FDA officials say they’re ‘serious’ about pharma’s free speech

23 May, 2014

reference: http://www.pharm.org.tw/pstplatform/en/?p=5331

Spouce: Fiercepharma

FDA officials are having a rethink on free speech–and that could end with an about-face on off-label marketing.

What with key court decisions apparently backing First Amendment protections for drug promotions, the FDA has moved off-label communications to the top of its to-do list, officials said at a recent FDA law conference. And off-label marketing is a hot-button issue, what with the series of multibillion-dollar settlements with the U.S. Justice Department…

Read more: FDA officials say they’re ‘serious’ about pharma’s free speech – FiercePharma http://www.fiercepharma.com/story/fda-officials-say-theyre-serious-about-pharmas-free-speech/2014-05-21#ixzz32VMXSoTv

Evidence growing for pharmacists’ positive impact on outcomes

23 May, 2014

reference: http://www.pharm.org.tw/pstplatform/en/?p=5343

Source: American Pharmacists Association

Avalere Health releases independent report today
The evidence around pharmacists’ impact on improving clinical and economic outcomes is growing, but continued research may help to further inform policy makers and health care providers, Avalere Health concluded in an independent report, Exploring Pharmacists’ Role in a Changing Health Care Environment.

Read more: http://www.pharmacist.com/evidence-growing-pharmacists-positive-impact-outcomes

The Traditional Pharmacy Transformation For New Opportunity and Thought -To Expand Your Market, Perhaps “1+1

26 Apr, 2014

reference : http://www.pharm.org.tw/pstplatform/en/?p=5197

Date/Issue of Original Article2014/3/17-2014/3/23/藥師週刊第1859期

Article Author(s):藥師林俐妏



The Committee Council of Community Pharmacies Association is organized by visiting Kaohsiung Bridge pharmacy activities.

Essay/Pharmacist: Lin, Li-Wen

On February 25, they organized the Federation Committee on Community Pharmacies, Bridge pharmacy for a visit in Kaohsiung for new activities. Besides, Southern Association of Community Pharmacy main and sub committee. For the members in the community pharmacies of the committee council, they come from Taipei, even come from Tai-Tung, Hualien , Kaohsiung with long distance to visit the Bridge pharmacies. We feel the future development of the community pharmacies that has a positive learning with enthusiasm. The pen-friend will visit the process to share the experience with all of you.

Firstly, the evolution of the Japanese pharmacies, we focus on the next step for operating a drugstore. An evolution of trend from the Japanese Pharmacies, we can see the gradual decrease of traditional way of pharmacies. This will change gradually into a large-scale franchise pharmacies complex in a main-stream. This is mainly for a diverse consumer choice and a more diverse service. This provides us to meet up a more diverse customer need and a business opportunity.

Secondly, “an aging at home” is derived from the pharmacies with professional service in next step : the degree of aging in Japan is ahead of Taiwan but this generation of old people who have their own independent economic condition. They do not accept children who are delivering to hospice by their arrangement. A proactive self-arrangement of a plan for care at home. To a certain extend of the Japanese Pharmacy, it is so-called a sterile chamber. This helps the surrounding of the senior nutrition level for assistance and a business opportunity for peripheral products to be available.

Thirdly, “for a surround of yourself on your own”, this is a way of thinking about the next exposition step. How to expand their own plate, every pharmacy will expect the next step. But, how to show the shop of an area? How to choose? This is a lot of knowledge. For the way of speaking for Bridge. He would choose his own surrounding of pharmacy outside to set up a small piece of area opening a shop.  Many people wonder for the fact that this is not only unable to expand their market. There may be “1 +1 < 2” of state for a short time. But the operator told us to surround themselves on their own. Perhaps, for a short period of time “1+1 < 2”. But this under because of various focus which would significantly increase the reputation of an area. The customer’s impression of the new Bridge pharmacy will be quickly retained in their minds. I think this strategy that is a new development in the North region of Kaohsiung quickly. No matter how large was the size of the store, this can be one of the main factors for success.

After the visit, the pen-friend keeps to think about it. The inevitable aging is a trend. This is an obvious derivative of business opportunity. But there is an adequate supply of financial resource, this can be quickly surrounded by a franchise store for expansion. For a general traditional pharmacy, this is how to survive or this never falls down? The Government is currently undertaking for the business community pharmacy. Will this be currently for a transformation of traditional pharmacy of a buffer? This is definitely worth of our thought.

( The author is a member of The Community Pharmacy Committee of the Council)

Reference:pharmacist weekly

The Battle of Defense for Health, the medicine make up for you “3.23” Campaign

26 Apr, 2014

reference : http://www.pharm.org.tw/pstplatform/en/?p=5200

Date/Issue of Original Article2014/3/10-2014/3/16/藥師週刊第1858期

Article Author(s):Miss. HSIEH,CHIA-CHI, LI,CHUN-LAN’s 



“The Pharmaceutical Carnival – The battle of defense for Health, the medicine make up for you” ,this campaign on March 23 .

Essay from/ Miss. HSIEH, CHIA-CHI, Miss. LI, CHUN-LAN

In order to enhance the public awareness of those diseases, we pass the accurate concept of prevention, health care and drug treatment, the China Medical University with those future pharmacists, physicians and the clinics in the central and west area, the China Medical University Hospital, the Tai-Chung City for the Medical Physician Association and some other units of the division, it will hold on March 23 in Tai-Chung, Calligraphy Greenway, Taiwan. This is jointly organized by “The Pharmaceutical  Carnival – the battle of defense for health, the medicine make up for you” the top three theme is mainly for the prevention of diseases for civilization including the three high , cancer prevention , develop a good visual care and keep up a good living habit .

We hope the basic medical check-up service, medical physician consulting service, student health teaching education, those game levels , health education plays and quiz activities etc. This is arousing the public interest in our content of health education so that those people are learning in a relaxed way. We get a lot of practical knowledge about the health care. We also provided the venue in central and western area of anti-cancer mobile clinic car. We help people to make those free cancer infection control of screening for the public health check-up. This keeps a gate for people of health.

Healthy is a well-being for the greatest of life! In the professional guidance and participation of common cooperation between the two series by those physicians and pharmacists. This is the student’s self -initiation for health education events from enthusiasm. Besides, those students are encouraging to leave the school campus, make a  local contact on a place , to apply for your knowledge from school to the public. For those prospective physicians and pharmacists, they are working on a more enthusiasm manner for the future. Meanwhile, a diversified of medical and pharmacy practice. The public understand the fact that doctors will not only diagnose the disease, pharmacists will not only dispense, but also we can provide more service. On March 23, the pharmaceutical carnival in Tai-Chung City, Calligraphy Greenway, “The medicine make up for you” !

( The author is a student of Pharmacy department , China Medical University )

Reference:pharmacist weekly

Influenza Experts Agree H5N1 Research Critical

WHO-Influenza Experts Agree H5N1 Research Critical, but Extended Delay

17 February 2012 

 Geneva – A small group of global public health and influenza experts at a WHO-convened meeting reached consensus on two urgent issues related to the newly created H5N1 influenza viruses: extending the temporary moratorium on research with new laboratory-modified H5N1 viruses and recognition that research on naturally-occurring H5N1 influenza virus must continue in order to protect public health.

“Given the high death rate associated with this virus — 60% of all humans who have been infected have died — all participants at the meeting emphasized the high level of concern with this flu virus in the scientific community and the need to understand it better with additional research,” says Dr Keiji Fukuda, Assistant Director-General of Health Security and Environment for the World Health Organization. “The results of this new research have made it clear that H5N1 viruses have the potential to transmit more easily between people underscoring the critical importance for continued surveillance and research with this virus.”

WHO convened the meeting as a first step to facilitate the discussion of differing opinions that have arisen in recent months after two research groups, one in the Netherlands and the other based in the United States, have created versions of the H5N1 influenza virus which are more transmissible in mammals than the H5N1 virus that occurs naturally.

The experts at the meeting included lead researchers of the two studies, scientific journals interested in publishing the research, funders of the research, countries who provided the viruses, bioethicists and directors from several WHO collaborating-center laboratories specializing in influenza.

Consensus to delay publications

The group also came to a consensus that delayed publication of the entire manuscripts would have more public health benefit than urgently partially publishing.

“There is a preference from a public health perspective for full disclosure of the information in these two studies. However there are significant public concern surrounding this research that should first be addressed,” says Fukuda.

Two critical issues are to increase public awareness and understanding of this research through communications and the review of biosafety and biosecurity aspects raised by the new laboratory-modified H5N1 influenza virus. WHO will continue discussion with relevant experts to move this forward.

Broad issues raised, but not limited to, these research studies will be discussed at future meetings convened by WHO soon with participation by a broader range of experts and interested parties relevant to these issues.

For more details, please click:

Influenza Experts Agree H5N1 Research Critical


    Influenza update – 15 July 2011



    • Influenza activity in the temperate regions of the northern hemisphere remains at baseline inter-seasonal levels.

    • Countries in the tropical zone mostly report low influenza activity but with some transmission reported in countries of the Americas, western Africa, and southern Asia.

    • The influenza season is ongoing in South Africa though it appears to have recently peaked. Some detailed preliminary information is now available for severe cases in South Africa (see below). In Australia – the season appears to have started with notable increases in influenza-like illness (ILI) consultations and confirmed cases. The most common virus detected nationally in Australia is influenza A(H1N1)2009, though this is not consistent in every state

    Countries in the temperate zone of the northern hemisphere

     The influenza season in the northern hemisphere temperate areas has ended. Nearly all of the countries of North America, Europe, northern Africa and north Asia reported low or no influenza activity.

    Countries in the tropical zone

         Influenza activity in countries of tropical zone was low overall with a few areas of active transmission, most notably in West Africa and South Asia. In countries of the Caribbean Epidemiology Centre (CAREC) countries, there was a small increase in the percent of severe acute respiratory infection (SARI) admissions. No SARI deaths were reported but approximately 3% of total hospitalizations were for SARI in children between 6 to 48 months of age. In the Dominican Republic, the percentage of samples testing positive for respiratory viruses decreased slightly; influenza A(H1N1)2009 has been the primary virus in circulation there since late March. No influenza virus activity was reported in Central American countries. In Colombia, there was low level co-circulation of influenza A(H1N1)2009 and A(H3N2). In Brazil, there are reports of the increased number of influenza cases especially in the south, southeast, and midwest of the country. Influenza viruses including A(H1N1)2009 were identified in circulation.

         In sub-Saharan Africa, influenza type B virus continues to be predominant strain in both western and eastern Africa. Active transmission of predominantly influenza B appears to be ongoing in Ghana mixed with smaller numbers of influenza A(H1N1)2009. Much smaller numbers of cases of influenza B reported in Nigeria and Cameroon. Transmission in Kenya and Uganda has dropped to low levels and the previously noted influenza A(H3N2) transmission in Rwanda has also diminished to very low levels.

        The overall influenza activity in the tropical Asia remained low with some notable localized areas of transmission. Low numbers of influenza A(H1N1)2009 viruses were reported from India associated with unconfirmed media reports of cases occurring in the southern part of the country. In Singapore ILI made up only 2% of polyclinic attendances for acute respiratory illness, which is considered low, however 51% of ILI cases tested positive for influenza virus in the last four weeks. Eighty-three percent of influenza viruses from ILI cases were influenza A(H3N2); influenza A(H1N1)2009 and influenza B accounted for 11% and 6% of positive cases respectively.

    Countries in the temperate zone of the southern hemisphere

    South America

         Only low influenza activity was reported in the temperate regions of South America. In Chile, ILI activity was less than the previous week, no deaths from influenza were reported, and influenza virus detects were in low proportion compared to other respiratory viruses. In Argentina, about 2% of respiratory specimens tested were positive for influenza, mostly influenza A(H1N1)2009, but rates of ILI are low. In Uruguay percent of SARI deaths among all deaths remained stable and less than five percent. However, the percent of SARI admissions to intensive care among all ICU admissions has been trending upwards over the last month.

    Southern Africa

          Influenza transmission in South Africa appears to have peaked and is in early decline, though still quite active. Transmission in the country has been primarily associated with influenza A(H1N1)2009, which has accounted for more than 83% of influenza viruses in ILI cases. Influenza A(H3N2) and type B have accounted for 7.5% and 3.8% of viruses respectively in that group. Notably, influenza type B has made up a larger proportion of cases with severe infections admitted to hospital (17% of all influenza viruses from SARI cases). Based on a preliminary analysis of case data by the National Institute for Communicable Diseases, the case-fatality ratio among influenza positive patients admitted to hospital in 2011 is less than in the 2010 season when influenza B was the most common circulating strain (3% vs. 9% respectively (p=0.06)). The age distribution of severe cases has been similar this season as compared to 2010; 37% of cases have been between the ages of 2 and 4 years (37% in 2010). Another 30% of severe cases occurred in the age group from 25 to 44 years and only 19% of cases were over the age of 45 years.Of the four influenza positive patients enrolled into the SARI sentinel surveillance programme that have died so far in 2011, three were positive for influenza A(H1N1)2009 and one was positive for influenza B.

    Australia and New Zealand and South Pacific

          ILI consultations have continued to rise nationally in Australia along with notifications of laboratory confirmed influenza, most notably in South Australia, Queensland and New South Wales. The distribution of virus types has varied somewhat between states. Nationally, influenza A(H1N1)2009 has accounted for the majority of virus detections; however, 85% of viruses detected in the state of South Australia have been influenza B. These accounted for the majority of influenza B virus reported from the country as a whole. There numbers of confirmed cases of influenza reported through the National Notifiable Diseases Surveillance System is much higher than in the same period of 2010 (5,640 to date in 2011 vs. 1,088 for the same period of 2010). In New Zealand, the rate of national ILI consultations has not crossed the baseline levels although some of the districts were well above the national average. For this week, influenza B virus was the predominant strain followed by influenza A(H3N2) virus.

    From the peer-reviewed literature

         A recently published study assessed the frequency and distribution of risk factors globally among influenza A(H1N1)2009 patients reported during the pandemic. Risk factors were evaluated at three levels of severity: hospitalization, intensive care admission, and death. The study found that while the highest per capita risk of hospitalization was among patients (Risk Factors for Severe Outcomes following 2009 Influenza A(H1N1) Infection: A Global Pooled Analysis. PLoS Med 8(7): e1001053. doi:10.1371/journal.pmed.1001053))

    Source of data

    The Global Influenza Programme monitors influenza activity worldwide and publishes an update every two weeks. 
    The updates are based on available epidemiological and virological data sources, including FluNet (reported by the Global Influenza Surveillance Network) and influenza reports from WHO Regional Offices and Member States. Completeness can vary among updates due to availability and quality of data available at the time when the update is developed.

    For more contents, please refer to http://www.who.int/csr/disease/influenza/latest_update_GIP_surveillance/en/index.html

    Pharmaceutical Society of Australia

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    P.O. Box 7036 Canberra BC ACT2610

    Tel.: +61-2-6270-1888
    Fax: +61-2-6270-1800
    E-mail: guild.nat@guild.org.au
    Web: www.guild.org.au

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    The Pharmacy Guild of Australia

    • Information

    Level 2, ‘Pharmacy Guild House’ 15 National Circuit Barton, ACT 2600
    P.O. Box 7036 Canberra BC ACT2610

    Tel.: +61-2-6270-1888
    Fax: +61-2-6270-1800
    E-mail: guild.nat@guild.org.au
    Web: www.guild.org.au