The Interagency Emergency Health Kit 2006 - Medicines and Medical Devices for 10,000 People for Approximately 3 Months - An Interagency Document: Annex: Annex 9. Model Regulatory Aspects of Exportation and Importation of Controlled Substances: Introduction

The Interagency Emergency Health Kit 2006 - Medicines and Medical Devices for 10,000 People for Approximately 3 Months - An Interagency Document
(2006; 88 pages) [French] [Spanish]

Table of Contents

Acknowledgments
Introduction
Chapter 1. Essential medicines and medical devices in emergency situations
	What is an emergency?
	Principles behind the IEHK 2006
	Referral system
	Immunization and nutrition in emergency situations
	Reproductive health
	Malaria
	HIV, AIDS, tuberculosis and leprosy
	Procurement of IEHK 2006
	Post emergency needs
Chapter 2. Selection of medicines and medical devices included in IEHK 2006
	Selection of medicines for IEHK 2006
	Medicines not included in IEHK 2006
	Selection of medical devices for IEHK 2006
	Selection of equipment
	Medical devices not included in IEHK 2006
	Major medicine and medical device changes since the 1998 edition of the emergency health kit
Chapter 3. Content of IEHK 2006
	10 basic units - for health care workers with limited training
	One supplementary unit - for physicians and senior health care workers
	Basic unit (for 1,000 persons for 3 months)
	Supplementary unit (for 10,000 people for 3 months)
Annex
	Annex 1: Basic unit: treatment guidelines
		Anaemia
		Pain
		Diarrhoea
		Fever
		Respiratory tract infections
		Measles
		"Red eye" condition
		Skin conditions
		Sexually transmitted and urinary tract infections
		Preventive care in pregnancy
		Worms
	Annex 2. Assessment and treatment of diarrhoea⁵³
		A-2.1 Assessment of diarrhoeal patients for dehydration
		A-2.2 Treatment of acute diarrhoea (without blood)
	Annex 3. Management of the child with cough or difficult breathing
		A-3.1 Assess the child
		A-3.2 Decide how to treat the child
		A-3.3 Child less than two months old
		A-3.4 Child two months to five years old
		A-3.5 Treatment instructions
			A-3.5.1 Give an antibiotic
			A-3.5.2 Advise mother to give home care (for child age 2 months up to 5 years)
			A-3.5.3 Treat Fever (see also page 27)
	Annex 4: Sample data collection forms
	Annex 5. Sample health card
	Annex 6. Guidelines for suppliers
		Specifications for medicines and medical devices
		Packaging
		Packing list
		Information slips
	Annex 7. Other kits for emergency situations
		Immunization
		Nutrition
		Reproductive health
	Annex 8. Guidelines for Drug Donations⁵⁶
		Selection of drugs
		Quality assurance and shelf-life
		Presentation, packing and labelling
		Information and management
	Annex 9. Model Regulatory Aspects of Exportation and Importation of Controlled Substances
		Introduction
		Standard procedure for international transfer of narcotic and psychotropic substances
		Procedure to be followed in disaster relief
		Outline of standard agreement between supplier and control authorities of exporting countries⁶¹
		Shipment request/notification form for emergency supplies of controlled substances
	Annex 10. References
		Medicines
		Medicine management
		Communicable diseases
		General public health
		Child health
		HIV and STIs
		International travel and health
		Malaria
		Mental health
		Nutrition
		Reproductive health
		Tuberculosis
	Annex 11. Useful addresses
		Partners
		Suppliers
Feedback form

Introduction

Organizations involved in the provision of medical supplies in emergency situations are often faced with serious difficulties in providing narcotic and psychotropic medicines because of the regulatory requirements concerning their exportation and importation. The lack of these medicines results in additional human suffering by depriving those in need of adequate pain relief and sedation. This makes these medicines an essential part of medical supply in emergency situations.

The Basic Unit of the Interagency Emergency Health Kit 2006 does not contain any substances that are regarded as narcotics or psychotropics, so they are not under international control and will not require additional formalities for international transport.

However, the Supplementary Unit contains several substances under international control, and other substances in it are under discussion for future control. Also, certain countries have additional national regulations for medicines not under international control.

Substances from the Kit under international control are morphine injection 10mg/ml, 1 ml-ampoule; diazepam injection 5mg/ml, 2 ml-ampoule and phenobarbital tablets 100mg. Morphine requires import and export licences in any case. For the two other substances this may vary with the country.

Some countries have brought additional substances under their national regulations. This could be the case in some countries for ketamine injection 50mg/ml 10 ml-vial, promethazine tablets 25 mg, promethazine injection 25 mg/ml, 2ml-ampoule and chlorpromazine injection 25mg/ml, 2ml-ampoule.

At present there is an assessment going on, in order to decide whether ketamine needs to be brought under international control.

There are three international treaties that control narcotic and psychotropic substances:

• UN Single Convention on Narcotic Drugs (1961, amended by protocol of 1972)
• UN Convention on Psychotropic Substances (1971)
• UN Convention against the Illicit Traffic in Narcotic Drugs and Psychotropic Substances (1988).

These treaties are quite complex and it would go too far to go into details here. For the really interested, their texts can be found at the website of the International Narcotics Control Board (INCB) (www.incb.org ).

Those who need to consult the most recent lists of scheduled substances can find them at this website too.