According to the World Health Organization (WHO), less than one per cent of pharmaceutical products sold in developed countries are counterfeit, but in the developing world this figure may be higher than 10 per cent, and up to 30 per cent in some countries.
Counterfeit drugs come in many variations, and may contain:
Most counterfeit drugs are not subject to quality control, hygiene standards, testing of ingredients and monitoring of product specifications or equipment. Counterfeiting is a threat to public health, potentially causing harm to patients and even death.
We add anti-counterfeiting features to our product packaging. These include holograms, security seals, complicated background patterns that are difficult to photocopy or scan, as well as a wide variety of covert identifiers which are added using print technologies and sophisticated markers. These help us to identify counterfeits and gather evidence against offenders. Our Packing Design Technology and Security team in the UK carries out forensic examinations of all suspected counterfeit GSK products.
Our sales representatives worldwide also play an important role in helping to discover counterfeit products through continual observation of the local market. Our Corporate Security department investigates every potential case of counterfeiting. It uses internal and external investigators to collect information, which we then assess and report to the relevant government authorities to set in motion official law enforcement action.
As well as removing fake products from the market, one of our primary aims is to trace the products back to source, to shut down the manufacturers and their partners (for example the packaging printers and distributors). We provide training for regulatory authorities, such as the State Food and Drug Administration (sFDA) in China, law enforcement agencies and customs officers in many parts of the world.
GSK works very closely with the wider pharmaceutical industry to investigate cases of counterfeiting and we also raise awareness with governments internationally, pressing for stricter laws and more severe penalties. GSK is a founding member of the Pharmaceutical Security Institute (PSI), which coordinates information collection and investigations within the industry internationally. The PSI is influential in helping to shape anti-counterfeiting policy among national governments and international organisations. Together with the PSI, GSK is a major contributor to the WHO’s internationally represented anti-counterfeiting working groups.
There is evidence that a large number of internet pharmacies are involved in the sale of counterfeit or diverted medicines or illegal generic substitutions (switched at the time of delivery for the requested brand name product).
Some internet pharmacies provide sub-standard product, engage in a fraud against the customer (using their credit card information for other fraudulent activity) and ignore local laws and regulations relating to licences, prescriptions and patient information, seemingly operating with immunity from prosecution.
Internet pharmacies have flourished over the past few years and it is likely that this rise will continue as it provides a lucrative, low-risk opportunity for direct selling to patients in a global and largely unrestricted market.
The UK Medicines and Healthcare products Regulatory Agency estimated in 2004 that 600,000 British patients purchased prescription only medicines on the internet and the US FDA reported that 100,000 pills are purchased through internet pharmacies each month in the state of Kentucky alone.
