mercoledì 7 marzo 2012
Anniversari: 7 Marzo 1972 - the Devonport Incident - le GMP
The incident first hit the newspapers on the 7th March 1972, although the batch was manufactured in May 1971. The front page of the UK’s Daily Telegraph (below) captures the incident from the public’s viewpoint. Click here for a PDF of the article below - Devonport incident.
This later lead to a UK Government enquiry into the incident, which is summarised in the Clothier Report (July 1972). In this report poor operational practices surrounding the final sterilisation autoclave were blamed for the problem. The report is very difficult to get hold of and I have yet to see a copy on the internet. It is a very interesting read if you can get hold of a copy. The final conclusions of the report are a sombre lesson to us all:
“The committee considers that too many people believe that sterilisation of fluids is easily achieved with simple plant operated by men of little skill under minimum supervision, a view of the task which is wrong in every respect.”
Tratto da: http://inspiredpharmablog.com/2012/03/07/the-devonport-incident-7th-march-1972/#more-388