Healthy Skepticism Library item: 6808

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: report

Drug Action Programme
WHO ethical criteria for medicinal drug promotion: a strategy for review and assessment of effectiveness
Geneva: World Health Organization 1998 May

Abstract:

This document reviews the development of the World Health Organization’s Ethical Criteria for Medicinal Drug Promotion and then explores a number of areas: are the Ethical Criteria needed; are they widely known and promoted; have they been adopted, implemented and monitored; constraints to implementation; and the supportive framework that is needed for them to function properly. The report discusses the actions of the various parties involved in promotion: industry, national drug regulatory authorities and drug policy makers, health professionals and their associations, universities, professional media, NGOs and consumer and patient organizations, WHO. The final section is a discussion about monitoring activities needed to assess the extent to which the Ethical Criteria have been adopted and promotional practices are consistent with them.

Keywords:
*analysis/World Health Organization/WHO/regulation of promotion/ Ethical Criteria for Medicinal Drug Promotion/REGULATION, CODES, GUIDELINES: INTERNATIONAL CODES

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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