Presentation to ARSO GA Yaoundé Cameroon By Amanda Gcabashe Foundation Presentation for ARSOTHC 13 African Traditional Medicine Aims of Presentation Provide an overview of the WHO view of the role of TM in society ID: 738660
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Slide1
Standards – Key to unlocking the value in African Traditional Medicine
Presentation to ARSO GA
Yaoundé, CameroonBy: Amanda Gcabashe
Foundation Presentation for ARSO/THC 13, African Traditional MedicineSlide2
Aims of PresentationProvide
an overview of the WHO view of the role of TM in societyStandards and
Traditional MedicineWHO
ISOSABSSouth African Case StudyInternational benchmarks for developing TM
Standards the key to unlocking the value in ATMSlide3
Definition of Traditional Medicine
“The sum total of the knowledge, skills and practices based on the theories, beliefs, and experiences indigenous to different cultures, whether explicable or not, used in the maintenance of health as well as in the prevention, diagnosis, improvement or treatment of physical and mental illness”
WHO estimates 80% of population in Africa depend on TM for their primary healthcareSlide4
Quote from OECD in 2003
“
Culture can be the engine for
ECONOMIC
,
SOCIAL
and
ENVIRONMENTAL TRANSFORMATION
of the space in which we live. Culture is not passive; rather it is one of the fastest growing and most labour intensive industries in advanced nations
.”
(own emphasis)
La
culture peut être le moteur de la transformation économique, sociale et environnementale de l'espace dans lequel nous vivons. La culture n'est pas passive, mais plutôt qu'il est l'un des plus rapides industries à forte croissance et le plus de travail dans les pays
avancés Slide5
WHO and TRADITIONAL MEDICINE
Since 1978, with the Alma Ata Declaration, WHO has called for the integration of TM.
WHO Africa declared 2001 – 2010 Decade of TM and has had to declare a 2
nd
Decade of TM (2011-2020) due to inadequate progress made by member nations. Slide6
WHO TM Guidelines, 2002-2007Minimum requirements of registration of herbal medicines
Technical guidelines for safety, efficacy & qualityGood agricultural and collection practices
Monographs on selected medicinal plants GMP for herbal medicines Assessing quality
of herbal medicines with reference to contaminants and residues Consumer information on proper use of TMBasic training guidelines for providers of TM (focus on TCM modules)Slide7
ISO and Traditional MedicineJune
2009, ISO
TMB established ISO/TC 249 TCM (provisional)- 1
st Plenary in June 201021 countries, 11 observer countriesAfrica: Ghana, South Africa and Tunisia
May 2013 – held SADCSTAN Capacity Building Workshop and ATM Conference as part of hosting ISO/TC249
South African THP’s observers of ISO standardisationSlide8
SABS and Traditional Medicine
SABS
TC1097 African Traditional Medicine held 1
st meeting in May 2013 (work began in 2011!)April 2013 – SADCSTAN established exploratory TC on ATM
Why is the development of ATM in SA @ SABS and not Ministry of Health? Slide9
Excluded Economic Impact of ATM In excess of 400 000 employment opportunities
South African ATM industry valued by latest SEDA report at approximately R20 billion per annum – approximately 5% of GDPNot counted in National Stats because of the “informal” nature of the industryDespite this phenomenal contribution, not much has changed in the landscape of ATM in South AfricaSlide10
Current ATM Support Structure in SA
Established by Ministry of Health; focus on regulating Practitioners as per the THP Act
Research facilitated by Ministry of Science & Technology.
Aim: Novel Drugs from ATM
Funded primarily by Ministry of Science & TechnologySlide11
TM Sector Support Required
Industrialisation of ATM will naturally lead to biotech industries.
Driver of this is the development of Standards
Aim: creation of new ventures and economic opportunities through industrialisation of ATMSlide12
Chinese State Administration of TCMSlide13
Indian State Administration of AYUSHSlide14
Global Trade in TM
Source: SABS Traditional Medicine Intervention Report - UnpublishedSlide15
Globalisation of TM
Global traditional medicine trade in 2010 estimated at US$83
billion Dominated
by western herbal medicine, TCM and Ayurveda African share of this is insignificantHerbal medicine is growing at between 10% - 20% p.a.
Revision of WHO ICD11 codes to include TM – but which
ones?? WHO TM processes have focused on TCM and Ayurveda
Where
do we start????Slide16
Globalisation of ATM through standards
African wealth in plant biodiversity makes it a bio-prospecting hot spot ATM has not received the institutional support that is necessary to bring the practice into the 21
st century without losing its cultural significanceTraditional medicine is an internationally recognised healthcare option.
Either we support & develop African Traditional Medicine (has consumer base of 800million) or we exclusively adopt other TM – which is it? Slide17
Globalisation of ATM through standards
ATM is our common heritage NEPAD/AU Pharmaceutical Strategy speaks about local production of medicines including TMInter-regional trade in medicinal plants is reality
Standards for ATM codify indigenous knowledge which leads to protection and preservation Standards will lead to development of the ATM supply chain which has direct implications for:
Rural job creation through cultivationNew manufacturing industriesTraceable and reliable healthcare systemSlide18
Possible Standards in ATM
Procedures for processing medicinal plants
Packaging and labelling of raw materials
Storage of raw materials
Sustainable harvesting
Good Agricultural and Cultivation practices Slide19
Possible Standards in ATM
Packaging of ATM remedies
Certification of production facilities
Preparation of ATM remedies
Storage of prepared ATM remedies
Minimum labelling requirements for ATM remedies
Testing of ATM for residues and contaminantsSlide20
Possible Standards in ATM
Consumer guidance on how to prepare ATM remediesSlide21
What can standards achieve?
1912 Market – Picture from K. Flint book titled Healing Traditions
Picture of Faraday Market taken in 2012 by Amanda Slide22
What can standards achieve?
Picture of TCM Market, Guangzhou, China. Taken in 2011
Processed medicinal plants (called decoction pieces) ready for use in a herbal decoction at a pharmacy.
Picture taken in
Incheong
, Korea, May 2012Slide23
What
Can Standards Achieve
?
TKM Commercial Products
Ayurveda Commercial Products Slide24
What can standards achieve?
Documenting of Korean Medicine recognised as a World Heritage by
UNESCO
Picture taken at KIOM, May 2012Slide25
What Can Standards Achieve?
Chair to facilitate enema (ukuchata)
Electric ceramic pot for boiling herbal medicine
Source: Google Images
Innovations in traditional medicineSlide26
What can standards achieve?
Exhibition of Traditional Korean Medicine taken at KIOM, May 2012Slide27
Summary Integrated Standards are key for ATM to be recognised as a “Globally Significant” traditional medicine
Process supports the stated aims of the WHO to integrate TM into national healthcare systemsSupports the creation of a new industries in countries:
manufacturing sector on the continent – beneficiation of the “Green Gold” of the continentCultural tourism ventures, including
Museums and African spasReclaims the African pride – humanity originates from Africa and so does healing and healthcareTHANK YOU