Brands, costs and registration status of antimalarial drugs in the Kenyan retail sector

Background

Although an important source of treatment for fevers, little is known about the structure of the retail sector in Africa with regard to antimalarial drugs. This study aimed to assess the range, costs, sources and registration of antimalarial drugs in the Kenyan retail sector.

Methods

In 2002, antimalarial drug registration and trade prices were established by triangulating national registration lists, government gazettes and trade price indices. Data on registration status and trade prices were compared with similar data generated through a retail audit undertaken among 880 randomly sampled retailers in four districts of Kenya.

Results

Two hundred and eighteen antimalarial drugs were in circulation in Kenya in 2002. These included 65 "sulfur"-pyrimethamine (sulfadoxine-pyrimethamine and sulfalene-pyrimethamine (SP), the first-line recommended drug in 2002) and 33 amodiaquine (AQ, the second-line recommended drug) preparations. Only half of SP and AQ products were registered with the Pharmacy and Poisons Board. Of SP and AQ brands at district level, 40% and 44% were officially within legal registration requirements. 29% of retailers at district level stocked SP and 95% stocked AQ. The retail price of adult doses of SP and AQ were on average 0.38 and 0.76 US dollars, 100% and 347% higher than trade prices from manufacturers and importers. Artemether-lumefantrine, the newly announced first-line recommended antimalarial drug in 2004, was found in less than 1% of all retail outlets at a median cost of 7.6 US dollars.

Conclusion

There is a need to ensure that all antimalarial drugs are registered with the Pharmacy and Poisons Board to facilitate a more stringent post-marketing surveillance system to ensure drugs are safe and of good quality post-registration.     

充满自信、勤奋地学习与工作

陈宜张院士是一位优秀的生理学家。他对一项创新课题写出来龙去脉 ,给人以启迪。在写作上这篇文章也“与众不同” ,我们欢迎这种不同的写作风格。     

Clostridium perfringens in retail chicken

Clostridium perfringens isolates were recovered by enrichment from retail grocery chicken samples (n = 88) in Ontario, Canada, with one sample per site. The gene associated with necrotic enteritis in chickens, netB, was found in 21% of the isolates. The tpeL gene was found in 2% and the cpb2 gene in 68% (95% “atypical” genes) of isolates. This study suggests that netB-positive C. perfringens can reach people through retail chicken.     

Microbiological criteria for retail foods

This article proposes that microbiological criteria should only be drawn up and applied to foods if there is a full understanding and consideration of raw material selection, production process, packaging and finished product characteristics. The combined knowledge and expertise of public sector microbiologists and food industry microbiologists and technologists need to be harnessed in the establishment of such criteria. In this manner, microbiological criteria could be derived to the overall benefit of the consumer.
A meeting of the Society for Applied Bacteriology held in November 1994 considered the issue of microbiological standards for foods and, in this paper, the recently formed PFMG presents an opinion on the 'Provisional microbiological guidelines' published by the Food Surveillance Group of the Public Health Laboratory Service.     

Stored-product insects associated with a retail pet store chain in Kansas

The types and numbers of insect species associated with eight Kansas retail stores belonging to a pet store chain were surveyed during February to August 2001. Insects were monitored at 1-3-wk intervals using food- and pheromone-baited pitfall traps for beetles and pheromone-baited sticky traps for moths. Thirty traps of each type were placed within a store. Thirty insect species belonging to 20 families in four orders were recorded from the eight stores. The weevils, Sitophilus spp.; Indianmeal moth, Plodia interpunctella (Hübner); and merchant grain beetle, Oryzaephilus mercator (Fauvel), were the most common and abundant species in all stores, whereas the red-legged ham beetle, Necrobia rufipes (Degeer), and red flour beetle, Tribolium castaneum (Herbst), were abundant only in one store. The numbers of each insect species captured varied from store to store. In each of the stores, a total of 12-19 stored-product species were captured in traps, and seven of the eight stores had relatively high species diversity. With the exception of one store, the different types of insect species found among the remaining seven stores were essentially similar. The mean density of insects in infested bulk-stored and bagged pet food products removed from a store ranged from 65 to 656 adults/kg. The types and numbers of insect species captured in traps indicated that infestations were well established in the surveyed stores. Early detection and management of these infestations is critical for maintaining quality and integrity of food products sold in the pet stores.