In March and May 2003, UK Revenue & Customs seized some shipments of vitamins C + E. The shipments were in fact counterfeit Viagra. A counterfeit medicine is one which is deliberatelyand fraudulently mislabeled with respect to identity
Acting on intelligence received from Revenue &
and/or source. Counterfeiting can apply to both
Customs, MHRA officers conducted raids on two
branded and generic products and counterfeit
addresses where 150,000 counterfeit Viagra tablets were
products may include products with correct
seized along with information leaflets, a pot-sealing
ingredients, wrong ingredients, without active
machine and paperwork. Counterfeit Propecia, labels
ingredients, with insufficient quantity of activeingredient or with fake packaging.
A large number of the pots of Viagra were labelled as
either Fish Protein and Mineral Supplements for Dogs or Vitamin tablets (Figure 1).
The main individual, Gary Haywood, then fled the UK
and went to Costa Rica; he claimed that the Triads were
The WHO estimate that up to 1% of medicine is
♦ Counterfeit medicine is more commonly
available through the unregulated supply chain,usually the Internet.
From paperwork found at both addresses it wasestablished that invoices connected Haywood to a
♦ Less frequently, but more worryingly, it is
company in the UK, Stormgrand. This was an unlicensed
sometimes available through the regulated
pharmaceutical wholesaler operated by Ashish Halai
supply chain via wholesalers, distributors and
whose wife, Nena, ran a pharmacy called Nashi
pharmacies to patients Figure 2. ♦ Counterfeit medicines available in the developed
world include ‘lifestyle’ and ‘lifesaving’ medicines
Hayward was also connected to companies in Sweden,
from conditions such as erectile dysfunction and
three companies in the Bahamas and wholesaling
weight loss to cancer and heart medicines. ♦ Visual examination alone often fails to identify
The paperwork also indicated a storage site not known
to the investigators. This was searched and from dustpatterns on the floor it was established that two large
♦ There have been thousands of known fatalities
pallets had been recently moved. At this point the case
exploded and become enormously complicated. ♦ Counterfeits are dangerous and undermine
Further wholesalers were discovered and a company inNorway.
of the main suppliers of Viagra to three companies in
The Norwegian company was contacted by investigators
the Bahamas. Global Metz, JTR Associates (McCoy
working for Pfizer and resulted in an under cover
Borthers) and Betco Ltd (Robert Moffat).
meeting to buy 21,000 Viagra tables. The MHRA seizedthe tablets at the same scene.
It was then found that Halai also supplied MetroPharmacy, owned by Rajendra Shah, and LPC
Haywood used a number of his own companies to
Pharmaceuticals. He also supplied three companies in
Sweden, Planet Pharma, EcoWest and Crosstrading. ♦ Gary J Haywood Pharmaceuticals Supplies ♦ Gary J Haywood Medical Supplies Pty ♦ Haywood and Co Ltd
The Robert Moffat of Betco operated a bonded warehousein the Bahamas. He has since been arrested, indicted and
♦ Lancaster House Ltd
imprisoned by the US authorities. Moffat informed the
In addition Stormgrand’s Ashish Halai was involved in a
authorities in 2004 that a Nick Malis had put out a contract
company called Farmacia del Mundo and was also one
on the life of Halai. Nick Malis was subsequently arrested.
european INDUSTRIAL PHARMACY • Issue 1 October 2008 OPERATION STORMGRAND (Cont.) Manufacturer Trader/broker Regulated Unregulated Wholesaler Website operator Grey market Lifestyle products Pharmacy Internet site Figure 1. Pot containing counterfeit Viagra.
He was operating a company called One Source inDallas, Texas.
Figure 2. How counterfeit medicines are distributed.
As a result of information passed to the US a total of 11individuals were arrested and prosecuted. Over 20
“Operation Ocean Crossing” resulted in raids in 5
websites have been closed down and assets involving
locations in Tianjin City and Henan province. Huge
several millions of dollars have been restrained and
amounts of equipment were seized, in addition to
600,000 counterfeit Viagra, 440,000 counterfeit Cialisand 260kg of bulk raw material. Eleven Chinesenationals were arrested.
Further developmentsIn the summer of 2004, counterfeit Cialis and Reductil
Cowley was charged with Misbranding and Counterfeiting,
tablets were discovered in the UK supply chain. This was
sentenced to two years imprisonment and a substantial
initially investigated as a case on its own. However, by
following the audit trail it quickly became apparent thatit was intricately linked to Stormgrand. Many of the
same names were cropping up time and time again. The
As a result of Operation Stormgrand in the UK, a total of
investigation was therefore merged with Stormgrand
nine defendants were charged with conspiracy, at
Kingston Crown Court in Surrey. Ashish Halai, pleaded
Following the arrests in the US some of the arrested
guilty at start of trial and was sentenced to 41⁄2 years in
individuals decided to co-operate with Immigration
prison; Nena Halai, pleaded guilty and received 80
Customs Enforcement (ICE), which let to the main
hours community service; Gary Haywood was sentenced
defendant in the US, Richard Cowley, being charged with
to 6 years after an 8-month trial; Ashwin Patel was
the counterfeiting of Viagra, Cialis and Lipitor.
sentenced to 18 months imprisonment; Zahid Mirza fledthe UK after being found guilty – he was sentenced to 21⁄2
Whilst this was ongoing the UK suffered its 3rd
counterfeit case within the space of 12 months, this timeit was Lipitor.
Thus, one chance detection by Customs in 2003 and thefollowing investigation by the MHRA, led to intelligencebeing passed to overseas counterparts that eventually
reached 39 countries worldwide. Industry estimates
Cowley’s home PC was seized and analysis revealed
place the total number of individuals arrested as a result
details of contacts in China. As a result, ICE field office
agents assisted officials of the ministry of Public Security(MPS) and the Public Security Bureau in China to
Based on information provided by the Operations,
determine the source of counterfeits. Enforcement and Intelligence Group of the MHRA
european INDUSTRIAL PHARMACY • Issue 1 October 2008
No evidence for association between a functional promoter variantof the Norepinephrine Transporter gene SLC6A2 and ADHDin a family-based sampleT. J. Renner • T. T. Nguyen • M. Romanos •S. Walitza • C. Ro¨ser • A. Reif • H. Scha¨fer •A. Warnke • M. Gerlach • K. P. LeschReceived: 26 April 2011 / Accepted: 7 June 2011Ó Springer-Verlag 2011shown to have major influence on the
CURRICULUM VITAE Dr. Gianluca Straface Nascita 1991:Maturità Classica presso il Liceo Classico “V. Julia” di Acri (CS) con la 1997: Laurea in Medicina e Chirurgia presso l’Università degli Studi di Roma “La Sapienza”, con la votazione di 110/ 110 e lode. 1998: Abilitazione all'esercizio della professione di Medico Chirurgo 2003: Diploma di Specializzazi