1. International Medical Products Anti-CounterfeitingTaskforce INSPECTOR OF DRUGS NATIONAL DRUG AUTHORITY- UGANDA

2. MAP OF UGANDA MAP OF UGANDA Kempton Park, South Africa 9 th -10 th November 2009

3. Kempton Park, South Africa 9 th -10 th November 2009 Definition of counterfeit medical product used in our Uganda Uganda has adopted the WHO definition of a counterfeit medicine which states; А counterfeit medicine is one which is deliberately and fraudulently mislabeled with respect to identity and/or source. Counterfeiting can apply to both branded and generic products and counterfeit products may include products with the correct ingredients or with the wrong ingredients, without active ingredients, with insufficient active ingredients or with fake packaging.

4. Kempton Park, South Africa 9 th -10 th November 2009 Our National Legislation There is currently no specific legislation regarding counterfeit medicines in Uganda. A bill on counterfeits (generally) is however currently in Parliament, and it will soon be passed into law. The bill addresses the aspect of intellectual property protection, including sections regarding medical products. There are however a few inadequacies in this bill in regard to medicines and efforts have been taken by NDA to streamline this. We currently however invoke section 30 of the NDP/A Act which essentially prohibits the supply of impure drugs.

5. National Legislation cont… National Legislation cont… Section 30 of cap 206, states Any person who- a)Sells any drug, medical appliance or similar article which is not of the nature, substance and quality demanded or which, unless otherwise agreed at the time of demand, does not conform to standards laid down in the authorized pharmacopoeia; or b)Supplies any drug which is unwholesome or adulterated or which does not conform to the prescription under which it is supplied, commits an offence and is liable to a fine not exceeding five million shillings or to imprisonment for a term not exceeding ten years or both. In regard to the above section we address all cases of counterfeits as impure drugs in order to build a case against the culprit. Kempton Park, South Africa 9 th -10 th November 2009

6. Kempton Park, South Africa 9 th -10 th November 2009 Penalties As stated above in section 30 of cap 206, A fine not exceeding 5 million shillings (2500 USD) or, Imprisonment for a term not exceeding 10 years or, Both. The judiciary has however consistently given light sentences to individuals convicted under the above section. The record highest in fines ever given, for instance, is one million shillings (approx. 500USD )

7. Kempton Park, South Africa 9 th -10 th November 2009 National coordination We (NDA) have a memorandum of understanding with the police esp. the Anti- Narcotics department with which we work jointly in combating this vice. We also work closely with the Customs institution (URA) which mans all border points. They forward all medical products (imports & exports) to NDA for authorization and they also report to us any suspected cases of illicit drug dealing. We have also lately developed collaborations with NCB- Uganda and this has greatly energized the fight against counterfeits (Mamba I & II)

8. National coordination cont.. We currently have a faint collaboration with the National Bureau of Standards and we are working towards strengthening it. Our dream is the formulation of National task force of membership from core stakeholders, ready to take action whenever a counterfeit is detected.

9. Number of cases SuspectedConfirmedImported / DomesticVital Medicines 20093614Only 2 domestic Antimalarials & antibiotics, 20083402Only 1 domesticAntimalarials 2007 2006 How were these cases detected? number of cases Patients complaints Health professionals reports Enforcement/investigation workAll cases Routine checks Reported by affected manufacturer/importer Other

10. Kempton Park, South Africa 9 th -10 th November 2009 Number of prosecutions, convictions & pending cases Operation Mamba II ProsecutionsConvictionsPending Cases 19 05 14

11. Kempton Park, South Africa 9 th -10 th November 2009 Our proposals for action Formation of a National task force comprising all core stakeholders Regional integration of medical product regulation (East African Harmonization) Formulation of tough laws with punitive punishments against counterfeiters (NDP/A Act is under review, Counterfeits Bill is also underway) Increasing human resource & capacity building in DRAs and other partner institutions

12. proposals for action cont… Ensuring access to & affordability of essential drugs Massive sensitization and education of public regarding counterfeits DRAs should put in place measures that prevent the existence of counterfeits Empowering and facilitation of anti-counterfeiting programs (Government commitment)

13. THANK YOU