Securing the supply of benzathine penicillin: a global perspective on risks and mitigation strategies to prevent future shortages

Author:

Seghers Frederic1,Taylor Melanie M2ORCID,Storey Andrew1,Dong Jicui3,Wi Teodora C4,Wyber Rosemary5,Ralston Kate6,Nguimfack Boniface Dongmo4

Affiliation:

1. Clinton Health Access Initiative , 383 Dorchester Avenue, Boston, MA 02127 , USA

2. U.S. Centers for Disease Control and Prevention, Division of HIV Prevention 1600 , Clifton Road, Atlanta, GA 30333 , USA

3. World Health Organization, Regulation and Prequalification Department, Access to Medicines and Health Products Division. Avenue Appia 20 , 1211 Geneva 27 , Switzerland

4. World Health Organization, Communicable and Noncommunicable Diseases Division, Department of Global HIV, Hepatitis and STIs Programmes Avenue Appia 20 , 1211 Geneva 27 , Switzerland

5. Telethon Kids Institute, END RHD program, 15 Hospital Avenue , Nedlands, Western Australia 6009 , Australia

6. World Heart Federation , 32 Rue de Malatrex, Geneva 1201 , Switzerland

Abstract

Abstract Benzathine benzylpenicillin is a globally indispensable medicine. As a long-lasting injectable penicillin, it serves as the primary treatment for syphilis, group A streptococcal infections, rheumatic fever and rheumatic heart disease. A competitive market and low profit margins, compounded by limited visibility of demand, have resulted in a decreased number of active pharmaceutical ingredient (API) manufacturers. By 2016, only three Chinese API manufacturers remained, continuing to supply to the global market today. Recurring global shortages, a consequence of supply and demand imbalances, indicate underlying market risks. Therefore, the need for mitigation strategies is imperative.

Funder

Bill and Melinda Gates Foundation

Publisher

Oxford University Press (OUP)

Subject

Public Health, Environmental and Occupational Health,General Medicine,Health (social science)

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