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Healthy Skepticism Library item: 18764

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: Electronic Source

Vlassov V
Vasiliy Vlassov on a Russian medical conference without pharma support
BMJ Group Blogs 2010 Oct 28
http://blogs.bmj.com/bmj/2010/10/28/vasiliy-vlassov-on-a-russian-medical-conference-without-pharma-support/


Full text:

Four hundred years ago on European maps the land that became Russia was called “Tartaria.” Now Tatarstan is a national republic in the Russian Federation. It is small by Russian standards – the size of Netherlands – economically stable, and has an educated population. Recently a conference took place at the local Medical Academy entitled QIQUM – Quality information for quality use of medicines.

It would be trivial to write about this conference if it was a normal conference. However, this was a rare event in Russia: there was no drug industry support, and not a single drug or device booth in the foyer.

How is it possible in a country where the government is famous for never supporting the participation of doctors in conferences and for paying them wages that are 25% of the amount that bus drivers receive? In Europe only Russia and Ukraine pay doctors below average wages. How was the conference possible when most influential medical academies fill their specialist conferences with industry sponsored symposia, specifically to make money?

The clinical pharmacology professor of the Tatarstan Medical Academy, Dr Lilia Ziganshina, organised the conference. She was heavily influenced by Peter Mansfield and HealthySkepticism.org (previously MaLAM, the Medical Lobby for Appropriate Marketing), and she was serious about moving towards independent drug information, free from the biases introduced by marketing. Peter Mansfield (Australia), Joel Lexchin (Canada), Edward Burger (WHO), and a couple of other international speakers provided some international presence and shared their unique experiences in exposing biased information. They arrived straight from the first “Selling sickness” conference (http://www.healthyskepticism.org/global/announcements/entry/sellingsickness2010program/). Russians arrived from Moscow to the Far East and other delegates came from countries in the former Soviet bloc.

If I had been asked a year ago whether it is possible to arrange a big pharmacology meeting without industry support I would have said that nobody will do it. It would be like being hungry at a table filled with free snacks. But it happened! We had the first conference of this kind, with no drug advertisements.

Of course, it was not perfect – life is not perfect. As well as the support received from educational institutes, it was sponsored by one of the big oil and gas companies and the biggest national publisher of medical books, Geotar (the full list of supporters is here http://www.evidenceupdate-tatarstan.ru/confer/). Although this sponsorship might not be ideal, it is much less of a conflict of interest than sponsorship from the pharmaceutical industry, which is why this conference was such a special event, and worth paying attention to.

Competing interest: My attendance at the conference was sponsored by Geotar.

 

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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