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Thousands of Africans Fatally Affected Due To Fake Drugs

In Ivory Coast, many cannot afford to shop in pharmacies.

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Drugs, Africa
A street vendor sells illegal and false drugs in a street of Adjame in Abidjan, Ivory Coast. VOA

When Moustapha Dieng came down with stomach pains one day last month he did the sensible thing and went to a doctor in his hometown of Ouagadougou, Burkina Faso’s capital, Africa.

The doctor prescribed a malaria treatment but the medicine cost too much for Dieng, a 30-year-old tailor, so he went to an unlicensed street vendor for pills on the cheap.

“It was too expensive at the pharmacy. I was forced to buy street drugs as they are less expensive,” he said. Within days he was hospitalized — sickened by the very drugs that were supposed to cure him.

Africa
Able Ekissi, an inspector at the health ministry, told Reuters the seized goods. Pixabay

Tens of thousands of people in Africa die each year because of fake and counterfeit medication, an E.U.-funded report released on Tuesday said. The drugs are mainly made in China but also in India, Paraguay, Pakistan and the United Kingdom.

Almost half the fake and low-quality medicines reported to the World Health Organization (WHO) between 2013 and 2017 were found to be in sub-Saharan Africa, said the report, also backed by Interpol and the Institute for Security Studies.

“Counterfeiters prey on poorer countries more than their richer counterparts, with up to 30 times greater penetration of fakes in the supply chain,” said the report.

Substandard or fake anti-malarials cause the deaths of between 64,000 and 158,000 people per year in sub-Saharan Africa, the report said.

Africa
Opiates have some of the most cases of addiction due to their accessibility and intense ‘high’ – mostly beginning from something as simple as painkillers.

The counterfeit drug market is worth around $200 billion worldwide annually, WHO says, making it the most lucrative trade of illegally copied goods. Its impact has been devastating.

Nigeria said more than 80 children were killed in 2009 by a teething syrup tainted with a chemical normally used in engine coolant and blamed for causing kidney failure.

For Dieng, the cost can be measured in more than simple suffering. The night in hospital cost him more than double what he would have paid had he bought the drugs the doctor ordered.

“After taking those drugs, the provenance of which we don’t know, he came back with new symptoms … All this had aggravated his condition,” said nurse Jules Raesse, who treated Dieng when he stayed at the clinic last month.

Fake drugs also threaten a thriving pharmaceutical sector in several African countries.

Africa
Misuse of antibiotic drugs have lead to the threat of antimicrobial resistance, Pixabay

That has helped prompt Ivory Coast – where fake drugs were also sold openly – to crack down on the trade, estimated at $30 billion by Reuters last year.

Ivorian authorities said last month they had seized almost 400 tonnes of fake medicine over the past two years.

Able Ekissi, an inspector at the health ministry, told Reuters the seized goods, had they been sold to consumers, would have represented a loss to the legitimate pharmaceutical industry of more than $170 million.

“They are reputed to be cheaper, but at best they are ineffective and at worst toxic,” Abderrahmane Chakibi, Managing Director of French pharmaceutical firm Sanofi’s sub-Saharan Africa branch.

Also Read: Trump Presents Proposal To Lower the Price of Specific Drugs

But in Ivory Coast, many cannot afford to shop in pharmacies, which often only stock expensive drugs imported from France, rather than cheaper generics from places like India.

“When you have no means you are forced to go out onto the street,” said Barakissa Cherik, a pharmacist in Ivory Coast’s lagoon-side commercial capital Abidjan. (VOA)

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World Population Expected to Reach 9.7 Billion in 2050, United Nations Reports

The new population projections indicate that nine countries will be responsible for more than half the projected population growth

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FILE - Faces in the crowd at the peace assembly in Kathmandu, May 7, 2010. VOA

The world’s population is getting older and growing at a slower pace but is still expected to increase from 7.7 billion currently to 9.7 billion in 2050, the United Nations said Monday.

The U.N. Department of Economic and Social Affairs’ Population Division said in a new report that world population could reach its peak of nearly 11 billion around the end of the century.

But Population Division Director John Wilmoth cautioned that because 2100 is many decades away this outcome “is not certain, and in the end the peak could come earlier or later, at a lower or higher level of total population.”

The new projections indicate that nine countries will be responsible for more than half the projected growth between now and 2050. In descending order of the expected increase, they are: India, Nigeria, Pakistan, Congo, Ethiopia, Tanzania, Indonesia, Egypt and the United States.

UN, World, Population
The world’s population is getting older and growing at a slower pace but is still expected to increase from 7.7 billion currently to 9.7 billion in 2050. VOA

In sub-Saharan Africa, it is projected to nearly double by 2050, the report said.

Undersecretary-General for Economic and Social Affairs Lu Zhenmin said in a statement: “Many of the fastest growing populations are in the poorest countries, where population growth brings additional challenges in the effort to eradicate poverty,” promote gender equality and improve health care and education.

The report confirmed that the world’s population is growing older due to increasing life expectancy and falling fertility levels.

The global fertility rate fell from 3.2 births per woman in 1990 to 2.5 births in 2019 and is projected to decline further to 2.2 births by 2050.

Also Read- Important Ingredients to Look for in Your Beauty Products

A fertility rate of 2.1 births per woman is need to ensure population replacement and avoid declines, according to the report.

In 2019, the fertility rate in sub-Saharan Africa was the highest at 4.6 births per woman, with Pacific islands, northern Africa, and western, central and southern Asia above the replacement level, the report said.

But since 2010, it said 27 countries or areas have lost one percent or more of their population.

“Between 2019 and 2050 populations are projected to decrease by one percent or more in 55 countries or areas, of which 26 may see a reduction of at least 10 percent,” the U.N. said. “In China, for example, the population is projected to decrease by 31.4 million, or around 2.2 percent, between 2019 and 2050.”

UN, World, Population
World population could reach its peak of nearly 11 billion around the end of the century. Pixabay

Wilmoth, the head of the Population Division, told a news conference launching the report that the population growth rate is slowing down as the fertility level gradually decreases. That decrease usually follows a reduction in the mortality level that initially instigated growth, he said.

Wilmoth stressed that multiple factors lead to lower fertility including increasing education and employment, especially for women, and more jobs in urban than rural areas, which motivate people away from costly large families to  smaller families.

But to achieve this, he said, people also need access to modern methods of contraception.

According to the “World Population Prospects 2019: Highlights” report, migration is also a major component of population growth or loss in some countries.

Also Read- Here’s How You Can go Environment-friendly During Menstruation

Between 2010 and 2020, it said 14 countries or areas will see a net inflow of more than one million migrants while 10 countries will experience a similar loss.

For example, some of the largest outflows of people — including from Bangladesh, Mepal and the Philippines — are driven by the demand for migrant workers, the report said. But some migrants are driven from their home countries by violence, insecurity and conflict, including from Myanmar, Syria and Venezuela.

The U.N. said countries experiencing a net inflow of migrants over the decade include Belarus, Estonia, Germany, Hungary, Italy, Japan, Russia, Serbia and Ukraine. (VOA)