BEIRUT: Eleven people suffered bouts of dangerously low blood sugar in Lebanon this year, one of whom required hospitalization, after injecting suspected fake versions of Novo Nordisk’s diabetes drug Ozempic, according Lebanese health officials.
A director for the Lebanese Ministry of Public Health, Rita Karam, said officials suspected the drugs were fake after discovering the doses were different from the ones calibrated for authentic Ozempic injector pens.
Explosive demand for Ozempic and other drugs used for weight loss, including Eli Lilly’s Mounjaro and Novo’s Wegovy, is fueling a global surge in counterfeit versions, Reuters interviews with law enforcement, anti-counterfeiting and public health officials showed last month.
Counterfeit Ozempic has already been found in at least 17 countries, including the UK, Germany, Egypt and Russia. Several have issued warnings to pharmacies and consumers to be vigilant about counterfeits, since it is not clear what they actually contain.
Karam said the ministry had begun investigations into the 11 cases, but that the source and batch numbers of the drugs in question had not been identified in most, which made it hard to determine what the victims may have taken.
Three of the people who took the suspected fake Ozempic did so to control their diabetes, while four took it for weight management, Karam said. The other four injected the drug for an ‘unspecified indication.’
People with diabetes need to closely manage their blood sugar, which can be done with a variety of medicines including Ozempic. When blood sugar, or glucose level, gets too low they can suffer hypoglycemia, with symptoms that may include headaches or dizziness and can progress to a loss of consciousness or seizures.
Lebanon’s Ministry of Public Health issued two recalls related to Ozempic in January 2023, according to its website. No cases of potentially counterfeit Ozempic were reported in Lebanon in 2022, Karam said.
Novo Nordisk said it investigates and reports every counterfeit case it finds to local authorities, and that it has created a guide for health care providers in the Middle East to show how to spot fake drugs.
More than a quarter of Lebanese adults are obese, according to 2017 figures from the World Obesity Federation. Obesity has been closely linked with type 2 diabetes, by far the most common form of the disease.
Data from the International Diabetes Federation showed that almost 9 percent of adults in Lebanon had diabetes in 2021, compared to nearly 14 percent in the United States.
Karam said Ozempic is neither purchased nor provided by the Ministry of Public Health.
Wegovy, Novo Nordisk’s weight-loss drug with the same active ingredient — semaglutide — as Ozempic, was shown to help patients lose an average of 15 percent of their weight in a late-stage trial.
The scramble for supplies of the powerful pound-shedding molecule has led to shortages of Ozempic in several countries including Britain, Germany, Belgium and the United States.
A source familiar with anti-counterfeiting efforts told Reuters last month that markets where sales of fake weight-loss drugs were most prevalent included Lebanon and other countries in the Middle East.
Several people have been hospitalized in Austria for hypoglycemia after taking potentially fake versions of Ozempic. The health safety regulator there said the side effects indicated the product contained insulin instead of semaglutide.
Last month, Belgium’s drug regulator said it had seized counterfeit versions of Ozempic in which the injector pens were confirmed to contain insulin.
Suspected fake Ozempic causes hypoglycemia in 11 in Lebanon
https://arab.news/m66dd
Suspected fake Ozempic causes hypoglycemia in 11 in Lebanon
- Officials suspected the drugs were fake after discovering the doses were different from the ones calibrated for authentic
- Ozempic injector pens Counterfeit Ozempic has already been found in at least 17 countries, including the UK, Germany, Egypt and Russia
Syria unable to import wheat or fuel due to US sanctions, trade minister says
- The sanctions were imposed during Assad’s rule, targeting his government and also state institutions such as the central bank
DAMASCUS: Syria is unable to make deals to import fuel, wheat or other key goods due to strict US sanctions and despite many countries, including Gulf Arab states, wanting to do so, Syria’s new trade minister said.
In an interview with Reuters at his office in Damascus, Maher Khalil Al-Hasan said Syria’s new ruling administration had managed to scrape together enough wheat and fuel for a few months but the country faces a “catastrophe” if sanctions are not frozen or lifted soon.
Hasan is a member of the new caretaker government set up by Islamist rebel group Hayat Tahrir Al-Sham after it launched a lightning offensive that toppled autocratic President Bashar Assad on Dec. 8 after 13 years of civil war.
The sanctions were imposed during Assad’s rule, targeting his government and also state institutions such as the central bank.
Russia and Iran, both major backers of the Assad government, previously provided most of Syria’s wheat and oil products but both stopped doing so after the rebels triumphed and Assad fled to Moscow.
The US is set to announce an easing of restrictions on providing humanitarian aid and other basic services such as electricity to Syria while maintaining its strict sanctions regime, people briefed on the matter told Reuters on Monday.
The exact impact of the expected measures remains to be seen.
The decision by the outgoing Biden administration aims to send a signal of goodwill to Syria’s people and its new Islamist rulers, and pave the way for improving basic services and living conditions in the war-ravaged country.
At the same time, US officials see the sanctions as a key point of leverage with a new ruling group that was designated a terrorist entity by Washington several years ago but which, after breaking with Islamist militant group Al Qaeda, has recently signalled a more moderate approach.
Washington wants to see Damascus embark on an inclusive political transition and to cooperate on counterterrorism and other matters.
Hasan told Reuters he was aware of reports that some sanctions may soon be eased or frozen.
Libya military says air strikes target smuggling sites
- The Libyan Army said the air strikes “targeted and destroyed fuel trafficking sites in Zawiya, specifically in Asban,” a semi-rural area outside of the city
ZAWIYAH, Libya: Libya’s UN-recognized authorities have launched air strikes targeting drug trafficking and fuel smuggling hubs west of the capital, a military statement said on Monday.
It remained unclear if there were casualties from the strikes in Zawiya, a city on the Mediterranean coast about 40 kilometers (25 miles) west of the capital Tripoli.
Libya was plunged into chaos after a NATO-backed uprising toppled and killed strongman Muammar Qaddafi in 2011, with armed groups exploiting the situation to fund their activities through fuel smuggling and the trafficking of migrants.
The Libyan Army said the air strikes “targeted and destroyed fuel trafficking sites in Zawiya, specifically in Asban,” a semi-rural area outside of the city.
It also called on locals to clear areas it labelled as “strongholds for trafficking and crime.”
In May 2023, the Tripoli-based government carried out drone strikes as part of an anti-smuggling operation, killing at least two people and injuring several others, authorities said at the time.
Those strikes followed clashes between armed groups suspected of involvement in human trafficking and smuggling of fuel and other contraband goods.
Libya’s eastern-based parliament accused the Tripoli-based Government of National Unity of targeting the home of one of its lawmakers, an opponent of the government.
Libya is divided between the Tripoli-based GNU and a rival administration in the east, backed by military strongman Khalifa Haftar.
Footage posted on the army’s Facebook page showed a military truck smashing into the facade of a small dwelling.
Other footage showed tanks and pickup trucks mounted with machine guns driving through Zawiya.
The city hosts Libya’s second-largest oil refinery, with smugglers trafficking the fuel across the border into neighboring Tunisia.
UN envoy in rare Yemen visit to push for peace
- Grundberg’s office said his visit would also “support the release of the arbitrarily detained UN, NGO, civil society and diplomatic mission personnel”
SANAA: Hans Grundberg, the United Nation’s special envoy for war-torn Yemen, arrived Monday in the rebel-held capital in a bid to breathe life into peace talks, his office said.
Grundberg last visited the capital Sanaa, controlled by the Iran-backed Houthis, in May 2023 for meetings with the rebels’ leaders in an earlier effort to advance a roadmap for peace.
The envoy’s current visit “is part of his ongoing efforts to urge for concrete and essential actions... for advancing the peace process,” Grundberg’s office said in a statement.
Yemen has been at war since 2014, when the Houthis forced the internationally recognized government out of Sanaa. The rebels have also seized population centers in the north.
A UN-brokered ceasefire in April 2022 calmed fighting and in December 2023 the warring parties committed to a peace process.
But tensions have surged during the Israel-Hamas war in Gaza, as the Houthis struck Israeli targets and international shipping in the Red Sea and Gulf of Aden, in a campaign the rebels say is in solidarity with Palestinians.
In response to the Houthi attacks, Israel as well as the United States and Britain have hit Houthi targets in Yemen over the past year. One Israeli raid hit Sanaa’s international airport.
Grundberg’s office said his visit would also “support the release of the arbitrarily detained UN, NGO, civil society and diplomatic mission personnel.”
Dozens of staff from UN and other humanitarian organizations have been detained by the rebels, most of them since June, with the Houthis accusing them of belonging to a “US-Israeli spy network,” a charge the United Nations denies.
US says anti-Daesh operation in Iraq kills coalition soldier
- US officials have said Daesh is hoping to stage a comeback in Syria following the fall in December of Syrian President Bashar Assad
WASHINGTON: The US military said on Monday operations against Daesh in Iraq over the past week led to the death of a non-US coalition soldier and wounded two other non-US personnel.
It also detailed operations in Syria against Daesh militants led by the US-backed Syrian Democratic Forces, including one that resulted in the capture of what the US military’s Central Command said was an Daesh attack cell leader.
US officials have said Daesh is hoping to stage a comeback in Syria following the fall in December of Syrian President Bashar Assad.
West Bank camp under fire as Palestinian forces face off militants
- Gunshots occasionally rung out from inside the camp, an AFP correspondent reported this week
JENIN, Palestinian Territories: A month into a crackdown by Palestinian security forces on militants in the Israeli-occupied West Bank, the streets of Jenin refugee camp are deserted, except for a few residents briefly checking on their homes.
Shops are closed, and militants have erected metal barricades to block Palestinian forces, in the area where Israeli army raids are more common.
Black military vehicles from the Palestinian Authority (PA), which exercises limited control over the West Bank, are stationed beyond roadblocks at the camp’s entrances.
“I only came back to check on my house,” said Muayyad Al-Saadi, a 53-year-old resident of Jenin camp, riding a bicycle down roads stripped of pavement.
Saadi, one of around 17,000 Palestinians who live in the camp, fled when clashes began in early December, citing a lack of electricity and running water.
The fighting, triggered by the arrests of several militants, has involved Palestinian militant factions affiliated with opponents of the PA’s leadership.
One of these factions, the Jenin Battalion, is largely made up of fighters affiliated with Islamic Jihad or Hamas, whose October 7, 2023 attack on Israel triggered war in Gaza.
Hamas, in power in Gaza since 2007, is the main political rival of Palestinian president Mahmud Abbas’s Fatah party, which dominates the PA.
Fourteen Palestinians have been killed, including six security forces, seven civilians, and one gunman in the clashes.
Gunshots occasionally rung out from inside the camp, an AFP correspondent reported this week.
Since bakeries have closed, an unusually long line stretched from a shop that delivers bread from outside the camp.
“I’ve lived through wars since I was eight years old,” said the shopkeeper, Umm Hani, who is in her 70s.
She said there was “never anything like this” since the 1967 Arab-Israeli war, when Israel captured the West Bank.
“Let them (the security forces) come and arrest whoever they want. We have nothing to do with it,” said Umm Hani.
Another woman, in her 30s, said: “Everyone wants to speak out, but they’re afraid of repercussions from both sides.”
“We’re suffering. We can’t leave or enter the camp freely.”
The intra-Palestinian clashes erupted amid a major PA raid on the camp after the December 5 arrest of a Jenin Battalion commander on charges of possessing weapons and illicit funds.
Armed factions in Jenin and elsewhere see themselves as more effective resistance to Israeli occupation than the PA, which coordinates security matters with Israel.
“They (the PA) don’t want any resistance against the occupation,” said a fighter carrying an M16 rifle, blocking a road with militants.
The militants accuse the PA of cutting off the water and power supply to the camp, a claim the Ramallah-based authority denies.
“The gunmen fire at electricity and water crews whenever they attempt to repair the networks,” Anwar Rajab, spokesman for the PA forces, told AFP.
He said militants were also shooting at distributors of food aid.
Rajab added that the PA was trying to spare civilians, accusing militants instead of disrupting the lives of residents.
“We’re not besieging the camp. People are entering and leaving the camp normally.”
One gunman said the fighting has been “incredibly difficult for civilians. They have no water, no food, and they’ve stopped working.”
Walls throughout the camp are riddled with bullet holes, some from past Israeli army incursions and others from the recent fighting.
A 19-year-old Hamas fighter, who requested anonymity, said residents of Jenin camp have been exposed to violence long before the current operation.
“Every house here has a martyr, a prisoner or an injured person,” he said.
The fighter accused the PA’s forces of firing indiscriminately.
Both sides have traded blame for the deaths of the seven civilians, including a father and son killed on a rooftop on Friday.
“If they’re targeting us — the resistance factions and the Jenin Battalion — why don’t they come for us directly instead of targeting civilians?” said the young militant.
