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Answers - The Challenges Of Medical Missions In Honduras
Medical missions are being held worldwide in needing countries. honduras is no exception. Medical mission teams travel in remote regions setting-up their clinics in schools or churches.
Of course the first priority is to
Of course the first priority is to
According to USFDA, a combination product is one composed of any combination of a drug and device; biological product and device; drug and biological product
make sure the place is sanitized and the dogs need to find something else to do for a while. One medical doctor volunteer, Dr. Nathalie Fiset, explained how their team set things up and how each complimented the other an
; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.
Examples of combination products may in
Examples of combination products may in
d how they quickly organized to help the onslaught of patients;
"Dr Rudy is always my “left- winger” and I can call upon him anytime I need something complicated explained in Spanish to the mother. I see children and wom
"Dr Rudy is always my “left- winger” and I can call upon him anytime I need something complicated explained in Spanish to the mother. I see children and wom
lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.
en under 35 years old. There are two other doctors who are seeing adults. Dr Jeff Kroll is a urologist and takes care of the minor surgeries with the material we brought. On an average day we see over 1000 people. I count
here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe
ed one day for fun and realized I had seen over 250 patients. Not a bad day at the office. We have to stop at sun down because we have no electricity and it gets pretty dark to see and diagnose when people show us a rash.
d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.
Combination pro
Combination pro
"
So many of the people in rural Honduras do not understand medicine or how it works. Some think that a magic pill will be given to them. They think that a couple of vitamins will cure their malnutrition. Of course the m
So many of the people in rural Honduras do not understand medicine or how it works. Some think that a magic pill will be given to them. They think that a couple of vitamins will cure their malnutrition. Of course the m
ucts have become life saving products for the pharmaceutical companies who doesn’t have many innovative molecules in their product pipeline and have been inc
edical volunteers know it does not work that way, yet still work hard to help any way they can. Some cases are simple others very serious and yet the camaraderie and team work helps them through another long day;
"One of
"One of
easingly used in the product life cycle management. Even the companies having product patents are trying to extend their product life cycle through the combi
the days, my energy level was very high and I must have seen over 300 people because Rudy was pretty sick and could see less people. Whenever I was done seeing patients, I would walk up to Ray, the man doing circulation a
nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically
nd say “LISTA” meaning I am ready and he would send in more people. One time, I walk up to him and I say “lista”. He proudly sends in a family of seven. I rapidly see them and send them to pharmacy and walk back to Ray sa
and physically. They need to rightly judge the benefits of the combination products and they have to even look at the risks involved when combining the produ
ying; 'Is that the best you can do?'”
After a hard day helping people until it is impossible to see what you are doing any longer due to darkness the team is both amped with energy and exhausted at the same time. Gratefu
After a hard day helping people until it is impossible to see what you are doing any longer due to darkness the team is both amped with energy and exhausted at the same time. Gratefu
ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi
l for making it through and physically and mentally drained. Like a group of marathon runners they reflect upon what they had just done, knowing that they need to get some sleep and prepare for the next day and do it all
ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.
Following aspects would a
Following aspects would a
over again. The patients and locals are so appreciative noted one volunteer of the medical team;
"Most people stay with us after the clinic is finished and sing and pray with us returning to their home walking in the dar
"Most people stay with us after the clinic is finished and sing and pray with us returning to their home walking in the dar
dd to the challenges in developing combination products:
Which markets to tap where the combination products can do fairly well?
Which combination prod
Which markets to tap where the combination products can do fairly well?
Which combination prod
k late at night".
The serious cases are the ones which really take their toll on the volunteers said most of the medical doctors and assistants we interviewed. They all agreed that this is why they volunteered and said t
The serious cases are the ones which really take their toll on the volunteers said most of the medical doctors and assistants we interviewed. They all agreed that this is why they volunteered and said t
cts are meaningful and rational?
Which therapeutic categories to select?
Which Combinations can address unmet needs of the patients?
Do combin
Which therapeutic categories to select?
Which Combinations can address unmet needs of the patients?
Do combin
hat it was lucky they arrived when we did. Each medical team had such stories of how they saved a young child's life. Dr. Nathalie Fiset recalled one serious situation that was beyond their immediate abilities with the eq
tions increase the patient compliance?
What would be the developing cost?
How to tackle the risks encountered during combination product developmen
What would be the developing cost?
How to tackle the risks encountered during combination product developmen
ipment and supplies they had brought;
"I had seen a child with severe asthma who was turning blue and losing consciousness. After giving him all the antibiotics, cortisone shots and inhalers we could see he was not gett
"I had seen a child with severe asthma who was turning blue and losing consciousness. After giving him all the antibiotics, cortisone shots and inhalers we could see he was not gett
t?
As combination products don't fit into the traditional categories of drugs, medical devices, or biological products, the USFDA is in the process of devel
As combination products don't fit into the traditional categories of drugs, medical devices, or biological products, the USFDA is in the process of devel
ing better. When we told the mother she needed to go to the hospital, she said that was not possible because she had other children to take care of. We managed to arrange for her to get a ride from the only person who had
ping new procedures for reviewing their safety, efficacy and quality.
Professional from academic institutions, pharmaceutical industries, health care indust
Professional from academic institutions, pharmaceutical industries, health care indust
a car and a neighbor would take care of the other children. If this child did not go to the hospital he would have died."
The dental care and assistance needed for Hondurans is also a huge issue, as most people never br
The dental care and assistance needed for Hondurans is also a huge issue, as most people never br
y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products
ush their teeth and at a very young age, they have advanced cavities and teeth rotting to the bone. The dentists who go on these medical missions are doing only extractions-hundreds of them per day. One volunteer working
.
As there is an increasing trend of the combination products companies manufacturing such products should be able to tackle the problems involved in the de
As there is an increasing trend of the combination products companies manufacturing such products should be able to tackle the problems involved in the de
along side a dentist pulling teeth stated;
"They often put me next to the dentist and seeing and hearing all those extractions make me want to “double-brush” my teeth at night!"
Most Honduras people are very tough and o
"They often put me next to the dentist and seeing and hearing all those extractions make me want to “double-brush” my teeth at night!"
Most Honduras people are very tough and o
elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.
Companies that provide selfless information through particip
Companies that provide selfless information through particip
ften women are breastfeeding while getting their teeth extracted, talk about dedication to motherhood? Of course dentists are a precious commodity for any medical mission to Honduras, as it seems they can never get enough
tion in industry events and feedback to regulatory authorities would be able to face the challenges and will be successful in developing combination products
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