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CONFERENCE PROGRAM >> Workshops >> Stream 9
 




To provide a better understanding of how corruption works in the health sector, in the pharmaceuticals industry and at the interface between them, what its impact has been, and to explore development of tools to combat it.

WS 9.1 Corruption in the health sector

25 May Sunday 14:30 - 17:00

Coordinator : Maureen Lewis 
Dan Wikler
World Bank, USA
Harvard School of Government, USA

Chair : Helen Sutch TI-Germany

Rapporteur : Marta Michalska
World Bank

Panelists : Malcolm Sparrow
Grazyna Kopinska
Maureen Lewis 
Harvard University
Against Corruption Campaign, Poland
World Bank



WS 9.2 Corruption and Organized Crime in the Health Sector
26 May Monday 14:30 - 17:00

Coordinator : Djillali Hadjaj
Anke Martiny
 
TI-Algeria
TI-Germany

Chair : Anke Martiny TI-Germany

Rapporteur : Roslyn Hees
Canada

Panelists : Ruth-Gaby
Vermot-Mangold
Chawki Acheuk Youcef
Dora  Akunyili
Parliamentary and Delegation to Council of European
Europe, Switzerland
TI-Algeria

Nigeria

  This workshop will deal with how criminal networks impact on the health sector and industry. It will discuss links between mafias and industries, and how they affect the consumers, as well as political corruption in procurement mechanisms. The specific impact on the poorest will also be taken into account, as they are those suffering the most from the alliance between mafias and corrupt medical institutions.

1. Counterfeiting of medicines
2. Blackmarket structures in the international pharmaceutical trade business
3. Illicit organ trade in Europe ? Moldova as an example
4. Smuggling of anabolic steroids and related hormone substances - big business, big crime
5. Counterfeit drugs and drug control in India



WS 9.3 Tackling of Corruption in the Pharmaceutical Industry
27 May Tuesday 14:30 - 17:00

Coordinator : Mark Pieth Basel Institute on Governance  

Chair : Mark Pieth Basel Insitute on Governance, Switzerland

Rapporteur : Gemma Aiolfi
Basel Insitute on Governance, Switzerland

Panelists : Rodney Whittaker
Peter Tobler
Susan Cote-Freeman
Jillian Cohen
GlaxoSmithKline, UK
Novartis, Switzerland
TI-UK
University of Toronto, Canada

  Over the last decade international and national rules have been amended to develop a tough stance against transnational bribery, and as a result legal and reputational risks for the pharmaceutical industry - as for other sectors - have risen considerably. Specifically in the pharmaceutical sector several areas appear particularly problematic: There have been cases of manipulated research, of undue influence on licensing and listing; corruption has been noticed in the context of production and logistics and finally the pressure to exert undue influence is certainly strong in promotional activities.
Changing "the rules of the game" is, however, not exclusively a matter for the public sector. The private sector is well placed to develop the details of how to conduct business with third parties (agents, subsidiaries, joint venture partners) without running the risk of being misused.

In many areas of the world corruption is still endemic and the pharmaceutical industry has not been left untouched by the issue. Over the last decade international and national rules have been amended to develop a tough stance, especially against transnational bribery.

Topics:
1. Putting the problems on the table: How does corruption manifest itself in this industry?
2. A risk analysis of the issues at stake.
3. The feasibility of a common standard for the pharmaceutical industry.
4. Next steps to realising an industry standard




WS 9.4 The interface between the Pharmaceutical Industry and the Health sector
28 May Wednesday 9:00 - 11:30

Coordinator : Carin Norberg
Peter Schoenhoefer
TI-Secretariat
Arznei-telegramm

Chair : Carin Norberg TI-Secretariat

Rapporteur : Nic Duncan East Anglia University

Panelists : Dr. Graham Dukes

James Cercone
Peter Schoenhoefer
World Health Organization, Drugs and Money, Editor
Sanigest Internacional
Arznei-telegramm, Germany

  Relations between pharmaceutical firms, health officials, and health practitioners can potentially involve corrupt deals. This workshop will look at specific areas where possibilities for corrupt deals to occur are as well as the interface between industry and health officials: When does promotional activity end and corruption begin? How to establish a code of conduct for all partners and what to what extend? What is the role of the legislator to establish a legal framework for obligatory declaration of conflict of interest and sanctions as to failure to adhere to the standards?

Topics:
1. Marketing strategies that directly influence the patient
2. Sponsorship of research and correlating activities to dominate the scientific debate
3. Manipulation of independent, third-party sources of information on drugs
4. Lobbying efforts of the pharmaceutical industry
5. Supporting self-help groups to exploit their political influence
6. Conflicts of interest
7. The importance of codes of conduct
8. Case studies: Dipyrone, hormone replacement therapy and disease mongering