This is how cough syrup gets poisoned

Global guidelines drawn up by the WHO have been tightened, including urging manufacturers to test their ingredients and finished products more

London/Banjul — The global market for children’s over-the-counter cough, cold and allergy remedies in 2022 was worth about $2.5bn, according to market research firm Euromonitor.

In Gambia, imported cough syrup for children was found by global health officials to be contaminated with two highly toxic substances: ethylene glycol and diethylene glycol . Both can be a byproduct of making propylene glycol, said Dr Chaitanya Kumar Koduri, director of regulatory engagement at US Pharmacopeia , a non-profit that helps set drug-making standards globally.

All the substances have similar properties. But while propylene glycol is non-toxic, DEG and EG are extremely harmful. When ingested, they lead to kidney failure and ultimately death without speedy treatment, pathologists say. Mix-ups can happen due to human error, said Kumar Koduri. But in the past, industrial grade propylene glycol, or even pure DEG or EG have been substituted by suppliers or manufacturers because they are cheaper.

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