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Counterfeit Medicines Threat to Patient Health and Safety John Clark VP Global Security/Pfizer April 8, 2017

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Counterfeit MedicinesThreat to Patient Health and Safety

John Clark

VP Global Security/Pfizer

April 8, 2017

Copyright Pfizer 2016

Copyright Pfizer 2016

Placing Emphasis on Appearance, Not Efficacy

Boric Acid

Highway Paint Brick Dust

Floor Wax

Copyright Pfizer 2016

Cabaser

Camoquin

Cefobid

Celebrex

Centrum

Cytotec

Dalacin C Phosphate

Diflucan

Dilantin/Epamin

Dostinex

Genotropin

Lincocin

Lipitor

Metakelfin

Neo-Medrol

Norvasc

Ponstan

Prevnar

Sulperazon

Sutent

Terramycin

Unasyncan

Vibacina

Viagra

Zithromax

Xanax

Copyright Pfizer 2016

Legitimate Supply Chains Breached

As of June 30, 2016 counterfeit versions of 26 Pfizer

medicines had breached legitimate supply chains in

60 countries.

At Least 89 Pfizer Products Targeted Including…

• Aricept

• Celebrex

• Genotropin

• Lipitor

• Metakelfin

• Norvasc

• Prevnar

• Sutent

• Viagra

• Xanax

• Zithromax

Copyright Pfizer 2016

“Canadian” Websites

Copyright Pfizer 2016

Counterfeit Medicines Kill Unsuspecting Patients

• No consensus on number of patients killed each year from

counterfeit medicines …

• Between 100,000 and 1,00,000 (Newsweek, 2014)

• More than 1,000,000 (Interpol, 2013)

• More than 100,000 (Center for Safe Internet Pharmacies, 2014)

• More than 700,000 from counterfeit anti-malarial and anti-tuberculosis

medicines (IFPMA, 2016)

• Nearly 450,000 from counterfeit anti-malarials (Malarial Journal, 2014)

• More than 100,000 of them children (American Journal of Tropical Medicine

and Hygiene)

…but even one death is too many

Copyright Pfizer 2016

Counterfeits Laced with Powerful Opiate

• Increase in fatal and near-fatal overdoses across US attributed to

counterfeit Xanax laced with Fentanyl (October 2015 to present)

• At least 21 states, including:

Copyright Pfizer 2016

California North Carolina

Florida Tennessee

Maryland Washington (State)

• Spreading from college to high school campuses

• Deaths and overdoses also linked to painkillers, such as

OxyContin and Norco, laced with Fentanyl

As of December 31, 2016, Pfizer provided training to

enforcement authorities from 151 countries.

Training Law Enforcement Agencies

Copyright Pfizer 2016

Beyond Enforcement Strategies

• Shaping the external environment

• Lobbying for more effective legislation

• Encouraging strict enforcement of existing laws

• Educating patients, healthcare professionals

and policy-makers

• Public awareness campaigns

• Media campaigns

Copyright Pfizer 2016

Q&A