Statements / Submissions

On this page are position statements of organizations and individuals about the drug shortage. (See below for USA, Europe, and international, e.g., UN, WHO).

Health Canada, Interim order on preventing and alleviating drug shortages in relation to COVID-19, 19 October 2020.

Comment from Government of Canada on proposed FDA rule re importation of drugs [it is opposed], Canadian Embassy Washington DC, 10 March 2020.

Canadian Pharmacists Association, One in four Canadians touched by drug shortage in last three years [survey], November 2018. Report here.

Jessy Donelle, Jacalyn Duffin, Jon Pipitone, and Brian White-GuayAssessing Canada’s Drug Shortage Problem, C. D. Howe Institute, Commentary no. 515, 5 June 2018.

Deirdre Cogan, Karrar Karrar, Jayasree K. Iyer, Shortages, Stockouts, and Scarcity, Access to Medicines Foundation, 31 May 2018.

International Pharmaceutical Federation, Reporting Medicines Shortages: Models and Tactical Options, 2017.

WHO news release, The world is running out of antibiotics, WHO, 20 September 2017.

Health Canada, Government of Canada moves forward with mandatory reporting of drug shortages and discontinuances, press release, 19 May 2016.

Health Canada releases guidelines for dealing with shortage of benzathine penicillin G (Bicillin), 26 April 2016.

The pan-Canadian Pharmaceutical Alliance updates re biologics, 1 April 2016.

Ted Hsu, Price increases and shortages are usually connected. What about pharmaceuticals? Ted Hsu blogsite, 10 February 2016.

Zachary Brennan, WHO offers new plan to limit drug shortages, RAPS, 29 January 2016

Canadian Federation of Medical Students campaign for Pharmacare.

MSF, Drug shortages threaten progress made in the world’s largest HIV program, MSF, 11 June 2015.

International Society of Pharmaceutical EngineersPlan to prevent drug shortages, released 14 October 2014. [plan can be downloaded from this site]

Physicians Against Drug Shortages launch new website explaining GPO cause of drug shortage, 11 August 2014.

Canada’s response to Eli Lilly and Company v. Government of Canada, 30 June 2014.

Webmaster Jacalyn Duffin tells Health Canada what is wrong with the current reporting system, 28 June 2014.

Canadian Epilepsy Alliance, “Canadian Epilepsy Alliance Calls for Changes to Address Drug Shortages,” press release 19 June 2014.

Parenteral Drug Association, PDA Annual conference will address drug shortages and global access, 7-9 April 2014. Registration fees around $3000.

Access to Medication: Aristospan® TH, The Arthritis Society of Canada: Position Paper, March 2014.

Gail Dempsey, Canadian Epilepsy Alliance, 2nd letter to Minister Rona Ambrose about Clobazam shortage, 27 February 2014.

HealthPRO, Minister of Health Rona Ambrose recognizes MSSC for efforts to mitigate drug shortage, HealthPRO Progress, October 2013.

Multistakeholder Steering Committee, Multistakeholder Toolkit: A Toolkit for Improved Understanding and Transparency in Drug Shortage Response in Canada, September 2013

Canadian Pharmacists Association to co-host international conference on drug shortages on 20-21 June in Toronto. Invitation only, but a report will be published. For some recommendations, see this page and also IPF website.

Report of the International summit on medicine shortages, Toronto, June 2013.

Doctors without Borders, Countries must fix critical access to medicines flaws in Trans-Pacific Trade Pact, 14 May 2013

International Society for Pharmaceutical Engineering (IPSE),  Drug Shortage Initiative, press release, 14 February 2013. Report can be downloaded here, June 2013. Upcoming events also listed at the website.

Patrick Sullivan, Drug shortage extracting “terrible toll” on patients, Canadian Medical Association, 24 January 2013.

Canadian Pharmacists Association response to plans of the Council of the Federation to by six generic drugs, 18 January 2013.

Canadian Pharmacists Association, Canadian Society of Hospital Pharmacists, and Canadian Medical Association join survey” results, joint press release, 14 January 2013.

Best Medicines Coalition, Value, Safety and Secure Supply: Pan Canadian Generic Drug Value Price Initiative, 6 November 2012.

Royal College of Physicians and Surgeons of Canada, ICRE conference examines threats and solutions to Canada’s prescription drug shortage, press release, 18 October 2012.

Canadian Pharmacists Association response to plans of the Council of the Federation to bulk buy generic drugs, 26 July 2012.

Drug Supply in Canada: A Multi-Stakeholder Responsibility, Report of the Standing Committee on Health, June 2012. Government response expected in early October 2012. For Government’s response October 2012 click here.

Consensus Conference on Drug Shortages, 14-15 June 2012, Emory University Center for Ethics,  — Watch for statement here.

American Society for Hematology, Action needed .. to strengthen Drug Shortage Legislation, May 2012

Ontario Pharmacists Association, Ontario’s pharmacists provide solutions that would yield greater savings than the government’s proposed cuts to generic medication pricing, OPAToday, 23 April 2012.

J. Duffin ( webmaster), invited Submission to HESA, 2 April 2012.

Canadian Epilepsy Alliance, Canadian Drug Supply, Submission to HESA, 2 April 2012

Best Medicines Coalition, Submission to Standing Committee on Health (HESA), 29 March 2012.

Canadian Medical Association, Submission to the Standing Committee on Health (HESA)–Drug Shortages, 29 March 2012.

On 27 March 2012 the House of Commons Standing Committee on Health (HESA) began hearing from various witnesses, professional groups, patient advocacy groups and concerned citizens. Transcripts of the meetings are posted here. The full report is here, also linked on our Policy and Politics page.

Royal College of Physicians and Surgeons of Canada, Canada’s drug shortage; Highlights of main issues, causes and possible outcomes, 22 March 2012.

Jeff Connell and Shannon Macdonald [CGPA and Rx & D] Statement from Canada’s Pharmaceutical Industry Regarding House of Commons Motion on National Drug Strategy, 16 March 2012.

Canadian Cancer Society, press release,  and CBC report, both 12 March 2012

Gail Attara, Statement on Drug Shortages, Best Medicines Coalition, 12 March 2012

Epilepsy Support Centre page on shortages

Health Canada, webpage, first appeared, November 2011

Canadian Cancer Society, Statement on drug shortages, Oct 2011

Canadian Generic Pharmaceutical Association, statement on drug shortages, Oct 2011 and updated from time to time.

United States and Europe

Inspector General, Evaluation of the Department of Defence Mitigation of Foreign Suppliers in the Pharmaceutical Supply Chain, 20 September 2021. [redacted]

The White House, Biden-Harris, Building resilient supply chains, revitalizing American supply chains, and fostering broad-based growth, June 2021.

Janet Woodcock, Safeguarding pharmaceutical supply chains in a global economy, Testimony House Committee on energy and commerce, Subcommittee on Health, US FDA, 30 October 2019.

Isabel Frost et al., Access Barriers to Antibiotics, Center for Disease Dynamics, Economics and Policy, 11 April 2019.

Kitcheck, Hospital Pharmacy Operations Report 2018: Survey Results from Pharmacy Leaders, April 2019.

Scott Gottlieb, Annual Report on Drug Shortages for Calendar Year 2017, FDA.

Erin Fox, ASHP, Guidelines on managing drug shortages, American Journal of Health System Pharmacy, July 2018.

Scott Gottlieb, Formation of a new drug shortages task force, FDA, 12 July 2018.

Anon., PDA [Parenteral Drug Association] funding study on post-approval changes published by the Economist Intelligence Unit [press release], Cision, 19 June 2018. The report.

Scott Gottlieb, FDA, On FDA’s work to mitigate shortages of intravenous drugs, shorten supply disruptions and better predict vulnerabilities, FDA press release 31 May 2018.

American College of Emergency Physicians, Press Release Resolutions,  5 December 2017

Resolution 34 Generic Injectable Drug Shortages (as amended)

RESOLVED, That ACEP work with other medical specialties and patient advocacy groups to achieve consensus on the root cause of the shortage of generic injectable drugs and educate our members, the general medical community, and the public on this critical issue and how to solve it; and be it further

RESOLVED, That ACEP work with other medical specialties and patient advocacy groups to seek Congressional legislative repeal of the Group Purchasing Organizations’ safe-harbor protection.

Anon., International Society for Pharmaceutical Engineering and the Pew Charitable Trusts release report on Drug Shortages, Benzinga, 10 January 2017.

PEW Charitable Trust and International Society for Pharmaceutical Engineering, Drug Shortages, January 2017.

UN, Report of the UN Secretary General’s High Level Panel on Access to Medicines, September 2014.

South Centre, Statement endorsing UN Secretary General’s High Level Report on Access to Medicines, 14 September 2014. Press release. Statement.

Pew Charitable Trust, Pew, Other groups identify potential measures to address drug shortages, Drug Safety Project, Pew Charitable Trusts, 5 February 2015.

Sheryl Nass and Margie Patlak, Ensuring Patient Access to Affordable Cancer Drugs: Workshop Summary, National Cancer Policy Forum, Institute of Medicine, 2014  [free download at link].

Gov’t Accountability Office, Group Purchasing Organizations: Funding Structure has Potential Implications for Medicare Costs, released  24 November 2014.

Physicians Against Drug Shortages, Petition to President Obama: STOP generic drug shortages by ending the $300 billion hospital group purchasing (GPO) “pay-to-play” kickback scheme, 25 December 2013.

Andrea Taft and Brendan, Shortages of medicinal products due to manufacturing and quality problems, European Medicines Agency, 5 June 2013.

American Hospital Association, AHA comments on FDA drug shortages task force and strategic plan, 14 March 2013.

Federal Register, FDA seeks public comment for task force on drug shortages, 12 February 2013.

European Medicines Agency [EMA], Reflection paper on medicinal product supply, November 2012

North Coast Medical, GPO’s Business Practices Questioned, 6 September 2012.

Peter J. Pitts, Fixing Drug Shortages, Center for Medicine in the Public Interest, 21 June 2012.

International Call to Action to Alleviate Drug Shortages–European Hematology Association, American Society of Hematology, European Cancer Patient Coalition, 16 June 2012

US Government Accountability Office (GAO), Group Purchasing Organizations: Federal Oversights and Self Regulation, 30 March 2012. Try this link instead.