Unsafe Medicines

1 in 10 medicines in low-income countries are unsafe.

Substandard and falsified medicines are a silent epidemic. They jeopardize lives, fuel antimicrobial resistance, and drain over $30 billion (USD) annually. Sold online or in informal markets, these unsafe products erode public trust and disproportionately harm those with limited access to regulated health systems.

Insights

Political: Weak enforcement and regulatory gaps hinder global health security. Greater alignment on cross-border policy, legal deterrents, and trade standards is needed.

Economic: Ineffective treatments increase costs for patients and systems. Losses total over $30.5 billion (USD) annually—especially in low-resource settings.

Social: Vulnerable populations suffer the most due to lack of awareness and access. Trust in health providers and systems erodes, deepening inequities.

Technological: Digital traceability, handheld diagnostics, and blockchain offer new tools—but need investment, scaling, and regulatory alignment to be effective.

Legal: Legal frameworks lag behind technological developments, and enforcement is inconsistent. Counterfeit networks exploit these legal blind spots.

Environmental: Informal drug production and disposal practices contribute to environmental contamination and pose risks to ecosystems and communities.

Reflective Questions

  • How might we strengthen global cooperation to track and eliminate falsified medical products across borders?

  • What role could digital technologies play in building public trust and supply chain transparency?

  • How can equitable access to affordable, quality medicines reduce the demand for unsafe alternatives?

Related Insight Cards

References:

World Health Organization, 2024. Substandard and falsified medical products. Geneva: World Health Organization. Available at: https://www.who.int/news-room/fact-sheets/detail/substandard-and-falsified-medical-products

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