Rajendra Pratap Gupta
July 08, 2013
Hindustan Unilever / Colgate Palmolive / The Himalaya Drug Co. / GlaxoSmithKline
Ref: Failure to display properly important information related to potentially poisonous effects of toothpastes / tooth powder on children
I am writing this note on behalf of ‘The Disease Management Association of India – The Population Health Improvement Alliance’.
We have come across a glaring lapse in the manner in which the important information related to the quantity of toothpaste / toothpowder to be used by children is not displayed by your company. The correct quantity should be used and the over usage could be detrimental to the health of the population has not been properly displayed on the packaging. This is a serious issue and cause of immediate concern in the interest of millions of children across the country. I am putting here the message displayed on most of the toothpastes/toothpowders sold in India. It is important to quote here that majority of the toothpastes / powders sold are have fluoride as an ingredient.
- ‘For children under the age of six; use a pea sized amount under adult supervision. Do not swallow. (Printed on Pepsodent made by HUL).
- Keep out of reach of children under 6 years of age. If you accidently swallow more than used for brushing, get medical help or contact poison control. Children under 2 years ask a dentist or physicians (Printed on Aquafresh made by GSK. Of course, I brought this particular pack from U.K. but I guess it would be same for India as well).
- Children under 6 years of age should have adult supervision and use only a pea size amount. Do not swallow (Printed on Colgate made by Colgate-Palmolive).
- Children 6 years and below should have adult supervision and use only a pea-sized amount. Do not swallow. Spit and rinse thoroughly after brushing (Printed on Active Fresh Gel by Himalaya Drug Co.)
It is evident that brushing of teeth daily twice is a message blasted on various media platforms i.e. TV, Radio & magazines every day, but the message (using the right quantity & the potential poisonous effects on the health of children if used more than the size of a pea), which should ideally be put as a warning in bold & red colored alphabets or read out aloud in the TV / Radio is completely ignored in these media blasts.
Also, the message to use ‘pea size’ is put in small alphabets and that too, in English only, It is important to consider, how many Indians would understand ‘size of pea’ keeping in mind the rural & non-English speaking population? This is a serious issue, and I am quite surprised that this has not been raised till date by anyone, and this would have already harmed millions of children across the country.
This amounts to a serious ethical lapse on your company’s part, and conveys lack of seriousness towards the health of the country’s innocent children who are coerced into using tooth paste daily without understanding the harmful effects based on the numerous advertisements blasted on various media platforms.
I also must quote the annual report of the Ministry of Health & Family Welfare, Government of India; “Excess intake of fluoride over a long period of time leads to major health disorders like Dental Fluorosis, Skeletal Fluorosis and Non-Skeletal Fluorosis besides inducing ageing. The harmful effects being permanent and irreversible in nature are detrimental to the health of an individual and the community which in turn has an impact on growth development economy and human resources development of the country” and the Government has started a national programme for prevention and control of Fluorosis (NPPF).
Clearly, business interests of your company have ignored the health issues related to children of this country and this has to be addressed without any further delay.
I would like to hear from you about the action taken in this regard in terms of;
- Immediate warnings to be issued on radio, newspapers and television about the quantity of tooth paste to be used by children and harmful / poisonous side effects.
- Mentioning this warning prominently and highlighting it in local language in red color on the packing and the toothpaste tube.
- Withdrawing the old stocks from the market and replacing them with the new stocks with proper warning.
I am also marking this note to Shri Keshav Desiraju, Secretary- Health, Ministry of Health & Family Welfare, Government of India, for actions that might be needed on an urgent basis & how medical associations like IMA (Indian Medical Association) & IDA (Indian Dental Association) have been endorsing some of these brands might need to be looked into.
In hope of the needful at the earliest possible.
Rajendra Pratap Gupta
Shri. Desiraju, Secretary to the Government of India, MOHFW.
DMAI urges govt to have a strong action plan on NCD policy
The Disease Management Association of India (DMAI) has urged the government to enter into public private partnership (PPP) with NGO’s and others mall scale and medium organisations for successful implementation of the non communicable disease (NCD) policy. It wants the government to frame a strong action plan so that it can be completed effectively.
Recently Union health minister Ghulam Nabi Azad had informed that the government is soon going to launch an NCD policy that will specifically deal with ways to prevent NCDs like diabetes, stroke, cancer and cardiovascular diseases, etc. and its complications so as to reduce its impact on individuals and society.
A policy expert, Rajendra Pratap Gupta who is also the president and director, DMAI informed that the policy is soon to come in as the government has already completed the discussion with the stakeholders on the same in September.
DMAI said that though the Governments take on the NCD Policy which is soon expected to be launched in the country is appreciative, it seems to be lacking the lasting impact as the government’s approach on the same is not realistic.
Gupta said that though the Government’s commitment to address this issue is commendable, the claims that the government is trying to make is too high. “I have personally given my suggestions for the policy and if steps are taken at proper directions lot can be done in this front. But right now all that the government is trying to do is create hype in this issue, all words and no action. It is imperative for the government to have a decent action plan before going on claiming high stands.”
This comes in after the tall claims made by the Union health minister recently at an international gathering where he said that India’s target is to screen about 150-200 million people by next March under this pilot project covering 20,000 rural sub-centres and urban slums.
Under the current plan, around Rs.2000 crore has been set aside by the government for the NCDs. A source from the industry informed that under the 12th Five Year Plan the government has demanded for around Rs.55,000 crore from the planning commission for the same.
“Government must be very careful when announcing plans especially at an international arena since we will be made accountable for it later. How can the Government claim to achieve something like this in an year’s time when it does not even have one partnership to boost off to take this ahead,” exclaimed Gupta.
He further added that the government’s conceptualization on the NCD policy is very novel but if not handled properly it will lead to mockery of the whole system in front the world. “The Government cannot handle this alone and it needs to involve other stakeholders also into this programme to make it successful. Our suggestion to the government is that it should engage itself till the policy making procedure and for the execution of the same it should let the functions be handed over to private parties like NGO, small and medium scale companies etc.”
He further suggested that to ensure that these organisations are undertaking their functions properly the Government should even do special audit on their activities to check for any discrepancies if any. “Only with a solid action plan in hand can we even think of going on fulfilling the claims made by the government. The government must be more reasonable while speaking out and sharing agendas so as to ensure that people take us seriously.”
DMAI wants the government to take initiatives on the line of public private partnership (PPP) and move ahead so that India can actually do something constructive in this front than just playing with words.