Understanding depression and related symptoms keyto suicide prevention in SA

According to the World Health Organisation (WHO), South Africa has the sixth highest rate of suicide in Africa, with the data revealingthat approximately 11.6 of every 100 000 people in the country completing suicide1. It is commonly accepted that the majority of suicides and suicide attempts occur among individuals who suffer from undiagnosed and untreated depression, with theWHO estimating that more than 300 million people are affected by depression worldwide2.

Cipla’s Associate Director – Marketing in the portfolio, Central Nervous System, Wouter Lombard, says that in light ofWorld Suicide Prevention Day on Monday 10 September, it should be emphasised that depression is in fact a medical condition.

“Just as any other organ in the body canbecome ill or affected, so too can the brain. Various factors – not just chemical imbalanceswithin certain sections of the brain, can lead to various mental illnesses, including depression3.”

Lombard explains that depression is a medical condition that can be diagnosed and treated. “It is believed that around 50% ofindividuals with depression do not receive treatment2.”

Some of the signs and symptoms of depression include problems concentrating, remembering details, and making decisions, fatigue, feelings of guilt, hopelessness, insomnia, irritability, restlessness, loss of interest in things once pleasurable, overeating or appetite loss, persistent feelings of sadness and suicidal thoughts4.

Lombard says

“If you or a loved oneis experiencing any of these symptoms, it is advisable to seek professional help. Depression does not simply go away, and there is no shame in seeking help for it,” .

According to information put together by the South African Depression and Anxiety Group (SADAG), there are a number ofwarning signs to indicate that someone is at risk of suicide. These signs include previous suicide attempts, talking about death or suicide, statements such as “my family would be better off without me”, withdrawing from friends and family, symptoms ofdepression, moodiness, changes in sleeping patterns, changes in appetite or weight, fatigue or loss of energy, feelings of worthlessness, self-reproach or guilt, extreme anxiety, agitation, excessive drug and/or alcohol use, giving away prized possessions, writing a will and making funeral arrangements5.

According to SADAG,individuals with suicidal thoughts can be empowered to seek help by understanding and identifying the warning signs within themselves.

Whether you are helping a friend, or need help yourself, contact the SADAG suicide helpline on 0800 567 567 or visit www.sadag.org for more information and help.


Sources:
1. World Health Organisation (WHO). World Health Statistics data visualizations dashboard. (2016). Available at: http://apps.who.int/gho/data/node.sdg.3-4-viz-2?lang=en
2. World Health Organisation. Depression. 1–4 (2015). http://www.who.int/news-room/fact-sheets/detail/depression
3. Harvard Health Publishing. What causes depression? https://www.health.harvard.edu/mind-and-mood/what-causes-depression
4. WebMD. Symptoms of Depression. https://www.webmd.com/depression/guide/detecting-depression#1
5. SADAG. Dealing with someone who is considering Suicide.pdf.


About Cipla:

Established in 1935, Cipla is a global pharmaceutical company focused on agile and sustainable growth, complex generics, and deepening portfolio in our home markets of India, South Africa, North America, and key regulated and emerging markets. Our strengths in the respiratory, anti-retroviral, urology, cardiology and CNS segments are well-known. Our 44 manufacturing sites around the world produce 50+ dosage forms and 1,500+ products using cutting-edge technology platforms to cater to our 80+ markets. Cipla is ranked 3rd largest in pharma in India (IQVIA MAT Mar’18), 4th largest in the pharma private market in South Africa (IQVIA MAT Jun’18), and is among the most dispensed generic players in the US. For over eight decades, making a difference to patients has inspired every aspect of Cipla’s work. Our paradigm-changing offer of a triple anti-retroviral therapy in HIV/AIDS at less than a dollar a day in Africa in 2001 is widely acknowledged as having contributed to bringing inclusiveness, accessibility and affordability to the centre of the movement. A responsible corporate citizen, Cipla’s humanitarian approach to healthcare in pursuit of its purpose of ‘Caring for Life’ and deep-rooted community links wherever it is present make it a partner of choice to global health bodies, peers and all stakeholders. For more, please visit www.cipla.com, or click on Twitter, Facebook, LinkedIn.


About Cipla South Africa:

Cipla Medpro South Africa (Pty) Limited is a wholly owned subsidiary of Cipla Limited, India and fourth largest pharmaceutical company in the private sector in South Africa. Through Cipla’s ethos of ‘Caring for Life’, Cipla Medpro produces world-class medicines at affordable prices for the public and private sectors, advancing healthcare for all South Africans.

For more information, visit www.cipla.co.za/


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Cipla Quality Chemical Industries Limited Bell Ringing and First Day of Trading on the Uganda Securities Exchange


Kampala. Cipla Quality Chemical Industries Limited (CiplaQCIL), a leading pharmaceutical manufacturing company in Sub Saharan Africa operating in Uganda, today officially listed on the Uganda Securities Exchange. The Listing Day event was graced by the Minister of Trade & Industry of Uganda, Hon. Amelia Kyambadde and held at Kampala Serena Hotel with the ceremonial Bell Ringing to start trading in CiplaQCIL at exactly 9:30am.

The Uganda Securities Exchange public trading floor and Automated Trading System (ATS) were relocated to the Serena, the first time this has been done for a Listing Day.

Emmanuel Katongole, Executive Chairman CiplaQCIL said,

“Today, is a key milestone not just for the Company but also for Ugandans because it is a testament to the fact that enterprise, integrity and partnerships will make your dreams come alive. We are excited for the next phase of the CiplaQCIL journey and even more so because we are embarking on this journey with many Ugandan individuals, investment clubs, and institutional investors. We are grateful for the interest and support during the IPO period as shown by the oversubscription in the institutional pool and the several thousand investors who participated in the retail pool.

Nevin Bradford, the CEO of CiplaQCIL said,

‘This public listing, is in line with our long term vision at CiplaQCIL to become a center of excellence in the manufacturing of quality, affordable and newer medicines that improve the quantity and quality of life. Since our humble beginning 13 years ago, we have made a significant contribution to the effort to save lives by arresting the scourge of dreaded diseases, such as malaria, HIV/AIDS and hepatitis B. Our WHO pre-qualified products are already approved by regulatory authorities in 19 countries, including: Uganda, Kenya, Rwanda, Tanzania, Namibia, Ivory Coast, Zambia, Zimbabwe, Malawi, Namibia, Mozambique, Ghana, Ethiopia, Angola and South Sudan among others. We continue to pledge zero tolerance for any compromise in quality at our state-of-the-art Kampala manufacturing plant.’

Paul Bwiso, the CEO Uganda Securities Exchange said,

“We congratulate CiplaQCIL upon being the first company with Ugandan founders and entrepreneurs to bring their company for a listing on the USE. It is the 9th local company to be listed and as a pharmaceutical manufacturing company offers investors a unique asset. Over two thousand five hundred new investors opened securities accounts to participate in the offer. As part of the USE mandate and the leading platform for secondary market trading in Uganda we must continuously review our value addition to all stakeholders, investors, issuers, custodians, brokers and all market players. We congratulate CiplaQCIL on this historic achievement and thank them on behalf of the market.’

Robert Baldwin, the CEO Crested Capital the Lead Sponsoring Stockbroker for the CiplaQCIL IPO said,

“We are extremely pleased to reach today’s Listing Day milestone for CiplaQCIL. The turnout of new, first-time investors in the retail pool was much higher than anticipated. More than thirty investment clubs and saccos also participated in the offer, deepening the engagement of the investing public in Uganda’s stock market. Finally, this IPO is the most cost-efficient in history with less than 5% of the advertising and promotional budget of previous public offers. I commend the issuer, transaction advisors, Crested’s Special Project team and of course our regulators CMA and USE for their tireless efforts to bring CiplaQCIL to market.”

For more information, please contact Joan Okello on 0776437080.


EDITORS NOTES

Transaction Advisors

Renaissance Capital is the Lead Transaction Advisor (LTA) and Crested Capital is the Lead Sponsoring Stock Broker (LSSB) to the Transaction.

Major International Certifications attained by CiplaQCIL

  • World Health Organization (WHO) Good Manufacturing Practices for plant and products
  • International Committee of Red Cross (ICRC)
  • Drugs for Neglected Diseases Initiative (DNDI)
  • Kenya Pharmacy and Poisons Board GMP
  • Tanzania Food and Drugs Administration (TFDA)
  • Uganda National Drug Authority (NDA)
  • Zambia Medicines Regulatory Authority (ZAMRA)
  • Namibia Medicines Regulatory Council (NMRC)
  • Ethiopia Food, Medicine and Healthcare Administration and Control Authority (FMHACA)
  • Ivory Coast Direction de la Pharmacie et du Medicament (DPM)
  • South Sudan General Medical Council (SSGMC)
  • Rwanda Biomedical Centre (RBC)
  • Angola National Directorate of Medicines and Equipment(DNME)

Awards received by CiplaQCIL

  • Africa award for entrepreneurship (Transformational Business of the year: 2012 winner)
  • Landmark Africa Private Equity Deal of the Decade (Private Equity Africa: 2012 Winner)
  • Outstanding Achievement in development of the Pharmaceutical sector (Ministry of Health: 2012 winner)
  • Investor of the Year (Uganda Investment Authority: 2007 Winner)

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Zambia trial cuts severe malaria deaths by 96 per cent

[KISUMU, KENYAI] A suppository form of the common antimalarial artesunate has dramatically cut child deaths from severe malaria in a trial in rural Zambia, one of the organisations behind the programme has said.

According to the WHO’s world malaria report published in 2017, Zambia’s entire population of nearly 17 million people had an about three million malaria cases in 2016, with about seven per cent of the cases progressing to severe malaria during which patients may become unconscious.

Children under five years old are the age group most susceptible to severe malaria due to a lack of immunity and if left untreated, severe malaria can quickly become fatal, experts say.

During a 12-month trial with a suppository formulation of the common antimalarial artesunate, deaths from severe malaria cases declined from eight to 0.25 per cent despite identifying 225 and 1,215 cases respectively at the study’s baseline and endline, the researchers announced the findings today.
Pierre Hugo, MMV

“By improving access to key severe malaria medicines and improving case management, the project was able to reduce mortality from untreated severe malaria.”

Knowledge of severe malaria danger signs at a community level improved significantly, with more than 85 per cent of community health volunteers knowing three or more danger signs at endline compared to less than 50 per cent at baseline,” explained Pierre Hugo, a director at the Swiss-based not-for-profit Medicines for Malaria Venture (MMV), in an interview with SciDev.Net.

Although WHO guidelines for the treatment of malaria have included recommendations for the use of the suppository form of the drug, known as rectal artesunate suppository (RAS), for over ten years, until recently there was no quality-assured RAS product on the market.

In the past this has forced malaria-endemic countries to choose from sources of drug supply that did not meet international standards.

As a result, the MMV is collaborating with two Indian pharmaceutical companies, Strides and Cipla, to secure WHO prequalification of RAS as part of a project funded by the international malaria initiative UNITAID.

As part of the trial, trained community health volunteers administered the drug to all children from six months to six years old with severe malaria cases and referred them to health facilities, with 70 per cent aided by use of emergency transport system, the researchers added.

The trial was so successful because the suppository formulation means the drug could be given even when the child was unconscious or vomiting, which is not the case for oral medicines.

The trial, which began in July last year, was conducted at Zambia’s Serenje district in partnership with Zambia’s National Malaria Elimination Centre.

Hugo said that the trial aimed to increase access to quality-assured artesunate at the community level and to reduce deaths from severe malaria in children under six by improving case management of severe malaria in children.



“By improving access to key severe malaria medicines and improving case management, the project was able to reduce mortality from untreated severe malaria and save the lives of many children, thereby benefitting these children as their families and communities,” Hugo said, adding that the project built the capacity of intervention communities and health facilities to control severe malaria in children.

Willis Akhwale, founder and executive director of  Kenya-based Continental Public Health Consulting and a malaria control specialist, says that the results indicate a significant public health impact if the intervention is rolled out.

Akwhale says.

“A 96 per cent reduction of severe malaria case fatality rate, especially in children less than five years of age through community case management of malaria, will be ground breaking,”

But Akhwale, adds that most deaths arising from severe malaria are due to anaemia, which requires blood transfusions and administration of intravenous fluids at health facilities.

Thus, it is prudent that this strategy is deployed alongside a well-functioning referral system and better equipped primary health care facilities, Akwhale explains.

“Access to health facilities remains a barrier to quality health care in most countries with a high burden of malaria,” he adds.

This piece was produced by SciDev.Net’s Sub-Saharan Africa English desk.


This article originally appeared in www.scidev.net

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Cipla’s New Triple Combination Antiretroviral Drug Approved

11 September 2018 – The South African Health Products Regulatory Authority (SAHPRA) has  approved Cipla’s latest first-line triple-combination antiretroviral (ARV) treatment for HIV. The new combination medicine commonly referred to as TLD, is a combination of tenofovir (TDF),
lamivudine (3TC) and dolutegravir (DTG).

In future, TLD will be manufactured at Cipla’s facilities in Durban and Uganda, reinforcing Cipla’s commitment to produce medicines in Africa for Africa and ensuring more affordable treatment for patients.

Head of Manufacturing for Cipla South Africa, Ajay Kumar Pal, said the reason for the new formulation complexity related to the three different processes required for the three active pharmaceutical ingredients (APIs). In addition to the considerable technology and infrastructure
investment of more than R48m (including a machine worth R16m), there are also additional complexities pertaining to the double coating and compression of the tablet, and the product also undergoes exhaustive testing at different stages of manufacturing.

Cipla’s investment in infrastructure aligns with the government’s request to support local industries to stimulate economic growth. Manufacturing and investment in infrastructure have been identified by the World Bank, and in the United Nations Sustainable Development Goals, as the
multiplier for job creation, as well as economic growth and development in any country. Cipla continues to work closely with government in this regard and to ensure that people have access to affordable treatment.

Cipla has a legacy of pioneering affordable ARVs: in 2001, it produced the world-first three-in-one fixed combination drug, available at less than $1 per day, thereby enabling countless more patients to have access to life-saving medication. This new fixed-dose combination – an addition
to Cipla’s comprehensive portfolio of HIV medication – is recommended by the World Health Organisation (WHO) as a preferred first-line regimen.

Cipla South Africa CEO, Paul Miller, said: “We’re always focused on ensuring that patients benefit by having access to quality, affordable ARVs. DTG is considered a best-in-class medicine providing many clinical benefits for people living with HIV. With DTG replacing efavirenz (EFV) in the first-line fixed dose combination treatment thereby reducing the likelihood of treatment failure, TLD has the potential to reduce overall treatment costs.”

According to UNAIDS, “antiretroviral therapy using dolutegravir has several advantages over other regimens, including clinical superiority, improved side-effect profile, and reduced risk of viral resistance”.


About Cipla

Established in 1935, Cipla is a global pharmaceutical company focused on agile and sustainable growth, complex generics, and deepening portfolio in our home markets of India, South Africa, North America, and key regulated and emerging markets. Our strengths in the respiratory, anti-retroviral, urology, cardiology and CNS segments are well-known. Our 44 manufacturing sites around the world produce 50+ dosage forms and 1,500+ products using cutting-edge technology platforms to cater to our 80+ markets. Cipla is ranked 3rd largest in pharma in India (IQVIA MAT Mar’18), 4th largest in the pharma private market in South Africa (IQVIA MAT Jun’18), and is among the most dispensed generic players in the US. For over eight decades, making a difference to patients has inspired every aspect of Cipla’s work. Our paradigm-changing offer of a triple anti-
retroviral therapy in HIV/AIDS at less than a dollar a day in Africa in 2001 is widely acknowledged as having contributed to bringing inclusiveness, accessibility and affordability to the centre of the movement. A responsible corporate citizen, Cipla’s humanitarian approach to healthcare in pursuit of its purpose of ‘Caring for Life’ and deep-rooted community links wherever it is present make it a partner  of choice to global health bodies, peers and all stakeholders. For more, please visit www.cipla.com, or click on www.cipla.com, or click on Twitter, Facebook, LinkedIn.


About Cipla South Africa

Cipla Medpro South Africa (Pty) Limited is the third largest pharmaceutical manufacturer in the country. Through Cipla’s ethos of ‘Caring for Life’, Cipla Medpro produces world-class medicines at affordable prices for the public and private sectors, advancing healthcare for all South Africans. For more information, visit www.cipla.co.za.

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Priyanka Chopra Partners with Cipla Respiratory to Create Awareness about Asthma and Break the Stigma Surrounding its Treatment

Press Release

Cipla Limited (“Cipla”), today announced a partnership with Priyanka Chopra – actor and global icon – to raise awareness about asthma, along with helping address its psychosocial aspects including stigma, one of the key contributing factors for patient anxiety, delayed diagnosis, denial & limited disclosure of being asthmatic and avoidance of inhaler use in public. As a part of a holistic multipronged campaign, Priyanka will help spread the word regarding the need for an attitudinal change towards inhalation therapy as the most effective for asthma management vis-à-vis oral medication.

According to the World Health Organization in 2017, approximately 235 million people suffer from asthma. India is home to a whopping 37 mn asthmatics, the second largest in the world. Cipla Limited has continually led the charge in reinforcing awareness over the last 25 years about asthma with the objective to help increase acceptance of inhalation therapy as the foremost and most effective medication among asthmatics, caregivers and the general public.

Nikhil Chopra, Head India Business, Cipla Ltd said “Cipla has always placed patient well-being at the core of all its initiatives and believed in a holistic approach to disease management. We are continuously working towards providing people with asthma the right treatment while ensuring every citizen is made aware about its long-term implications. Asthma is always easier to control when diagnosed earlier and when one consistently stays on a treatment plan. We are happy to partner with Priyanka Chopra, a super achiever, and an inspiration for many to help increase both relevance and acceptance of inhalation therapy thereby ensuring better follow-up with optimal outcomes for asthmatics. This association and the upcoming #BerokZindagi campaign for inhalation therapy directly resonates with our endeavor of enabling people with asthma to achieve more in their daily lives.

Speaking on the partnership, Global Icon Priyanka Chopra, said, “As someone who is Asthmatic, I can say that there is social stigma associated with asthma and its therapy. It is evident that asthma is on the rise in India and there is little awareness about the most effective therapy on offer. I am glad that I have the opportunity to be a part of the initiative with Cipla, a company that has always stood for caring for people. Through this platform, I would like to tell people that it is very crucial to get treated for asthma as early as possible. Timely diagnosis and the right treatment combined with simple lifestyle modifications can help in managing asthma better.”

Inhalation therapy is the foremost and most effective medication for any asthmatic patient compared to oral therapies like tablets and syrups. In inhalation therapy, the drug acts directly in the lungs instead of flowing through the bloodstream and other organs of the body. Thus, there is lesser drug required and hence fewer side effects. It is in fact the safe treatment option for asthmatics.

This association will be supplemented by an innovative media campaign that will kick off on Television in the month of September. The campaign will also be supported by digital media – Facebook and Twitter as well as large scale on the ground activations to drive awareness.

To know more about #BerokZindagi, visit Breathfree

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