Banjot Kaur Profile picture
Aug 19 7 tweets 4 min read
#Dolo story shouldn't surprise, here's why:

Replying my four RTI applications in 2019, @Pharmadept gave me names of 20 pharma firms, which the govt knew, had bribed the docs. This was info ON RECORD. But not a single company got punished. (1/n)
downtoearth.org.in/news/health/th…
But @Pharmadept refused to name the docs bribed, saying, it would be seek permission of those who made complaints against docs. When I also reached to original complainants, they had no obj. Still DoP nvr shared names. Asked what action did it take, it said, ask
@MoHFW_INDIA
@MoHFW_INDIA said the companies are part of associations of pharma companies. 'We can't do anything, only this assns can'. And what they can? Guess what,remove them from assn.That's all. But that almost never happens. Neither DoP nor ministry told me what action was finally taken
@MoHFW_INDIA also forwarded my application to @CDSCO_INDIA_INF, the drug regulator. The latter said they had asked Maharashtra FDA to take action. It's role was over with that, it said.
Then I asked MCI what had then done against those docs who accepted a whole range of products and services as bribes. It was silent on docs and about firms it said, it couldn't do anything. Ball was back in court of govt.

This was in 2019. The story has been the same forever.
The story is simple. There is code called UCPMP that prohibits unhealthy alliance b/w firms and docs. But UCPMP is VOLUNTARY. It was never turned into law by govt.
You follow UCPMP, great. You don't follow it, no issues. Nobody is jailed.

So, don't be surprised at #Dolo story
More in the story filed for @down2earthindia in 2019: downtoearth.org.in/news/health/th… (n/n)

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More from @Banjotkaur

Jun 16
Eight years of #Modi rule: How did the government perform in #health sector. Thread  (1/n)
DISEASE ELIMINATION DEADLINES
Kala-azar: 2017. Revised 2020 ❌
Leprosy: 2018 ❌
Filariasis: 2017 ❌
Now, new deadlines for KA: 2023. Filariasis: 2030

TB elimination deadline: 2025
Interim target to be achieved till 2020: 142 per 100,000
But prevalence in 2019-21: 312 per 100,000
NUTRITION TARGETS FOR POSHAN ABHIYAN LAUNCHED in 2018
Anaemia to⬇️3% PA. Instead it⬆️not only in children but also women b/w NFHS-4 and NFHS-5.
Stunting had to ⬇️ to 25% by 2022. But till 2021 it stood at 35.5%. Now it hs ⬇️ to by at least 10% pts in a yr -- an impossible target.
Read 9 tweets
Apr 14
The #WHO on April 2 issued a statement saying the supply of #Covaxin to UN agencies had been suspended due to "deficiencies in good manufacturing practices". There were not mny details. In an email, they have now told @TheWireScience the following : science.thewire.in/health/who-cov… (1/n)
"Problems were detected in some parts of the manufacturing process. SOME CHANGES WERE MADE after the emergency-use license was granted but were not submitted to the national drug regulator and WHO for evaluation and validation."
The WHO still didn't specify what were those changes. Whether those changes were related to increase the yield, or on the front of raw materials or due to some other reason--we don't know. A GMP expert said major changes, if done post approval, have to be informed.
Read 10 tweets
Mar 3
TRUST DRUG CONTROLLER: Paul's response in @MoHFW_INDIA press conference today, responding to a question why no data in public domain on #Corbevax
@TheWireScience
Thanks @monikareporter for asking a pointed question.
Paul: "Corbevax, clearly, the EUA has been given for adult and children. Be rest assured that the data has been by drug regulator. Be also rest assured for both these groups is being reviewed by the NTAGI because we work in tandem."+
Read 7 tweets
Mar 1
UNTIMELY death of a loved one, even if it has happened more than a decade ago, is an extremely difficult fact to come to terms with. Two days ago a friend and I, out of nowhere, went discussing about last 11 days of another friend who died for want of a liver transplant+
She was our batchmate during graduation at a Varanasi univ. She continued to pursue Master’s from there, I moved to Delhi. We were 21. One fine day during our PG days, we got to know she was suffering from liver cirrhosis—otherwise a totally fit person.
This was 4 days after she got was with ‘jaundice' and we kept talking—we thought it would be just fine.

4 days later got a call saying ur friend has bcm unconsciousness from somebody who knew her. I dialled friends in the univ.With their help she got admitted at the varsity hosp
Read 16 tweets
Dec 4, 2020
At times, one has to write just to record for the history. That, a country's regulator invites media for webinar on clinical trials and when a question is asked, the reply is this 👇
"My request was to limit the question regarding understanding the processes involved. About the specifics of the things you are questioning, there are forums…there are weekly press conferences by department / ministry. This question can be asked there."
downtoearth.org.in/news/health/dr…
Other issues related to CTs which were asked but were not taken up due to 'paucity of time':

The composition of ethics committees of institutions where these trials are going on

The role Central Drugs Standard Control Organisation’s own subject expert committee
Read 4 tweets
Dec 3, 2020
So a media report says #DCGI has refuted any causal link between the serious adverse event (SAE) and #SII COVID vaccine trial participant. When we posed ques to the health ministry secy on December 1, he asked us to look into New Drugs and Clinical Trial Rules, 2019 (1/n)
What these Rules say (in case the death hasn't occurred)
1. The sponsor and the investigator shall forward their reports on an SAE to the Central Licencing Authority (DCGI), ethics committee and the head of the institution where the trial was conducted within 14 days of SAE(2/n)
2. The ethics committee shall forward the report and compensation to be given by the sponsor within 30 days of knowing that the SAE had occurred.
3. The DCGI shall pass an order or constitute an expert committee. (3/n)
Read 7 tweets

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