Traditional Medicines Global Scenario

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1 Traditional Medicines Global Scenario Muhammed A. Qayyum PTPMA Role of DRAP in Development of Traditional Medicine Industry in Pakistan Islamabad Feb 13, 2013

2 Absence of understanding does not warrant absence of existence Abu Ali al-husayn ibn Abd Allah ibn Sina ( )

3 To administer medicine to diseases which have already developed and thereby suppress bodily chaos which has already occurred is comparable to the behavior of those who would begin to dig a well after they had grown thirsty, or those who would begin to cast weapons after they have engaged in battle. Would these actions not be too late? Harvard Magazine, Mar Apr 2002 circa 400 B.C.

4 Recognition of the value of traditional medicine needs to be accompanied by strong political, legal and financial support Draft Regional Strategy for Traditional Medicine in the Western Pacific Fifty Second Session, Brunei Darusslam September 2001

5 potential of the herbal and natural products industry in providing competitive advantage to Malaysia towards the attainment of a developed country status by year 2020 Minister of Rural Development, Dato' Azmi Khalid Kuala Lumpur, 10 April 2003 Malaysia

6 Population Using TM / CAM Population in developing countries using TM for PHC Ethiopia, 90% Benin, 70% India, 70% Rwanda, 70% Tanzania, 60% Population in developed countries who have used CAM at least once Uganda, 70% Canada, 70% Australia, 48% France, 49% USA, 42% Belgium, 31%

7 United States David Kessler, FDA Commissioner threatens to remove botanicals, 1993 Congress receives more mail since Vietnam war Congress passes DSHEA in Oct, 1994

8 DSHEA 1994 Major Findings benefits of DS in health promotion and disease prevention link between the ingestion of certain nutrients or DS and the prevention of chronic diseases DS are safe within a broad range of intake

9 DSHEA 1994 Dietary Supplements Herbs, vitamins, minerals & amino acids Burden of proof on FDA Commission on Dietary Supplements Office of Dietary Supplements

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15 FDA GMP Guidelines Proposed 1997 Final announcement 2007 Effective Date 2010 Preparation time 13 years

16 Europe Some Trends Germany biggest market, regularly prescribed France 49% use CAM UK 90% prevalence of CAM Belgium 40% of the population use CAM Medical practitioners 59%

17 Germany Herbal medicines equivalent to regular medicines Imperial Decree of 1901 First Medicine Act (AMG) 1961 Second Medicine Act (AMG) 1976 Products to be reviewed by committee

18 Germany Minister of Health 1978 Commission E 24 members Physicians, pharmacists, non medical practitioners, pharmacologists, toxicologists, biostatisticians and representatives of the industry Commission E Monographs

19 India heritage Rich of traditional medicine which has been developed as a parallel health care system since 1940 s. Ayurveda Sidha Unani Yoga & Naturopathy Homeopathy Indian System of Medicine & Homeopathy

20 India heritage Rich of traditional medicine which has been developed as a parallel health care system since 1940 s. Ayurveda Sidha Unani Yoga & Naturopathy Homeopathy Indian System of Medicine & Homeopathy

21 India Dept of AUSH Budget IR Billion Secretary, Joint Secretary & 4 directors

22 India Dept of AUSH Budget IR Billion Secretary, Joint Secretary & 4 directors

23 India Drugs & Cosmetic Act 1940 Chapter IV A Applicable only Ayurvedic, Sidha & Unani drugs Ayurvedic & Unani Drugs Technical Advisory Board Ayurvedic, Siddha and Unani Drug Consultative Committee

24 India GMP

25 India GMP

26 India GMP First publication 1995 Revision 2003 Preparation time 8 years

27 STRATEGY FOR DOUBLING EXPORTS IN NEXT THREE YEARS ( to ) Govt. Of India Firstly, as suggested in the Task Force Report, we need to focus our attention on twenty five more important traditional medicine products selected purely on the considerations of their acceptance in the export markets and then work around those products for pharmacopeia development, marketing tie-ups and regulatory facilitation.

28 India heritage Rich of traditional medicine which has been developed as a parallel health care system since 1940 s.

29 China traditional Chinese medicine is a great treasury Mao Zedong

30 China To develop TCM Chapter 21 The Constitution of the People s Republic of China1982

31 Key Messages 1 Own your HERITAGE

32 Key Messages 2 EXPERTS committee needs to work on regulations

33 Key Messages 3 Regulations require TIME

34 Thank you!

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