Though braille doesn't make any sense to me, yet I was surprised to
see a malaria medicine packat having braille markings.

On 10/24/15, Mohit Gupta <[email protected]> wrote:
> hi avinash
> is there any legislation regarding soft copy of medical record like
> block letters?
>
> On 10/23/15, amritpal singh <[email protected]> wrote:
>> A few days ago, I saw the name of the medicine written on a packet/carton
>> in
>> uncontracted Braille which was a pleasant surprise for me.
>>
>> -----Original Message-----
>> From: AccessIndia [mailto:[email protected]] On
>> Behalf
>> Of avinash shahi
>> Sent: 23 October 2015 11:57
>> To: AccessIndia: a list for discussing accessibility and issues concerning
>> the disabled.
>> Subject: Re: [AI] Attention: Special Read: Farma Companies–packaging
>> innovations:braille labelling for the visually impaired
>>
>> Some of the hospitals have begun providing soft copies of all details
>> about tests/and prescribed medication. My mother is being treated at
>> Tata Memorial Cancer Hospital Mumbai and we were given CD containing
>> all details. But yes if not Braille labeling  we should have info in
>> soft copies.
>> On 10/23/15, Asudani, Rajesh <[email protected]> wrote:
>>> forget braille on packaging.
>>>
>>> Here, doctors are not writing prescription in block letters as mandated
>>> lately by MCA.
>>> No medical records are given in soft copy either.
>>>
>>>
>>>
>>> सादर / With thanks & Regards
>>> राजेश आसुदानी Rajesh Asudani
>>> सहायक महाप्रबन्धक AGM
>>> बाजार आसूचना ईकाई MIU
>>> भारतीय रिजर्व बैंक Reserve Bank of India
>>> नागपुर Nagpur
>>>
>>> 0712 2806846
>>>
>>> President
>>> VIBEWA
>>> Co-Moderator
>>> VIB-India
>>>
>>> A-pilll = Action coupled with Positivity, Interest, Love, Logic and
>>> laughter.
>>>
>>>
>>> -----Original Message-----
>>> From: AccessIndia [mailto:[email protected]] On
>>> Behalf
>>> Of avinash shahi
>>> Sent: Friday, October 23, 2015 11:38 AM
>>> To: accessindia; jnuvision; sayeverything
>>> Cc: mukesh.harvard
>>> Subject: [AI] Attention: Special Read: Farma Companies–packaging
>>> innovations:braille labelling for the visually impaired
>>>
>>> I feel this is the real accessibility concern of blind people? I wish
>>> our disability advocates take this up straightaway. The RPD Bill is
>>> still amended and we have a great chance to see what the European
>>> Union formulated in 2005. Please forward this cover story to the
>>> officials of the department of Disability Affairs and lobby for the
>>> braille labeling.
>>> http://www.financialexpress.com/article/pharma/cover-story/packaging-with-a-purpose/153949/
>>>
>>>
>>> Globally, pharma companies are incorporating new generation packaging
>>> innovations like braille labelling for the visually impaired and smart
>>> blister packs for elderly patients. When will the trend catch on in
>>> India? By Usha Sharma
>>>
>>> Though pharmaceutical companies in India are always on the lookout for
>>> innovative packaging of medicines in terms of convenience and patient
>>> friendliness, they are still lagging behind when catering to certain
>>> segment like the visually impaired. The elderly segment is also
>>> neglected when it comes to senior citizen-friendly packaging.
>>>
>>> Globally, several pharma companies have introduced advanced technology
>>> in their blister packaging which helps in monitoring the use of
>>> medication and patient compliance as well. There have been innovations
>>> in the pharma blister packaging where ‘smart’ blister packs
>>> incorporate moving colour advertisements with sound for partially
>>> sighted patients.
>>>
>>> 20151031ep02
>>> Ajit Kanetkar
>>> If the world is adopting newer packaging methods and technologies, why
>>> are Indian pharma companies lagging behind? Is the visually impaired
>>> population too small to be a significant market in India? This is not
>>> so. Ajit Kanetkar, Head – Technical Cell, ACG TechnoVersity informs,
>>> “As per available statistics, India accounts for a staggering 20 per
>>> cent of the world’s blind population, which is approximately 7.8
>>> million. The visually impaired population, globally, is 285 million.
>>> Of these, 39 million are blind and 246 million have weak vision.
>>> Nearly 90 per cent of the visually impaired population lives in
>>> developing countries.”
>>>
>>> No legislation = no initiative
>>>
>>> The European Union (EU) issued a directive in 2005 for pharma and
>>> packaging companies realising the urgent need for braille script on
>>> medicine packs for visually impaired people. The legislation (Article
>>> 56 (a) of council directive 2001/83/EC) requires that the product
>>> name, strength, and dosage appear in braille script on all pharma
>>> packaging.
>>>
>>> 20151031ep05
>>>
>>> Kanetkar says, “The EU regulation has been the guiding factor for
>>> pharma companies to introduce braille for any medical product for
>>> human use. The EU directive defines this ‘as any substance or
>>> combination of substances presented as having properties for treating
>>> or preventing disease in human beings.’ This regulation has since led
>>> the way for other countries who are quickly following suit. All EU
>>> legislation relating to pharma products is covered under the EE-A
>>> Agreement and so the EEA areas (Iceland, Liechtenstein and Norway)
>>> have also implemented this directive. Even countries like Brazil, the
>>> US and Canada have implemented a mandate for braille labelling on all
>>> pharma packaging. The export markets like the EU and North America
>>> have braille-compliant pharma packaging, in line with the EU mandate
>>> (2005) and Can-Am Braille (2009).”
>>>
>>> Though the EU directive for pharma packaging mandates the use of
>>> braille script and many countries have already implemented it, pharma
>>> companies in India have not followed suit.
>>>
>>> 20151031ep03
>>> Chakravarthi AVPS
>>> Pointing out the key reason, Chakravarthi AVPS, Chief Executive
>>> Officer, Managing Director, Ecobliss India and Governing Board Member,
>>> Indian Institute of Packaging and Asian Packaging Federation stresses,
>>> “There is no legislation in India that braille has to be incorporated
>>> on the pharma packs. Obviously, companies see no big advantage and
>>> they are not pushing for it. It’s no wonder braille implementation
>>> takes a back seat in India in the absence of a legislation.”
>>>
>>> Kanetkar further says, “There are very few pharma companies that are
>>> looking at adopting this technology. Braille on pharma packaging is
>>> not a government mandate in India. The Indian government is taking
>>> many gradual steps towards introducing braille script on pharma
>>> packaging through government and non-government bodies. In India very
>>> few blind people can actually read braille. But since the braille
>>> script on pharma packaging is not a mandate in India, the technology
>>> advancement as well as education of the visually impaired in braille
>>> in this sector has been minimal.”
>>>
>>> A pricey option
>>>
>>> 20151031ep04
>>> MK Banerjee
>>> Besides lack of regulations, cost also plays an important role.
>>> Replying to a query raised on whether Indian companies are running far
>>> behind in adopting advanced pharma packaging technologies, MK
>>> Banerjee, Director, C&I (Global), Essel Propack apprises, “I believe
>>> Indian companies are aware of the technology gap and new technological
>>> requirements to produce new generation pharma packaging material.
>>> However, drug ‘price control’ regulations are hampering investments in
>>> new plant and machinery to produce advanced pharma packaging material.
>>> Cost of new technology has to be plugged-in to fall within ‘price
>>> control’ formula.”
>>>
>>> Since, there are limited pharma companies practicing in India, it also
>>> requires updated technical assistance. Kanetkar says, “Challenges for
>>> braille or pharma packaging are three-fold. Firstly, there is an
>>> additional cost in upgrading the packaging machinery and be braille
>>> compliant. Secondly, braille dots need to be high enough to be easily
>>> read, but not too high that it perforates the packaging. The
>>> manufacturer must ensure that braille dots are not malformed or
>>> missing, while ensuring accurate spacing. And lastly, quality control
>>> is extremely critical in braille pharma packaging, for one misplaced
>>> dot could lead to costly lawsuits, high product recalls and tarnish
>>> the brand image.”
>>>
>>> Braille printing methods
>>>
>>> While informing about current printing practices against the braille
>>> script requirements, Banerjee says, “In order to print braille script
>>> (user instructions) print machinery has to be modified with in-line
>>> screen print units so that higher deposition of ink or varnish is
>>> possible. Most of the primary and secondary packaging for pharma
>>> products are printed with either rotogravure or offset printing
>>> technology. Both these print technologies cannot deposit higher
>>> grammage of ink and varnish that are required to create braille dots.”
>>>
>>> Kanetkar suggests, “Marburg medium should be used as the preferred
>>> braille font for pharma packaging, as recommended by the European
>>> Commission and other agencies worldwide. Also, specifying dot
>>> diameter, dot spacing, character and line spacing makes it easier for
>>> manufacturers of vision inspection systems to develop readers that
>>> automatically interpret the dots. The Indian government can set a
>>> global example by leading the introduction of expiry dates in braille,
>>> something that is not mandated anywhere else in the world.”
>>>
>>> Additionally speaking about the implementation of braille on pharma
>>> packs in India, he says, “Although the braille script technology is
>>> gaining widespread usage in developed countries, it still remains to
>>> be seen how it will develop in a highly vision-impaired population
>>> country like India. We also have to wait for some mandate for braille
>>> on pharma packaging. Once there is a directive from the government,
>>> the technology will develop further, making it easily accessible and
>>> cost effective. If the government is able to put in place, some
>>> regulations for implementation followed by education of the visually
>>> impaired in the braille script through multiple agencies, government
>>> and NGOs, then this situation may become the necessity that will drive
>>> the implementation.”
>>>
>>> Looking beyond
>>>
>>> With the United Nations designating October 1 as ‘International Day of
>>> Older Persons’, it is apparent that global concerns for a rapidly
>>> ageing population are only set to increase.
>>>
>>> Indian pharma manufacturers also need to look into developing
>>> solutions for the geriatric population. In the last two to three
>>> decades, life expectancy cycle in India has been increasing which
>>> means the graph of the elderly population will certainly move upwards.
>>> So are we ready to tap this market?
>>>
>>> Chakravarthi says, “India will see a rise in elderly population. But
>>> if one looks into the statistics, the number is far less than Europe
>>> and other developed countries. However, we need to seriously give a
>>> thought on compliance packs, and packs which are very user friendly.
>>> One has to really think of how effectively dose packs can be used by
>>> elders. We also need to focus on self administered drugs.”
>>>
>>> Essel Propack is one of the companies which is an early mover when it
>>> come to developing senior friendly products. Banerjee informs, “As we
>>> have been learning from the West and also Far Eastern countries, to
>>> cater to the demand of vast and growing elderly population, packaging
>>> designs have to be ‘senior citizen friendly’ so that one can open
>>> and/or dispense the unit dose conveniently by themselves. We have
>>> developed ‘easy squeeze’ senior citizen friendly pharma tubes. We also
>>> have patented technology for ‘pill dispenser’ that facilitates the
>>> senior citizen dispensing of individual pill simply by tilting
>>> slightly downward and shaking the container. Likewise, we have
>>> patented as dispenser for controlling (prescribed) dosage of liquid
>>> drugs (syrup). These basic innovations help senior citizens greatly
>>> and the inventors earn their blessings anonymously.”
>>>
>>> It may take a long time to bring global technologies to the India
>>> market. However, our manufacturers can identify areas where
>>> alternative methods can be used to cater to the needs of each section
>>> of society. This could act as a differentiator as well as open up new
>>> market segments.
>>>
>>> [email protected]
>>>
>>> --
>>> Avinash Shahi
>>> Doctoral student at Centre for Law and Governance JNU
>>>
>>>
>>>
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>>
>>
>> --
>> Avinash Shahi
>> Doctoral student at Centre for Law and Governance JNU
>>
>>
>>
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>
>
> --
> Thanks and Regards,
> Mohit Gupta.
> Rajasthan.
>
>
>
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-- 
Ajay Minocha
Mob : +91-9584076767
E mail : [email protected]
[email protected]
Skype: ajayminocha2



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