2CHALLENGES & THREATS FOR HOMOEOPATHIC PHARMACEUTICAL INDUSTRY IN PAKISTAN
3DR. MUHAMMAD ZUBAIR QURESHI ByDR. MUHAMMAD ZUBAIR QURESHIDHMS, MBBS, M. Phil Endocrinology.PresidentPakistan Homoeopathic Pharmaceutical Manufacturers AssociationDirector ManufacturingHomoeopathic Stores & Hospital, Lahore.
4INTRODUCTION AND OVERVIEW OF THE HOMOEOPATHIC SECTOR Homoeopathy was founded 200 years ago by Dr. Samuel Hahnemann who gave direction to this branch of medicine with his famous concept “Similia Similibus Curentur “ (let like cure likes).
5Hahnemann studied many substances that led to establish new rules of cure by use of substances which are capable of creating such disturbances in healthy human beings, by use of same substances in micro quantitative level.
6In 1866 Samuel Hahnemann founded the Homoeopathic Central Pharmacy to manufacture and sell Homoeopathic medicines.He also created prescribed standards of Homoeopathic Pharmaceuticals production known as “Pharmacopoeia Homoeopathic Polyglotta” which was later revised and is known asGerman Homoeopathic Pharmacopoeia
7HOMOEOPATHY GLOBALLY EUROPE The sale of Homoeopathic Medicines grew by 60% from 1995 to 2005.From 590 million Euros in 1995 to 775 billion Euros in 2001 and to 930 Million Euros 2005.Now it’s above One Billion Euros.
8FRANCEIn 2004, 60% French mothers used homoeopathic medicines for their kids in first 12 years of age.In the same survey it was found that 94.5% reported pregnant women were using homoeopathic medicines.70% of physicians are receptive to homoeopathy and consider it effective; At least physicians prescribed homoeopathic medicines.
9U.KAccording to House of Lords report (2007), 17% of British Population use homoeopathic medicine. 42% of Physicians referred patient to Homoeopathic doctors.20% of Irish milk producers use Homoeopathic Medicines to treat mastitis.
10GERMANYIn Germany sale of Homoeopathic products is above $1000 million Rate of 10%.Survey indicates that 98% Pharmacies sell homoeopathic medicines.In 2002 British Medical Journal reported that 75% of Germans use Homoeopathic Medicines.
11INDIA.Overall 2.5 Iakh PractitionersMarket sale volume of Homoeopathic products is crores which hold 14% share in total Indian system of medicine.All over India there are 118 Homoeopathic Medical Colleges, out of which 83 are non-governmental and about 33 government supported units.Currently over 900 manufacturing units with three multinationals.
12HOMOEOPATHIC SECTOR IN PAKISTAN Homoeopathy is steadily gaining popularity in Pakistan & about a fifth of our population uses Homoeopathic Remedies.Registered homoeopaths with NCH is around 60,000.Approved Colleges by NCH is over 100. These Colleges produce more than 4000 fresh doctors every year. Naturally this has created a great demand of homoeopathic drugs.There is no official figure but the annual consumption is around 4 billion Rupees with import constituting about 40% and locally manufactured medicine about 60% share of the total annual turnover.
13THE HOMOEOPATHIC SECTOR IN PAKISTAN CONSTITUTES OF Registered Homoeopathic PractitionersManufacturing Units or Pharmacies Involved In Production Of Homoeopathic Medicines.Both Government and Non Government Homoeopathic Institutes/Council owned Privately or by the Government.Hospital And Dispensaries.
14MANUFACTURING UNITSCurrently there are above 200 manufacturing units in Pakistan. None of them are approved by Government in absence of any law regarding production, sale and distribution of Homoeopathic Product.The main Products manufactured by these units are medicines, products like Shampoos, Tooth Pastes and Creams are also manufactured by these units.
15The Source of Homoeopathic Medicines can be classified like following 60% is Plant origin25% is of Chemical origin10% is of Animal origin5% from Bacteria, micro-organisms and certain disease causing factors.
16Since Homoeopathy originated from Germany, the industry is still using more than 300 types of raw materials which are of imported origin, like Plants not grown in Pakistan and minerals not found in Pakistan.
18ABSENTIA OF REGULATORY APPROACH BY GOVERNMENT. Homoeopathic Industry has largely enjoyed a lack of regulatory approach by the Government.
19This has led toi) Non registration of industry according to GMP.ii) Inability of Industry to export due to lack of certification and necessary documentation.iii) Flooding of the market with all type of sub standard drugs under the label of homoeopathyiv) Unani, Ayurvedic and Homoeopathic Practitioner Act 1965 does not cover the aspects relating to manufacture, import, promotion, sale, stocking, distribution, standardization and pricing of Homoeopathic Medicines.
20In other words there isno checkover the standard of the drugs marketed under the name of homoeopathy.
21ENCYCLOPAEDIA OF HOMOEOPATHIC PHARMACOPOEIA (Vol-I, II, III, IV)
22GERMAN HOMOEOPATHIC PHARMACOPOEIA (Vol-I, II, III)
24NATIONAL COUNCIL FOR HOMOEOPATHY GUIDE LINES FOR GOOD MANUFACTURING PRACTICE OF HOMOEOPATHIC PHARMACEUTICALS
25WHO GUIDELINES ON QUALITY FOR SAFETY OF HOMOEOPATHIC MEDICINES
26ORDINANCE FOR ESTABLISHMENT OF DRUG REGULATORY AGENCY OF PAKISTAN
27LACK OF RESEARCH AND DELVELOPMENT No agency (Private or Governmental) is involved is research and development.In India they established CCRH in 1978, which is nowadays running on a budget of Indian Rs 550 crore.There are about 60 research units supported by CCRH across India .Norway Government allocated 2 million Kroner for RnD in homoeopathy.German Government allocated 6 million German Marks For research in Homoeopathy.
28Technology involved in Homoeopathy has evolved over time, scientists and pharmacists working in the industry taking American , German and French methods of Production as their base.The manufacturing base in Pakistan is however not homogenous.The production facilities available in the organized manufacturing sector are far more superior as compared to smaller units due to non affordability.
29PROCURMENT OF RAW MATERIALS. ALCOHOLIs considered as basic raw material and is a life line of Homoeopathic Industry; However its high prices are making manufacturing expensive by day by.But still we are times cost effective when compared to imported Homoeopathic Medicines.Alcohol price is Rs. 75/liter (ex mill sales).Sales Tax is 16%Provincial Excise Duty Rs /-Sales Tax on Provincial Excise duty is 16%.Export Price is Rs. 25/liter.Alcohol Rs.140/literIn India it costs about Rs. 50/liter.
30HERBSNo organizational data is available on procurement of herbs and their standards like Good Agricultural Practices.60% of production depends upon herbs and as a result we have to import huge quantities from abroad costing millions of Dollars which can be easily saved by setting up of an organization guiding local Producer of Homoeopathic Pharmaceuticals to buy from local market .Allopathic industry can import raw material at 5% duty but in Homoeopathy duties areSales Tax = 16%Custom Duty = 5%Income Tax = 5%
31HUMAN RESOUCES FOR INDUSTRY No organization or university is interested in Producing Technical manpower for Homoeopathic Pharmaceutical Industry.Technical Requirement for Homoeopathic Pharmaceutical industry are high.Despite the popularity of Homoeopathy in Pakistan Technical manpower is deficient.
32HOSPITAL AND DISPENSARIES Hospital and dispensaries are the most important part of infrastructure of any system of medicine.Their growth can be taken as indicator of growing importance and popularity of the system among masses.Their growth provides justification for the increased focus and expenses on the medicine system as a whole .
33Over the time we have seen tremendous increase in number of privately owned clinics and dispensaries.Not a single government owned hospital exists in Pakistan both on Federal and Provincial level.Few dispensaries opened by previous governments of KPK and Punjab are vanishing due to lack of funds and are really in a bad shape.