Fake drugs kill 500,000 in Sub-Saharan Africa yearly, says UNODC report
Trafficked medical products kill almost half a million Sub-Saharan Africans yearly, and action is needed to stem the flow, the United Nations Office on Drugs and Crime (UNODC) stated this in its new threat assessment report.
A lack of access to healthcare and medicines has been fuelling a host of opportunists aimed at filling the gaps, the report, Trafficking in Medical Products in the Sahel, indicated. But, this supply and an imbalance in demand have triggered deadly results.
In Sub-Saharan Africa, as many as 267,000 deaths yearly are linked to falsified and substandard antimalarial medicines, the transnational organised crime threat assessment found.
In addition, up to 169,271 are linked to falsified and substandard antibiotics used to treat severe pneumonia in children.
Trafficking these products is also taking a direct economic toll on affected countries. The World Health Organisation (WHO) estimates that caring for people, who have used falsified or substandard medical products for malaria treatment in the region, costs between $12 million and $44.7 million every year.
International operations saw more than 605 tons of medical products seized in West Africa between January 2017 and December 2021. Typically, these products travel through mainstream international trade channels, mainly by sea.
Diverted from the legal supply chain, the products often come from major exporting countries to the Sahel, including China, Belgium, France and India. Others are manufactured in neighbouring states.
Once in West Africa, smugglers move medical products by bus, cars and trucks to the Sahel, following existing trafficking routes, to avoid border controls.
Terrorist groups and non-state armed actors are commonly associated with medical product trafficking in the Sahel, but their involvement is limited. These groups levy “taxes” in areas they control or they abuse the drugs themselves.
News reports on drug use for non-medicinal purposes among terrorist groups have documented an Al-Qaida affiliate in Côte d’Ivoire and former Boko Haram recruits in Nigeria, using or attempting to buy the opioid-like clonazepam (rivotril) since at least 2016.
At the same time, the UNODC report stated that investigations have uncovered a variety of actors encouraging the illicit trade. Traffickers include pharmaceutical company employees, public officials, law enforcement officers, health agency workers and street vendors.
The African Union established the African Medicines Regulatory Harmonisation initiative in 2009 to improve access to safe and affordable drugs. The effort is part of its Framework on Pharmaceutical Manufacturing Plan for Africa. In addition, all Sahel countries but Mauritania have ratified a treaty for establishment of the African Medicines Agency.
Recognising these achievements, the UNODC document offered recommendations. Among them was to introduce or revise legislations to prevent all-related offences such as smuggling, money laundering and corruption.