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Defence Forces Medicinal Products

Dáil Éireann Debate, Tuesday - 26 January 2016

Tuesday, 26 January 2016

Questions (55)

Seán Crowe

Question:

55. Deputy Seán Crowe asked the Minister for Defence if he is aware of the ongoing British inquiry into the prescribing of Lariam by the British Ministry of Defence to its military personnel; if he is further aware of compelling medical evidence that has been presented to the inquiry regarding the possible dangers of Lariam; and if he will use any of this presented evidence as part of his own review into the prescribing of Lariam to members of the Defence Forces. [2786/16]

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Oral answers (4 contributions)

This question was asked earlier in connection to Lariam. There are significant concerns from Members on all sides of the House on the use of this drug. Has the Minister been following the public hearings in the House of Commons on the prescribing of Lariam by the British Ministry for Defence to its own personnel? The Minister established a review and new evidence was given at the inquiry. Will this evidence form part of the inquiry of the group from which he hopes to get a response shortly?

I am more than aware of the ongoing British inquiry into the prescribing of Lariam by the British Ministry of Defence to its military personnel, to which the Deputy refers. Of course, we are going to watch what comes out of that but we also have to ensure we look at our own systems, whether in having a screening process or in ensuring we follow the best medical advice on prescribing the appropriate drug for the appropriate region and the appropriate strain of malaria. We try to manage risk as best we can when our Defence Forces personnel are going abroad, particularly on missions to sub-Saharan Africa. We have been doing this from the point of view of a screening process but we also have, separate to all that, a working group made up of international experts and they advise the Irish Government on the use of Lariam and all the issues around that, which understandably have been raised by people who have concerns. We will get an updated report from that working group in the coming weeks, and as soon as I have that, we will act on it. We have asked the group to look at international best practice and what is happening elsewhere, and to do this in a way that is non-political but purely about the safety of our Defence Forces personnel when they are abroad. That is my only motivation. I have heard many stories and met many people who have concerns and we will try to make decisions on the basis of good, sound advice when we get it. It is difficult for me to make decisions before the updated advice comes back to me, even though some people seem to expect me to do so.

The Minister said a serious analysis was done of what happens before soldiers are prescribed Lariam. He might elaborate on how this is done within Army structures. He said the review was supposed to arrive at the end of January but that they now have extra time. Does he expect it to be done before the election or will it be on the long finger for the next Administration?

We were hoping to have this report by the end of January and I responded to that effect in November when Deputy Clare Daly raised the issue, something she has done repeatedly. The group has asked for a bit more time, which I am happy to give them because I want sound advice here. If they need more time they will get it. I cannot give the Deputy an exact date as to when we will get that advice back but I certainly hope it will be in the first quarter of this year. I spoke about looking at procedures in the Department. When issues are raised with me on the subject of Lariam, I go back to my Department and ask them to help me understand why people are concerned in this regard, what the issues are and how we screen people before we prescribe the drugs. Lariam is not suitable for some people, so I ask how we ensure those people are not prescribed Lariam and do not go to certain missions that may be in a malaria zone but go instead to another mission that does not have malaria, such as Lebanon or the Golan Heights. The issue for me is around risk management and taking the best medical advice possible. The debate around Lariam is a very emotive one. I am more than aware of that and that is why I want to make sound decisions based on legal advice from respected experts whom we have asked to look at the issue. I hope to have that back within weeks. If not, I hope to have it within a couple of months.

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