her school education.Hence she could not be a bright student during her MBBS education.
Hence it is very dangerous to allow such type of worthless medical professionals to practice as a doctor
  

 

செவ்வாய், 2 ஆகஸ்ட், 2016

NEWS COMMENTS-ONLY NAME CHANGES?

ONLY NAME CHANGES?

News:-Times Of India


Assembly moves resolution, seeking high court name change

TNN | 


CHENNAI: The Tamil Nadu assembly on Monday unanimously passed a resolution asking the central government to rename the Madras high court as Tamil Nadu high court and not as Chennai high court. The resolution comes after the central government introduced the High Courts (Alteration of Names) Bill, 2016 in the Lok Sabha to change the name of the Madras high court to Chennai high court.
Comments:-
The Democrasy of India goes into Democrazy by so such stupid resolutions which are not meant for not even a single paisa worth for the benifits of the people.
In 1967 election the DMK founder and leader the so called 'Grand Genius'(Perarignar?) Annadurai and his developed goons made propagandas in loud voices that if we come to power we would reduce the prices of rice into one rupee for one pound(lb) rice.In some places they sounded that we would supply 3lbs rice for one rupee.Can sugar,palm sugar,and white sugar all would be controlled and reduced.We would make T.N. into paradise.But all those promises went into vein after they came to power with enormous majority.These stupid Tamils did not care about that as they are the admirers of attractive speeches and cinemas.MGR was their virtual hero.A gun fight between MGR and M.R.R also resulted in further highlight of DMK and they came with a full majority to the power without any basical good proposals for the welfare of the state and the people.A big blunder and cheats.
C.N.Annadurai was highly educated with excellent knowledge in writing and speaking but was a absurd and zero in practical to rule a state as he proved.
Instead of fulfilling their election propagandas which they found very difficult they tried to cheat the people in various ways.One of them was the great historical discovery of C.N.Annadurai(M.A.in history)that State of Madras should be named in to Tamil Nadu.He passed a resolution in the assembly and achieved it.The name resolution was approved and granted by the C.G.after Annadurai's death,during the period of M.K.But before this a great blunder was made by M.K.When he came to power in 1968 he made another proposal to the C.G. with a correction that the name should be Thamizhagam and not Tamilnadu.
The blunder continued that before the center made a decision,M.K in one night he changed the names of all city buses in Chennai which were running under the name as Madras State Transport Corporation into தமிழக அரசு போக்குவரத்து கழகம் by wasting public money without caring about what the CG was going to decide.
But after some days the C.G announced and granted the name as Tamilnadu and not Thamizhagam.The M.K. Government acted very quickly (Quick Decision Maker) by changed the name of the city buses by wiping out the name தமிழக அரசு போக்குவரத்து கழகம் into தமிழ்நாடு அரசு போக்குவரத்து கழகம் within a night by wasting another big chunk of the public money.
M.K.was continuously proved that he was a blunder and cheater by so many worthless activities and name changes.
The next name change was Mount Road to Anna Salai.Thuglak Cho who had his office at Mount Road at that time was adament in sticking with Mount Road only in his magazine.
Mount road was followed by many places and many roads targeted for name changes without brought a single paisa worth to the people.
The drama was continued even after the DMK split into two and MGR came to power under the banner of AIADMK in 1972.MGR for his part took the saga into another level by removing all caste names from he streets and put the people in confusion.As per his dance Angappanaikken street became Angappan street,Lingichetti street became Linghi street,and Thambuchetti street became Thambu street.More interestingly there was one Ayyer street which became by the name into Street.
MGR removed all the government buildings names which bear any personal names.Accordingly in Chennai Nandhanam at GST road Karunanidhi building became only Building.
Again M.K came into power for a short period during which Bombay became Mumbai.Thats all.M.K through the then assembly MLA passed a proposal that Madras should be named as Chennai and send it to the C.G.For C.G.there are nothing to loose.Hence they immediately granted the name.But for the people these are nothing worth.
Nowadays the political leaders especially the Dravidian Parties using the techniques of name changing,Tasmac,Amma projects,and Kalaignar projects and etc.etc only to divert the people's attention to cheat them.
When they come to us for vote they will give so many worthful promises,but after come to the power all these promises will go with the wind and all our money will be wasted like this without any worth.Madras High Court name change also will eat a large chunk of our tax money without bringing any fruit to us.
 
 

அலோபதி மருத்துவம் -எச்சரிக்கை

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