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Healthy Skepticism Library item: 13716

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

Mathew JL.
Global access to vaccines: Vaccine science and commerce: never the twain shall meet?
BMJ 2008 May 3; 336:(7651):974
http://www.bmj.com/cgi/content/extract/336/7651/974-b


Abstract:

Chokshi and Kesselheim suggest some reasons why effective vaccines are unavailable in poorer countries.1 The main reason is that most wealthy countries demand a solution (vaccine) for infectious diseases of public health importance, while poorer countries do not-and should they do so, they are largely ignored. This explains the scant attention paid to important issues such as improving measles and tuberculosis vaccines and the strong focus on new vaccines irrespective of their desirability and feasibility in developing countries. What is worse is that many manufacturers have realised the potential of marketing in developing countries (large population and variable spending power) and are ruthlessly exploiting the weak decision making systems there to aggressively promote products that are often not required.

Chokshi and Kesselheim state that “difficulty in disseminating well established vaccines casts doubts on our ability to promote widespread use of new ones,“1 but the opposite is being witnessed in most . . .

Keywords:
Publication Types: Comment Letter MeSH Terms: Commerce Developing Countries* Drug Industry* Humans Interprofessional Relations Vaccines/supply & distribution* Substances: Vaccines


Notes:

Comment on:
BMJ. 2008 Apr 5;336(7647):750-3.

 

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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