The War Against Counterfeit Medicine: My Story

Contents

xxiii TABLEOFCONTENTS Dedication ........................................................................................................v Foreword........................................................................................................vii Preface.............................................................................................................xi Acknowledgements.......................................................................................xix FiguresandTables........................................................................................xxvi Prologue......................................................................................................xxix PART I ...........................................................................................................1 Historical Background of Food and Drug Regulation....................................1 CHAPTER 1 ..................................................................................................1 Evolution of Drug Productionand Sale in Nigeria...............................................1 CHAPTER 2 ..................................................................................................7 Evolution of Food and Drug Regulation in Nigeria ............................................7 Historical Development of Food and Drug Regulation in Nigeria..................7 CHAPTER 3 ..................................................................................................9 NAFDAC Mandate, Structure, Functions, Laws and Regulations..........9 CHAPTER 4 ................................................................................................15 Definitions: Fake / Counterfeit /Adulterated / Substandard Drugs, Unwholesome Food and Other Substandard Regulated Products..................15 CHAPTER 5 ................................................................................................19 Global Trends in Drug Counterfeiting ..................................................................19 Major Drug Tragedies.............................................................................................26 PART II........................................................................................................29 The NAFDAC I Met ...........................................................................................29 CHAPTER 6 ................................................................................................31 NAFDAC Before2001............................................................................................31 Implications of Counterfeit Medicine..................................................................36 PART III......................................................................................................39 The War and the Strategies...................................................................................39 CHAPTER 7 ...............................................................................................41 Declaringthe War.....................................................................................................41 CHAPTER 8 ................................................................................................45 Strategy I: Restructuringand Reorganising NAFDAC......................................45 CHAPTER 9 ................................................................................................56 StrategyII: OperationalStrategies...........................................................................56 CHAPTER 10 ..............................................................................................77 StrategyIII: EngagingStakeholders.......................................................................77 PublicEnlightenmentCampaigns..........................................................................77 Advocacy / Interaction with Nigerian Government and Her Agencies.........94 International Advocacy.........................................................................................101 CHAPTER 11.............................................................................................111 Strategy IV: Walking the Rough Road of Discipline......................................111 CHAPTER 12 ............................................................................................123 SpecialCases............................................................................................................123 Drug Cases...............................................................................................................123 Food Cases ...............................................................................................................158 Cosmetics and Combined Products...................................................................169 Other Cases .............................................................................................................172 Court Cases.............................................................................................................177 CHAPTER 13 ............................................................................................181 Factors MilitatingAgainst Effective Foodand Drug Regulation....................181 CHAPTER 14 ............................................................................................223 Institutionalising the Change.................................................................................223 CHAPTER 15 ............................................................................................237 Focusing on Food....................................................................................................237 PARTIV ......................................................................................................249 Achievements, Support and Recognitions.......................................................249 CHAPTER 16 ............................................................................................251 GainsandAchievements........................................................................................251 CHAPTER 17 ............................................................................................267 Support,Appreciationsand Recognitions from the Nigerian Government, Nigerians and the International Community......................................................267 xiv xxv PARTV........................................................................................................297 Looking into the Future .......................................................................................297 CHAPTER 18 ............................................................................................299 Future Plans/Work in Progress Recommendations a nd Conclusion.........299 References................................................................................................................307 Abbreviations............................................................................................................313 Appendices...............................................................................................................321 Index ..........................................................................................................................419 ...