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Pharmacovigilance in the Caribbean Countries: an Overview
Kingsley E W Walker1, Reshma Bankay1, Satish Jankie2
1Department of Paraclinical Sciences, The University of the West Indies, St. Augustine, Trinidad and Tobago.
Caribbean pharmacovigilance (PV) systems require significant enhancement to meet WHO standards. Increased online drug access and falsified medicines necessitate improved post-marketing surveillance and adverse drug reaction (ADR) reporting across the region.
Area of Science:
- Pharmaceutical Sciences
- Public Health
- Regulatory Affairs
Background:
- The COVID-19 pandemic exacerbated drug shortages and increased online access to medicines.
- E-commerce platforms facilitate the widespread marketing of substandard and falsified pharmaceuticals.
- Compromised drug quality necessitates enhanced post-marketing surveillance in the pharmaceutical industry.
Purpose of the Study:
- To evaluate Caribbean pharmacovigilance (PV) systems against WHO minimum requirements.
- To underscore the critical role of PV in ensuring medicine safety in the Caribbean.
- To identify challenges and opportunities for developing robust PV systems in the region.
Main Methods:
- Comparative analysis of national PV systems in selected Caribbean countries.
- Assessment of adherence to WHO pharmacovigilance guidelines.
- Review of existing regulatory frameworks and reporting mechanisms for adverse drug reactions (ADRs).
Main Results:
- Caribbean PV systems largely do not meet WHO minimum requirements.
- Adverse drug reaction (ADR) reporting is minimal due to low awareness and participation.
- Few Caribbean nations actively participate in the WHO global PV network.
Conclusions:
- Sustainable PV systems in the Caribbean require legislative and regulatory improvements.
- Enhanced political commitment, funding, and reporting incentives are crucial.
- Building comprehensive PV systems is essential for safeguarding public health in the region.
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