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Vol 278 No 7439 p190
17 February 2007

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Letters to the Editor

Medicines recycling

Code of Ethics change could help poor countries

From Mrs P. E. Bradshaw, MRPharmS

The Royal Pharmaceutical Society is now holding consultations on a new code of ethics for pharmacists and pharmacy technicians.

On the new draft sale and supply of medicines document, comments are invited from pharmacists, technicians and members of the public if anything needs to be added or removed. In this document paragraph 2(e) states: “Medicines returned to a pharmacy from a patient’s home, a nursing or residential home must not be supplied to any other patient.”

If this paragraph 1.8 were to be reworded to allow pharmacists to give patient-returned medicines to licensed, reputable humanitarian organisations it would help save landfill and incineration costs and pollution and give access to medicines to millions of the poorest people in the world.

Inter Care is a humanitarian registered charity based in Leicester that has been recycling returned medicines for 30 years and will soon apply to be licensed by the Environment Agency to be able legally to collect, sort and redistribute returned medicines from any source. Inter Care selects only medicines more than 15 months in date, in complete original packs and on the World Health Organization essential drugs list, or the essential drugs list of the recipient country. Regular parcels of free medicines have been sent direct by air to more than a hundred resource-poor, non-governmental primary health care clinics and hospitals serving over two million people in six anglophile African countries. Each project has personnel who are medically qualified to diagnose, prescribe and dispense. Medicines required are listed by individual project, all of which are visited and monitored by Inter Care.

More than a third of the world’s population, mostly rural, cannot afford to buy, or have no access to even the most reasonably priced generic medicines. Government spending on drugs, including vaccines, is less than £3 a year in many African countries.

Readers who agree with me should respond to the consultation by March 9, suggesting that Paragraph 1.8 be changed along the lines I have suggested.

Pamela Bradshaw
Derby

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