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INTERPOL - World Model United Nations

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and international trade organizations such as <strong>INTERPOL</strong>,<br />

counterfeit drug production still causes an unnecessarily<br />

high level of morbidity, mortality, and loss of faith in<br />

traditional medicine and health structures. Not only is<br />

quality compromised when pharmaceuticals are illicitly<br />

produced, but safety becomes a major concern as well.<br />

Products are stored in unsatisfactory conditions such as<br />

insucient or excessive light, pressure, humidity, and<br />

temperature. Nevertheless, there is a generally trusting<br />

attitude from customers of counterfeit pharmaceuticals<br />

who believe the medical advice dealers provide– a faith<br />

that can be credited to a lack of education in national<br />

and international health standards or general cultural<br />

norms that create a dangerous level of trust among<br />

ethnic and religious minority groups. 68 Consequences of<br />

consuming or utilizing counterfeit pharmaceuticals can<br />

range from inconvenience to unwanted pregnancies to<br />

fatality, constituting a major public health risk, especially<br />

in developing countries. 69 Ingredients that can be found<br />

in counterfeit drugs include highway paint, oor wax, and<br />

even boric acid. 70 As a result, negative pictures emerge<br />

from around the world: approximately 192,000 people were<br />

estimated to have died in China in 2001 because of fake<br />

drugs. 71 In 2007, a Chinese ocial was even executed for<br />

approving fake medicines. 72<br />

In addition to the direct impact on victims’ health,<br />

substandard medicines can also promote microbial<br />

resistance. As the UN Oce on Drugs and Crime<br />

(UNODC) explains: “Health experts have warned that<br />

each under-medicated patient becomes an evolutionary<br />

vector through which ‘superbugs’ can develop, posing a<br />

global threat to public health.” 73 In other words, by allowing<br />

the disease to fester in the human system untreated or<br />

undertreated by counterfeit drugs, countries inadvertently<br />

provide the germs or viruses that lead to the illness the<br />

necessary time to adapt to existing medicines – prolonging<br />

the disease for many future generations. Oen, important<br />

information about the drug—such as expiration date,<br />

warnings, ingredients, or dosage instructions—is oen<br />

lacking, un- or poorly translated, or even purposely<br />

skewed in order to sell more of the drug. Vendors, oen<br />

uneducated, distribute dosages in arbitrary amounts and<br />

oer the patient no accountability for any injury he or she<br />

sustains from the use of counterfeit drugs. 74 Yet because<br />

the nature of the counterfeit drug industry is so illicit,<br />

consumers frequently receive little assistance or guidance<br />

from healthcare systems that are overwhelmed by the sheer<br />

volume of potential cases arising from the distribution of<br />

counterfeit pharmaceuticals.<br />

Counterfeit drugs also have serious developmental and<br />

economic consequences. In developing countries, they<br />

reduce the protability of region-specic markets, curbing<br />

foreign investment and incentives for pharmaceutical<br />

industries to research diseases endemic to those regions.<br />

75 Because potential prots for new and legitimate drugs<br />

against life-threatening diseases are siphoned o to the<br />

counterfeit industry (which is able to provide lower costs<br />

due to lower quality), global pharmaceutical companies<br />

view developing markets as unable to return the signicant<br />

investment costs required for researching and developing<br />

vaccines and therapies for diseases such as AIDS, malaria,<br />

tuberculosis, and syphilis. As a result, much-needed<br />

research that could potentially save millions of lives each<br />

year goes neglected; health research companies nd their<br />

sales have declined by as much as 30% by some estimates<br />

due to counterfeiting. 76<br />

Counterfeit drugs also squander limited health resources<br />

when health consequences from altered drugs arise,<br />

diverting these resources from other treatment purposes. In<br />

developing countries especially, underfunded and underresourced<br />

healthcare networks are already stretched thin<br />

with their disproportionate share of the global disease<br />

burden; to be additionally strained by a disproportionate<br />

share of international counterfeit pharmaceutical<br />

health consequences spells disaster for the millions of<br />

people battling life-threatening illnesses in the region.<br />

Unfortunately, most of the current literature on counterfeit<br />

drugs comes from local investigative journalism, with<br />

little scientically broad public health inquiry to estimate<br />

the scale to which people are aected. 77 It thus becomes<br />

paramount for <strong>INTERPOL</strong> to bring this under-discussed<br />

issue to international lens and deliberate on what possible<br />

solutions exist to this burgeoning global industry that<br />

threatens the ght against deathly disease on multiple<br />

fronts.<br />

HISTORY AND DISCUSSION OF THE PROBLEM<br />

Origin Of Counterfeit Pharmaceuticals<br />

The quality and purity of medications have been<br />

counterfeited since antiquity. Fraudulent drugs have<br />

been cited in documents dating back to the fourth century<br />

BC, and the problem of counterfeit medicines has persisted<br />

throughout the centuries. 78 Since medicine is high value<br />

relative to bulk (meaning its price per unit weight or<br />

volume is much higher than other commodities) with<br />

demand being constant at a wide range of prices, there is<br />

huge economic incentive to undergo patent infringement<br />

Harvard <strong>World</strong>MUN 2012 <strong>INTERPOL</strong> 17

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