Australian Doctor 2nd June 2023 02JUNE2023 issue | Page 18

News Review

2 JUNE 2023 ausdoc . com . au
AAP

Death threats , drugs and the pandemic

Professor John Skerritt on leading the TGA through turbulent times .
Rachel Fieldhouse
interview that he has a PhD in phar-
and I was recognised by people I had
Not all psychiatrists are happy
Professor Skerritt ’ s timeline

SIX months without a day off , 24 death threats and a COVID- 19 pandemic — the past three years of leading the TGA have been a tough test for Adjunct Professor John Skerritt .

He retired in April after more than a decade at the TGA , where he dealt with the regulation of medicinal cannabis , an abandoned plan to merge the TGA with New Zealand ’ s Medsafe drug regulator and , of course , the rage surrounding the agency ’ s approval of COVID-19 vaccines .
Death threats
The latter became “ pretty ugly ” as
anti-vaxxers and conspiracy the-
macology and was “ the first university medallist in pharmacology at the University of Sydney for 150 years ”.
“ There is something certain politicians put on social media — that I knew nothing about immunology and vaccines because I was really an agricultural scientist .
“ In reality , I am a hard-arsed pharmacologist .”
The jibes seemed to be rooted in his past life as deputy secretary at the former Victorian Department of Primary Industries or potentially his time at the Commonwealth Scientific and Industrial Research Organisation ( CSIRO ) leading “ Australia ’ s first food , agricultural , environmental ,
never met ,” he says . “ It was kind of creepy .” But he is proud of the TGA ’ s work on the vaccines , saying he and his staff worked with “ an unprecedented sense of mission ” in the lead-up to vaccine approvals .
“ It was funny ; it used to be in the old days that , if people phoned you at 7pm or 8pm , they would apologise .”
“ But I was getting calls at 10pm , and nobody would even say , ‘ Sorry to phone you so late .’ They would just launch straight in because that was the way people were working .
“ It is not all about me , but personally , I think I went 169 days without
with what the TGA subsequently did , with many big names warning that approving the treatments is going to put vulnerable and desperate patients at risk of exploitation .
Professor Skerritt says the lobbying , which he describes as “ badgering ”, did not influence the TGA .
“ Lobbyists are part of the 21st century ecosystem ,” he says .
“ There is nothing stopping lobbyists seeking a meeting [ with TGA officials ].
“ Sometimes we take them ; sometimes we don ’ t .”
He adds : “ I won ’ t mention company names , but it does strike me as odd when big companies with hun-
• 1959 — Born in Sydney
• 1983 — PhD and the first University Medal in Pharmacology at the University of Sydney
• 1983 — Postdoctoral fellow at the University of Michigan , recipient of Rotary Ambassadorial Scholarship
• 1999-09 — Deputy CEO of the Australian Centre for International Agricultural Research
• 2009-12 — Deputy secretary at the former Victorian Department of Primary Industries
• 2012-23 — Deputy secretary at the Health Products Regulation Group
orists threatened to kill Professor
biotechnology lab ”.
a day off .
dreds of staff in Australia feel they
Skerritt .
His other alleged crimes include the TGA ’ s decision to restrict prescribing of ivermectin to official indications , like scabies , rather than allowing it to be used as a COVID-19 wonder cure in the absence of any
‘ People would go to get my vehicle for me rather than me walking to the car park at night .’
It is worth stressing the facts : he
“ For our team in the laboratories ,
have to hire lobbyists to get a meeting with the TGA .
“ I guess the lobbyists are there to prove their will .”
Medicinal cannabis
In a similar vein , there is that other
natural and therefore harmless and that it cures everything .”
But is this the system for unapproved drug treatments working as intended ?
“ It is not a rubber stamp ,” says
real evidence .
was once offered a professorship at
for a lot of our evaluators , it was an
illicit drug with promised medical
Professor Skerritt .
These threats were serious , with
Johns Hopkins University school
incredible effort .
potential and a bucketload of hype :
“ If it were a young child being
half of them referred to the Austral-
of medicine in the US but turned it
“ We did check in on the wellbeing
medicinal cannabis .
given a huge amount of THC , we
ian Federal Police .
down for the CSIRO gig .
of all staff regularly . People at all lev-
The TGA ’ s statistics say more
would probably knock it back .”
“ I had to do things like move my
Then in 2012 , he joined the TGA
els were just so committed to what
than a million patients have received
He does admit “ a few ” patients
car and not park it in an obvious
as national manager — despite ques-
they had to do and to the national
cannabis scripts under the Special
may have received unjustified can-
place ,” he says .
tions over whether it would continue
mission . But they were tough times .”
Access Scheme .
nabis scripts , but he stresses the TGA
“ People would go to get my vehicle for me rather than me walking to the car park at night .”
to exist , with the Australian and New Zealand governments weighing up merging their watchdogs into one .
MDMA and psilocybin
But while the focus on COVID-19
That seems mainstream , not special access .
It is worth pointing out that the
had justifiable distractions , grappling with COVID-19 approvals to save tens of thousands of lives .
The vaccine rollout
In the end , more than 60 million
The plan was officially scrapped in 2014 .
He gained the title of deputy sec-
waned , Professor Skerritt was back in the spotlight earlier this year talking about MDMA and psilocybin .
TGA does not collect data on clinical outcomes from medicinal cannabis treatment , although Professor Sker-
The reference to tens of thousands is based on modelling that found 20,000 Australians would
COVID-19 vaccines would be rolled
retary of the Health Products Regu-
In February , Australia made his-
ritt says it would be “ fantastic ” to
have died from COVID-19 if the TGA
out in Australia , including 30 million
lation Group — it is obvious why the
tory as one of the first countries to
see the data .
had waited longer to approve the
administered by GPs . The response
media sticks with ‘ TGA boss ’ — and
recognise psychedelics as a form of
But his instinct is that the bene-
vaccines .
was generally seen as a success story ,
became more widely known during
medicine following aggressive lob-
fits are overhyped .
“ I think history tells us that we
albeit one with a few hiccups .
the COVID-19 pandemic when front-
bying by the controversial charity
“ I would still much rather have
were vindicated by our decisions ,”
This did not stop heckling from
ing press conferences to explain
Mind Medicine Australia .
a patient on 10mg of tetrahydro-
Professor Skerritt says .
backbench MPs that Professor Sker-
the intricacies of phase III studies
The group flew in Professor David
cannabinol ( THC ) a day — even if
“ We didn ’ t sleep much , but we
ritt was out of his depth and unquali-
and the nature of post-marketing
Nutt — a UK neuropsychopharma-
they end up a bit sleepy and cannot
didn ’ t cut corners .”
fied for the role .
surveillance .
cologist and passionate psychedelics
drive — than have them on 80mg of
As for his retirement , what is he
With visible annoyance , he points
“ Six times I was walking down
campaigner — to talk directly with
extended-release oxycodone .
planning ?
out to Australian Doctor during our
the street of a country city in NSW
officials .
“ But the hype is that cannabis is
“ Fade away into anonymity !”