Are Medical Parliamentarians Raising Alarm on Rare Disease Treatments with PM?
Synopsis
Key Takeaways
- Significant delays in accessing ERT for rare diseases pose life-threatening risks.
- IMPF has raised urgent alarms requiring intervention from government authorities.
- Over 60 patients are currently without a treatment path due to financial caps.
- Many affected individuals may not be officially registered, complicating care efforts.
- Immediate action is required to prevent further fatalities.
New Delhi, Dec 11 (NationPress) The Indian Medical Parliamentarians’ Forum (IMPF), composed of 45 parliamentarians with medical backgrounds, voiced serious concerns on Thursday about the significant delays in accessing Enzyme Replacement Therapy (ERT) for both children and adults afflicted by rare and life-threatening diseases, which escalates the risk of mortality.
In a formal communication directed to Prime Minister Narendra Modi and also forwarded to Union Health Minister J P Nadda, the medical professionals expressed urgent concerns over the interruptions in treatment for individuals suffering from Lysosomal Storage Disorders (LSDs).
Lysosomal storage disorders comprise over 40 inherited metabolic disorders distinguished by the abnormal accumulation of various toxic substances in the body’s cells due to enzyme deficiencies. The prevalence of LSDs is estimated to be around 1 in every 7,000-8,000 births and includes diseases like Gaucher disease, Pompe disease, and Fabry disease.
Currently, there is no patient registry for these disorders in India, yet it is estimated that approximately 1 to 1 million individuals might be affected.
The IMPF cautioned that interruptions in treatment, as dictated by the National Policy for Rare Diseases (NPRD) 2021, are posing an immediate danger to numerous children diagnosed with LSDs. Dr. Anil Bonde, the Chairperson of the IMPF and a Rajya Sabha MP, urged for swift and decisive action to avert unnecessary fatalities.
The IMPF, which acts as a knowledgeable action group to influence health policy and highlight public health issues within Parliament, reported that around 60 patients have exceeded the Rs 50 lakh financial cap, leaving them without a feasible option for continued treatment.
They further indicated that delays in funding are placing nearly 100 patients currently receiving ERT at an imminent risk of treatment discontinuation, while over 60 children and young adults have tragically lost their lives due to delays in initiating therapy or interruptions in treatment.
The forum highlighted that even a temporary disruption in ERT can lead to acute metabolic crises, irreversible organ damage, and often, death, rendering every delay a life-threatening situation.
The physicians called for an urgent waiver or extension of the Rs 50 lakh cap for LSD patients to ensure no individual undergoing therapy is compelled to regress or face fatality due to financial constraints. They also advocated for the establishment of a continuum-of-care funding framework under the NPRD to guarantee long-term, uninterrupted treatment.