Perspective of China
> existing more than 3500 medicines More than 60 kinds of children are used exclusively for children, accounting for the total number of 1.7%
at least 50% of the drugs used in pediatrics without the use of children and the amount of
that think that children are "small adults". About 30000 children have fallen into a silent world due to improper medication. The incidence of adverse drug reactions (ADR) in children was 12.5%, 2 times for adults, 24.4% in newborns, 4 times as
for adults. The number of children aged 5~14 years old in our country may be as many as 100 thousand
children may be died of preventable and treatable diseases each year. And research and development investment, urgently need policy help
5 year old Fu Xin Nuo 3 years ago due to improper medication cause deafness, to Xi Nuo family as if a bolt from the blue. "I don't feel a little hope in my life." Her mother told the news weekly, "look out".
mother, the family, said that the whole family had almost run through the major hospitals, and a trace of hope could not be snubbed, but the doctor's conclusion was that neurogenic deafness could not be cured at the moment, only by auxiliary hearing aids, and it was impossible to implant the cochlear implant.
this kind of skin pain, so that the mother is aware that in the use of drugs, the child is not an adult "reduced version", children to use children's medicine, the wrong use of drugs may affect the child's life.
is not a solitary example. According to statistics from the China Center for the rehabilitation of deaf children, about 30000 children in China fall into silent world each year due to improper medication. According to statistics, the incidence of adverse drug reactions in children in China is 12.5%, 2 times that of adults, and 24.4% for newborns, 4 times for adults.
Yao Hongwen, director of the China Population Education and education center, is "grudges" about these figures. "Behind these figures, they are not only children, but also a lot of misfortunes for their children," he said to the news weekly of "the lookout". "It brings a heavy burden to the society."
behind the grim situation of children's adverse drug reactions is the fact that Chinese children are short of medicine and medicine. In 2016, the white paper on the safety of children's drug use in the white paper (white paper) shows that the number of children in our country accounts for 19.3% of the number of children, and only more than 60 of the existing 3500 kinds of drugs are used exclusively for children, accounting for only 1.7% of the total.
as of 2014, there were about 230 million children in China, accounting for 16.5% of the total population. How to change the reality of Chinese children's "lack of medicine and medicine" to ensure the basic needs of children? What obstacles do companies face for children to "tailor" drugs? All sorts of problems and urgent breakthroughs.
came to the Beijing Children's Hospital more than 20 years ago. "Over the past 20 years, the pharmacists in our hospital have changed several times, but this scene has never changed."
Wang Xiaoling is director of Pharmacy Department of Beijing Children's Hospital. In her opinion, tablets were milled into powder and then divided into doses, which means that children's medicines are not sufficient in dosage forms and specifications.
Wang Xiaoling was commissioned by the State Administration of health and Planning Commission to carry out a survey. The results showed that in the catalogue of pediatric drug use in 15 large children's hospitals in the country, the most advanced dosage forms were injections, tablets, and only 21 oral solutions. "For young children, it means that they are likely to face only a tablet that can be selected. This requires that the tablets be divided into 1/2 tablets and 1/4 tablets. For newborns, it may have to have 1/8 or even smaller pieces, and once they are unevenly divided, it may cause drug damage. In addition, there are very limited varieties of syrup suitable for children. "
in addition to dosage forms and specifications, the shortage of children's medicines should not be overlooked. The survey carried out by the former Wang Xiaoling showed that there were 1098 kinds of drugs in the Department of Pediatrics of 15 major pediatric hospitals in the country, only 45 kinds of special drugs for children, 4% of them, and about 43% of the other 1053 kinds of drugs. "This means that at least 50% of the drugs are not used in the pediatric department. The shortage of children's medication instructions and information, and the use and dosage of the children are not clear, and the pediatrician is faced with the dilemma of the law and the clinic every day. Wang Xiaoling said.