Fake Medicines Threaten Public Health in Kenya

Kenya’s pharmaceutical supply chain is facing a creeping, deadly crisis — one that’s quietly poisoning public trust in healthcare. In 2024 alone, over 30 different drug products were recalled in Kenya, more than doubling the previous year’s figure. This disturbing surge included contaminated pediatric syrups, mislabeled antibiotics, and packaging mix-ups between life-saving cancer drugs and common generics. Some of these were produced by global manufacturers with once-reputable names. The growing scale and severity of these incidents have exposed glaring weaknesses in regulatory enforcement, border control, and supply chain oversight. But beyond the headlines lies a darker story — fake and substandard medicines are no longer rare exceptions; they are becoming routine features in pharmacies, clinics, and even households. As treatment failures rise and drug resistance intensifies, trust in medicine itself is breaking down. Patients increasingly worry: if I walk into a pharmacy, how can I know what I’m buying won’t kill me?

A K24 Report from 2024

The regulator, the Pharmacy and Poisons Board (PPB), is overwhelmed. With just 16 inspectors tasked with overseeing a vast and evolving market — spanning over 10,000 retail outlets, mobile vendors, and now, an unregulated e-pharmacy explosion — enforcement efforts are falling behind. In 2024, the PPB shut down 117 illegal pharmacies, an important but ultimately symbolic move in the face of thousands more operating without licenses or pharmacist supervision. Online drug sales are the new front line. A study found that over 60% of Kenyan e-pharmacies sell restricted drugs like antibiotics and sedatives without prescriptions, bypassing safeguards entirely. These platforms, often disguised as Instagram shops, WhatsApp-based vendors, or websites with fake credentials, target desperate buyers looking for cheap, fast relief. With little digital verification, no pharmacist involvement, and no legal framework to manage or penalize them, the risk of mass harm is escalating. Meanwhile, legitimate pharmacies face the fallout: eroded consumer confidence, a rise in self-medication, and unfair competition from black-market sellers. At the center of it all is a poorly resourced regulator trapped in a battle it cannot win with its current tools.

Fixing this won’t come from a few more closures or stern warnings. What’s needed is a total overhaul of pharmaceutical regulation and public health literacy. The PPB needs financial and legal independence, an expanded workforce, and modern tools — including barcode authentication, blockchain-backed tracking systems, and real-time reporting dashboards for drug recalls and falsifications. E-pharmacies must be brought under legal oversight immediately, with criminal penalties for non-compliant platforms. Consumer protection should no longer be passive; the government must launch aggressive national awareness campaigns to teach people how to identify fake drugs, report suspicious sources, and verify prescriptions. Crucially, Kenya must repair public trust — not just in the pills on pharmacy shelves, but in the very systems meant to safeguard their health. Because when faith in medicine collapses, people don’t stop getting sick — they just stop getting help. This is more than a regulatory failure. It’s a national health emergency — and one that cannot be ignored.

References:

The Eastleigh Voice Inside Kenya’s battle against fake and unsafe medicines

Eurek Alert Curbing harmful medicines: the promise of a unified African health products regulatory system

OECD Dangerous Fakes


Children’s Toys in Kenya: A Cancer Risk Uncovered

A shocking new report has just been released, sending alarm bells ringing across Kenya. Environmental activists are urgently warning that many children’s toys currently on sale are riddled with cancer-causing chemicals, most notably phthalates, according to the groundbreaking ‘Dangerous Fun: A Price of Play’ study. This investigation, conducted by CEJAD, ARNIKA, and IPEN, meticulously analyzed a range of popular PVC plastic toys – from dolls and inflatable playthings to teething rings and even a Spiderman costume – and the results are deeply disturbing. Every single toy tested contained phthalates, insidious chemicals used to soften plastic, alongside a cocktail of other hazardous substances including UV stabilizers, chlorinated paraffin, and toxic heavy metals. These aren’t just trace amounts; the inflatable Spiderman suit was found to be saturated with these dangerous additives at levels far exceeding safe limits. This revelation demands immediate attention from every parent and caregiver in Kenya: the very items we entrust to our children for joy and development may be silently poisoning them.

A Report by Curiosity Chronicles

The medical implications of these findings are profound and deeply concerning. Phthalates are not inert substances; they are known endocrine disruptors, meaning they interfere with the delicate hormonal systems that govern growth, development, reproduction, and even the immune system. Exposure to these chemicals, particularly during the critical developmental stages of childhood, has been linked in numerous scientific studies to a terrifying array of health problems. These include an increased risk of certain cancers, harm to children’s reproductive development, impaired immune system function, and potential damage to the liver and kidneys. Young children are especially vulnerable as they often mouth toys, leading to direct ingestion of these toxins. Furthermore, exposure can occur through skin contact and inhalation of chemical vapors released from the plastic. The fact that all tested toys contained phthalates underscores a widespread and systemic problem, demanding urgent action to protect the health and future of Kenyan children who are unknowingly being exposed to these hazardous substances through their everyday playthings.

This is not a matter to be taken lightly. The time for complacency is over. Parents must be empowered with knowledge to make informed choices, and this report serves as a stark wake-up call. We urgently need comprehensive public awareness campaigns to educate families about the dangers lurking in these seemingly harmless toys and how to identify safer alternatives. Simultaneously, policymakers and the Kenya Bureau of Standards must act decisively to strengthen regulations on the chemical content of children’s products, ensuring stricter limits and thorough enforcement to prevent these toxic toys from reaching our markets. Manufacturers and retailers must also be held accountable for the safety of their products, prioritizing the health of children over profit. The ‘Dangerous Fun’ report has laid bare a serious threat to the well-being of Kenya’s youngest citizens. We must collectively demand and enact immediate changes to ensure that play remains a source of joy and development, not a pathway to potential life-threatening illnesses. The health of our children is non-negotiable.

References:

Jijuze Children’s Health at Risk: The Impact of Endocrine-Disrupting Chemicals in Personal Care Products

The Star Your child’s toys may contain cancer-causing chemicals, activists warn

Kenya News Agency Study reveals harmful chemicals in plastic toys

Vaccines Work Plastics are invading our bodies, not just our oceans

IPEN Highly Toxic Chemicals from Plastic Waste Contaminate Kenya’s Food Chain and Products

Children’s Health at Risk: The Impact of Endocrine-Disrupting Chemicals in Personal Care Products

Emerging research has drawn significant attention to the risks posed by endocrine-disrupting chemicals (EDCs) in everyday personal care products, particularly those used by children. A study published in Environmental Health Perspectives examined 630 children aged 4 to 8, revealing that skin lotions, shampoos, and hair oils were linked to significantly higher concentrations of phthalates in their bodies. Phthalates, which are often used to make plastics more flexible, also function as stabilizers in personal care items​. These chemicals disrupt the endocrine system by mimicking or blocking natural hormones, interfering with critical biological processes such as growth, development, and metabolism. Exposure to these chemicals during key developmental stages has been associated with early onset puberty, reproductive issues, and cognitive development delays​. Further research highlights that phthalates can also increase the risk of chronic conditions such as obesity and breast cancer due to their interference with hormonal regulation​.

Harvard University Report

The situation is further complicated by socioeconomic factors, as children from marginalized communities are disproportionately exposed to these harmful chemicals. Lower-income families often rely on less expensive personal care products, which are more likely to contain higher concentrations of harmful chemicals like phthalates and parabens. A striking example of this disparity is the frequent use of hair oils and lotions in communities of color, driven by cultural grooming practices. These products, often marketed specifically to people of color, contain higher levels of phthalates, increasing the risk of early puberty and reproductive health issues​. The cumulative effect of such exposure is especially concerning given that phthalates do not remain in the body for long but cause harm through repeated and long-term exposure. Additionally, EDCs are not limited to personal care products; they are found in pre-packaged foods, household cleaning supplies, and even the air we breathe, compounding the risks for children, particularly in low-income communities​.

Performance Medicine Report

In Kenya, the regulation of these harmful chemicals lags behind international standards, posing a significant challenge to consumer safety. As we discussed in our earlier report on bottled water consumption, the lack of strict regulatory oversight leaves consumers vulnerable to health risks from everyday products​. While the Kenyan Bureau of Standards (KEBS) has implemented regulations to monitor product safety, the enforcement surrounding EDCs in personal care products remains inadequate. Unlike the European Union, which has banned over 1,300 hazardous chemicals in cosmetics, Kenya has yet to adopt comprehensive bans on these harmful substances. To safeguard public health, particularly the well-being of children, there is an urgent need for the government to strengthen its regulatory framework. This should include clear guidelines on the permissible levels of EDCs in consumer products and rigorous enforcement to ensure compliance. In addition to regulatory reforms, public awareness campaigns are essential to inform consumers about the dangers of EDCs and empower them to make safer choices. Transparent product labeling and consumer education will be crucial in ensuring that families have access to safer, healthier alternatives for their children.

References:

NPR Hair and skin care products expose kids to hormone disrupting chemicals, study finds

NIH Endocrine Disruptors

Mint Skin-care products like lotions, sunscreen cause hormonal disruptions in children, say report

Motherly Popular hair and skincare products contain concerning chemicals that could harm kids