Health & Society
EU Aims To Make Medicines More Affordable And Available
The European Commission released long-awaited proposals on how to reduce the price of drugs and encourage companies to launch new medicines in all 27 EU member states.
The Covid-19 pandemic has prompted the first major overhaul of industry rules in 20 years.
The EU executive wants to reduce the huge disparities in access and prices between member states, and improve access to new treatment.
“It’s no secret that large member states have better chances of obtaining certain drugs faster, but this shouldn’t create a two-tiered approach with first and second-class citizens,” Margaritis Schinas, vice-president of the commission, told reporters. She added that the commission wished to create a unified market for medicines.
It was proposed that the drugmakers’ exclusivity period, which they enjoy before generic manufacturers can enter their territory, be reduced to eight years from ten.
The commission also plans incentives to encourage companies to launch their drugs across the entire EU.
Pharma firms will get two additional years of regulatory protection when they launch new medicines in all 27 members states.
The commission hopes that this move will provide access to new medications to approximately 70 million additional citizens.
The EU spends between 2 and 3 percent of its GDP on medicines.
“While patients in western and larger member states have access 90 percent of newly approved medicines, this number is as low as 10 percent in the eastern part and smaller member states,” Stella Kyriakides, the health commissioner, said. She added that it was “inacceptable”.
She said that the new rules were designed to reward innovation and improve access to medicines.
While the European Medicines Agency approves new drugs in the EU, member states negotiate with companies about pricing and volume.
In Germany, Denmark and Austria, for example, more than 120 new medications have been approved since 2017, whereas in Lithuania and Latvia only 26 and 28 respectively.
In Germany, for example, it takes 133 days between the date of marketing authorisation and that the product is available to patients. In Poland, the time between marketing authorisation and the date of availability to patients is 133 days.
Industry Warning
The reforms aim to prevent drug shortages such as those that occurred this winter with important antibiotics by requiring companies notify the EU earlier of any possible supply issues.
The EMA will create a list of critical medicines in the EU to strengthen supply chains for these specific drugs.
The European Parliament and EU governments will negotiate the draft, and it could take several years for the new law to be implemented.
Schinas responded that the commission hopes to “adopt it as soon as possible” when asked if this parliament and the commission have enough time to complete the negotiations before the elections in 2024.
Big Pharma companies, however, argued that Europeans may miss out on new treatments due to the draft rules.
Reuters reported that Novo Nordisk CEO Lars Fruergaard Jorgensen stated in a press release that “the proposals were poison for innovation and competition in Europe.”
GSK, a pharma giant of its own, stated that the EU must “regulate growth and competitiveness”, because companies have “choices on where to focus our capital and resources”.
Emma Walmsley, GSK’s Chief Executive, warned that the pressure to weaken protections for market exclusivity could discourage companies from developing and launching new treatments in Europe.
Health & Society
Female circumcision in Russia – exists and is not punished
Every year, millions of women and girls in the world are subjected to the procedure “female circumcision.” In the process of this dangerous practice, women have part or all of their external genitalia removed. Among the victims are also residents of the North Caucasian republics of Russia, and the Russian authorities do not punish the execution of the violent procedure.
How this violent religious-ritual tradition exists in modern Russia, do the authorities and the clergy try to fight it – reveals the Russian publication of Verstka.
What is “female circumcision”
Female circumcision is a procedure that is accompanied by either trauma or partial or complete amputation of the external genitalia. As a result of the procedure, sensitivity is reduced and the woman may lose the ability to have an orgasm.
Not for medical reasons
The procedure is not performed for medical reasons, but for ritual or religious reasons to suppress female sexuality. That is why in the international medical community this term is not used, but is called “female genital mutilation operations”. International law considers them an attack on the health of women and girls, a form of violence and discrimination.
Victims
Victims of female circumcision are girls up to the age of 15. According to data from the World Health Organization (WHO), in 2024, more than 230 million women in the world suffered from such operations. They are mostly carried out in African, Asian, Latin American and Middle Eastern countries. But there are also victims of female circumcision in Russia among the residents of the North Caucasian republics – Dagestan, Ingushetia and Chechnya.
Injuries
The procedure has serious negative consequences for women’s health – from serious injuries to death due to blood loss. In addition to physical trauma and the shock of pain, female circumcision disrupts the natural functioning of the body. Women and girls may suffer from infections, their genitourinary system may be damaged, they may experience pain during sexual intercourse, menstrual disorders may occur, and the risk of complications during childbirth and death of the mother and the newborn increases by 50%.
Why do they do it?
The “necessity” of such operations is justified by honoring traditions or religious motives. In some cultures, it is part of the rite of female initiation or entry into adult life. Female circumcision is often associated with Islam, including in the Russian Federation.
Prevents lust
In the words of Dagestan journalist Zakir Magomedov, “in the local religious press, which is issued by the official clergy, articles are published in which it is written that female circumcision has a beneficial effect on a woman and protects her from lustful thoughts and desires, and is even beneficial for a woman.”
Female circumcision is performed by people without medical training, and old pocket knives or cattle shears are used as tools.
Control over female sexuality
In almost all cases, the purpose of the procedure is defined as control over female sexuality: “not to be hoika”, “not to freak out”. The official clergy of Dagestan include female circumcision in religious duties, although it is not mentioned in the Koran. Some Muslims, in addition to the Koran, are also guided by the Sunnah – traditions from the life of the Prophet Muhammad and statements of authoritative religious figures. Therefore, in some cases, female circumcision among Muslims can be interpreted as permissible, desirable and even mandatory.
Officially, the Russian authorities are against it
“All women should be circumcised so that there is no debauchery on Earth, to reduce sexuality”, this is how the head of the Coordination Council of Muslims of the North Caucasus, Ismail Berdiev, reacted to the revelations of the “Legal Initiative” organization in 2016, which confirmed the existence of practice. Later, Berdiev clarified that “he did not call for female circumcision”, but only spoke about the “problem of debauchery”, with which “something must be done”.
The Russian Ministry of Health condemns the procedure, and the prosecutor’s office of Dagestan conducts an investigation and finds no confirmation of the facts presented in the report of “Legal Initiative.”
The deputy of the State Duma from “United Russia” Maria Maksakova-Igenbergs proposes to introduce the concept of “women’s discrimination on religious grounds” into the Penal Code, and that the punishment for “female circumcision” be 10 years in prison. The Ministry of Justice of Russia does not support Maksakova’s initiative, clarifying that the procedure falls under the Criminal Code of the Russian Federation, and more precisely under the paragraphs on “deliberately causing severe, medium and light harm to health, as well as causing harm to carelessness.”
North Caucasus
According to the “Legal Initiative” organization, in the middle of the last decade in Dagestan, at least 1,240 girls were subjected to the procedure annually. The majority of the men surveyed were categorically against the ban on female circumcision, explaining their motive not only with Islam, but also with local traditions and the desire to control the morality of women. Part of the respondents expressed an opinion against the procedure, arguing that the lack of sensitivity in women lowers the quality of sex in men as well.
And in Moscow
In 2018 one of the Moscow medical clinics announces the service of “female circumcision” for ritual and religious reasons for girls from 5 to 12 years old. On the clinic’s website, it was noted that “the operation should be performed not at home, but in a medical clinic.” After a wide public response, the clinic removed the information from its website, but an investigation was carried out, which found the existence of the procedure and other violations. A warning has been issued and the clinic is still open!
First conviction without penalty
Despite the fact that in its second report the organization “Legal Initiative” notes the disappearance of the practice in Chechnya and Ingushetia, the inhabitants of these regions remain in danger. In the spring of 2020, the father of a 9-year-old girl invited him to Magas (the capital of Ingushetia) for a visit and took him to a vaccine clinic. There, female circumcision was forcibly performed on the child. The value of the “service” is 2000 rubles. The little girl, in her bloodstained dress, was then put on a bus back to Chechnya, where she was hospitalized for severe blood loss. The father explains his motive as follows: “So that he doesn’t get excited.”
A criminal case has been opened against the gynecologist who performed the circumcision for intentionally causing minor harm to health. The case has been going on for a year and a half. The judge called on the parties to reconcile, adding that “the girl cannot be helped anyway”. In the end, the doctor was found guilty and fined 30,000 rubles, but was released from serving the sentence due to the statute of limitations. No criminal proceedings have been initiated against the clinic.
In the same year, the mufti of Dagestan issued a fatwa and recognized the removal of the external genitalia as forbidden in Islam, but clarified that “female circumcision” meant only hudectomy — the removal of the foreskin of the clitoris. This is also a crippling procedure, human rights defenders insist.
Health & Society
Four executed for producing illegal alcohol in Iran
Iranian authorities have executed end of October four people convicted of selling illegal alcohol, which poisoned and killed 17 people last year. More than 190 people who consumed the dangerous drink were hospitalized.
The death sentence against the accused in the case was carried out in the Karaj Central Jail.
According to human rights organizations including Amnesty International, Iran carries out the highest number of executions per year after China.
After the Islamic Revolution in 1979, Tehran banned the production and consumption of alcoholic beverages. Since then, the sale of illegal alcohol on the black market has flourished, leading to mass poisonings. The latest case, reported by Iranian media, has killed around 40 people in northern Iran in recent months.
Only Iran’s recognized Christian minorities, such as the country’s Armenian community, are allowed to produce and consume alcohol, but discreetly and only at home.
Illustrative Photo by Amanda Brady: https://www.pexels.com/photo/elegant-champagne-coupes-in-sunlit-setting-29157921/
Health & Society
What is food neophobia – the fear of trying new dishes
Everyone has heard of anorexia and bulimia. But these eating disorders are far from the only ones.
There are people around the world who can only eat certain colored foods. Still others are addicted to water. About 5% of women between the ages of 15 and 35 are affected by some type of eating disorder. Among them are those with neophobia – the inability to try a new type of food. This problem sometimes also affects young children. For them, experts advise parents not to force them, but to explain to them the benefits of a given product. It is also an option to put them on the table in the company of other children who will set a good example.
Neophobia usually disappears around the age of 6. For some people, however, it remains a problem for much longer.
A possible explanation for this condition could be something happening in the person’s life – like choking on food, for example. As a result, a person may begin to avoid a certain type of food and thus give his phobia a “field of expression”.
The reasons for neophobia may lie not only in the psyche, but also in physical features. This disorder is genetically transmitted.
Illustrative Photo by Chan Walrus: https://www.pexels.com/photo/white-and-brown-cooked-dish-on-white-ceramic-bowls-958545/
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