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Healthy Skepticism Library item: 12767

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

Hopkins Tanne J.
FDA is failing to inspect drug and device makers, government reports say
BMJ 2008 Feb 9; 336:(7639):297
http://www.bmj.com/cgi/content/extract/336/7639/297?etoc


Abstract:

The US Food and Drug Administration has not met its legal requirements to inspect US and foreign medical drug and device manufacturers, and it has not provided effective oversight of domestic and imported food, according to two reports by the General Accountability Office, the independent investigative arm of Congress.

The reports, both released on 29 January, said that the FDA’s science base, scientific workforce, and information technology infrastructure were weak and inadequate.

In November the FDA’s subcommittee on science and technology found “substantial weaknesses across the agency.”

At a hearing of the subcommittee on oversight and investigations of the committee on energy and commerce of the House of Representatives on 29 January, Peter Barton Hutt, the FDA’s former chief counsel, said that the FDA’s annual budget of $2bn (£1bn; 1.4bn) should be doubled and its staff increased by 50% over the next two years.

Andrew von Eschenbach, the FDA’s head, . . .

 

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...to influence multinational corporations effectively, the efforts of governments will have to be complemented by others, notably the many voluntary organisations that have shown they can effectively represent society’s public-health interests…
A small group known as Healthy Skepticism; formerly the Medical Lobby for Appropriate Marketing) has consistently and insistently drawn the attention of producers to promotional malpractice, calling for (and often securing) correction. These organisations [Healthy Skepticism, Médecins Sans Frontières and Health Action International] are small, but they are capable; they bear malice towards no one, and they are inscrutably honest. If industry is indeed persuaded to face up to its social responsibilities in the coming years it may well be because of these associations and others like them.
- Dukes MN. Accountability of the pharmaceutical industry. Lancet. 2002 Nov 23; 360(9346)1682-4.