Bitter Pills:Medicines & The Third World Poor | Page 242
109
Dr. Martin Schweiger, "In Sickness or in Wealth", BBC Radio 4, transcript of programme
transmitted 26 June 1979.
110
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UNCTAD, Technology policies in the pharmaceuticalsector in Nepal, 1980, op. cit., p. 169.
Similarly tonic preparations containing isoniazid and vitamins are on sale in the Philippines
- David Werner, in interview with the author, 8 September, 1981.
111
British National Formulary 1981, op.cit., pp. 38 and 40.
112
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113
The Managing Director of Squibb of Bangladesh Limited writes: "I am puzzled as to why
you have singled out Sumycin Syrup as being sold over the counter when most Pharmaceuticals
in Bangladesh can be purchased in this manner. We in Squibb share your concern about this
practice, but regrettably there is little we can do about it.. 1 would welcome your letting me
have the name and address of the dealer you allege recommends Sumycin for young children
suffering from diarrhoea in order that we can investigate. We never have promoted this product
for the treatment of diarrhoea. "(R. Bower, Squibb, personal communication, 3 May 1982.)
Mr. Bower makes no comment on the lack of any warnings on the Sumycin pack or bottle,
but writes: "Since you raise the question of product information in general, I take the opportunity
of informing you that Squibb worldwide policy is to place all product facts before doctors.
Bangladesh is no exception." (op.cit.)
Sumycin (tetracycline oral suspension) purchased on 28 September 1980 at drug store
in Baragharia village, Rajshahi.
In Britain tetracycline is contraindicated in pregnancy and for children under twelve.
(British National Formulary 1981, op.cit., p. 159.)
"Tetracyclines may cause a yellow to brown discolouration of the teeth in the developing
foetus or child..." (ABPI 1979, op.cit., p.467.)
114
Presenter's Guide 79, op.cit., p. 17.
115
British National Formulary 1981, op. cit., p.164.
116
Bruce K. Berger, Public Relations Associate, The Upjohn Company, personal communication,
19 March 1982.
117
Brudon,op.cit.,p.l97. Upjohn comment: "Lincocin sells well in Mexico. But it also sells well
in Japan, Italy and other countries. And it sells well because it is an effective, life-saving
antibiotic, not because of the magnitude of promotion in any particular country." (Berger,
1982, op.cit.)
118
Package insert for Rivomycin Strepto, manufactured by Rivopharm Laboratories, Manno,
Switzerland, purchased in Ibb, North Yemen, September 1980.
119
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120
Martindale, p. 1107.
British National Formulary 1981, op. cit.: "chloramphenicol is a potent, potentially toxic,
broad-spectrum antibiotic which should be reserved for the treatment of life-threatening
infections..."
Dr. E. Tagman and Dr. S. Balluz, Rivopharm SA, Manno, Switzerland, personal
communication, 11 February 1982.
121
Drs Tagman and Balluz, personal communications 8 April 1982 and 17 May 1982. Rivomycin
Strepto is no longer licensed for sale in Switzerland. Rivopharm comment: "We still consider
chloramphenicol and dihydrostretomycin a useful combination in the treatment of intestinal
infection with susceptible organisms; but it should only be given under medical supervision."
(Personal communication, 17 May 1982, op. cit.)
122
Albert David (Bangladesh) Ltd, Vademecum, medical products list. (Current September 1980.
123
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Information from: David Newell, OXFAM Field Director, and Concern Volunteers,
Dacca, Bangladesh;
Sue Becklerleg, Nutritionist, "Breastfeeding case studies in the town of Ibb". (mimeo
235