INDEPTH: FAINT WARNING
In their own words
CBC News Online | February 17, 2004
"My estimate is that at least 2,000 Canadians died on
these drugs [SSRIs, a type of anti-depressant] over and above
the number who would have actually died if they had been left
untreated. And that figure could rise as high as
6,000
people. So we are looking at two or three per week, at least,
since these drugs came on the market first, or perhaps as
high as one per day.
It’s either one twin-tower episode or two twin-tower
episodes.
If it had been a thing like the twin towers, if it had been
a plane that had gone down and 50 to 100 people had got killed,
there’d be pressure on the politicians to be seen to
do something. What you're having happen here is, one person
dies here, one person dies there
and people actually
don’t see it as the kind of problem they need to do
anything about."
Dr. David Healy, director of the North
Wales Department of Psychological Medicine, University of
Wales, College of Medicine. He's also the author of The
Anti-Depressant Era and The Creation of Psycho-pharmacology,
and Let them Eat Prozac. Jan. 28, 2004

Vanessa Young |
"... the effectiveness of the [adverse drug reaction
reporting] system is compromised by low reporting rates. Some
international studies estimate reporting rates as low as one
to 10 per cent, and there is no reason to suspect that Canadian
rates are higher."
From Health Canada's "Response
to the Recommendations to Health Canada of the Coroner's Jury
Investigation into the Death of Vanessa Young" (August
27, 2002)
"If you have a product and you say, 'Well it has shown
to have x number of adverse events associated with it and
I want to take that off the market,' there are other patients
that may need that and actually have derived benefit from
that.
It’s a balancing of what the benefits are
versus what the risks are, not for only one given patient
but for the population as a whole."
Dr. Supriya Sharma, Health Canada, Feb.
13, 2004
"Anybody who takes a new drug is a guinea pig. …
I called my cousin who is a doctor and he said, 'I don’t
use any drug until it's been on the market for five years.'"
Terence Young, father of Vanessa Young,
who died in his arms from, he says, an adverse reaction to
the drug Prepulsid. Jan 30, 2004
"I’m somebody who is interested in this. I write
about this. I ‘ve followed this for a long time….
Post-marketing adverse events are very important. I try to
make sure I try to communicate that in my medical column to
other physicians, to put the adverse events that are new into
context, and to remind them about things they should probably
know a little bit more about. And yet I find, even for myself,
I’ve not reported adverse events that I should have
reported, simply because there are so many demands on my time….
I haven’t got around to it because patients come first."
Dr. Eric Wooltorton, physician and
an associate editor of the Canadian Medical Association Journal.
Feb. 16, 2004
"We know that 51 per cent of approved drugs have serious
side effects not detected before marketing approval."
"About 70 to 80 per cent of drugs that are used in children
are not ever tested in children."
"Eighty per cent or so of Canadians are very happy with
the way Health Canada puts out warnings."
Dr. Chris Turner, director-general of
the Marketed Health Products Directorate. From testimony given
at the Coroner's inquest into the death of Ashley Atkinson,
Nov. 12, 2002
"Physicians do health-care reporting, but there is no financial
incentive and it competes with other work."
Source: "Functional Review of
Post-Approval Drug Assessment Operational Activities for Therapeutic
Products Programme, Bureau of Drug Surveillance." Prepared
for Dr. Christopher Turner, then the manager of the Continuing
Assessment Division. Prepared by the HDP Group Inc. (Ottawa),
1999.