Safety fears over medication in China are driving a risky illegal trade in cancer drugs in Hong Kong, experts say, warning of shortages in a similar scenario to the milk formula crisis that emptied shelves in the territory.
Hong Kong pharmacies are selling the drugs under the counter to mainland Chinese visitors who have lost faith in their own medical system and are dodging high prices, in another example of how demand from China can impact wider markets.
One shopper at a Hong Kong pharmacy in the bustling commercial area of Mong Kok told AFP he had travelled from the southern Chinese city of Guangzhou to buy the breast cancer treatment Herceptin.
“My wife needs it to survive,” the man, surnamed Li, told AFP.
“I will save more than 8,000 yuan [US$1,280] per bottle if I buy Herceptin here. They may charge you 24,000 yuan for this on the mainland.”
Customers from China buying the medication without the required prescription is “very common” said Chui Chun-ming, the chairman of the Society of Hospital Pharmacists of Hong Kong.
“This illegal trade brings them [pharmacies] a lot of money,” he said, referring to the city’s small independent high street businesses. Chui says that 90 percent of the cancer drugs sold in pharmacies in Hong Kong go to mainland buyers as most local residents get them direct from hospitals or their own doctors.
With drug companies imposing supply quotas for different countries based on factors including population size, Hong Kong could fall short if demand continues from beyond its borders, Chui told AFP.
“The problem is Hong Kong is a very small city and the supply is very limited,” he said.
“In a few years, it might turn out to be another ‘infant formula’ issue.”
Chinese parents became distrustful of domestic milk brands after a huge 2008 scandal involving formula tainted with melamine that killed six children and sickened 300,000 others.
Their concern triggered a rush on milk powder, which saw shelves emptied around the world — Hong Kong banned travellers taking out more than 1.8kg of formula from March 1 this year.
SUPPLY CHAIN MISTRUST
China’s demand has heaped pressure on Hong Kong’s healthcare system in the past. Hospitals have banned mainland women who do not have local spouses from giving birth in the city to tackle increasing “birth tourism,” fuelled by mums-to-be seeking better medical care and residency rights for their children.
Among their concerns are fears over the safety of medicines produced in China. Recent scandals include drug capsules made from toxic raw material derived from scrap leather and the busting of a ring peddling counterfeit tablets. In 2008 a blood thinner called heparin, produced in China, was found to be contaminated and linked to dozens of deaths.
“People are not trusting their supply chains,” Ben Cavender, an associate principal at the Shanghai-based China Market Research Group told AFP.
“They are worried that the drugs may be labeled incorrectly, or the quality is not that high, or the company decides to make it more cheaply in China than in the other countries, or they might be fake.”
Buying or selling an anti-cancer drug without a prescription can lead to maximum fines of HK$100,000 (US$13,000) and two years’ imprisonment for buyers, salesmen and pharmacy owners, according to the Department of Health. A spokesman told AFP that it had boosted surveillance in response to mainland drug demand. There were 24 cases in 2012 which led to convictions for the illegal sale of prescription medicines.