‘Pharma industry in ICU’: Doctors stop surgeries amid shortage of medicines in Pakistan

This photo, taken on February 9, 2023, customers buy medicine from a medical supply store in Karachi, Pakistan. (Photo courtesy: REUTERS)
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Updated 31 March 2023
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‘Pharma industry in ICU’: Doctors stop surgeries amid shortage of medicines in Pakistan

  • Manufacturers say they have stopped manufacturing 1,300 brands amid escalating production cost
  • Drugs for cancer treatment, insulin, anesthesia, vaccines and several others remain in short supply

ISLAMABAD/KARACHI: Pakistani doctors have suspended surgeries to cover for emergency cases amid an acute shortage of some life-saving medicines, a representative said on Thursday, with drug manufacturers saying the pharma industry is currently “in ICU (Intensive Care Unit)” amid an economic crisis in the South Asian nation.

Pakistani health facilities are facing a shortage of critical medicines, including oncology products, plasma-derived products, vaccines, recombinant biologicals, equine serum products, cardiac enzymes and specialized hormones, insulin, and mostly importantly the general anesthesia used in operation theaters, according to doctors and pharmacists. 

The shortage has surfaced after manufacturers and importers stopped supplies to health facilities, citing the rising cost of manufacturing amid high inflation and massive devaluation of the local currency. Doctors say the situation has forced them to delay their routine surgical operations for the sake of any emergency cases.

“The overall situation is critical, routine operations have been stopped by most of doctors for the time being just to cover the extreme emergency cases that can’t be delayed or avoided,” Dr. Abdul Ghafoor Shoro, general secretary of the Pakistan Medical Association (PMA) that represents Pakistani doctors, told Arab News.

Shoro said the situation was tough for patients who were the victims of the current medicine crisis in the South Asian country.

“Patients are suffering mostly due to the shortage of medicines,” he said. “Every day we receive complaints that the operations have been postponed due to the shortage of relevant medicines, the situation persists for last three months.”

Shoro said medicines used for diabetic treatment were out of stock that hit particularly young insulin-dependent patients.

“Young diabetic patients are solely dependent on injectable insulin as tablets are not effective treatment,” the PMA official said. “The shortage is severely hurting young patients.”

The manufacturers said supply of more than 1,000 brands had been stopped due to the rising cost amid the government’s inaction on price adjustment according to the rising inflation and dollar-rupee disparity.

“Manufacturers have stopped manufacturing and supply of 1,300 brands of drugs as they face a financial crunch for the last three months,” Syed Farooq Bukhari, chairman of the Pakistan Pharmaceutical Manufacturers Association (PPMA), told Arab News.

“Despite the losses, pharma companies are operating just to honor our long-term supply commitments with hospitals. Pharma companies are now operating at 50-60 percent capacity.” 

The PPMA chief said manufacturing firms were not asking for raise in their profits, but only price adjustment so that they could survive. 

“The pharma industry is now in the ICU... it would collapse,” Bukhari said. “Operational cost has increased manifold due to rupee devaluation, energy price and transportation cost hikes.”

The inflation in the South Asian country hit a 50-year high of 31.5 percent in February, triggering the overall costs.

On Monday, the Pakistani government deferred a decision to raise prices of 119 medicines and 54 new drugs. The move prolonged the stand-off with the pharma industry. 

The PPMA chief said authorities agree in meetings with the demand of the industry, but take no action to minimize the losses through price adjustment.

Pakistani health officials say the drug price adjustment was the prerogative of the federal government and the prime minister could approve it.

“The decision to increase or decrease drug prices is the prerogative of the federal cabinet,” Sajid Hussain Shah, a spokesperson for the Pakistani health ministry, told Arab News. “Only the cabinet can decide if there will be any price increases, and the prime minister can approve the cabinet’s decision.”

The current crisis has severely hit the profitability of the multinational pharmaceutical companies in Pakistan and some of them have even suspended their operations, according to manufacturers. 

“Majority of multinational companies are making essential and lifesaving drugs, but their profitability continues to dwindle and some of them have stopped operations in Pakistan,” Tauqeerul Haq, managing director of Sante Pharma, told Arab News. 

“The rupee has devalued by around 70 percent since July 2021, but the prices have not been raised since accordingly. Now production of 1,300 brands has been stopped and if the situation persists, the number will cross 2,000.”

Haq said the prices have been capped at 7 percent for essential and 10 percent for non-essential medicines, which in the current situation are unrealistic.

“At least 35 percent price hike of medicine would be required under current situation,” he added.

The Overseas Investors Chambers of Commerce and Industry (OICCI), a representative body of overseas investors that also includes pharma companies, has also approached the government for the resolution of the crisis. 

“The input cost of the companies has substantially increased due to rupee devaluation and rise in the price in global market, but in Pakistan they are not allowed to adjust the prices,” Abdul Aleem, the OICCI secretary general, told Arab News. 

“We are telling the government that the products international companies are making in Pakistan are very critical and if the production stops, it will take time to restart. The supply chain should not be disrupted.” 

Aleem said many multinationals had warned of stopping their operations as their capacity reduced.

The situation is also painful for pharmacies across Pakistan and some of them have cut down their workforce and scaled down operations. 

“There are around 100-200 medicines short in the market and the situation is tough for pharmacies because they are the first ones who face patients,” Sardar Shabir Ahmed, chairman of the Pakistan Pharmacists Association (PPA), told Arab News.

“The current situation has forced many pharmacies to cut down their operations and lay off staff. Most recently a pharmacy in Lahore has been shut down, leaving around 350 people jobless. The livelihood of thousands of workers associated with the pharmacy business is at stake.”

Pakistani drug importers and dealers have also approached the government, seeking price adjustment of mainly imported goods to save their business from a “complete collapse.”

“The prices are fixed and the cost of medicines and raw material in global market has surged manifold while at home the cost of fuel, electricity, freight charges and packing material etc has substantially increased,” Abdul Samad Budhani, who speaks for the Pakistan Chemist and Druggists Association, told Arab News. 

“We have urged the government to immediately review the Drug Pricing Policy 2018 for the adjustment of prices of imported drugs.”

Manufacturers and retailers say the current situation has created black marketing of drugs in Pakistan. 

Pakistan imported medicinal products worth $944 million from July till February this fiscal year, which was 74.12 percent less than the imports in the same period last year, according to official data.


China, Pakistan discuss advancement of rail, road and economic zone projects under CPEC

Updated 08 November 2024
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China, Pakistan discuss advancement of rail, road and economic zone projects under CPEC

  • The discussions included sections of Main Line-1 railway project, Karakoram Highway as well as Gwadar port and economic zone
  • Beijing has invested over $65 billion in energy, infrastructure and other projects as part of the China-Pakistan Economic Corridor

ISLAMABAD: China and Pakistan on Thursday discussed advancement of key infrastructure and economic projects under the multi-billion-dollar China-Pakistan Economic Corridor (CPEC), the Pakistani government said, with the two sides also discussing security of Chinese nationals working in Pakistan.
CPEC, a part of China’s Belt and Road Initiative, aims to connect China to the Arabian Sea through a network of roads, railways, pipelines and ports in Pakistan and help Islamabad expand and modernize its economy.
The discussions on key CPEC projects were held during Chinese Ambassador to Pakistan Jiang Zaidong’s meeting with Pakistani Planning Minister Ahsan Iqbal, according to Pakistan’s Press Information Department (PID).
On the occasion, the Pakistani planning minister emphasized the need for concrete mechanisms to ensure smooth and effective implementation of bilateral projects.
“Both sides deliberated on advancing key projects, including the Karachi-Hyderabad section of Main Line-1 (ML-1) and Karakoram Highway (Thakot-Raikot Section) project, and agreed to accelerate the projects’ timely execution,” the PID said in a statement.
“Regarding the Gwadar Port and Free Zone, both sides expressed a mutual commitment to ensuring the continued development of Gwadar in a holistic manner.”
The meeting came two days after a security guard at a factory in the southern Pakistani city of Karachi shot and injured two Chinese nationals before fleeing, police said.
Last month, two Chinese nationals were killed in a suicide bombing near the international airport in Karachi. In March this year, a suicide bombing killed five Chinese engineers and a Pakistani driver in northwestern Pakistan as they headed to the Dasu Dam, the biggest hydropower project in the country. In 2022, three Chinese educators and their Pakistani driver were killed when an explosion ripped through a van at the University of Karachi. A blast on a bus killed 13 people in north Pakistan in 2021, including nine Chinese nationals.
China, breaking with tradition, publicly spoken out against security threats to its workers and nationals living in Pakistan, where hundreds of them work on Beijing-funded projects linked to CPEC.
Iqbal assured the Chinese ambassador the safety of Chinese citizens was a top priority of his government.
“Pakistan will continue working closely with China to ensure the security of Chinese citizens, projects, and institutions,” he was quoted as saying by the PID.
Ambassador Jiang expressed gratitude for Pakistan’s comprehensive engagement and said the Chinese side was ready for collaboration in areas of agriculture, mines and minerals, industrial cooperation, according to the PID.
Iqbal shared that his ministry was in coordination with the National Development and Reform Commission of China to arrange high-level workshops to bring together experts from both sides to outline the future direction of CPEC’s second phase.
China has lately shown willingness for the second phase of CPEC and has given assurances for the establishment of five new corridors, including that of growth, livelihood, innovation, green economy and open regional inclusive development.
 


Pakistan to press developed nations for unconditional climate funding at COP29

Updated 41 min 57 sec ago
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Pakistan to press developed nations for unconditional climate funding at COP29

  • Pakistan is ranked as the 5th most vulnerable country to climate change, according to the Global Climate Risk Index
  • Pakistan PM’s aide Romina Khurshid Alam says vulnerable countries are suffering from their own economic challenges

ISLAMABAD: Pakistan will urge developed countries attending the upcoming Conference of the Parties (COP29) in Baku to fulfill their pledges and provide easy access to climate funding without attaching conditions, Prime Minister Shehbaz Sharif’s coordinator on climate change said on Thursday.

The COP29 climate conference, scheduled to take place in Baku between November 11 and 22, will layout new policies and bring together representatives from various nations to discuss the adverse impacts of climate change and evaluate available solutions for adaptation.

Pakistan is ranked as the 5th most vulnerable country to climate change, according to the Global Climate Risk Index. In 2022, devastating floods affected over 33 million people and caused economic losses exceeding $30 billion, highlighting the country’s high susceptibility to extreme weather events.

“Pakistan is very clear on our stance that we need all the developed countries when it comes to the pledges, one, they need to complete their pledges, they need to fulfil their pledges, and two, easy access toward the fundings,” Romina Khurshid Alam, PM Sharif’s coordinator on climate change, told Arab News in an exclusive interview.

In this file photo, taken on August 30, 2024, people wade through flood waters after heavy monsoon rains in Multan. (AFP/File)

Due to the rising temperatures, extreme climatic phenomena, including floods, droughts, cyclones, torrential rainstorms and heatwaves, have been occurring more frequently and with greater intensity across Pakistan.

The South Asian country is among the most severely threatened countries in terms of climate–induced challenges, especially in the context of its dependency on climate-sensitive sectors such as agriculture, water, natural resources and the environment, and socio-economic issues such as poverty. The country’s adaptation to the adverse impacts of climate change is inevitable and likely to become critical in the future.

Alam said vulnerable countries were suffering from their own economic challenges and vulnerabilities, while at the same time, many countries faced additional restraints on climate funding.

“It’s not fair that we always get demands to ‘do more and to do this, to do that, these sanctions are coming,’ that is something which is on the human rights violation as well,” she said, adding that Pakistan wanted to raise its voice on what happened to the pledges, how many countries benefited from them and what straightforward mechanisms could be pursued to provide effective support.

Asked about the total amount pledged by developed nations, Alam said she would provide the exact figure after COP29, but noted that “the number is very low.”

“At COP29, we are talking about the data bank system like in a way that what countries are suffering and looking forward for the carbon credits policies,” she added.

In this file photo, taken on August 30, 2024, residents gather at the site of a landslide owing to heavy monsoon rains in the remote area of Patrak, in Upper Dir district, Khyber Pakhtunkhwa province. (AFP/File)

Last month, Pakistan proposed the establishment of a regional climate data bank to help Vulnerable Twenty (V20) group of countries prepare an evidence-based response to climate disasters.

Alam said the South Asian country had planned “many things” to showcase at Pakistan Pavilion during COP29.

Speaking about the prevailing smog issue, she said Pakistan would take it up with the Indian team at COP29.

“We are open to dialogues and open to come up with the solution, we want to get the things done by dialogue,” she said, noting that the chief minister of Pakistan’s Punjab, Maryam Nawaz, had also urged India to sit together to resolve this issue.

People walk along a street amid smog in Lahore on November 2, 2024. (AFP/File)

“CM Punjab very clearly said that ‘let’s sit together to sort out this issue because this cannot be done in a way that we are not doing this or you are doing this’,” Alam said.

“This is not a game, the main thing is to think about the children and to think about the future.”

Winter smog has become an annual crisis in Pakistan’s Punjab, particularly the provincial capital of Lahore, with air quality deteriorating to hazardous levels each season. The city consistently ranks among the world’s worst for air pollution, leading to a significant rise in respiratory issues and hospital admissions, especially affecting children and the elderly.

Last year, severe pollution levels prompted a surge in cases of asthma, lung infections and other respiratory problems among residents, according to media reports.

The problem this week prompted Punjab CM Nawaz to propose cross-border cooperation with Indian authorities to tackle shared pollution sources, such as crop residue burning, which exacerbate the region’s smog problem.


Pakistan PM performs groundbreaking of first private sector university in Gilgit-Baltistan

Updated 08 November 2024
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Pakistan PM performs groundbreaking of first private sector university in Gilgit-Baltistan

  • Ramday University is being built by a trust with construction set to complete by donations from overseas Pakistanis
  • Home to some of the world’s tallest mountains, semi-autonomous GB region is among Pakistan’s least developed areas

ISLAMABAD: Prime Minister Shehbaz Sharif this week laid the foundation stone of first private sector university in Gilgit-Baltistan (GB), promising a bright future for the youth of the remote mountainous region.

Home to some of the tallest mountains in the world, the semi-autonomous GB region is counted among the least developed areas administered by Pakistan.

Ramday University is located in Thagos area of GB’s Ghanche district at an altitude of 11,000 feet. The university is being built on a 200-kanal area of land under a trust, with construction set to be completed through the donations of overseas Pakistanis, the state-run Associated Press of Pakistan reported.

GB-based news portal Pamir Times said the university will offer specialized programs in environmental studies, climate change, hydrology and mineral studies subjects.

“The establishment of an institution of higher learning in a remote area like Ghanche in Gilgit-Baltistan is highly encouraging,” Sharif was quoted as saying on by the APP during the groundbreaking ceremony in Islamabad on Thursday.

The prime minister congratulated former Supreme Cour judge Khalil ur Rehman Ramday on establishing the university.

“He expressed his confidence that this university, located at an altitude of 11,000 feet in Thagos, will reach the peak of modern knowledge and research standards,” the APP said.

Sharif stressed that GB’s development and the welfare of its people were among the government’s top priorities.

The development takes place a day after Sharif visited the mountainous northern region, where he inaugurated a model village for flood-affected families during a day-long visit to Ghizer.

There, Sharif pledged to provide residents with ownership documents to help them acquire new houses that were destroyed by the 2022 floods.


Father accused of murder of British-Pakistani girl blames stepmother

Updated 08 November 2024
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Father accused of murder of British-Pakistani girl blames stepmother

  • Sara Sharif was found dead in her bed in southwest of London in Aug. 2023 with injuries including broken bones, burns
  • Her father, Urfan Sharif, had fled to Pakistan a day before the body was found, along with his wife and the girl’s uncle

LONDON: The father of a 10-year-old British-Pakistani girl on Thursday denied her murder and instead blamed the girl’s stepmother, calling her “evil” and “psycho.”

Sara Sharif was found dead in her bed in Woking, southwest of London, on August 10, 2023 with injuries including broken bones, burns and bite marks.

Her father, Urfan Sharif, 42, had fled to Pakistan a day before the body was found, along with his wife Beinash Batool, 30, and the girl’s uncle, Faisal Malik, 29.

Sharif then called police in the UK shortly after arriving in Islamabad and said he had “beat her up too much.” During the trial, Sharif said he made up this and another confession to “protect my family.”

All three adults were arrested upon their return to the UK a month later. They deny charges of murder and allowing the death of a child.

Details of the extent of Sara’s injuries have been detailed at London’s Old Bailey court, including claims from Batool that Sharif would beat his daughter badly.

Giving evidence for a third day, Sharif admitted slapping Sara “multiple times” but denied beating, burning, or biting her, insisting that he was “never at home” when she was injured.

Sharif broke down when his lawyer, Naeem Mian, questioned him about beating Sara, who was home schooled, with a cricket bat.

The taxi driver denied burning his daughter with an iron and instead said he was “made to” slap Sara by Batool, who constantly accused the girl of behaving badly.

Pointing to Batool sitting in the dock, Sharif shouted: “I should not have believed her... I didn’t realize I’m living with evil and a psycho.”

He also suggested that Batool was the one who bit her “like an animal.”

The jury was previously told that Sharif and Malik had provided their dental impressions but Batool had refused.

“I didn’t do it. Faisal didn’t do it. Who else was at home?” Sharif said.

He denied ever being aware of Sara being in pain. “She never told me that,” he said and indicated that he did not see injuries because Sara wore full-sleeve tops and long bottoms as well as a hijab head covering.

In the month leading up to Sara’s death, Mian said Sharif was out of the house at work from early in the morning to late at night while holing frequent telephone conversations with Batool, who would largely be at home.

Sharif wept as he recalled a time he came home and saw that Sara’s hands had been tied behind her back with brown packaging tape, accusing Batool of the act.

Asked why he did not call the police or ask Batool to leave, Sharif said that his wife was “manipulative” and that he believed her apology.

“I have been an idiot,” he added.

Forensic evidence shown to court included bundles of packaging tape and a white plastic carrier bag fashioned into a hood that could have been used on Sara’s head.

The bag had packaging tape stuck to it as well as long, brown hairs that matched Sara’s DNA, the court was told.

Both the bag and the non-sticky side of the tape had fingerprints that matched Sharif’s, who denied fashioning a hood out of the plastic bag or using it on Sara.

He said the fingerprints could be a result of him handling the items while sorting the garbage.

Sharif had previously accused Batool of being abusive toward him and preventing him from asking Sara about how she obtained her injuries.

In 2022, Batool texted her sister that Sharif had suggested using make-up to cover up bruises after beating Sara, to which the sister replied: “LOL it was going to happen you can tell.”

In the days before her death, Sharif said Sara, who did chores around the house, had asked him to “not go to work.”


Pakistan win toss, bowl in 2nd ODI against Australia

Updated 08 November 2024
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Pakistan win toss, bowl in 2nd ODI against Australia

  • The hosts lead 1-0 after a tense two-wicket win in Melbourne on Monday
  • Pakistan named unchanged side with fast bowler Naseem Shah declared fit

ADELAIDE: Pakistan skipper Mohammad Rizwan won the toss and opted to bowl in the second of a three-game one-day series against Australia in Adelaide on Friday.

The hosts lead 1-0 after a tense two-wicket win in Melbourne on Monday.

Pakistan named an unchanged side with fast bowler Naseem Shah declared fit after leaving the field during the first match, apparently with cramp.

Australia made one change with veteran Josh Hazlewood returning in place of Sean Abbott to join his long-time pace partners Pat Cummins and Mitchell Starc.

Jake Fraser-McGurk and Matt Short again open the batting in the absence of Mitchell Marsh and Travis Head and will be keen to make their mark after falling cheaply in the opening match.

Teams

Australia: Matt Short, Jake Fraser-McGurk, Steve Smith, Josh Inglis, Marnus Labuschagne, Glenn Maxwell, Aaron Hardie, Pat Cummins (capt), Mitchell Starc, Adam Zampa, Josh Hazlewood

Pakistan: Saim Ayub, Abdullah Shafique, Babar Azam, Mohammad Rizwan (capt), Kamran Ghulam, Agha Salman, Irfan Khan, Shaheen Shah Afridi, Naseem Shah, Haris Rauf, Mohammad Hasnain