scholarly journals Substandard, falsified and unregistered medicines in Latin America, 2017-2018

2020 ◽  
Vol 44 ◽  
pp. 1
Author(s):  
Robin Rojas-Cortés

Objective. To assess all the incidents of substandard, falsified and unregistered medicines in 2017 and 2018 in Latin America, determining the types of products affected, stages of the supply chain in which incidents were detected, quality deviations identified in tested samples, and regulatory measures taken by authorities. Methods. A comprehensive search of the websites of the Latin American national regulatory authorities was conducted, identifying all eligible incidents during 2017-2018. Standardized values were collected from each incident for pre-determined variables: country, year, type of incident, therapeutic group, supply chain, regulatory measures and laboratory data. Results. A total of 596 incidents in 13 countries were included (236 substandard, 239 falsified, 116 unregistered and 5 stolen). The therapeutic categories with the highest incidents were: anti-infectives, medicines for pain/palliative care, hormones/contraceptives, medicines for the respiratory tract, and medicines for mental/ behavioural disorders. The most common places where incidents were detected were commercial establishment, pharmacies, health services and manufacturers. The most recurrent quality deviations were failure in parameters (appearance or physicochemical), incorrect labelling, different quantity of active pharmaceutical ingredient, presence of unknown particles, and microbiological contamination. The most frequent regulatory measures identified were alerts, withdrawals, seizures, and prohibition of marketing/distribution/use. Conclusions. In Latin America, substandard, falsified and unregistered medicines persist as a highly prevalent problem. An advanced degree of regulatory development in countries is associated with higher incident detection/reporting rates and a more comprehensive set of measures. The pharmaceutical supply chain is more vulnerable in its final node. Quality deviations identified in tested samples pose serious risks to public health.

2018 ◽  
Vol 23 (5) ◽  
pp. 412-430 ◽  
Author(s):  
Martin Tanco ◽  
Matias Escuder ◽  
Gerardo Heckmann ◽  
Daniel Jurburg ◽  
Josue Velazquez

PurposeFor the past 20 years, Latin American countries have gone from being a low-cost region to significant players in the world economy, with five of its countries ranked among the world’s 50th largest by gross domestic product. This paper aims to study the contribution of Latin American researchers in the field of supply chain management (SCM) to aid an understanding of the Latin American impact within global supply chains (SCs).Design/methodology/approachThe authors present a study which includes a bibliometric analysis of the papers authored by Latin American researchers in the SCM field and which were exclusively published in journals included in the Journal Citation Reports. In addition, the authors conducted a survey to Latin American researchers and consultants to gain greater understanding of the main difficulties, which in their opinion, have negatively affected the SCM area in Latin America within the past five years, and identify possible misalignment between Latin American research and the challenges for SC in the region.FindingsThe results show that Latin American research on SCM in the past nine years is not significant for the field considering the number of papers, citations and the papers published in top journals. Another interesting finding is the lack of collaboration among researchers from different Latin American countries, as well as with corporate. Finally, survey results reveal significant differences regarding the main difficulties each country perceived as relevant.Practical implicationsComparing results from both analyses, relevant misalignments stand out between published research and the main difficulties detected. These suggest a challenging opportunity for Latin America, emphasizing the need to increase research contribution of the scientific community, through collaboration and alignment toward overcoming the most troublesome difficulties for Latin America. Therefore, the authors suggest future regional research directions which could also help global companies to tackle the challenges faced and optimize performance of their Latin American SCs.Originality/valueTo the best of the authors’ knowledge, no previous research on the quality and impact of Latin American research in SCM has been conducted. Also, misalignments between researchers and practitioners in the region, which allow identifying weaknesses of Latin American SCs, have not been studied before.


2012 ◽  
Vol 9 (1) ◽  
pp. 65-74 ◽  
Author(s):  
Agustín Escobar Latapi

Although the migration – development nexus is widely recognized as a complex one, it is generally thought that there is a relationship between poverty and emigration, and that remittances lessen inequality. On the basis of Latin American and Mexican data, this chapter intends to show that for Mexico, the exchange of migrants for remittances is among the lowest in Latin America, that extreme poor Mexicans don't migrate although the moderately poor do, that remittances have a small, non-significant impact on the most widely used inequality index of all households and a very large one on the inequality index of remittance-receiving households, and finally that, to Mexican households, the opportunity cost of international migration is higher than remittance income. In summary, there is a relationship between poverty and migration (and vice versa), but this relationship is far from linear, and in some respects may be a perverse one for Mexico and for Mexican households.


2020 ◽  
Vol 19 (1) ◽  
pp. 101-120
Author(s):  
Yousef M. Aljamal ◽  
Philipp O. Amour

There are some 700,000 Latin Americans of Palestinian origin, living in fourteen countries of South America. In particular, Palestinian diaspora communities have a considerable presence in Chile, Honduras, and El Salvador. Many members of these communities belong to the professional middle classes, a situation which enables them to play a prominent role in the political and economic life of their countries. The article explores the evolving attitudes of Latin American Palestinians towards the issue of Palestinian statehood. It shows the growing involvement of these communities in Palestinian affairs and their contribution in recent years towards the wide recognition of Palestinian rights — including the right to self-determination and statehood — in Latin America. But the political views of members of these communities also differ considerably about the form and substance of a Palestinian statehood and on the issue of a two-states versus one-state solution.


Author(s):  
Amy C. Offner

In the years after 1945, a flood of U.S. advisors swept into Latin America with dreams of building a new economic order and lifting the Third World out of poverty. These businessmen, economists, community workers, and architects went south with the gospel of the New Deal on their lips, but Latin American realities soon revealed unexpected possibilities within the New Deal itself. In Colombia, Latin Americans and U.S. advisors ended up decentralizing the state, privatizing public functions, and launching austere social welfare programs. By the 1960s, they had remade the country's housing projects, river valleys, and universities. They had also generated new lessons for the United States itself. When the Johnson administration launched the War on Poverty, U.S. social movements, business associations, and government agencies all promised to repatriate the lessons of development, and they did so by multiplying the uses of austerity and for-profit contracting within their own welfare state. A decade later, ascendant right-wing movements seeking to dismantle the midcentury state did not need to reach for entirely new ideas: they redeployed policies already at hand. This book brings readers to Colombia and back, showing the entanglement of American societies and the contradictory promises of midcentury statebuilding. The untold story of how the road from the New Deal to the Great Society ran through Latin America, the book also offers a surprising new account of the origins of neoliberalism.


1969 ◽  
Vol 59 (1) ◽  
pp. 157-169
Author(s):  
Andrés Dapuez

Latin American cash transfer programs have been implemented aiming at particular anticipatory scenarios. Given that the fulfillment of cash transfer objectives can be calculated neither empirically nor rationally a priori, I analyse these programs in this article using the concept of an “imaginary future.” I posit that cash transfer implementers in Latin America have entertained three main fictional expectations: social pacification in the short term, market inclusion in the long term, and the construction of a more distributive society in the very long term. I classify and date these developing expectations into three waves of conditional cash transfers implementation.


2020 ◽  
Vol 16 ◽  
Author(s):  
Patricio Lopez-Jaramillo ◽  
Jose Lopez-Lopez ◽  
Daniel Cohen ◽  
Natalia Alarcon-Ariza ◽  
Margarita Mogollon-Zehr

: Hypertension and type 2 diabetes mellitus are two important risk factors that contribute to cardiovascular diseases worldwide. In Latin America hypertension prevalence varies from 30 to 50%. Moreover, the proportion of awareness, treatment and control of hypertension is very low. The prevalence of type 2 diabetes mellitus varies from 8 to 13% and near to 40% are unaware of their condition. In addition, the prevalence of prediabetes varies from 6 to 14% and this condition has been also associated with increased risk of cardiovascular diseases. The principal factors linked to a higher risk of hypertension in Latin America are increased adiposity, low muscle strength, unhealthy diet, low physical activity and low education. Besides being chronic conditions, leading causes of cardiovascular mortality, both hypertension and type 2 diabetes mellitus represent a substantial cost for the weak health systems of Latin American countries. Therefore, is necessary to implement and reinforce public health programs to improve awareness, treatment and control of hypertension and type 2 diabetes mellitus, in order to reach the mandate of the Unit Nations of decrease the premature mortality for CVD.


Author(s):  
Jeffrey Lawrence

This chapter focuses on a paradigmatic misencounter between an American experiencer and a Latin American reader. Examining an implicit debate about the sources of Walt Whitman’s poetry and vision of the Americas, I argue that Waldo Frank, one of the twentieth century’s main literary ambassadors from the US to Latin America, positioned Whitman as the representative US writer whose antibookish experiential aesthetics could serve as a model for “American” writers both in the North and in the South. I show how Frank’s framework provided a foil for Borges’s idiosyncratic view that Whitman’s poetry about America derived entirely from his readings of European and US writers. Although much of the best scholarship on Whitman’s reception in Latin America has concentrated on poets like José Martí and Pablo Neruda, who adapted Whitman’s naturalism, I contend that Borges’s iconoclastic portrait of Whitman as a reader profoundly influenced a range of anti-experiential literary theories and practices in Latin America.


Author(s):  
Lilian Calles Barger

This chapter examines the politics of difference and solidarity among Latin American and Black Power radicals that challenged the exclusion of marginalized groups from the universal. Dependency theory provided an explanation for neo-colonialism and the long search for Latin America identity and solidarity. A black cultural nationalism and black history provided the motifs for establishing a sense of peoplehood and asserting God is black. A narrative in which God was partial to the oppressed offered a way for liberationists to conceptualize a new inclusive universal humanity.


Author(s):  
Leslie A. Schwindt-Bayer

In this introductory chapter of Gender and Representation in Latin America, Leslie A. Schwindt-Bayer argues that gender inequality in political representation in Latin America is rooted in institutions and the democratic challenges and political crises facing Latin American countries. She situates the book in two important literatures—one on Latin American politics and democratic institutions, the other on gender and politics—and then explains how the book will explore the ways that institutions and democratic challenges and political crises moderate women’s representation and gender inequality. She introduces the book’s framework of analyzing the causes and consequences of women’s representation, overviews the organization of the volume, and summarizes the main arguments of the chapters.


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