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The Medical Supplies Division of the Ministry of Health has assured that there is no shortage of medical drugs in any hospital. Sudarshana said that there is no shortage of essential drugs at present and measures have been taken to supply sufficient stocks of drugs. He explained that on many occasions a particular drug will be ordered when a cancer patient is identified. It takes at least a week or a month to secure an order. Such drugs which are expensive and cost more than Rs. He said this is a situation that should be identified in the world drugs supply network. Since these medication is provided for a specific timeframe, such it would not affect the treatment given to the patient. Other than that he said that there is no shortage of drugs in the country. If there is a shortage of any drug in a hospital and if it is an essential drug to the hospital, the Director of the particular hospital is granted permission to purchase the drug from outside, the official further said. The Government official news portal is maintains by the New Media Unit of the Department of Government Information and it was titled 'news. Breaking News. October 22, Photo Gallery Video Gallery. Awards Previous sites Archive - 1 Archive - 2. Media Releases. By ramanayake June 01, font size decrease font size increase font size Print Email. Rate this item 1 2 3 4 5 0 votes. Latest from ramanayake Beware of heat stroke: Schools told to exercise caution President wants a university curricular fitting the job market demand. Parliamentary election Summary of election complaints political Current Affairs Oct 21, Two 2 suspects with Kerala cannabis valued over Rs. Weather Forecast political Current Affairs Oct 21, Weather Forecast political Current Affairs Oct 20,
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It was bad about six months ago but the situation has now eased. Many for whom the State hospitals are the only recourse, however, are fearful when they would be given a prescription to pay and get not only basic drugs but also essentials from outside or be on that dreaded waiting list for surgery because the necessary devices are unavailable. The Government has allocated the gargantuan sum of Rs. Sri Lanka needs 1, varieties of drugs of which only about 50 are manufactured locally and 5, consumables including devices, stents and catheters, the Sunday Times understands. Around are essential drugs. With such huge funding allocations, the Sunday Times turned the spotlight on how and why drug and consumable shortages do occur and what should be done to prevent them. In a no-holds-barred interview, Prof. Being the main procurement agency for all imported drugs and devices for Government hospitals and affiliated institutions, Prof. Jayaratne while conceding that drug shortages are a 'constant issue' points his finger at quality failures. Explaining that the Medical Supplies Division MSD compiles the requirements of the country's State hospitals and submits them to the SPC, he says that the SPC then calls for worldwide tenders to give all players an equal chance and get the lowest price for the country's requirements. Many Indian suppliers come up with the cheapest bid, according to Prof. Here lies the problem as well because many drugs produced in India are prone to quality failures. Jayaratne, detailing the aftermath of such quality failures. The chain reaction is obvious - a quality failure is followed by a drug recall which, in turn, is followed by an inevitable drug shortage as the lengthy purchase procedure has to be repeated once again, it is learnt. Referring to the reasons why quality failures come about, the SPC Chairman points out that when a tender is awarded, a pre-shipment sample of the drug ordered is requested and tested, either at the National Drug Quality Assurance Laboratory NDQAL or an accredited international laboratory. The downside, however, is that sometimes this sample may be different in quality to the actual product. In the case of a quality failure, the supplier is instructed to send replacement supplies but if it recurs in five batches of drugs, then the supplier is blacklisted for three years, after which the supplier has to go through the stringent process of re-registration with the DRA, he says. In some instances, however, blacklisting may not be the most viable option, since the number of companies producing and supplying a particular drug may be limited. Suggesting ways and means of ensuring that good companies which would have no quality failures in their products are registered, Prof. Jayaratne says that factory inspections may help, even if a Sri Lankan team has to visit the location in another country. He also urges the strengthening of supplier registration procedures depending on capacity and earlier supply records, etc. Another way that shortages occur, he says, is when companies fail to meet the requirements stipulated and there is a delay in the supply. Turning the searchlight inward, Prof. Jayaratne also points out the flaws within the system internally. Hospital pharmacies are not computerized and networked,' he says, stressing that an inter-linked computerized system is essential, a path that the MSD has just launched. Storage is also causing many a headache to the authorities, the Sunday Times understands, along with the conditions, such as air-conditioning, under which certain drugs need to be transported as well as stored. Standards should be stipulated, says Prof. Jayaratne, adding that air-conditioning of pharmacies should be made mandatory. Sometimes the capacity is not even adequate to test the pre-shipment samples while random post-market sample off-the-shelf checks are not carried out aggressively, he says, citing the example of Tamilnadu in India, where every batch is tested and evaluated. Although setting up such laboratory facilities is expensive, he suggests that they are essential and a public-private coalition should be encouraged. Kamal Jayasinghe. One issue, however, is that hospitals have to estimate their needs at least 15 months ahead for purchases to be on time. Currently, the MSD is working on the drug needs for , he says, explaining that such 'lead time' hinders the hospitals taking into account the changes in disease patterns and also potential epidemics. Another disadvantage would be, according to Dr. Jayasinghe, doctors being tied down to older varieties of drugs even though newer versions may be in the market. Dealing with the magnitude of the drug requirements at State hospitals, he says 48 million tablets of paracetamol are the monthly need. If there is a quality failure in a bulk purchase, the whole system gets disrupted. Therefore, bulk requirements should be split among two or three registered companies. Jayasinghe says that in case of an emergency shortage, the MSD has the authority to purchase a drug locally, by calling for tenders locally. The danger though is that sometimes local producers may take advantage of the situation and quote higher prices,. Constant monitoring and stock checks are carried out by MSD officers to minimize drug deficits and reduce supply gaps, assures the MSD Director. Looking at the weaknesses, Dr. Jayasinghe says the 'lead time' of 15 months is too long and may tend to create a lapse in efficacy. Ideally it should be less thasn six months. Echoing the views of the SPC Chairman, he says that certain Indian drugs are prone to quality failures and urges that more drugs should be manufactured locally. When asked specifically about recent shortages of cardiac drugs, he added that the MSD went into contingency mode to meet that. Another concern in medical circles is the procurement of medical devices, the evaluation of which is done by individual specialists. Often, specialists may present biased opinions, said the source, also pointing out that it is unfair to get specialists to do evaluations in their own time without being paid a cent. Instead of asking one to conduct the evaluation, a Specialist Committee may be more appropriate, the source said, adding that individual favourite devices would not come into play then. With the dawn of the New Year and the implementation of the National Medicinal Drugs Policy will come action that will prevent drug shortages, the Sunday Times understands. There will be a Central Authority in charge of drug procurement and related activities which will iron out ad hoc situations, assures SPC Chairman Prof. Another avenue that needs to be strengthened is the expansion of drug production within Sri Lanka itself, he says. Currently only about 63 drugs are produced here by eight companies which have limited capacity. It would also save the time wasted on tender procedures, help retain foreign exchange and boost employment. Local manufacturers should be encouraged with guarantees by the Government that their quality products would be bought by the authorities. In the National Hospital, where annually about 1, heart surgeries are performed, the waiting period per patient has increased to six months while the Kandy Cardiology Unit was closed for two months, he said. Such shortages have also resulted in equipment having to be shared, he said, explaining that cardio units of many main hospitals including the Cardio Thoracic Unit of the National Hospital share oxygenator tubing sets that function as lungs during heart surgeries. Gamage when contacted by the Sunday Times. This is due to the MSD's tender procedure being time-consuming. We purchase the drugs through a Procurement Committee comprising myself, the specialist or physician recommending the drug and the chief pharmacist, he said. Anuradhapura Hospital Director Dr. Wijekoon said no serious shortages were reported this year but as the Nephrology Unit is facing a shortage of dialysis equipment, such equipment was being borrowed from hospitals close by. Meanwhile, Batticaloa Hospital Director Dr. Murugananthan said a considerable amount of drugs and devices are purchased locally. Reproduction of articles permitted when used without any alterations to contents and a link to the source page. Sri Lanka. Drugs: Finding a cure for malady of shortages. Will Rs. By Kumudini Hettiarachchi and Shaveen Jeevandara. Pix by Indika Handuwala. Hi-tech credit card racket busted. Thousands overstaying visas, crackdown launched. CAs soon for acquired enterprises. Two white-van abductions: Police hopeful of breakthrough. Learn and be empowered with all that is legal. A House divided as Assets Bill becomes law. Save your child from sex predators. Yet another youth dies in police custody. Spot-light on three sisters at the Zoo. Jumbos hit by trains: When will these tragedies end? Displaced Jaffna residents still waiting to go home — two years after war ended. Archaeologists uncover rare inscriptions in Ampara. Shock treatment for farmers and jumbos at Wilpattu border. Leeks cultivators desperate as price drops to record low. Sri Pada trustee faces Rs. Obama and Asia's two futures.
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