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Pain Management

Around the World, Too Little Relief for Pain

1 month, 3 weeks ago

1498  0
Posted on Oct 20, 2017, 5 p.m.

High drug costs in low-income countries are to blame, says new report

“I am not so sure how I feel about this. In one hand when you need drugs, you need drugs. I do feel when drugs are medically necessary, they need to be more accessible to everyone regardless if you are poor child in a 3rd world country, or a Rockefeller. However, I think it is just as important to explore natural remedies, acupuncture, and other means when medically prudent and available,” said Dr. Ronald Klatz, Oct. 14, 2017 President of the A4M.

(HealthDay News) -- Tens of millions of people worldwide who die in severe physical and mental distress each year could have an easier death if low-cost pain drugs were available in their countries, a new report says.
Children account for more than 2.5 million of the almost 26 million people with serious illnesses who receive no palliative care or pain relief, according to the report.


The findings came from an analysis of data on the care provided in 172 countries for people with any of 20 serious conditions, including HIV, cancer, heart disease, premature birth, tuberculosis, hemorrhagic fevers, lung and liver disease, malnutrition, dementia and trauma injuries.
Of the 61 million people who endure severe physical or psychological suffering and pain each year, about 83 percent live in 100 low- and middle-income countries where there's little or no access to low-cost, off-patent morphine, according to the report, issued by The Lancet Commission on Global Access to Palliative Care and Pain Relief.


In high-income countries, the drugs costs 3 cents per 10-milligram dose, but the commission noted that in low-income nations, that amount costs 16 cents, where and when it's available.


The report further noted that just 10.8 metric tons (3.6 percent) of the 298.5 metric tons of oral morphine distributed worldwide go to low- and middle-income countries.


The commission's report appears Oct. 13 in The Lancet medical journal.


"The pain gap is a massive global health emergency which has been ignored, except in rich countries," commission chair Felicia Knaul, a professor at the University of Miami Miller School of Medicine, said in a journal news release.


"This global pain crisis can be remedied quickly and effectively," she said. "We have the right tools and knowledge and the cost of the solution is minimal. Denying this intervention is a moral failing, especially for children and patients at the end of life.


"If low- and middle-income countries could obtain morphine at the same price as rich countries, the annual global price tag for closing the gap in access to oral morphine would be $145 million, a fraction of the cost of running a medium-sized U.S. hospital," Knaul said.


"This is a pittance compared to $100 billion a year that the world's governments spend on enforcing global prohibition of drug use," she added.


"The biggest shame is children in low-income countries dying in pain, which could be eliminated for $1 million a year," Knaul said.
The problem is greatest in eight countries with the highest populations: China, India, Pakistan, Nigeria, Bangladesh, Russia and Mexico, the report said.


"We can ensure that the 61 million people a year who need it get palliative care," Knaul said. "The alternative is unacceptable and unthinkable."

The Center to Advance Palliative Care has more on palliative care.

-- Robert Preidt

SOURCE: The Lancet, news release, Oct. 12, 2017

Last Updated: Oct. 13, 2017

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Dr. Ronald Klatz, DO, MD President of the A4M has 28,000 Physician Members, has trained over 150,000 Physicians, health professionals and scientists in the new specialty of Anti-aging medicine. Estimates of their patients numbering in the 100’s of millions World Wide that are living better stronger, healthier and longer lives. www.WorldHealth.net

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