An eye-opening look at Big Pharma's unethical and exploitative drug trials in the global South.
"Medical research imposes burdens. But generally speaking, we don't like to know it….If the history of human experimentation tells us anything, from the bloody vivisections of the first millennium to the Tuskegee Syphilis Study, it is that such burdens made secret will fall heaviest on the poorest and most powerless among us."—from The Body Hunters
This groundbreaking book reveals the unethical drug-testing practices of the multinational pharmaceutical industry. In its quest to develop lucrative new drugs for the world's rich, the industry has turned away from the health needs of the world's poor. And yet, over the past decade, Big Pharma has quietly exported its clinical research business to the global South, where ethical oversight is minimal, and sick, poor, and desperate patients are abundant.
In The Body Hunters, investigative journalist Sonia Shah shows how the pharmaceutical industry is using testing procedures in the global South that would cause scandals in the developed world. In India, dozens of patients in drug trials have perished suffering deadly side effects known to the FDA; in Zambia, AIDS babies in clinical trials have been administered placebos.
The Body Hunters is based on several years of original research and reporting from Africa and Asia, and describes dozens of trials, as well as the checkered history of Western medical science in poor countries.
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Sonia Shah is a science writer and critically acclaimed author whose writing has appeared in The Wall Street Journal, The Los Angeles Times, The Nation, New Scientist and elsewhere. Her latest book is "The Fever: How Malaria Has Ruled Humankind for 500,000 Years" from Sarah Crichton Books/Farrar, Straus & Giroux (July 2010).
Her prize-winning 2006 drug industry exposé, The Body Hunters: Testing New Drugs on the World's Poorest Patients (New Press), has been hailed by Publishers Weekly as "a tautly argued study...a trenchant exposé...meticulously researched and packed with documentary evidence," and as "important [and] powerful" by The New England Journal of Medicine. The book, which international bestselling novelist and The Constant Gardener author John Le Carré called "an act of courage," has enjoyed wide international distribution, including French, Japanese, and Italian editions. The Library Journal named it one of the best consumer health books of 2006.
Her 2004 book, Crude: The Story of Oil (Seven Stories), was acclaimed as "brilliant" and "beautifully written" by The Guardian and "required reading" by The Nation, and has been widely translated, from Japanese, Greek, and Italian to Bahasa Indonesia. Her "raw and powerful" (Amazon.com) 1997 collection, Dragon Ladies: Asian American Feminists Breathe Fire, still in print after 10 years, continues to be required reading at colleges and universities across the country.
Shah's writing, based on original reportage from around the world, from India and South Africa to Panama, Malawi, Cameroon, and Australia, has been featured on current affairs shows around the United States, as well as on the BBC and Australia's Radio National. A frequent keynote speaker at political conferences, Shah has lectured at universities and colleges across the country, including Columbia's Earth Institute, MIT, Harvard, Brown, Georgetown and elsewhere. Her writing on human rights, medicine, and politics have appeared in a range of magazines from Playboy, Salon, and Orion to The Progressive and Knight-Ridder. Her television appearances include A&E and the BBC, and she's consulted on many documentary film projects, from the ABC to Channel 4 in the UK. Shah is a former writing fellow of The Nation Institute and the Puffin Foundation.
Shah was born in 1969 in New York City to Indian immigrants. Growing up, she shuttled between the northeastern United States where her parents practiced medicine and Mumbai and Bangalore, India, where her extended working-class family lived, developing a life-long interest in inequality between and within societies. She holds a BA in journalism, philosophy, and neuroscience from Oberlin College, and lives with molecular ecologist Mark Bulmer and their two sons Zakir and Kush.
In a remarkably bold 'report', the lurking dangers of recent trends in clinical trials through contract research organizations is well presented. Without adopting an obvious higher moral ground nor using a broad brush to paint all of Big Pharma as pure evil (as some recent books on Big Pharma have done), the author focuses purely on the issue of clinical trials. Using recent examples from various companies (all familiar names to the average reader), the author poses interesting ethical questions regarding the "use" of patients in developing countries. In a series of interesting observations, the author explains why it is more "economical" and "practical" for drug companies to perform the FDA-required trials using measures such as "events" (number o f deaths during a particular number of days, or n'th death). While the bulk of the book is devoted to examples ranging from India, Latin America, and Africa to discuss the modalities of clinical trials and raise pertinent questions, the conclusion of the book is not very substantial. However, the author does point out that drugs should be seen as "social goods" and not mere new products; thus the means of developing them should be fair. Point well-made. A must read for anyone in the medical/pharmaceutical industry, investor, or a patient who uses any medicine.
The development branch of the multi-national pharmaceutical industry has begun to expert its clinical research to the developing world, where ethical oversight is minimal and desperate patients abound - there to conduct research forbidden in the U.S. That's the hard-hitting message of a title based on several years of original research and reporting from Asia and Africa, making THE BODY HUNTERS: TESTING NEW DRUGS ON THE WORLD'S POOREST PATIENTS an eye-opening expose and 'must have' acquisition.
My review here is brief due to time limitation, not to lack of very positive things to say of Sonia Shah's The Body Hunters. The book, very well-researched and argued, quite convincingly questions the pharmaceutical industry, the federal government and even the role of consumers in promoting drugs that turn a quick buck while drugs desperately needed to treat life-threatening illnesses in human populations suffering in terrifying numbers are not available. I highly recommend this to anyone interested in knowing more about equity in health-care.
