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Firms producing substandard drugs must be held accountable for their actions.

Introduction

The vision of Atmanirbhar Bharat aims to make India a self-reliant manufacturing powerhouse, but this ambition must rest on a foundation of strict quality control. Repeated lapses, particularly in the pharmaceutical sector, highlight the urgent need for stronger regulationaccountability, and ethical manufacturing practices to ensure India’s credibility as a trusted global producer.

Atmanirbhar Bharat and Quality Concerns

  • Aspirational Vision: Atmanirbhar Bharat (Self-Reliant India) represents a worthy national goal, aiming to boost domestic manufacturing and global competitiveness.
  • Need for Quality Assurance: However, without a strong and sustained quality control framework, this aspiration risks being undermined.

Challenges in the Pharmaceutical Sector

  • Repeated Quality Issues: The pharmaceutical industry — a key pillar of India’s global image — has faced recurring concerns over drug quality, especially with cough syrups.
  • Recent Controversy: The Union Health Ministry recently tightened drug compliance norms following reports of diethylene glycol (DEG) contamination in Coldrif cough syrup manufactured by a private company.

Findings and Investigations

  • Triggering Incident: Tests were ordered after the syrup was suspected in the deaths of at least 16 children in Rajasthan and Madhya Pradesh.
  • Contradictory Results: The Health Ministry’s early tests found no DEG in samples from these states.
    • However, Tamil Nadu’s Drugs Control Department detected DEG in one batch within its jurisdiction.
  • Non-Compliance Recorded: Inspections revealed several violations of Good Manufacturing Practices (GMP) and Good Laboratory Practices (GLP) under the Drugs Rules.
  • Source of Contamination: The contaminated batch used non-pharmacopoeial grade propylene glycol, likely introducing DEG and ethylene glycol, both nephrotoxic (kidney-damaging) substances.
  • Actions Taken:
    • The Central Drugs Standard Control Organisation (CDSCO) recommended cancellation of the firm’s manufacturing licence.
    • doctor who had prescribed the syrup to many of the affected children was arrested.

Need for Stronger Oversight

  • Zero Tolerance Policy: India must adopt a zero-threshold approach to poor-quality drugs — no compromise on public safety.
  • Proactive Enforcement: Swift monitoring and enforcement are essential; action should not wait until tragedies occur.
  • Existing Framework: Robust Good Laboratory Practices already exist; the issue lies in consistent enforcement and surprise inspections.
  • Accountability Measures: Every reported violation must lead to strict corrective action, setting a deterrent precedent within the industry.
  • Message to Industry: The government must convey clearly that any negligence or violation endangering human life will not be tolerated.

Conclusion


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