The ASV drugs, which arrived at the weekend, included EchiTAB G for the treatment of bites from carpet vipers, and EchiTAB Plus for venom from carpet viper, Puff Adder and Black Cobra.
EchiTAB G is produced by Micropharm Ltd, United Kingdom, while EchiTAB Plus is produced at Instituto Clodomiro Picado, University of Costa Rica.
The last tranche of the drug, supplied in August, was used up in September, throwing the treatment centres into chaos as victims massed in, following a sharp rise in snakebites occasioned by the on-going harvest season.
But Dr. Nandul Durfa, Managing Director, EchiTAB Study Group, Representatives of the two foreign outfits manufacturing the drug, in Nigeria, said on Tuesday that the ASV crisis was over.
“We received 3,000 ASV vials from Costa Rica and 2,000 vials from United Kingdom at the weekend; the acute shortage that culminated into massive deaths was unfortunate, but it is now over,’’ Durfa said.
Durfa, who had attributed the acute scarcity to “late placement of order by ESG”, said that 10,000 additional ASV vials would soon be received to stabilise supply and guard against future ASV crisis.
He said that the ASV was being shared to snake treatment centres with 700 vials already sent to Kaltungo General Hospital, Gombe, while Zamko Comprehensive Health Centre in Langtang, Plateau State, had received 500 vials.
More than 250 victims of snakebite died in the two centres within three weeks, at the peak of the acute shortage of the ASV last month.
According to Durfa, 500 vials have also been sent to St. Theresa Snake Treatment Centre in Makurdi, Benue State, while consignments to be sent to Taraba, Borno and Adamawa States were being packaged “based on respective demands’’.
He added that the ESG had also donated 50 and 30 vials to Kaltungo and Zamko centres respectively, for patients too poor to afford the little token charged by the centres to cover transport costs.
The medic explained that the ESG had had “very useful’’ discussions with the Federal Ministry of Health on measures to ensure the constant availability of ASV so as to minimise deaths from snakebites.
“We have agreed to pool resources together to order for bulk production; we believe this will make the product readily available and cheaper,” he said.
According to him, the ultimate target is to domesticate the production of the drug.
“In 2006, we submitted a proposal of N2 billion to facilitate local production of ASV which was approved by then President Olusegun Obasanjo, but nothing came out of it.
“Currently, we take the live snakes to Liverpool School of Tropical Hygiene in the UK, where the venom is removed and taken to the centres to produce the ASV.
“The two companies have agreed to transfer the ASV production technology to Nigeria; we should take full advantage of that kindness.
“Following the massive effect of the recent scarcity, we resumed fresh discussions with government toward domesticating its production. We have also contacted stakeholders and philanthropists to collaborate on a Public-Private-Partnership arrangement to that,’’ he said.
Durfa challenged stakeholders to take the local production of ASV seriously because those killed by snakebites were the productive group – farmers, cattle grazers and miners – who were crucial to economic growth.
He cautioned Nigerians against procuring the drug from anywhere outside the snake treatment centres, saying that criminals had taken advantage of the paucity to sell fake ASV to desperate victims.
“It is very scary; criminals get empty bottles of ASV, inject rubbish into it and sell to victims.
“In some cases, they inject milk into the empty container and sell to unsuspecting victims, worsening their plight as they will be deceived into believing that they are receiving treatment while being destroyed by the festering venom,’’ he said.
Durfa said that ESG had centralised the distribution of the product to guide against such fakes
“It was to guard against such evil practices that the ESG established the treatment centres. We want victims to patronise only such approved centres to access genuine drugs so as to avoid complications and death,’’ he said.
He also cautioned snakebite victims against rushing to traditional healers.
“What the herbalists are doing is trial and error. Most victims bleed in the brain because the venom is vicious; traditional healers cannot tackle that because they only concentrate on healing the wound,” he explained.
The ESG boss commended President Muhammadu Buhari for assisting the group when he was chairman of the Petrol Task Force (PTF), declaring that the ASV distributing outfit was one of the “few’’ surviving legacies of the PTF.
“The vehicle Buhari gave us more than 20 years ago is still one of our most dependable assets,’’ he said.
Durfa also thanked Sen. Jerry Useni for facilitating the group’s initial take-off when he was FCT minister, and for being supportive during the clinical trials when ESG operated under the watchful eyes of medics.
On the Indian ASV, Durfa said that it was not effective in Nigeria due to differences in specifications.
“The Indian ASV is good, but it is only for the treatment of bites from Indian snakes. It does not work in Nigeria,’’ he explained.
250 victims of snake bite died within three weeks in Plateau and Gombe States, at the peak of the ASV scarcity.
The figure, obtained from the centres, represented the number of confirmed deaths from three snake treatment centres – General Hospital, Kaltungo, Ali Mega Pharmacy, Gombe and Comprehensive Medical Centre, Zamko, Plateau State.
Meanwhile, Dr. Titus Dajel, Medical Superintendent, Zamko Comprehensive Health Centre, has expressed happiness at the arrival of the ASV.
“Yes, we have received the ASV from the EchiTAB group in Abuja. We are already dispensing to patients. It is a big relief for us,” he said.
Dajel, however, called on the government to partner with ESG to domesticate the production of the drug, saying that importing it was “dangerous” as supply could run out any moment leading to another round of crisis.
Posted by Juliet Ekwebelam (Punch)