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Mathew Nampudakam looks
after the Consumer Cell in VHAI One of the fundamental principles of
consumer protection is the availability of quality of
goods and services. It is much more than getting the
value for the money. It is a dignified respect and
acknowledgment of one of the most basic needs of the
consumer. This is not an inflated or unreasonable demand
on the part of the consumer. When a consumer is mislead,
overtly or covertly, into believing that a product is
superior in quality than what it really is, an element of
deceit creeps in. Violated here is the human rights of
the consumer. Ignorance and inability to assert have long
been a serious bane for the consumers. But these were the
trump cards, the manufacturers of goods and providers of
services have been exploiting to the tilt, though with no
moral entitlements. Distortion and deliberate concealment
of facts to lure consumers is a sad reality of the
market.
Quality presupposes safety. Safety means that nobody is
made to use a product or service without realising the
intrinsic risks involved. For example, if the product is
a poison, so be it known as one, and should be used for
the purpose of poisoning only. There should be no false
claims; no camouflaging. May be this is, in pure and
simple terms, what is called product
transparency.
Legal Safeguards
There are several legislations which control
supply of goods and services. One such law which
regulates and controls the import, manufacture, sale and
distribution of drugs and cosmetics is the Drugs and
Cosmetics Act 1940. Its main aim is to protect the
consumer from sub-standard drugs and cosmetics.
If any drug is so coloured, coated, powdered or polished
that damage is concealed or if it is made to appear
better or having greater therapeutic value than it really
has, labelled not in the prescribed manner, if its label
or container or anything accompanying the drug bears any
statement, design or device which makes any false claim
for the drug or which is false or misleading in any
manner, action can be taken under the Act.
The Act prescribes that the drugs should comply with the
standard set out in the second schedule as given in the
Act. Misbranding of drugs, in all forms, is prohibited so
also false and misleading claims. The drug will be deemed
adulterated if it consists, in whole or in part, of any
filthy, putrid or decomposed substances or prepared,
packed or stored under unsanitary conditions or using
unpermitted colours or harmful/toxic substances. Spurious
drugs are those which are imported under a false name, or
an imitation or a substitute.
Indian Systems
under the Scrutiny
An amendment to the Act in 1964 brought
Ayurvedic, Siddha and Unani Tibb drugs under its purview.
It prescribed that all medicines in these systems
intended for internal and external use in diagnosis,
treatment, mitigation or prevention of disease in human
beings or in animals should be manufactured exclusively
in accordance with the formulae described in the
authoritative text books of Ayurvedic, Siddha and Unani
Tibb systems. (as specified in the first schedule of the
Act).
The provisions for
misbranded, adulterated and spurious drugs are same as
for allopathic drugs. If the government is satisfied that
any of these drugs involve any risk to human beings or
animals or that it does not have the therapeutic value
claimed, it may ban them. The government can appoint
inspectors and analysts and the same rules made under the
Act in relation to allopathic drugs will apply in this
case also. References to drugs shall be construed to
include medicines under ayurvedic or unani drugs.
Unlike in the case of allopathic drugs where an
individual consumer, consumer organisation or the drug
controller can prosecute the importer, manufacturer or
seller or distributor of drugs or cosmetics for offences
under the Act, with fine or imprisonment or both, the
offender in ayurvedic drugs can be brought to book only
by the drug inspector by instituting criminal proceedings
against him. Unfortunately market conditions are not in
the side of the consumer. The allopathic drug scenario is
heavily loaded against the consumer. Medicines under the
Indian Systems of Medicine have remained untarnished for
many centuries. But the situation is fast changing. 80
per cent of Ayurvedic medicines are manufactured locally,
by over 7000 companies which are sold over the counter.
Commercialism has led to deceptive advertisements of
herbal drugs proclaiming potency in anything from
aphrodisiacs to life-savers. Unscientific preparations with no
proven therapeutic abilities hit the market every day.
Lack of standardisation and the absence of a
Pharmacopoeia of Ayurvedic preparations defy effective
drug control. The reasons for this proliferation is, of
course, the absence of effective control and regulatory
mechanisms, giving of special tax exemptions and the
age-old faith of people in traditional medicines. So any
effort to discourage fictitious Ayurvedic drugs should
help protect the cause of genuine Ayurveda and the
interests of consumers.
Certain modifications
were brought about in the recent past in the Schedule-J
of the Drugs and Cosmetics Act which has generated a
debate in the Ayurvedic drug industry. The new guidelines
imposed a ban on advertisements claiming cure for
ailments like liver disorders, and for memory enhancement
etc. for which no Ayurvedic drugs offer prevention or
cure. Dabur India felt that this denotes the death-knell
of the herbal industry, whereas the Indian Council of
Medical Research (ICMR) and Voluntary Health Association
(VHAI) welcomed the move. They felt that it would bring
about the much-needed check on sub-standard herbal
products, which use unacceptable manufacturing and
marketing practices.
We dont agree with the contention that the
small-scale ayurvedic drug companies will now close down
because of the amendment. This is because the small
manufacturers and local Vaidyas who gain acceptance over
the years never sell their products through glossy
advertisements. Only big companies, who float fancy
"products which are in search of diseases" will
get affected. The laws like this is the only way to
regulate the anarchic style of functioning of the
industry. The exploitation of Indias herbal
heritage by multinational companies has been going on
even before the amendment. Efforts has to be put to
resist the indiscriminate exploitation of Indian herbs by
these companies.
An Unwelcome
Diversification
Consumers have reasons to be alarmed about the
way some allopathic drug companies are shifting over to
herbal products for quick profits. Some of their products
are questionable and their intentions surreptitious.
Irrationality does not restrict to allopathic drugs
alone. Because of the modern thinking that everything is
safe and fine with Ayurvedic medicines, unscrupulous
manufacturers have jumped into the ayurvedic bandwagon.
Some of them also produce irrational formulations in the
name of Ayurvedic medicines. Because of lacunae in the
law, Vicks can become a herbal product, Liv-52 can become
a liver tonic (prescribed even by allopathic doctors),
Livocin can be advertised as a health tonic (claimed to
be good even for growth of hair), Chyawanprash can become
a money spinning business, and so on! Who needs proof of
efficacy, harmlessness or care for the risk-benefit
information?.
Dr. S.G. Kabra, a health activist of Jaipur, says
"the commercial concept of tonics, so assiduously
fostered by modern pharmaceutical companies, has now been
very conveniently hijacked by the so-called purveyors of
indigenous medicine. Any part of a plant or an animal, or
even their products or excreta, which have been referred
to in some ancient or indigenous text is a good
ingredient for a tonic. The greater the number of such
ingredients, the wider is the tonic power claimed".
As a result, the market today is flooded with
uterine tonics to tone up bad uterus
(whatever that means), liver tonics to
similarly tone up the liver (if such a highly complex
natural chemical laboratory could be toned
up), brain tonics for the mentally
deficient, heart tonics, lung tonics, stomach and
intestinal tonics and now hair tonics and skin
tonics. And of course the sex tonics, mainly
ayurvedic, provide the biggest and the most lucrative
market for such indigenous medicines. These tonics are to
the current practice of medicine what commercial sex is
to social living. Witness their similarities;
diversification and refinements; market forces and trace
practices, morals and compulsions; and state acceptance
and patronage.
A few examples of currently available tonics are
Hemiphos, Hepatoglobine, Livernut-Iron, Nervitone,
Neurophosphates, Pulmo-Cod (C&G), R.B. Tone,
Biovital, Renergy, Trinergic, Globac etc.
Need for a
Rational ISM Policy
As far as consumer protection is concerned,
there is a need to promote a rational approach to the use
of medicines of all systems. Drugs are the most important
ingredients in disease management. How long the health
consumers will have to wait for a rational policy on
Indian Systems of Medicine which will restore the
sanctity of the age-old tradition and prevent
unscrupulous elements from exploiting it fill their own
coffers?
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