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Improving Public Health?  Drug Promotion and the  Rational Use of Medicines Teresa Leonardo Alves Health Action International (HAI Europe) [email_address] Consumers International Congress Sydney, 31 October 2007
What is Health Action International? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Drug Promotion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
Guatemala 2006 I DON’T TAKE CHANCES  I ONLY USE ORIGINALS
Pakistan 2005: 1-2 day relief claim ,[object Object],[object Object],[object Object],[object Object]
EU Proposal for legislative change ,[object Object],[object Object],[object Object]
Less than 5 years later... EU Pharmaceutical Forum ,[object Object],[object Object],[object Object],[object Object],[object Object]
EU Pharmaceutical Forum WG on Information to Patients – Output  ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],Pharmaceutical Review 2004 DG Enterprise & DG Sanco Report on Patient Information  Mandated by Parliament (Article 88)
“ Curiously, the document never mentions direct to consumer advertising” - Magrini and Font BMJ 2007 Déjà vu all over again?
[object Object],[object Object],[object Object]
2003 “… the information used contained misleading statements and omissions likely to cause medically unjustifiable drug use or to give rise to undue risks.”   Quick et al. World Health Organization, Lancet  Aug 30, 2003 2006
Many examples of unbranded pharmaceutical advertising ,[object Object],[object Object],[object Object],[object Object]
-  't Jong GW et al.  British Medical Journal 2004;328:931 NOVARTIS ‘disease-awareness’ TV ads, the Netherlands Ethical Criteria definition of promotion: stimulates sales
Why be concerned?  Can prescription drug advertising lead to harm to health or sustainability of public health care?
Vioxx (rofecoxib)  Images, celebrity endorsements,  spoke louder than words
VIOXX (rofecoxib): why was prescribing so widespread?   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
In Conclusion Put public health and welfare first ,[object Object],[object Object],[object Object],[object Object],[object Object]

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Improving Public Health Through Rational Drug Use

  • 1. Improving Public Health? Drug Promotion and the Rational Use of Medicines Teresa Leonardo Alves Health Action International (HAI Europe) [email_address] Consumers International Congress Sydney, 31 October 2007
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  • 5. Guatemala 2006 I DON’T TAKE CHANCES I ONLY USE ORIGINALS
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  • 11. “ Curiously, the document never mentions direct to consumer advertising” - Magrini and Font BMJ 2007 Déjà vu all over again?
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  • 13. 2003 “… the information used contained misleading statements and omissions likely to cause medically unjustifiable drug use or to give rise to undue risks.” Quick et al. World Health Organization, Lancet Aug 30, 2003 2006
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  • 15. - 't Jong GW et al. British Medical Journal 2004;328:931 NOVARTIS ‘disease-awareness’ TV ads, the Netherlands Ethical Criteria definition of promotion: stimulates sales
  • 16. Why be concerned? Can prescription drug advertising lead to harm to health or sustainability of public health care?
  • 17. Vioxx (rofecoxib) Images, celebrity endorsements, spoke louder than words
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Editor's Notes

  1. You’ve probably all seen the TV ads promising relief, saying go see your doctor, see if this is right for you. In the US, TV advertising’s opened up since 1997 The rationale : More safety concerns with use of prescription drugs, often new and toxicity profile is not fully known; more Today the European parliament is discussing a proposal to introduce prescription drug advertising for 5 years, probably won’t pass;