The Indian pharma firm behind West Africa’s opioid crisis

The Indian pharma firm behind West Africa’s opioid crisis

An Indian drug maker tells a BBC undercover team its addictive cocktail drug is “very harmful” but “this is business”

BBC

An Indian pharmaceutical company is manufacturing unlicensed, highly addictive opioids and exporting them illegally to West Africa where they are driving a major public health crisis in countries including Ghana, Nigeria, and Cote D’Ivoire, a BBC Eye investigation has revealed.

Aveo Pharmaceuticals, based in Mumbai, makes a range of pills that go under different brand names and are packaged to look like legitimate medicines. But all contain the same harmful mix of ingredients: tapentadol, a powerful opioid, and carisoprodol, a muscle relaxant so addictive it’s banned in Europe.

This combination of drugs is not licensed for use anywhere in the world and can cause breathing difficulties and seizures. An overdose can kill. Despite the risks, these opioids are popular as street drugs in many West African countries, because they are so cheap and widely available.

The BBC World Service found packets of them, branded with the Aveo logo, for sale on the streets of Ghanaian, Nigerian, and Ivoirian towns and cities.

Having traced the drugs back to Aveo’s factory in India, the BBC sent an undercover operative inside the factory, posing as an African businessman looking to supply opioids to Nigeria. Using a hidden camera, the BBC filmed one of Aveo’s directors, Vinod Sharma, showing off the same dangerous products the BBC found for sale across West Africa.

In the secretly recorded footage, the operative tells Sharma that his plan is to sell the pills to teenagers in Nigeria “who all love this product”. Sharma doesn’t flinch. “OK,” he replies, before explaining that if users take two or three pills at once, they can “relax” and agrees they can get “high”. Towards the end of the meeting, Sharma says: “This is very harmful for the health,” adding “nowadays, this is business.”

It is a business that is damaging the health and destroying the potential of millions of young people across West Africa.

In the city of Tamale, in northern Ghana, so many young people are taking illegal opioids that one of the city’s chiefs, Alhassan Maham, has created a voluntary task force of about 100 local citizens whose mission is to raid drug dealers and take these pills off the streets.

“The drugs consume the sanity of those who abuse them,” says Maham, “like a fire burns when kerosene is poured on it.” One addict in Tamale put it even more simply. The drugs, he said, have “wasted our lives”.

The BBC team followed the task force as they jumped on to motorbikes and, following a tip off about a drug deal, launched a raid in one of Tamale’s poorest neighbourhoods. On the way they passed a young man slumped in a stupor who, according to locals, had taken these drugs.

When the dealer was caught, he was carrying a plastic bag filled with green pills labelled Tafrodol. The packets were stamped with the distinctive logo of Aveo Pharmaceuticals.

It’s not just in Tamale that Aveo’s pills are causing misery. The BBC found similar products, made by Aveo, have been seized by police elsewhere in Ghana.

We also found evidence that Aveo’s pills are for sale on the streets of Nigeria and Cote D’Ivoire, where teenagers dissolve them in an alcoholic energy drink to increase the high.

Publicly-available export data show that Aveo Pharmaceuticals, along with a sister company called Westfin International, is shipping millions of these tablets to Ghana and other West African countries.

Nigeria, with a population of 225 million people, provides the biggest market for these pills. It has been estimated that about four million Nigerians abuse some form of opioid, according to Nigeria’s National Bureau of Statistics.

The Chairman of Nigeria’s Drug and Law Enforcement Agency (NDLEA), Brig Gen Mohammed Buba Marwa, told the BBC, opioids are “devastating our youths, our families, it’s in every community in Nigeria”.

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