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“Phake: The deadly world of falsified and substandard medicines”
Spot the fake
Just four years ago, 149 Americans died after using contaminated heparin, a blood-thinning drug. The discovery of the fake cancer drug Avastin in three U.S. states in March and April revived concerns over drug safety in America. Since 80 percent of American medicines contain foreign ingredients, it is critical to understand where dangerous medicines come from and how they traverse the globe.
After seven years of investigations, Roger Bate, author of the new book, “Phake: The Deadly World of Falsified and Substandard Medicines,” has found some incredibly realistic fakes. Which are real and which are phony? See if you can tell the difference.
Thaitanzunate artesunateCan you figure out which box of this anti-malarial drug is real and which is fake?
Spot the fake
Thaitanzunate artesunate
If you said yes, you’re wrong. There are no distinctive marks to tell real from fake. The only way to know is to test the drug itself with lab equipment.
“Phake: The deadly world of falsified and substandard medicines”
PlavixHeart medication taken by millions worldwide.
Spot the fake
Plavix
Plavix pills are engraved with the number ‘75’ on them. The fake one, with shallower indentation and a sharper edge, is on the left. The real one, which has deeper indentation, is on the right.
“Phake: The deadly world of falsified and substandard medicines”
Spot the fake
What could be wrong with either of these boxes of Artesunat, an anti-malarial drug?
Artesunat
It’s hard to tell in person between a real and fake hologram. But when photographed, the real hologram, like the one on the bottom, is much more colorful and readable.
“Phake: The deadly world of falsified and substandard medicines”
CiprofloxacinCiprofloxacin is a commonly used antibiotic.
Spot the fake
Ciprofloxacin
In this case, phony Cipro can only be distinguished by the lack of a hologram on the back side of the box, as noted on the bottom right.“Phake: The deadly world of falsified and substandard medicines”
ArtefanCompare the box of Artefan, an antimalarial drug, on the left against the one on the right. Which is real?
Spot the fake
Artefan
A cruel trick. There is no way to know the difference between these two boxes without testing the pills inside.“Phake: The deadly world of falsified and substandard medicines”
PlavixPlavix is produced by Bristol-Meyers Squibb and Sanofi Pharmaceuticals. Do you know which directions are accurate?
Spot the fake
Plavix
There are actually two clues here to the real drug label. Notice the difference in coloring and accents in the text. The darker blue label above with accented vowels is real. The lighter blue without the accents is fake.
“Phake: The deadly world of falsified and substandard medicines”
Learn more
In his new book, “Phake: The Deadly World of Falsified and Substandard Medicines,” Roger Bate explores the underground trade in illegal medicines that kills over 100,000 people per year and supplants billions of dollars of real products. “Phake” is a fascinating firsthand account of this illegal industry — unearthing a complex web of criminal traders and corrupt officials — and an incisive academic and policy analysis with practical implications.