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incidents leading to deaths due to substandard and fake drugs. The federal<br />

government adopted the Drug Regulatory Authority of Pakistan Act (DRAP)<br />

2012 in November to tackle the situation and to prevent future accidents. The<br />

law is aimed at preventing the sale of fake, sub-standard and unregistered<br />

medicines and to prevent hoarding of medicines. It also regulates the<br />

manufacturing, storage, sale and advertisement of drugs. The authority has<br />

been designed along the lines of similar authorities in the US and Canada and<br />

aims to protect the interests of patients, pharmaceutical industry and authority<br />

officials. In addition to a CEO, the authority would consist of 13 directors<br />

appointed by the federal government.<br />

Rescue 1122<br />

The Rescue 1122 service was established in the Punjab province prior to<br />

2008 and has consistently provided excellent emergency assistance and rescue<br />

services throughout the largest province of the country. The service has<br />

infrastructure in all 36 districts of the province. According to its official website,<br />

the rescue service had saved over 1.7 million lives by the end of 2012 with an<br />

average response time of seven minutes. These included over 620,000 road<br />

traffic accidents, over 860,000 medical emergencies, 40,000 fire emergencies,<br />

3,500 building collapse, over 50,000 incidents of crime, 3,500 drowning and<br />

716 blasts/ explosions. The failure to substantially expand this service outside<br />

the urban centres and to other provinces shows either incompetence or perhaps<br />

how politics plays a critical and subversive role in provision of healthcare.<br />

Recommendations<br />

1. Budgetary allocation for the health sector needs to be increased to at<br />

least 2.5% of GDP.<br />

2. Decentralization and de-politicization of health governance is critical<br />

to fixing systemic problems. Primary healthcare should be prioritized with<br />

emphasis on immunization programmes, provision of safe drinking water and<br />

sewerage systems.<br />

3. Security and a safe environment must be provided to lady health workers<br />

so that they can carry out immunization campaigns and create awareness about<br />

population planning.<br />

4. The Drug Regulatory Authority needs to work vigilantly in order to<br />

avoid casualties due to usage of fake, substandard and unregistered drugs.<br />

5. A strategy needs to be evolved to achieve all health-related MDGs<br />

including maternal, neonatal, infant and child mortality; women’s reproductive<br />

245<br />

State of Human Rights in 2012

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