Analysis of notifications of technical complaints and preventive health inspection measures applied during the COVID-19 pandemic in Brazil: Vigil Sanit Debate, Rio de Janeiro, 2023, v.11: e02067 | Published on: 11/08/2023

Detalhes bibliográficos
Autor(a) principal: Lima Padro, Josivan
Data de Publicação: 2023
Outros Autores: Galato, Dayani, Alves Areda, Camila, Fontenele Martins, Mary Anne
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Vigilância Sanitária em Debate
Texto Completo: https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/2067
Resumo: Introduction: The consumptio of falsified, unregistered, and substandard medicines is a serious public health problem, and it is essential to know the legal enforcement actions related that were taken during the pandemic in Brazil.  Objective: To Analyze notifications of technical complaints and preventive health measures applied during the Covid-19 pandemic in Brazil. Method: Descriptive,  quantitative, retrospective study with data from notifications of technical complaints and measures determined by the National Health Surveillance Agency (Anvisa), from 2019 to June 2021. Results: 25,088 notifications of technical complaints about medicines and562 measures were identified. 314 were classified as class I risk, with high potential to cause serious injury to health, including death. Most unregistered products claim pharmaceutical properties regarding body image, immunity, or information as being “natural” or Traditional Chinese Medicine (TCM). There were 63.3% of actions for advertising and irregular commerce of medicines on the internet. There were 333 measures (59.3%) with an unknown/non-existent company associated, making it impossible to legally hold the offender responsible. The type of enforcement activities the most frequent were: seizure (322), destruction (305) and prohibition (376). The most cited stages of the chain related to post-production, included distribution, commercialization and use. It was observed that the frequency of risk classification of medicines is significantly different with enforcement actions (p < 0.001). Conclusions: It is important to: develop strategies aimed at preventing, detecting, and responding to irregular/illegal practices, by reviewing the legal regulatory and the framework; and have greater corporate accountability, traceability mechanisms, effective inspection actions and improvement of the measures adopted by Anvisa to protect the population’s health.
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spelling Analysis of notifications of technical complaints and preventive health inspection measures applied during the COVID-19 pandemic in Brazil: Vigil Sanit Debate, Rio de Janeiro, 2023, v.11: e02067 | Published on: 11/08/2023Análise das notificações de queixas técnicas e das medidas preventivas de fiscalização sanitária, aplicadas durante a pandemia da COVID-19 no Brasil: Vigil Sanit Debate, Rio de Janeiro, 2023, v.11: e02067 | Publicado em: 11/08/2023Vigilância de Produtos ComercializadosFarmacovigilânciaVigilância SanitáriaApreensão de ProdutosVigilância SanitáriaPost-Market Product SurveillancePharmacovigilanceHealth SurveillanceProducts RetentionIntroduction: The consumptio of falsified, unregistered, and substandard medicines is a serious public health problem, and it is essential to know the legal enforcement actions related that were taken during the pandemic in Brazil.  Objective: To Analyze notifications of technical complaints and preventive health measures applied during the Covid-19 pandemic in Brazil. Method: Descriptive,  quantitative, retrospective study with data from notifications of technical complaints and measures determined by the National Health Surveillance Agency (Anvisa), from 2019 to June 2021. Results: 25,088 notifications of technical complaints about medicines and562 measures were identified. 314 were classified as class I risk, with high potential to cause serious injury to health, including death. Most unregistered products claim pharmaceutical properties regarding body image, immunity, or information as being “natural” or Traditional Chinese Medicine (TCM). There were 63.3% of actions for advertising and irregular commerce of medicines on the internet. There were 333 measures (59.3%) with an unknown/non-existent company associated, making it impossible to legally hold the offender responsible. The type of enforcement activities the most frequent were: seizure (322), destruction (305) and prohibition (376). The most cited stages of the chain related to post-production, included distribution, commercialization and use. It was observed that the frequency of risk classification of medicines is significantly different with enforcement actions (p < 0.001). Conclusions: It is important to: develop strategies aimed at preventing, detecting, and responding to irregular/illegal practices, by reviewing the legal regulatory and the framework; and have greater corporate accountability, traceability mechanisms, effective inspection actions and improvement of the measures adopted by Anvisa to protect the population’s health.Introdução: O consumo de medicamentos falsificados, não registrados e fora do padrão é um grave problema de saúde pública, sendo fundamental conhecer as ações legais de fiscalização sanitária durante a pandemia no Brasil. Objetivo: Analisar as notificações de queixas técnicas e as medidas preventivas de fiscalização sanitária, aplicadas durante a pandemia da COVID-19, no Brasil. Método: Estudo descritivo, quantitativo, retrospectivo com dados das notificações de queixas técnicas e das medidas determinadas pela Agência Nacional de Vigilância Sanitária (Anvisa), no intervalo de 2019 a junho de 2021. As notificações foram obtidas por meio da Lei de Acesso à Informação, enquanto as medidas preventivas foram coletadas no portal da Anvisa, com a validação dos dados no site da imprensa nacional. Resultados: Foram registradas 25.088 notificações de queixas técnicas de medicamentos e 562 medidas, sendo 314 com elevado potencial de causar sérios danos à saúde, incluindo óbito. A maioria dos produtos não registrados alegam propriedades farmacêuticas relativas à imagem corporal, à imunidade ou ditos “naturais” ou da Medicina Tradicional Chinesa. Dentre as medidas, 63,3% estavam voltadas para propaganda irregular e comércio eletrônico de medicamentos suspeitos. Em cerca de 59,3% das medidas, as empresas não tinham o Cadastro Nacional de Pessoa Jurídica na Receita Federal, o que dificulta a responsabilização legal do infrator. Quanto às ações de fiscalização, as mais frequentes foram: apreensão (322), inutilização (305) e proibição (376). Quanto às medidas de proibição, as mais citadas se relacionam à pós-produção no ciclo produtivo, incluindo distribuição, comercialização e uso. Observa-se que a frequência observada de medicamentos segundo a classificação de risco é significativamente diferente para as várias ações fiscalizatórias (p < 0,001). Conclusões: Faz-se necessário desenvolver estratégias voltadas à prevenção, detecção e resposta às práticas irregulares/ilícitas, mediante revisão do marco regulatório e do modelo de atuação; maior responsabilização das empresas; mecanismos de rastreabilidade; ações fiscalizatórias efetivas e aprimoramento das medidas adotadas pela Anvisa para proteger a saúde da população.Instituto Nacional de Controle de Qualidade em Saúde2023-08-11info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion"Peer-reviewed article""Artículo revisado por pares""Artigo avaliado pelos pares"application/pdfapplication/pdfhttps://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/206710.22239/2317-269x.02067Health Surveillance under Debate: Society, Science & Technology ; v. 11 (2023) | Continuous publication; 1-11Vigilancia en Salud en Debate: Sociedad, Ciencia y Tecnología; v. 11 (2023) | Publicación continua; 1-11Vigil Sanit Debate, Rio de Janeiro; v. 11 (2023) | Publicação contínua; 1-112317-269Xreponame:Vigilância Sanitária em Debateinstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZporenghttps://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/2067/1512https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/2067/1605Copyright (c) 2023 Josivan Lima Padro, Dayani Galato, Camila Alves Areda, Mary Anne Fontenele Martins (Autor)https://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessLima Padro, JosivanGalato, DayaniAlves Areda, CamilaFontenele Martins, Mary Anne2024-02-15T18:32:32Zoai:ojs.visaemdebate.incqs.fiocruz.br:article/2067Revistahttps://visaemdebate.incqs.fiocruz.br/index.php/visaemdebatePUBhttps://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/oaiincqs.visaemdebate@fiocruz.br || gisele.neves@fiocruz.br2317-269X2317-269Xopendoar:2024-02-15T18:32:32Vigilância Sanitária em Debate - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.none.fl_str_mv Analysis of notifications of technical complaints and preventive health inspection measures applied during the COVID-19 pandemic in Brazil: Vigil Sanit Debate, Rio de Janeiro, 2023, v.11: e02067 | Published on: 11/08/2023
Análise das notificações de queixas técnicas e das medidas preventivas de fiscalização sanitária, aplicadas durante a pandemia da COVID-19 no Brasil: Vigil Sanit Debate, Rio de Janeiro, 2023, v.11: e02067 | Publicado em: 11/08/2023
title Analysis of notifications of technical complaints and preventive health inspection measures applied during the COVID-19 pandemic in Brazil: Vigil Sanit Debate, Rio de Janeiro, 2023, v.11: e02067 | Published on: 11/08/2023
spellingShingle Analysis of notifications of technical complaints and preventive health inspection measures applied during the COVID-19 pandemic in Brazil: Vigil Sanit Debate, Rio de Janeiro, 2023, v.11: e02067 | Published on: 11/08/2023
Lima Padro, Josivan
Vigilância de Produtos Comercializados
Farmacovigilância
Vigilância Sanitária
Apreensão de Produtos
Vigilância Sanitária
Post-Market Product Surveillance
Pharmacovigilance
Health Surveillance
Products Retention
title_short Analysis of notifications of technical complaints and preventive health inspection measures applied during the COVID-19 pandemic in Brazil: Vigil Sanit Debate, Rio de Janeiro, 2023, v.11: e02067 | Published on: 11/08/2023
title_full Analysis of notifications of technical complaints and preventive health inspection measures applied during the COVID-19 pandemic in Brazil: Vigil Sanit Debate, Rio de Janeiro, 2023, v.11: e02067 | Published on: 11/08/2023
title_fullStr Analysis of notifications of technical complaints and preventive health inspection measures applied during the COVID-19 pandemic in Brazil: Vigil Sanit Debate, Rio de Janeiro, 2023, v.11: e02067 | Published on: 11/08/2023
title_full_unstemmed Analysis of notifications of technical complaints and preventive health inspection measures applied during the COVID-19 pandemic in Brazil: Vigil Sanit Debate, Rio de Janeiro, 2023, v.11: e02067 | Published on: 11/08/2023
title_sort Analysis of notifications of technical complaints and preventive health inspection measures applied during the COVID-19 pandemic in Brazil: Vigil Sanit Debate, Rio de Janeiro, 2023, v.11: e02067 | Published on: 11/08/2023
author Lima Padro, Josivan
author_facet Lima Padro, Josivan
Galato, Dayani
Alves Areda, Camila
Fontenele Martins, Mary Anne
author_role author
author2 Galato, Dayani
Alves Areda, Camila
Fontenele Martins, Mary Anne
author2_role author
author
author
dc.contributor.author.fl_str_mv Lima Padro, Josivan
Galato, Dayani
Alves Areda, Camila
Fontenele Martins, Mary Anne
dc.subject.por.fl_str_mv Vigilância de Produtos Comercializados
Farmacovigilância
Vigilância Sanitária
Apreensão de Produtos
Vigilância Sanitária
Post-Market Product Surveillance
Pharmacovigilance
Health Surveillance
Products Retention
topic Vigilância de Produtos Comercializados
Farmacovigilância
Vigilância Sanitária
Apreensão de Produtos
Vigilância Sanitária
Post-Market Product Surveillance
Pharmacovigilance
Health Surveillance
Products Retention
description Introduction: The consumptio of falsified, unregistered, and substandard medicines is a serious public health problem, and it is essential to know the legal enforcement actions related that were taken during the pandemic in Brazil.  Objective: To Analyze notifications of technical complaints and preventive health measures applied during the Covid-19 pandemic in Brazil. Method: Descriptive,  quantitative, retrospective study with data from notifications of technical complaints and measures determined by the National Health Surveillance Agency (Anvisa), from 2019 to June 2021. Results: 25,088 notifications of technical complaints about medicines and562 measures were identified. 314 were classified as class I risk, with high potential to cause serious injury to health, including death. Most unregistered products claim pharmaceutical properties regarding body image, immunity, or information as being “natural” or Traditional Chinese Medicine (TCM). There were 63.3% of actions for advertising and irregular commerce of medicines on the internet. There were 333 measures (59.3%) with an unknown/non-existent company associated, making it impossible to legally hold the offender responsible. The type of enforcement activities the most frequent were: seizure (322), destruction (305) and prohibition (376). The most cited stages of the chain related to post-production, included distribution, commercialization and use. It was observed that the frequency of risk classification of medicines is significantly different with enforcement actions (p < 0.001). Conclusions: It is important to: develop strategies aimed at preventing, detecting, and responding to irregular/illegal practices, by reviewing the legal regulatory and the framework; and have greater corporate accountability, traceability mechanisms, effective inspection actions and improvement of the measures adopted by Anvisa to protect the population’s health.
publishDate 2023
dc.date.none.fl_str_mv 2023-08-11
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
"Peer-reviewed article"
"Artículo revisado por pares"
"Artigo avaliado pelos pares"
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/2067
10.22239/2317-269x.02067
url https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/2067
identifier_str_mv 10.22239/2317-269x.02067
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/2067/1512
https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/2067/1605
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Instituto Nacional de Controle de Qualidade em Saúde
publisher.none.fl_str_mv Instituto Nacional de Controle de Qualidade em Saúde
dc.source.none.fl_str_mv Health Surveillance under Debate: Society, Science & Technology ; v. 11 (2023) | Continuous publication; 1-11
Vigilancia en Salud en Debate: Sociedad, Ciencia y Tecnología; v. 11 (2023) | Publicación continua; 1-11
Vigil Sanit Debate, Rio de Janeiro; v. 11 (2023) | Publicação contínua; 1-11
2317-269X
reponame:Vigilância Sanitária em Debate
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Vigilância Sanitária em Debate
collection Vigilância Sanitária em Debate
repository.name.fl_str_mv Vigilância Sanitária em Debate - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv incqs.visaemdebate@fiocruz.br || gisele.neves@fiocruz.br
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