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Healthy Skepticism Library item: 3341

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: Journal Article

Greenhalgh T.
Drug marketing in the Third World: beneath the cosmetic reforms.
Lancet 1986 Jun 7; 1:(8493):1318-20


Abstract:

In India there are still examples of inexcusable marketing behaviour by multinational companies of useless and/or dangerous drugs, but it appears to be diminishing. This practice is being replaced by one whose effects are more insidious and at least as dangerous-the inappropriate prescription of drugs which are useful in certain circumstances but contraindicated in others. The author gives four examples of this. In rural India postgraduate medical education is the unchallenged province of sales representatives, many of whom are paid only by commission on the drugs that they sell.

Keywords:
*analysis/India/developing countries/sales representatives/quality of information/dangerous drugs/doctors/continuing medical education Advertising/standards Child Commerce* Developing Countries* Drug Industry/standards* Drug Labeling/standards Drug Packaging/standards Drugs, Non-Prescription/standards Ethics Female Humans India Pregnancy Prescriptions, Drug/standards

 

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...to influence multinational corporations effectively, the efforts of governments will have to be complemented by others, notably the many voluntary organisations that have shown they can effectively represent society’s public-health interests…
A small group known as Healthy Skepticism; formerly the Medical Lobby for Appropriate Marketing) has consistently and insistently drawn the attention of producers to promotional malpractice, calling for (and often securing) correction. These organisations [Healthy Skepticism, Médecins Sans Frontières and Health Action International] are small, but they are capable; they bear malice towards no one, and they are inscrutably honest. If industry is indeed persuaded to face up to its social responsibilities in the coming years it may well be because of these associations and others like them.
- Dukes MN. Accountability of the pharmaceutical industry. Lancet. 2002 Nov 23; 360(9346)1682-4.