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IN late April 2003, days after the Therapeutic
Goods Administration ordered the world's biggest recall of complementary
medicines, consumers were busily throwing out their bottles of Pan
Pharmaceuticals' vitamins and packets of pain relievers and pharmacists were
clearing their shelves.
Pan products could not be trusted, the TGA warned; test results had been
manipulated and manufacturing processes were not up to scratch.
But in New Zealand, Europe and the US, regulatory bodies were perplexed. The TGA
had issued a red alert, informing its international counterparts of the risk of
Pan products. Except that many of those countries did not think there was
sufficient evidence to recall Pan's products and, as it turned out, not one
European country or the US withdrew Pan's products from sale.
New Zealand demanded more information and eventually issued a recall. But in
Australia the recall was well under way and 320,000 concerned Australians rang
the TGA hotline specifically set up for the recall.
When many think of the Pan recall, they remember the horror stories of those who
fell ill from Travacalm, the travel sickness drug manufactured by Pan, suffering
hallucinations, vomiting and hospitalisations. The Travacalm episode was
shocking and many are understandably still angry about falling ill after taking
it.
But the court proceedings were not about Travacalm and Pan took no issue with
the actions of the TGA in recalling that drug. A rogue analyst - subsequently
sacked - had acted alone to manipulate data, Pan founder Jim Selim told The
Australian.
The court action was about whether the TGA had gone too far in its dealings with
Pan - or as one TGA official said of the way it intended to deal with Pan - "go
for the jugular". According to evidence unearthed in recent Federal Court
proceedings, the TGA did not test one of Pan's other 6000 products that it
recalled and it had not received a single complaint about any of them.
Pan would collapse under the weight of the TGA's action to suspend, without
notice, its licence. Shareholders lost hundreds of millions of dollars and more
than 300 people lost their jobs.
For the past five years, Selim has been fighting to clear his name. On Friday
the Government agreed to pay him $55 million for claims the TGA abused its power
in office and breached its duty of care. The settlement - against the
Government's wishes - was not confidential. Selim said he wouldn't agree to
those terms.
"First of all they proposed a confidential settlement and I said, 'No way,"'
Selim says. "They have been deceiving me, deceiving the public, deceiving the
prime minister. I said I will take this much ($55 million) and not a cent less."
The Government's lawyers agreed to Selim's demands two hours before the
offerexpired.
Like him or loathe him - and many people don't like him - Selim has had a
remarkable victory. Not that many people want to talk about it. The Government
has ruled out a public inquiry. The Department of Health and Ageing released a
brief statement last week, helpfully bringing up the Travacalm issue and stating
that Selim was given only $55 million and was demanding $234million in the case,
playing down his win. The Opposition is not commenting.
Officials have refused repeated requests for comments on the actions of the
TGA's officers, the ones whose actions triggered the $55 million payout and many
of whom are still on the TGA payroll. But with a class action set to be launched
this week the TGA may not be able to maintain its silence.
For a start, TGA officials may reappear in court to give evidence in a class
action. Those who were slated to give evidence, but who didn't get the chance
before the case was abruptly brought to a halt by the Government's lawyers, may
also appear.
One TGA officer who didn't give evidence in the recent Federal Court case was
Pio Cesarin, a TGA director and delegate of the secretary to the Department of
Health and Ageing. Cesarin's was the hand that signed the paper recalling Pan's
products in April 2003. It was the largest recall the world had seen and cost
other businesses tens of millions of dollars.
Before Cesarin was called to the witness stand, Selim's lawyers suggested
something quite extraordinary. They discussed offering Cesarin a certificate
before he gave evidence. Any evidence he gave could not be used in possible
criminal proceedings.
Selim's lawyers were set to allege that Cesarin had "created a false
instrument", the recall notice.
"Currently (Cesarin) says that he claims he made the recall decision on April
27. We propose to submit he did not make the recall decision," Selim's barrister
Justin Gleeson told the court. "It was made ... at the very latest the 24th
(April) and it was made by Mr (Terry) Slater.
"It means, in relation to Mr Cesarin, if he is giving evidence, firstly, we will
ask that the whole of his evidence between the critical dates ... all of that
evidence between paragraphs 94 and 150 (of his affidavit) should be given orally
because it must be subjected to the closest scrutiny. It just can't be right.
Secondly, and it's perhaps a matter for the commonwealth, but we at least raise
that Mr Cesarin ought to be given the opportunity of a certificate because the
logic of our submission will be that the recall instruments he created were
false instruments and he should be given - I mean, he should given that
opportunity."
By this stage of proceedings, four weeks into a three-month case, the court had
already heard various senior TGA officials admitting to a litany of incredible
activities in relation to Pan.
TGA's director of the office of complementary medicine, Fiona Cumming, destroyed
notes of an April 23 meeting held by an expert advisory group, set up by the TGA
to examine whether there was an "imminent risk" of Pan's products causing death,
serious illness or serious injury to the public.
Cumming said she ordered the notes taken by the members to be shredded following
the meeting. A recording of the group's discussion was later discovered at the
TGA office and tendered into court.
"We don't have much evidence, do we?" one member said.
"The products that are actually listed in the report, we're all satisfied that
there's no imminent risk? We have consensus on that one?" said another.
The group would advise the TGA that there was no imminent risk, a statutory
requirement before the government could suspend Pan's licence without notice.
Despite this advice, the TGA pressed forward in its pursuit of Pan. In fact,
before the TGA had even received the advice, a press officer was busily drafting
a press release announcing the suspension of Pan's licence.
The TGA's No2 in command, director of the office of devices, blood and tissues,
Rita Maclachlan, spent 3 1/2 days in the witness box. In a gruelling
cross-examination she was often accused of not properly answering the questions
put to her. Maclachlan agreed that she said nothing when misleading information
was given to prime minister John Howard and health minister Kay Patterson about
Pan. Maclachlan also spoke of her attitude to Pan seeking recourse to the courts
if the TGA had given Pan notice that it wanted to suspend its licence.
"You didn't want to give them natural justice for reasons we have been over
amply, because they might tie you up in the courts?" Gleeson asked.
"Yes," Maclachlan replied.
Despite being happy to talk to the media in the fallout of the Pan collapse,
Maclachlan has remained silent since details of her court appearance have
emerged. After arriving home on Friday she sped off again when she saw
reporters.
Maclachlan maintained she was doing her job and was concerned about public
health, but even the judge hearing the case, Arthur Emmett, found it necessary
on occasion to ask her to clarify her evidence.
Bob Tribe, who retired from the TGA in 2004, also gave evidence in the case.
Tribe told the court that in late March it had been decided to give Pan notice
of the TGA's intention to suspend its licence.
Pan would also receive a copy of a recent audit report conducted by the TGA and
be offered a chance to respond. In the events that played out, neither event
would occur. A government lawyer wrote of a trap associated with that strategy.
It was suggested to Tribe that this trap in the strategy to give notice to Pan
would be that the company could go to court and possibly receive an injunction
against its licence being suspended.
Tribe denied this was part of his thinking.
It was also brought up in court that Tribe gave evidence in the three criminal
trials against Selim for destroying computer data. After two aborted trials a
jury was directed to acquit Selim. Tribe gave consistent evidence in the first
two trials but changed it in the third in relation to a conversation with Selim.
"Now, what explanation do you have, if any, for having given this evidence twice
in a criminal trial against this gentleman (Selim) and then in the third trial
admitting that it was just wrong?" Gleeson asked.
"I've really got no explanation for that," Tribe replied.
It was suggested in court that the TGA investigation into Pan cost the
Government $17 million, the same amount that was recently pledged to tackle
childhood obesity.
The Government also will pay Selim $50million and his lawyers $5 million by
mid-September. But with a class action on the cards the Government - which
withdrew its defence in the Selim case - could be up for millions more.
The Government, so far reluctant to do so, may be forced to look the actions of
some of its senior public servants.
Meanwhile, in NZ, there are calls to resist a joint agency approach. New Zealand
Health Trust, a charitable trust set up to promote the health of New Zealanders,
says the country "only narrowly escaped being subject to the same regime".
Spokesman David Sloan says NZ businesses have known for years how bad the system
is in Australia. Selim's result shows the industry's fears are completely
justified, Sloan says. The TGA was "totally out of control and we want no part
of it".
By
Susannah Moran | August
20, 2008 The Australian
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