Was the export of cough syrup connected to child fatalities? WHO requests clarification from India


The Coldrif tragedy has sparked nationwide outrage, prompting health authorities and government officials to intensify scrutiny of pharmaceutical manufacturing and regulatory practices. In addition to forming a Special Investigation Team (SIT), several state governments have ordered the immediate suspension of production and distribution of Coldrif while initiating legal proceedings against the manufacturer and medical practitioners implicated in the incident.

Experts have highlighted systemic lapses in drug safety monitoring, noting that highly toxic substances like Diethylene Glycol (DEG) should never enter formulations intended for children. The Central Drugs Standard Control Organisation (CDSCO) and state drug authorities are under pressure to review and strengthen protocols for quality checks, inspections, and compliance enforcement across pharmaceutical units.

Meanwhile, grieving families continue to demand justice, while hospitals in affected districts like Chhindwara and Nagpur are treating surviving children for kidney failure and related complications. Medical professionals have warned that even with timely intervention, DEG poisoning can have long-term effects, underscoring the urgency of preventive regulatory measures.

The international dimension of the crisis has also drawn attention, as the World Health Organisation (WHO) and other global health agencies seek confirmation from Indian authorities regarding whether contaminated syrups were exported. Any evidence of international distribution could trigger broader alerts, potentially affecting the supply of Indian-made pediatric medicines in multiple countries.

Political leaders across parties have called for accountability at every level—from manufacturers to regulatory authorities. Congress leaders, in particular, have demanded a judicial probe, emphasizing that state-led investigations alone may not suffice to uncover the full extent of negligence and lapses that led to the deaths.

As the investigation progresses, authorities are also reviewing the sale of other pediatric medicines to ensure that similar toxic exposures do not recur. Public health experts stress the need for immediate corrective measures, including stricter enforcement of drug safety standards, routine laboratory testing, and awareness campaigns for caregivers to prevent further tragedies.


 

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