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Nursing home patients given ‘inappropriate’ tranquillisersMore than 80% of elderly people
prescribed strong tranquillisers in a sample of British nursing homes were given
them with no proper medical justification, according to research published last
weekend.
The neuroleptic drugs – administered to quieten
patients with what staff call “behavioural problems” – were
likely to make their dementias worse and risk making them break their hips or
other limbs in falls, say the doctors who conducted the study.
The Alzheimer’s Society said that the finding was true
of old people in homes across Britain and could apply to up to 100,000 of the
500,000 in residential care. The report was “a nail in the coffin”
for indiscriminate prescribing, said the society’s chief executive, Harry
Cayton. The Liberal Democrats’ spokesman for older people, Paul Burstow,
said that they were the victims of “a chemical cosh”. Nursing homes,
short of trained staff, were turning to chemical cocktails to make patients easy
to manage.
The research by five doctors at London teaching hospitals
was published in the journal Age And Ageing. The study of nearly 1,000 patients
over 65 found that drugs were given to just under 25% of all patients. But
medical notes showed the prescriptions were not “appropriate
therapy” for 82.8% of those who received them. More than half the
prescriptions had not been reviewed for six months.
Guardian Weekly,
13–19 February 2003
Canadian high court rejects OncoMouseCanadian researchers don’t
have to worry about paying licensing fees for the use of transgenic animals. The
nation’s top court ruled last week that higher life forms aren’t
patentable.
In a 5–4 decision, the Supreme Court of Canada ended
Harvard University’s 17-year quest to obtain Canadian patent protection
for its OncoMouse, ruling that the cancer-prone rodent can’t be owned. The
court said that OncoMouse, developed by Philip Leder of Harvard Medical School
in Boston, isn’t an invention under an 1869 Canadian law that protects
“any new and useful art, process, machine, manufacture or composition of
matter.”
Writing for the narrow majority, Justice Michael Bastarache
made a philosophical argument for the court’s ruling, which stands in
contrast to patents granted by 17 nations, including France, Germany, Japan, and
the United Kingdom. “A complex life form such as a mouse or a chimpanzee
cannot easily be characterised as ‘something made by the hands of
man,’ ” he wrote. Nor is OncoMouse a “composition of
matter,” he added. “Higher life forms are generally regarded as
possessing qualities and characteristics that transcend the particular genetic
matter of which they are composed,” Bastarache noted. “A person
whose genetic makeup is modified by radiation does not cease to be him or
herself. Likewise, the same mouse would exist absent the injection of the
oncogene into the fertilized egg cell; it simply would not be predisposed to
cancer.”
Science
2002;298:2112–3
Lack of new drugs is reaching crisis pointThe number of new drugs approved in
the United States last year fell to half the annual average over the past five
years. The miserable tally of new drug approvals in 2002 – at the time of
writing, just 15 new molecular entities had passed FDA review – well down
even on the depressingly low average for the last five years – 31 a year,
shows just how rare an event success can be in the drug discovery world. And
with new drug application numbers down worldwide, concern is beginning to spread
beyond the borders of the pharmaceutical industry.
Faced with sparsely populated pipelines, companies are
beginning to shift research budgets towards more aggressive marketing of
existing products. These are worrying times.
The process of turning ideas into drugs is acknowledged as
being the hardest skill to teach new recruits to the drug discovery business.
Selecting research targets for new drugs takes place in an environment that is
strongly influenced by financial considerations.
Most so called blockbuster drugs were not forecast to be big
sellers. The initial sales forecast for tamoxifen was a modest ₤100 000
($160 000; €150 000).
BMJ 2003;326:119
‘Protato’ to feed India’s poorGenerically modified potatoes will
play a key part in an ambitious 15-year plan to combat malnutrition among
India’s poorest children. Anti-poverty campaigners have greeted the
“protato” with cautious support.
The three-pronged attack on childhood mortality would aim to
provide children with clean water, better food and vaccines. “Zero child
mortality in underprivileged children would be the goal,” says
Govindarajan Padmanaban, a biochemist at the Indian Institute of Science in
Bangalore.
Formulated in collaboration with charities, scientists,
government institutes and industry, the anti-hunger plan is under consideration
by the Indian government. Meanwhile, the protein-rich GM potatoes are in the
final stages of testing, prior to being submitted for approval.
Padmanaban, who outlined the plan at a conference at the
Royal Society in London last month, hopes Western-based environmental groups and
charities will not demonise the project in the same way as they did
AstraZeneca’s “golden rice”, a strain modified to make more
vitamin A. “The requirements of developing countries are very different
from those of rich countries,” he says. “I think it would be morally
indefensible to oppose it.”
Asis Datta’s team at the Jawaharlal Nehru University
in New Delhi added the
AmA1
gene to potatoes, with the result that they make a third more protein than
usual, including substantial amounts of the essential amino acids lysine and
methionine.
AmA1
is a gene from the amaranth plant, a crop long grown by native South Americans
and now available in some Western health food stores.
New Scientist, 4 January
2003
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