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WHO’s public health efforts go beyond pandemics

The World Health Organization is really on my mind. Last week, I noted my overall support for the WHO but pointed to weaknesses in its approach to research and studies about online pharmacies. Then, two days later, I read The New York Times Editorial Board’s take in an article called Don’t Leave the W.H.O. Strengthen It, and I just have to recommend you read it. 

President Trump has stated that we will withdraw from the WHO, stating things about the organization that are not true – but also making legitimate criticisms. Do we quit the Department of Health and Human Services or the U.S. Food and Drug Administration because of their many failures? I mean on the political fringes of U.S. politics, anarchists and free market fanatics, you might find some support for quitting the federal government! But no, we need those government entities to protect and improve our health as a nation. There are many areas of public health, however, that we can’t deal with effectively alone as one country, and that’s where the WHO is really needed. Say, for things like… um, er, let me think… global pandemics.

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WHO Needs to Study Online Pharmacy Drug Safety

Generally, I strongly support the World Health Organization (WHO) and its unambiguously important work to save lives through its public health efforts. The backlash against it in the U.S. is simultaneously misguided and politically motivated. I know why. It detracts from our failures in the U.S. to save lives, but there is more to the story. Republicans generally have a greater hostility to international organizations because they view them as tying our hands and/or taking our money to help people in poorer countries. The argument is that U.S. foreign policy must be about U.S. national interests not some idealistic notion of global cooperation.

But here’s the thing. The WHO plays critical roles in polio eradication, vaccines for preventable diseases, providing essential healthcare services, public health surveillance, emergency operations, and, yes, preventing and controlling outbreaks. Here’s a great fact-check document about WHO, specifically its efforts to bring the world together to combat Covid-19. Those efforts do protect and promote our national interests by bringing greater global political stability.

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NABP and Opioid Death in the U.S.

Using very similar talking points to Big Pharma-funded experts, in its quest to “educate” the public about the dangers of internet pharmacies and personal medicine imports, the National Association of Boards of Pharmacy (NABP) appears to have ignored the greatest pharmacy-related public health travesty happening right under its nose. Since the beginning of this century, billions of prescription opioid pills were wrongly, and in many cases unlawfully, pushed on and distributed to Americans. The result is about 500,000 deaths since 1999. The main culprits in sowing this drug epidemic are usually identified as big pharmaceutical companies and distributors.

Citing the case of the Rochester Drug Cooperative, I have asked before where the NABP was in tackling this opioid crisis. I was mostly referring to its quasi-regulatory role in certifying wholesale pharmacies through its Verified-Accredited Wholesale Distributors (VAWD) program because all major distributors accredited through VAWD – AmerisourceBergen, McKesson, and Cardinal Health – have been implicated in the opioid epidemic. As reported in the New York Times last week, a new court filing provides details showing how major U.S. pharmacy retail giants – including Walgreens, CVS, Rite Aid, and Walmart – were “as complicit in perpetuating the crisis as the manufacturers and distributors of the addictive drugs.”

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