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Health & Wellness

Toxic Waste Exposure Is the High Price Developing Countries Pay to Produce Our Medicine

By Stan Cox, AlterNet. Posted August 27, 2007.


Many of us rely on drugs imported from developing countries like India. But a new report reveals the toxic industry that produces them and the people who pay the price.
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Hazardous imports have been the top story on the evening news for weeks now. But the poor quality of some foreign-made products is only half the story. Before we ever see those products, manufacturing plants in the countries of origin can pose an even greater danger to human and ecological health.

Take India, which is now our biggest foreign source of pharmaceuticals. A just-published study by Sweden's Goteborg University shows that, whatever the quality of the drugs being shipped out of India, they are leaving behind a toxic mess. Even after days in a water-treatment plant, effluents discharged into streams and rivers in one Indian region show concentrations of antibiotics and other drugs at 100 to 30,000 times the levels considered safe.

In a 2005 story, I described the devastation of water, land and human health that I saw in the area around Patancheru, India -- damage that local villagers, doctors and environmentalists attribute to pollution from the 90 or more bulk-drug factories in the vicinity. State law says that the factories must haul their toxic wastes to an effluent treatment plant run by Patancheru Enviro Tech, Ltd. (PETL) on a tributary of the Nakkavagu rivulet. The treatment plant's outflow into the Nakkavagu (which waters a valley dotted with 14 villages) has often been found to carry industrial pollutants at many times the statutory limits.

Now the Swedish study, recently published online by the Journal of Hazardous Materials (abstract here free) has found record-breaking concentrations of 11 drugs -- antibiotics and treatments for high blood pressure, ulcers and allergies -- in wastes flowing from the PETL plant.

Noting that "to the best of our knowledge, the concentrations of these 11 drugs were all above the previously highest values [ever] reported in any sewage effluent," the authors singled out the antibiotic Ciprofloxacin (Cipro), which flows out of the plant at the rate of 100 pounds of active ingredient per day. That, say the authors, "is equivalent to the total amount consumed in Sweden (population 9 million) over an average five-day period"!

Concentrations of five other antibiotics were found at levels that are toxic to plants, blue-green algae and a range of bacteria. And before it leaves the facility, the stew of drugs is mixed with human sewage, creating perfect conditions for breeding dangerous, antibiotic-resistant bacteria.

In June, a front-page story by Washington Post reporter Marc Kaufman revealed that there are virtually no controls on the quality of drugs being imported from India. He wrote that India and China together supply as much as 20 percent of the U.S. market for generic and over-the-counter drugs and 40 percent of all bulk drugs used here, and that the two nations' share may rise to 80 percent by 2022. India's share of the U.S. market in 2006 was $800 million, exceeding China's.


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See more stories tagged with: environment, india, pharmaceuticals, toxics

Stan Cox is a plant breeder and writer in Salina, Kan.

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Canadian danger!
Posted by: Sushi on Aug 27, 2007 4:44 AM   
Current rating: 5    [1 = poor; 5 = excellent]
Hey...weren't we all supposed to be terrified (or is that terrorized) that if we bought cheaper drugs through Canada we were risking dying a gory death because they could be ((gasp!)) tainted? But we're "safely" getting them from our good pals in India, who has no possible issue with Americans, right?

Our leaders (rulers is more like it) must think we are all dumb as a box of rocks. ((sigh)) Perhaps they're right...

someone please pass me some Prozac.

[« Reply to this comment] [Post a new comment »] [Rate this comment: 1 - 2 - 3 - 4 - 5]

» From India via Canada Posted by: Whitecliff
» RE: From India via Canada Posted by: nerak68
» RE: Dear neraK Posted by: Sushi
» RE: Dear neraK Posted by: nerak68
» RE: From India via Canada Posted by: Whitecliff
» RE: From India via Canada Posted by: nerak68
» RE: Canadian danger! Posted by: HAL REB
» RE: dumb as rocks! Posted by: Sushi
Hate to be so cynical
Posted by: VannaLaRoche on Aug 27, 2007 7:25 AM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
But I doubt that pill-popping Americans care whether nameless faceless dark-skinned South Asian people die in large numbers. They've been dying in large numbers for as long as anyone can remember: monsoons, earthquakes, internal conflicts, invasion. What's the diff? As long as I get my fix. Besides, demand reduction is a good thing. (As long as it's not me being reduced.)

[« Reply to this comment] [Post a new comment »] [Rate this comment: 1 - 2 - 3 - 4 - 5]

» RE: Only if they have oil Posted by: Sushi
We are all downstream
Posted by: Lauren on Aug 27, 2007 9:25 AM   
Current rating: 4    [1 = poor; 5 = excellent]
It will travel in a plume of effluent to the ocean and join the toxic currents of pollution already there, thickening the soup.

Don't think we can kill the open oceans?

Think again.

It could happen in a snap. It has happened before. Remember when rivers burned? It makes me sick to read this stuff.

I hope you rich selfish people all are enjoying your stupid drugs - you are killing us all.

It is ironic that many of the diseases being presently treated with these toxic drugs actually respond better to being treated with medical marijuana. A non-toxic plant one could grow at home if our lawmakers would stop making the practice illegal.

Ganja is a sacred and medicinal plant. Legalize it.

[« Reply to this comment] [Post a new comment »] [Rate this comment: 1 - 2 - 3 - 4 - 5]

Best way to render an antibiotic useless is to toss it out there and select...
Posted by: ABetterFuture on Aug 27, 2007 9:58 AM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
...for whatever lives.

The whole world is a stew for the bugs; we could be back to the state of the art in antibiotic therapy, circa 1950, in very, very short order.

How do we impress upon our sovereign neighbors the importance of being responsible with their manufacturing processes...?

Suggestions?

[« Reply to this comment] [Post a new comment »] [Rate this comment: 1 - 2 - 3 - 4 - 5]

» Add to that... Posted by: ABetterFuture
Hey, we have an empire to run here
Posted by: JayHaden on Aug 27, 2007 11:24 AM   
Current rating: 5    [1 = poor; 5 = excellent]
"it's important to remember that it's our own insatiable demand for those cheap products that pushes manufacturers into using slapdash practices -- and that it's people living and working downstream or downwind from the foreign factories who could well be paying the highest price of all."

It's also important to remember that the United States is an empire and, as such, we don't give a hoot about the conditions under which our imports are created. I recently joined a small group of peaceniks that want our city commission to pass a non-binding resolution stating its opposition to the war in Iraq. Wishing to gather maximum support for this resolution, most members of the group want to emphasize the costs in American lives and in revenues diverted to pay for the war. The argument that we have a moral responsibility to fix what we broke, to safeguard the resettlement of internally and externally displaced persons, to rebuild housing, water and sewage systems, and to make sure that future injustice is minimized, carries little weight. Who cares, when our drunken children can entertain themselves by spinning wheelies with their F150s in the middle of the local baseball field, that the gas and oil they are using is delivered to us on the bodies of 650,000 Iraqis or thousands of Nigerians? So who cares that those cheap generic drugs are killing men, women and children in the lands where they are made? That's what "those people" are for when you have an empire to run. Start caring about them and you can't have an empire and all the cheap crap that comes with it. Well, maybe there's a key to regaining our humanity and national honor here, but I'm afraid it'll have to wait until after I fill my Rx for Viagra down at Wal-Mart.

The only way to redeem America is to get the anti-Constitution moralists and their corporate co-dependants out of politics and to charge government with responsible regulation according to a set of principles that reflects American humanism. There is such a thing, isn't there? Or has the empire, through its corporate and religious shills, effectively done away with that notion?

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Not me
Posted by: esornew on Aug 27, 2007 12:19 PM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
After a few bad experiences with pharmaceuticals, I no longer take any what-so-ever. Past six years Maintained health by sensible food, herbs, life style,etc. Many people lived past 100 years before this modern medical techinology (I'm going on 78). If Americans did not buy these drugs, India would clean up fast.

[« Reply to this comment] [Post a new comment »] [Rate this comment: 1 - 2 - 3 - 4 - 5]

Perhaps Mr. Cox, correct as he is, might finally engage readers in fighting for HEMP.
Posted by: maxpayne on Aug 27, 2007 1:12 PM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
Of course for 70 years, BIG PHARMA benefitted from the CANNIBAS PROHIBITION otherwise they'd have found it entirely difficult to poison America and the planet to DEATH. Where's a Left when you need one? Oh yeah, kabuki dancing with the "right" !

[« Reply to this comment] [Post a new comment »] [Rate this comment: 1 - 2 - 3 - 4 - 5]

It wasn't just the wages, now, was it?
Posted by: NumberSix on Aug 27, 2007 3:38 PM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
I knew a long time ago that one reason many companies up-n-bolted for offshore wasn't so much the need for cheaper workers, no, more a need to continue their polluting ways.

I was down in Mexico doing a repair call, kid working with me wants to clean something. Laughing, I tell him "Well, long ago, the best was 1-1-2 Trichlor, but that crap was banned, as it causes cancer."

I turn around an hour later and what 55-gallon drum do I see behind me? Yep. 1-1-2 Trichlor. I nearly had a baby.

I asked how this was possible, eh? I was told that some bigwig told some other Mexican bigwig "Well, we used this stuff for YEARS! It got banned because of those damned treehuggers!"

No, it got banned for the same reason DDT, PCB's and other industrial goodies got banned: They harm the environment, make people sick and more die, m'kay?

Yet, I've known for some time that now that when a firm bails for Xian, Beijing, Bhopal, they are also using those lovely toxic chemicals we thought we'd seen the last of.

Ain't capitalism grand?

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» RE:DDT banned? Posted by: Sushi
» RE: DDT banned? Posted by: NumberSix
...But I wish I could afford to get my one medication here
Posted by: snorkeeeee on Aug 28, 2007 12:19 PM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
But I cannot. One imitrex for my migraines costs $20 a pill. Lately (due to female complaints) I have gotten in excess of 15 migraines a month (and sometime i need two or three pills to cope with them). these aren't just wussy little headaches either, but the kind that used to make me throw up. So that, given that I need all that, it would cost me $400 a month (BTW I make $200 a month!) if I bought from US pharma ("only" $340 a month if I got from Walmart, but then I'd have to pay shipping! I live in the remote). So, while I agree that it is tragic that third worlders are paying an environmental price, the author could at least have stated WHY so many Americans are FORCED to buy meds from China and India.

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» RE:Try Costco Posted by: Sushi