Medical Product Alert N° 10/2019 (English version)

This Medical Product Alert relates to four confirmed falsified products: quinine sulphate circulating in Central African Republic and Chad and quinine bisulphate circulating in Uganda. It should be noted that this is the second WHO Medical Product Alert issued on the same batch number of falsified quinine bisulphate circulating in the African region. Please refer to the previous WHO Medical Product Alert N°2/2017 issued 27 July 2017. Quinine bisulphate and quinine sulphate are listed on the WHO Model List of Essential Medicines for management of severe malaria. This alert compiles details of four different falsified products that have been discovered at different times and locations over the past year. This repeated occurrence highlights the need for additional vigilance in Central and East Africa for such products that display common characteristics and distribution patterns.

WHO was informed by a non-governmental organization (NGO) that this falsified quinine sulphate was found at patient level in the Central African Republic. At this stage, testing has not yet been conducted. Product details are listed in Table 1 below.

Reventador Volcano Volcanic Ash Advisory: NEW EMS OBS AT 1052Z.

Volcanic Ash Advisory Center Washington (VAAC) issued the following report: FVXX20 at 11:36 UTC, 01/10/19 from KNES VA ADVISORY DTG: 20191001/1130Z VAAC: WASHINGTON VOLCANO: REVENTADOR 352010 PSN: S0004 W07739 AREA: ECUADOR SUMMIT ELEV: 11686 FT [3562 M] ADVISORY NR: 2019/1060 INFO SOURCE: GOES-16. VONA. ERUPTION DETAILS: NEW EMS OBS AT 1052Z. RMK: WE HAVE RECEIVED INFORMATION SUGGESTING…

Aso Volcano Volcanic Ash Advisory: ACTIVITY CONT. VA AT 20191001/0600Z FL060 EXTD NW OBS VA DTG: 01/0550Z

Volcanic Ash Advisory Center Tokyo (VAAC) issued the following report: FVFE01 at 06:06 UTC, 01/10/19 from RJTD VA ADVISORY DTG: 20191001/0606Z VAAC: TOKYO VOLCANO: ASOSAN 282110 PSN: N3253 E13106 AREA: JAPAN SUMMIT ELEV: 1592M ADVISORY NR: 2019/280 INFO SOURCE: HIMAWARI-8 JMA AVIATION COLOUR CODE: NIL ERUPTION DETAILS: ACTIVITY CONT. VA AT 20191001/0600Z FL060 EXTD NW OBS VA DTG: 01/0550Z OBS…

Nevados de Chillán Volcano Volcanic Ash Advisory: ISOLATED PUFF OF VA AT 01/0240Z

Volcanic Ash Advisory Center Buenos Aires (VAAC) issued the following report: FVAG02 at 03:09 UTC, 01/10/19 from SABM VA ADVISORY DTG: 20191001/0315Z VAAC: BUENOS AIRES VOLCANO: NEVADOS DE CHILLAN 357070 PSN: S3651 W07122 AREA: CHILE SUMMIT ELEV: 10538 FT [3212 M] ADVISORY NR: 2019/334 INFO SOURCE: GOES-E. VOLCANO WEB CAMERA. AVIATION COLOUR CODE: NOT GIVEN ERUPTION DETAILS: ISOLATED…