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Fake, Unregistered Asthma Inhalers Flood Nigerian Markets After GSK’s Exit

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A year after British pharmaceutical giant, GlaxoSmithKline, exited Nigeria, asthmatic patients who depended on its inhalers faced significant distress due to the medication’s scarcity. Investigations by PUNCH Healthwise have shown that fake and unregistered inhalers have flooded Nigerian markets.

For a 28-year-old marketer, Rose Daniel, having to deal with the side effects of an anti-asthmatic tablet was an experience she never wanted to have anymore. Every time she took the medicines, uncontrollable tremors sent shivers down her spine, making her lead a less productive life. But succour came when her consultant, eight years ago, prescribed an asthma preventer, Seretide Diskus inhaler, with zero side effects.

However, following the exit of GSK last year, and the scarcity of the inhalers, the fear of a return to the daily tremors gripped Daniel’s mind. Determined to spare no cost, the Cross River indigene reached out to notable pharmacies across the country and eventually bought three packs to last her for many months, pending when normalcy would return and the drugs become available.

Once the inhalers became available, Daniel told PUNCH Healthwise, that she ensured she got her inhalers at a registered pharmacy she was sure sold genuine and approved drugs. But one day, while at work, she saw the pack of a Seretide inhaler with a colleague and wondered why the pack looked different from hers. After a quick perusal of the pack, the truth hit her in the face. “It had no NAFDAC Registration Number!” she said.

Daniel said she was grateful that she had ensured she had only bought her inhalers and other drugs from a trusted pharmacy store. On a journey to discovery, PUNCH Healthwise embarked on a fact-finding mission to pharmacies and the drug market in Church Street, Idumota, Lagos State.

Entering into Church Street, the popular hub for wholesale and retail medicines, the tearing sounds of semitransparent adhesive tape (cellotapes) filled the atmosphere. Human load carriers bore several cartons of purchased medicines and hospital consumables on their back to deliver them to their respective buyers.

After a brief observation of the market nuances, this correspondent inquired at some shops about where to get Seretide Diskus. Then, the referrals began. A tall, dark-complexioned middle-aged man enthusiastically greeted another man and boldly said in the Yoruba language, “We’ve been in this market since the 1980s.”

This man would later become a guide as he led this correspondent to the prescription shops where the inhaler could be bought. “If I take you to the place where the other woman described, the price there is expensive, I’ll take you to this shop,” the guide responded.

Unfortunately, the woman at the shop did not sell such a product, leading to another round of referrals. At last, a young man garbed in native attire, called Nosa, was recommended. This correspondent then showed him a picture of an unregistered Seretide inhaler, with the pack content written in English and Urdu, a language mostly spoken in Pakistan and India.

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Trump Proposes Five-Way Split of Childhood Vaccines

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Trump Congratulates UK’s Farage, Ignores Starmer

Trump Proposes Five-Way Split of Childhood Vaccines

 

President Donald Trump has proposed splitting some childhood vaccines into five separate doses administered six months apart, a plan that vaccine experts say could leave children inadequately protected if the individual doses contain too little vaccine.

 

Trump made the proposal on Friday while speaking about his administration’s plans to alter the United States childhood immunisation schedule.

 

He said children could receive doses labelled one through five, with each containing what he described as about 20 per cent of the usual amount.

 

“Instead of a child going in and having a tremendous amount of different vaccines pumped into a big proportion of the body … we’re going to recommend that they do five doses marked one, two, three, four, five and that they be given in six-month intervals,” Trump said.

 

Trump did not identify all the vaccines that would be affected. He specifically referred to the polio vaccine, which he described as having been “amazing”.

 

However, vaccine specialist Dr Paul Offit, director of the Vaccine Education Centre at the Children’s Hospital of Philadelphia, said the proposed approach would not provide the intended protection.

 

Offit explained that vaccines are developed through dose-response studies to determine the smallest quantity capable of producing a protective immune response.

 

“You don’t want to give too much, where you know you don’t need all that, and you don’t want to give too little,” he said.

 

He told CNN that administering vaccines at doses below the level required to generate an immune response could make them ineffective rather than safer.

 

Trump also linked the proposed changes to autism, saying he expected them to lead to a “massive reduction” in autism.

 

However, decades of scientific research have found no causal link between childhood vaccines and autism.

 

The President’s comments came amid broader efforts by his administration to alter federal childhood vaccination policy.

 

In August, Trump signed an executive order seeking changes to the childhood immunisation schedule, including separating the measles, mumps and rubella vaccine into individual shots.

 

The administration has argued that the changes would reduce the number of vaccines given to children and address concerns about the existing schedule.

 

Health and Human Services Secretary Robert F. Kennedy Jr., who was with Trump as he outlined the proposal, has also backed changes to federal vaccine policy.

 

Kennedy spoke on Thursday at a conference organised by Children’s Health Defense, an organisation associated with vaccine scepticism.

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DRC gets 70,000 Ebola vaccine doses as trial targets Bundibugyo virus 

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WHO Releases New Guidelines for HIV Prevention

DRC gets 70,000 Ebola vaccine doses as trial targets Bundibugyo virus 

 

The Democratic Republic of Congo has received 70,000 doses of the Ervebo Ebola vaccine from the global vaccine stockpile as health authorities intensify efforts to contain an outbreak of Bundibugyo virus disease.

 

The doses were released by the International Coordinating Group on Vaccine Provision following a request from the DRC government last week.

 

The development comes amid uncertainty over the effectiveness of Ervebo against the Bundibugyo strain, which is different from the Zaire ebolavirus for which the vaccine was originally developed and licensed.

 

Of the 70,000 doses, 20,000 have been allocated for a Phase 3 clinical trial designed to assess the vaccine’s potential impact against the Bundibugyo virus, while 50,000 doses will be administered to frontline and health workers in line with recommendations from the World Health Organisation’s Strategic Advisory Group of Experts on Immunization.

 

The effectiveness of Ervebo against Bundibugyo virus in humans is currently unknown.

 

However, preliminary laboratory and animal studies have suggested that the vaccine could offer some protection, prompting researchers to investigate its potential through the clinical trial.

 

The trial is expected to generate evidence that could guide future decisions on the use of Ervebo in outbreaks involving the Bundibugyo strain.

 

Health authorities have also stressed the importance of informed consent, saying people offered the vaccine must be adequately informed about its potential risks, benefits and limitations in relation to the current outbreak.

 

The ICG is made up of the WHO, International Federation of Red Cross and Red Crescent Societies, Médecins Sans Frontières and UNICEF, while Gavi, the Vaccine Alliance, funds the global vaccine stockpile.

 

The WHO and Africa Centres for Disease Control and Prevention welcomed the allocation, supporting the DRC’s efforts to protect affected communities and contain the outbreak through a community-led response.

 

Both organisations said they would continue to support the DRC government in protecting communities, saving lives and generating scientific evidence that could strengthen Africa’s preparedness for future viral outbreaks.

 

The Bundibugyo outbreak has renewed attention on the need for effective vaccines and rapid scientific responses to emerging infectious diseases, with the outcome of the DRC trial expected to provide important information for future outbreak control.

 

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Africa CDC, WHO demand urgent scale-up of DRC Ebola response

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WHO Releases New Guidelines for HIV Prevention

Africa CDC, WHO demand urgent scale-up of DRC Ebola response

 

The Africa Centres for Disease Control and Prevention and the World Health Organisation have called for an urgent scale-up of the community-led response to the Ebola outbreak in the Democratic Republic of the Congo.

 

The organisations said the response must focus on early detection, contact tracing, access to treatment, protection of frontline health workers and faster deployment of resources to affected communities.

 

The call followed a joint high-level mission to Uganda and the DRC on August 4 and 5, led by the WHO Director-General, Dr Tedros Adhanom Ghebreyesus; Director-General of Africa CDC, Dr Jean Kaseya; and WHO Regional Director for Africa, Dr Mohamed Janabi.

 

The delegation visited Kampala, Bunia and Kinshasa, where it held discussions with government officials, response coordinators, health workers, community representatives and development partners.

 

In Uganda, the delegation commended the country for successfully containing local transmission after it declared the end of its outbreak on July 28.

 

Uganda recorded 20 confirmed cases and two deaths, while all identified contacts completed their follow-up.

 

The organisations said Uganda’s experience demonstrated the importance of early detection, rapid contact tracing, coordinated government action, community engagement and effective cross-border surveillance.

 

However, they warned that continued transmission in the DRC meant neighbouring countries remained at risk and should maintain surveillance, laboratory readiness and cross-border coordination.

 

The delegation subsequently travelled to Bunia, the epicentre of the outbreak in Ituri Province, where it met provincial authorities, health workers, community leaders and response partners.

 

It also visited the Rwangole Ebola Treatment Centre to assess its readiness to expand access to timely and quality care.

 

The delegation stressed that communities would play a central role in containing the outbreak, urging authorities to ensure that residents receive accurate information from trusted sources and can report suspected cases and seek treatment without fear.

 

It also identified community, religious, women and youth leaders as critical partners in building confidence and ensuring that response measures reflect local realities.

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