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Healthy Skepticism Library item: 6916

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: Journal Article

Pakenham-Walsh N, Eddleston M, Kaur M.
Developing world needs access to low cost pharmaceutical information from reliable sources.
BMJ 1999 Nov 6; 319:(7219):1265
http://bmj.com/cgi/content/full/319/7219/1265, http://bmj.com/cgi/reprint/319/7219/1265.pdf


Abstract:

The authors find the results of a published survey by Hafeez and Mirza on drug companies’ responses to requests for information in Pakistan particularly worrying because the biased information from drug companies is often the only type of information that prescribers have access to. The findings are an indictment of the pharmaceutical industry’s approach in the developing world, but the fact that most prescribers in the developing world do not have adequate access to reliable generic information is an indictment of the international health community. What is needed is universal access to free or low cost information from a reliable source. The decision by the BMJ Publishing Group to make the electronic British National Formulary (eBNF) available online is applauded. The effort to get information online will always be a barrier, so low cost printed formularies with a quality and objectivity parallel to those of the BNF should be made affordable to all prescribers, and their value and use vigorously promoted by the international health community at large.

Keywords:
*letter to the editor/United Kingdom/Pakistan/developing countries/ Costs and Cost Analysis Developing Countries* Drug Industry* Drug Information Services/supply & distribution* Formularies Health Services Needs and Demand Humans

 

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Far too large a section of the treatment of disease is to-day controlled by the big manufacturing pharmacists, who have enslaved us in a plausible pseudo-science...
The blind faith which some men have in medicines illustrates too often the greatest of all human capacities - the capacity for self deception...
Some one will say, Is this all your science has to tell us? Is this the outcome of decades of good clinical work, of patient study of the disease, of anxious trial in such good faith of so many drugs? Give us back the childlike trust of the fathers in antimony and in the lancet rather than this cold nihilism. Not at all! Let us accept the truth, however unpleasant it may be, and with the death rate staring us in the face, let us not be deceived with vain fancies...
we need a stern, iconoclastic spirit which leads, not to nihilism, but to an active skepticism - not the passive skepticism, born of despair, but the active skepticism born of a knowledge that recognizes its limitations and knows full well that only in this attitude of mind can true progress be made.
- William Osler 1909