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References - Mauritius: Indian Ocean Paradise Lost
MAURITIUS: PARADISE LOST So there I was in the Mauritian capital of Port Louis. Our motley crew band of surfers left the cyber-cafe only to find the entire island besieged by rioters! It turns out a popular Mauritian-creole reggae singer was killed in jail by police and the people revolted, essentially turning cert According to USFDA, a combination product is one composed of any combination of a drug and device; biological product and device; drug and biological product ain regions of the island into full-on war zones! If you heard about it in the news, it is, indeed, all very true. Right before we left, all the shop owners were asking us where we were staying, warning us that "it is dangerous out there. You must be careful." I thought to myself, "what do you mean 'dangerous?' Why would they care ; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug. Examples of combination products may in where I was staying?" But as it turned out, they wanted to know so they could warn us about the riots. Of course, we were more interested in getting some photos of the scene. So there we were, three Americans and one Mauritian local cruising home, cameras in hand when, lo and behold, we saw the road blocks and riot police keeping order. Unfortunatel lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together. y, they had already finished overturning burned out cars and rock throwing. Before I go on, I guess I should offer a little insight into the social and political scene there. SOCIAL PRESSURE COOKER Mauritius is a religious and ethnic potpourri. You've got the Indians who comprise roughly 60% of the population with the remainder mad here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe e up of Creole, Chinese, and Franco-Mauritians. The bulk of the government and police force is controlled by Indians in that they all elected their own into power. The Franco-Mauritians have most of the wealth, as they control most of the sugar industry and the like. The Chinese have quite a few shops and are, for the most part, very docile. The Cre d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations. Combination pro oles basically get the short end of the stick by all groups given their previous history as slaves, hence the root of the problem. There was a huge rally the previous weekend held in favor of legalization of marijuana. Some big reggae singer (a Creole) was jailed soon thereafter for possession and was beaten to death by police while in custody. This ucts have become life saving products for the pharmaceutical companies who doesn’t have many innovative molecules in their product pipeline and have been inc naturally didn't sit well with the people, so 30 years of capped tension exploded into the worst civil rioting in as many years. GOT MILK? The riots and looting began last week with all hell breaking loss after the initial bubble burst. It mostly took place at night, but there was some regional daytime rioting in other areas. The easingly used in the product life cycle management. Even the companies having product patents are trying to extend their product life cycle through the combi nteresting thing about it all was that, as you may or may not know, many of the Indians are practicing Hindus. This means the cow is sacred. So guess what the rioters were using as shields? You guessed it: cows. They were using cows to shield themselves from police bullets! As the days went on, we heard of others getting killed in police custody. A nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically nd to boot, one of them was another reggae singer! That sent scores of already angry mobs into even more of a frenzy, adding to yet more nights of restlessness, rioting, and looting! I heard a story from one guy who had a tear gas canister fired by police whiz by his head as he was running. CREOLE BY ACCIDENT OF BIRTH While I don't and physically. They need to rightly judge the benefits of the combination products and they have to even look at the risks involved when combining the produ condone rioting and looting, I am sympathetic to the Creoles. They really are a wonderful bunch of people, but seem the unfortunate and unwilling recipients of the short end of the social stick. I've only had positive experiences with them and could never understand why they were so vehemently persecuted! Maybe it's an Indian/Creole thing beyond my ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi comprehension. It shouldn't be, but it is. Doesn't matter where you go, ignorance, racism, prejudice, and unfounded hatred are everywhere. SOUTH AFRICA OR BUST The morning of my flight, I heard from the locals that rioting was at a fever pitch. Most said not to go anywhere, but hey, I had a flight to South Africa ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it. Following aspects would a to catch. Cruising along the local road out of Tamarin, I could feel the tension and believe me, it was palpable. No rioting or anything, but I was legitimately concerned we weren't going to make it to the highway. Somehow we did make it to the main highway and from there it was smooth sailing. If we would have taken the back way, we would have gone dd to the challenges in developing combination products: Which markets to tap where the combination products can do fairly well? Which combination prod through a little town called Curepipe in which, as I heard, the rioting was quite heavy. I LIVED A CHAPTER OF MAURITIUS' HISTORY The other day I was reading the local newspaper here in Durban (South Africa) when what to my surprise should I see but a whole article on the riots. Turns out that it was the worst rioting the island ha cts are meaningful and rational? Which therapeutic categories to select? Which Combinations can address unmet needs of the patients? Do combin s seen in over three decades (ignorance is bliss!). And 30 years ago was when the island changed ownership. So that's pretty bold, and lucky me, I was there just in time to score perfect waves at the fabled Tamarin Bay AND the worst rioting in 30 years! Somebody buy this man a lottery ticket!! The night before I left, I sold my board to Julien, a l tions increase the patient compliance? What would be the developing cost? How to tackle the risks encountered during combination product developmen cal Tamarin Bay Mauritian. Boards are hard to come by there, and the ones they do have for sale are overpriced junk. We reached a mutually agreeable price and made the deal. It was good for both of us; he now has a good board and I didn't have to carry it to South Africa. MAURITIAN CHEESE GRATER I thought my recent impaling on the t? As combination products don't fit into the traditional categories of drugs, medical devices, or biological products, the USFDA is in the process of devel reef with resultant torn left butt cheek and low back was bad until Julien lifted up his shirt. The poor kid looked like a cheese grater went over his back from just below his shoulder blades all the way down to his low back! He was dragged over the reef in the worst kind of way! It kept him out of the water for a few days, too. It's not difficult ping new procedures for reviewing their safety, efficacy and quality. Professional from academic institutions, pharmaceutical industries, health care indust to get hurt at Tamarin. It is, spare none, one of the shallowest waves I've surfed. It's generally pretty shallow all over, but the thing that makes it all the more dangerous is the volume of coral heads that jut up all over the place. I was literally pulled off my board and under water when my leash wrapped around one just as a wave was approaching y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products , quite literally pinning me underwater. I fortunately had the presence of mind to unfasten my leg-rope and swim to the surface. And to further illustrate the shallow depth, I was sitting all the way out in seemingly deep water waiting for set waves! THE RULES If you ever come to Mauritius, there are a few things to remember: 1) RE . As there is an increasing trend of the combination products companies manufacturing such products should be able to tackle the problems involved in the de SPECT for the locals. It's their break and you are just a visitor. You take a number and work your way into the line up. No paddling straight for the peak; 2) Don't fall on the inside or the reef will filet you like a set of Ginsu knives; 3) Bring reef booties because the inside is carpeted with urchins, big and small ones. I have never seen anywher elopment. They need to be wiser in analyzing the market trends and the regulatory requirements. Companies that provide selfless information through particip e so well covered with them; 4) A Gath Helmet (brain bucket) is a damn good investment for dead low tide Tamarin; 5) A complete first aid kit because it's only a matter of time until you donate skin to the reef or get spiked by an urchin. The place is carpeted with them. You cannot avoid it. Everybody gets spanked sometime or another....and it hurts tion in industry events and feedback to regulatory authorities would be able to face the challenges and will be successful in developing combination products
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