Category Archives: News

ORSZCA congratulates Swiss Pharma Nigeria and PharmEvo (Pakistan)

Logos Swiss Pharma Nigeria and PharmEvo

ORSZCA congratulates Swiss Pharma Nigeria and PharmEvo (Pakistan) on achieving WHO prequalification (PQ) status for 20mg dispersible Zinc Sulphate tablets. Swiss Pharma Nigeria is the first African manufacturer to achieve PQ for Zinc tablets. While PharmEvo is the first manufacturer in the world achieve PQ status for a Zinc syrup.

What does prequalification mean?

Prequalification signals confidence in the quality of medicines manufactured and makes them eligible, in principle, for procurement by UN agencies and donor organisations.

How many prequalified products are there for the treatment of diarrhoea?

The short answer is not enough. There are no prequalified ORS products and only six Zinc products (seven if you include Zinc Syrup).

Zinc sulphate dispersible tablets 20mg

WHO Ref No Applicant Country Date of Prequalification
1 DI002 Nutriset France 04-Dec-12
2 DI005 Macleods Pharmaceuticals Ltd India 07-Dec-16
3 DI011 Ipca Laboratories Ltd India 15-May-20
4 DI013 The ACME Laboratories Ltd Bangladesh 02-Nov-21
5 DI014 Swiss Pharma Nigeria Ltd. Nigeria 02-May-23
6 DI009 PharmEvo (Pvt) Ltd. Pakistan 12-Jul-23

Zinc sulphate syrup 10mg/5mL

WHO Ref No Applicant Country Date of Prequalification
7 DI010 PharmEvo (Pvt) Ltd Pakistan 12-Jul-23

How do UN Agencies and donor organisations procure Co-packaged ORS and Zinc if there are no prequalified ORS products?

It would appear that they rely on certificates of Good Manufacturing Practice (GMP). However, quality is a concern. In UNICEF’s  Oral Rehydration Salts and Zinc: Market and Supply Update of September 2022 they stated as a challenge:

Due to the limited number of quality suppliers of ORS and ORS and zinc co-packaged products, there are even fewer that can meet the quality standards required for international procurement. Some of the suppliers that UNICEF had awarded supply agreements to as an outcome of its last tender were cancelled as they were not able to maintain product quality standards throughout their LTA [Long Term Agreement] duration. As ORS is an over-the-counter medication and is marketed socially in many countries, supplying demand through UNICEF does not offer sufficient incentive to improve manufacturing and product quality to meet international procurement standards.

 

 

 

ORSZCA applauds the endorsement of the importance of Zinc by the Global Financing Facility

ORSZCA applauds the clarification made last week by the Global Financing Facility (GFF) to their Reclaim the Gains campaign endorsing the importance of Zinc together with ORS in the treatment of diarrhoea.

Reclaim the Gains stands out as being the most significant current global initiative aimed at improving access to diarrhoea treatment. It is essential that such a significant effort is inline with the current WHO and UNICEF treatment recommendations.

Over the last 3 months ORSZCA has been engaged in a positive and productive dialogue with GFF which has resulted in their reference to “oral rehydration treatment” being amended to “oral rehydration solution and zinc treatment”. This simple change could save hundreds of thousands more young lives.

New GFF text on ORS and Zinc

This important, top level clarification leaves the question open as to how the global community might ensure that children receive both ORS and Zinc in practice. All the available evidence seems to point to co-packaging  as the best way to ensure this. Please see: Is co-packaging of ORS and Zinc important?

 

 

 

UNICEF, PATH, CHAI, Gates and ColaLife offer images for the ORSZCA website

Mother administering ORS to child - Dhaka (Gates Foundation)
Mother administers ORS to her child. ICDDR,B Hospital Dhaka
© Bill & Melinda Gates Foundation/Prashant Panjiar

We are very grateful to UNICEF, PATH, the Clinton Health Access Initiative (CHAI), the Bill and Melinda Gates Foundation and ColaLife for offering images for the ORSZCA website. These will start appearing on the website over the next couple of weeks.

If you are able to offer images, please comment below or email admin@orszco-pack.org.