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The City Ranch Market had prescription eyedrops and nose drops, capsules of the antibiotic ampicillin, and Nordinet, an aspirin-based drug augmented by three illegal ingredients. You can go into any store in the area and find it. In Latino and Asian-American enclaves throughout the city, unauthorized sales of prescription drugs have become commonplace in recent years, as immigration soars. With new immigrants often finding it difficult to afford or get access to conventional health care, they bring the less formal practices of their homelands, purchasing familiar medicines over the counter without realizing that they are participating in a dramatically expanding black market. State and local health officials stage periodic sweeps to seize such drugs and make an occasional arrest, sometimes responding to an illness or death caused by a misused dose. At many times, her agency has only one investigator--and never more than three--combatting the pharmaceutical black market in all of Southern California. The California Board of Pharmacy, meanwhile, devotes most of its efforts to regulating licensed pharmacies. Health officials say the tailgate drugs endanger thousands of ailing people by exposing them to medications of unknown content, potency and dosage. The phenomenon, they say, is national in scope, but more common in the Southwest and West--and particularly in Southern California. The bulk of the use is an all but invisible part of daily life in many communities. But sometimes the dangers are made tragically clear:. The boy died of a lung abscess. A search of her stall turned up antibiotics, antidepressants and other drugs. The boy suffered a serious allergic reaction and had to be rushed to a Compton hospital, where he survived. No charges were filed against the mother. State investigators said the drug--a muscle relaxant not approved in the United States and incapable of causing spontaneous abortion--was purchased at a swap meet. Again, no charges were filed stemming from misuse of the drug. For frustrated investigators, the vast numbers of low-profile operators make such drug sales as difficult as weeds to eradicate. One of the products, an injectable growth hormone, has been linked to liver damage. Allan Van Ginkel, a senior state food and drug inspector based in Los Angeles, had hoped word of the bust would spread throughout the swap meet and deter other merchants from selling unauthorized medicine. But that was hardly what happened. Several stalls away, however, an unidentified kiosk was packed with outlaw medicine, including Terramicina, a form of tetracycline that came with Spanish-language instructions stating that the product cannot be sold in Mexico without a prescription. Also found were Retin-A wrinkle cream, which can damage skin if not used properly, and an anti-inflammatory containing Dipyrone, a drug that has never been approved for use in the United States because it can cause, among other things, severe gastrointestinal bleeding and drastic reductions in white blood cell counts. During the next hour, the inspector stopped at five stores around the Eastside--picked almost at whim--and found pharmaceuticals for sale at two groceries: the 1st Street Food Center and City Ranch Market. At the 1st Street Food Center, Ajin, a vitamin compound containing sulfadiazine, a prescription antibiotic, was being sold by the tablet from a box at one check stand. Although Van Ginkel had brief conversations with clerks at the various stops, alerting them to the questionable nature of their goods, he did not seize the products or issue formal warnings--as he would have had they been official inspections. But at an official follow-up inspection of City Ranch Market this week, Van Ginkel said he found the drugs back on the shelf, seized them and issued a formal warning. At other locations around town, investigators have confiscated potentially life-threatening folk remedies, found to contain high concentrations of lead, mercury and other heavy metals. In the home countries of many of the immigrants, many strong pharmaceuticals are legally sold without prescriptions. But typically they are available only at pharmacies, where a druggist or other health practitioner is on hand to provide basic information. Nora Alvarez, an AIDS educator at a Crenshaw district clinic, recalls walking past a market near USC recently as a man stood on the sidewalk selling birth control pills out of a truck. The consumers of tailgate drugs tend to be poor, lack health insurance and may fear deportation if they turn to the conventional health system. Additionally, they often lack information about free public health clinics or the transportation to get there. Much of the tailgate medicine found in Latino communities is manufactured in Mexican plants owned by U. The delivery system is different in Asian-American communities, where many of the products are traditional remedies either smuggled in from the Far East or concocted locally. Authorities consider some of the products safe, but brand others as dangerous, ineffective and illegal. Officials say they have made headway against such sales, but they acknowledge that ethnic drugs are not a top priority at overburdened regulatory agencies. Customs Service in San Diego. Food and Drug Administration in Los Angeles. Meanwhile, the lead agency in the matter--the food and drug branch of the state Department of Health Services--has but 24 investigators in Southern California to perform a burdensome array of services, from inspecting shellfish processors and food wholesalers to investigating cancer and AIDS fraud. Although he and his colleagues have arrest powers, they rarely use them, hoping the seizures will serve as enough of a deterrent. Van Ginkel acknowledged that whole sections of Los Angeles and Orange counties--including Koreatown, the San Fernando Valley, Little Saigon and much of the Eastside--go largely unpoliced because of staffing limits. Oversight was actually reduced when a multi-agency Los Angeles County task force, established to tackle the issue, disbanded last year. Established in March, , the task force backed a community education program on tailgate drugs that was also supported by major pharmaceutical companies such as Hoffmann-La Roche Inc. They also dropped out of a similar effort in Orange County by the Hispanic Pharmaceutical Education Committee, which subsequently broke up. Assemblyman Richard Katz, D-Sylmar who served on the Los Angeles task force, believes the drug companies were fearful that their participation might suggest they felt responsible for any health problems caused by black market sales of their products. Spokesmen for the companies and the Pharmaceutical Manufacturers Assn. Katz also criticized the state Department of Health Services, saying that some officials at the agency privately told him that black market pharmaceuticals are not vigorously pursued because the state saves money when poor people avoid the health care system and treat themselves. The agency encourages poor people to visit free health clinics to get the best care, he said. The self-medication practices, he added, are hardly a money-saver because the state winds up treating conditions complicated by the improper use of pharmaceuticals. De Los. Times Everywhere. For Subscribers. All Sections. About Us. B2B Publishing. Hot Property. Times Events. Times Store. Special Supplements. Share via Close extra sharing options. More to Read. Kern County supervisor exits meeting abruptly, says authorities are searching her office. On the double! More From the Los Angeles Times. Opinion Opinion: How Trump and Republicans distorted federal data into an imaginary migrant murder spree. Politics The Latino vote in California could tip the balance of power. California For Subscribers. Most Read in California. California Kids are sucking down baby food pouches at record rates. California L. California Newsom sides with Musk in dispute over SpaceX rocket launches. California Kaiser mental health professionals in Southern California go on strike.

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