Thursday, 6 January 2011

Big Pharma, Big Question: Access to Medicine


 Simon Nkoli died at the age of forty-one. The year was 1998. Cause of death, AIDS. He was not the only one. The HIV/AIDS pandemic was running rampant at the time. Hundreds of thousands in Nkoli’s home nation of South Africa had already contracted the disease. Millions more around the world were falling victim too.

The human immunodeficiency virus that lies at the root of the AIDS disease is indiscriminate. Rich or poor, developing world or developed, HIV ruthlessly eats away at the immune system. The pharmaceutical trade, in contrast, is heavily discriminate.

As Nkoli lay dying, patients in richer countries with better health systems were fighting off the disease. Behind their successful struggle lay groundbreaking anti-retroviral drugs. Developed at great expense, the drugs did not come cheap. Access, logically, was restricted to those with deep pockets.

Nkoli, an apartheid activist and gay rights campaigner, didn’t think restricting access to life-saving drugs was fair. Again, he was not alone. His death triggered a small but influential group of gay activists to establish the Treatment Action Campaign. The Campaign’s message was straightforward: increase access to HIV treatment. The idea found a passionate and influential advocate in the then president, Nelson Mandela.

Fast forward three years and the scene had expanded in scope and profile. Around the world, manufacturers of generic drugs were popping up with low-cost alternatives to Big Pharma’s antiretrovirals. A new law in South Africa could, theoretically, open the door to the import of the cheap generics.

Activists and HIV/AIDS sufferers saw the move as a lifeline. The pharmaceutical industry saw it as the death knell. Amassing their collective weight, 39 international pharmaceutical companies challenged the South African government in the courts. The global reaction was immediate. And it did not lie in the companies’ favour. Big Pharma quickly, albeit reluctantly, backed down.

Ethical Corporation’s recent ‘Classic Case Studies’ picks up the story from there, describing how the global pharmaceutical industry has had to develop new business models to deal with changing societal expectations.

Like all CSR stories from the last decade, the industry’s journey has been an iterative one. From philanthropically-motivated donation programmes, Big Pharma has experimented with price innovations, patent pools and new research streams. By its own confession, it hasn’t yet got all the answers.

A recent report by the World Health Organisation finds many essential medicines remain “unaffordable” to poor people. If practices don’t change, UN Millennium Goals on access to medicine will fall wide of the mark.

The lessons from the story are multiple and open-ended. More must come. This is an evolving story. Yet what all the various parties agree – companies, governments, citizen groups and health agencies – is that collaborative solutions hold the most hope.

Today, the pharmaceutical industry boasts some of the largest and most serious cross-sectoral initiatives of any industry. Low medicinal access is not just an issue of high prices. Weak health infrastructure and sub-standard local capacity play their part too. Working together could just resolve these.

It’s too late for Simon Nkoli. But not necessarily for the millions of others currently suffering from treatable diseases.

n.b. other stories from the Classic Case Studies report include the Bhopal disaster, Exxon Valdez, the McLibel case, Brent Spar, Monsanto’s European fall out over genetic engineering, the Kimberley process, Trafigura’s toxic spillage and Toyota’s global recall.


21 comments:

  1. In the absence of a sophisticated 'business case' for big pharma that demonstrates what's in it for them, perhaps we need to resort to the bottom line. One 'collaborative solution' that fits might be the Health Impact Fund - www.healthimpactfund.org It's the brainchild of Professor Pogge at Yale and is an ambitious proposal based on providing better financial incentives for pharma companies to deliver health benefits in developing countries.

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    Replies
    1. I am kimberly nancy from texas USA Good morning never lose hope because there is always a helper, it can delay but God is always with you i want to use the means to thank great DR.OSSEJA for his hand work i was very sick for 3year i have search all over for genital herpes cure but no way until i meet the is DR.OSSEJA the man that always keep his words and promise, i saw post about this man on net, i was like asking my self if this will work, looking at this i give this great man a try, he told me not to worry he assured me that i will be cured only if i do according to his term and condition that i will be cured i reply telling him i will, this man ask me for many details i was so scared to give it out i decide to confirm what is the details is needed for he explain to me is the details that he will use for casting the curing spell and also have the herbal cure which i will take for 2 weeks so should choose from the both the curing spell and the herbal cure so i choose the curing spell after he was done in 3 days that i will get cured and heal totally i was so surprise and i do according to he requested and again this man inform me that there will be something needed for the cure i provide the necessary things needed and DR.OSSEJA do according to his command and i give him time to cure me after everything was done, i was now see my self getting cure a bit by bit finally i was cure 3day after i have an appointment to go for test which i did guest what i was cured am so so happy to see me i am free from this sickness a great thank to DR.OSSEJA the man that help me from pain i love you Dr i will want to tell the public about him that was my promise to him before he cured me you can reach me through this email (kimberly.nancy11@gmail.com) if you need any question about him, and you can also email him direct as (DR.OSSEJAHEALERHOME@GMAIL.COM)

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    2. Dear viewers i am here to share my story on how i got cured quickly of HIV AIDS disease that i have suffered for so many years and since then i had never got a cure,but successfully after reading an article of Dr Akuna,i got my healing in less than 2weeks after suffering for 23years of this virus and i have searched for remedy but all to no avail. but the healing herbal cure of Dr Akuna was made manifest in my life. i suffered so many symptoms and it got so worse that my immune system started dehydrating but thanks to Dr Akuna who came and made me whole and complete again.why go through more pain when the great Dr Akuna came help you with your health challenges of all kinds,HSV1-2,DIABETES,HPV,GONORRHEA,SYPHILIS,HBV,GENITAL WARTS, And many more. Just write to him for assistant and i am sure he is already waiting to help you.his email is:drakunasolutiontemple@gmail.com or his what app line:+2348154625070 or his websites:http://drakunasolutiontem.wixsite.com/dr-akuna

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  2. Thanks for mentioning the Health Impact Fund. We see this as a permanent structural fix of the innovation/access dilemma. It makes important new medicines available from day 1 at the cost of production -- and it still rewards innovators for their work of research, development, and clinical testing. These rewards come not from mark-ups of the product, but as shares of annual reward pools that get divided among registered products according to their measured health impact. These reward pools are funded by many governments (according to their countries' gross national income) and guaranteed in advance. This Health Impact Fund system would (1) stimulate much more attention to the diseases of the poor (against which huge health impacts can be realized); (2) make important new drugs affordable even to poor people; and (3) encourage innovators to do much more to ensure that their medicines are optimally used (after they've been sold). Do check it out at www.healthimpactfund.org.

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  3. i never belive i am going to be cure, dr.odudu has so much made me belive in him. thanks so much for bringing back my happiness.

    my story on how i get cure true the help of DR,ODUDU HERBAL HEALING MEDICINE.

    Hello please listen to my story that has brought back my happiness, i am 43 years old am hiv positive over for two good year now, i saw a comment posted by SARAH DAVISE FROM U S A, on how she was free from genital warts with cannabis CANNABIS HERBAL MEDICINE by doctor ODUDU remedy , I was diagnosed of hiv infections for the pass two years , I contacted devise Sarah sarahdavise44@gmail.com and she told me that this very doctor cures genital warts , and he also cure HIV, H.P.v HTLV HLTV. HUMAN PAPAILOMAVIRUS, HERPES, HSV, SYPHILIS, CANCER, HEPATITIS A B and C. HIRE BLOOD PRESSURES, BODY DISEASE, DIABETICS, ENPILENCIN, GENPILENCIN, HIV AIDS, PREGNANCY SVH1 AND HSV2 e t c, then I contacted Dr. ODUDU, so he told me what to do to get healing and free from my hiv virus , so I make provisions for the HERBAL REMEDY which I used for two weeks and now just to see that the exact week which doctor DR.ODUDU told me I we be healed I was felling good and healthy , my skin regained, I went for check up in the hospital and my doctor told that me that all the virus disappeared from my blood vessels and normal, then I made a promise to Dr.ODUDU that I will testify of his good herbal work to the world, so I will like you to contact him in any such diseases dr.oduduherbalhome@gmail.com . or dr.oduduherbalhome@hotmail.com dr.oduduherbalhome@yahoo.com https://web.facebook.com/Droduduherbalhome-17071975895029…/… phone contact +2348101571054 ,his whatsapp contact is +2348137162683

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  4. HOW I GOT CURED FROM HPV WARTS VIRUS
    Dr.Oboite herbal medicine is a good remedy for HPV WARTS , I was browsing through the Internet searching for remedy on HPV WARTS cure and i saw comment of people talking about how Dr.Oboite cure them from HPV WARTS, I decided to contact, I contacted him and he guided me. I asked him for solutions and he started the remedies for my health. Thank God, now everything is fine, I’m cured by Dr.Oboite herbal medicine, I’m very thankful to Dr.Oboite, reach him on droboiteherbalcurehome@gmail.com WHATSAPP HIM VIA +2348054265852.

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  5. I have been suffering from (HERPES) disease for the last four years and had constant pain, especially in my knees. During the first year,I had faith in God that i would be healed someday.This disease started circulate all over my body and i have been taking treatment from my doctor, few weeks ago i came on search on the internet if i could get any information concerning the prevention of this disease, on my search i saw a testimony of someone who has been healed from (Hepatitis B and Cancer) by this Man Dr ADE and she also gave the email address of this man and advise we should contact him for any sickness that he would be of help, so i wrote to Dr. ADE telling him about my (HERPES Virus) he told me not to worry that i was going to be cured!! hmm i never believed it,, well after all the procedures and remedy given to me by this man few weeks later i started experiencing changes all over me as the Dr assured me that i have cured,after some time i went to my doctor to confirmed if i have be finally healed behold it was TRUE, So friends my advise is if you have such sickness or any other at all you can email Dr.ADE on : Adespelltemple@gmail.com sir i am indeed grateful for the help i will forever recommend you to my friends!!! with your lovely Email Address Adespelltemple@gmail.com or call He on +2347057375409

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  6. Hello Everyone out there,I am here to give my testimony about a Herbalist doctor who helped me . I was infected with HERPES SIMPLEX VIRUS in 2011, i went to many hospitals for cure but there was no solution, so I was thinking how can I get a solution out so that my body can be okay. One day I was in the river side thinking where I can go to get solution. so a lady walked to me telling me why am I so sad and i open up all to her telling her my problem, she told me that she can help me out, she introduce me to a doctor who uses herbal medication to cure HERPES SIMPLEX VIRUS and gave me his email, so i mail him. He told me all the things I need to do and also give me instructions to take, which I followed properly. Before I knew what is happening after two weeks the HERPES SIMPLEX VIRUS that was in my body got vanished . so if you are also heart broken and also need a help, you can also email him at {oliha.miraclemedicine@gmail.com}
    or whatsapp him number: +2349038382931.
    Contact him today and you will have a testimony...Good luck!

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  7. nice write up! I suffered from HIV, I was almost down with AIDS, I sought help from DR Jose Alessio, with his drugs, prayers and instructions I was treated and now i am free!pray to God and follow the instructions of Dr Jose, he has the perfect solutions for the following ailments,HSV, HERPES, GENITAL WARTS, HIV 1 snd 2, STAPHYLOCOCCUS, HPV, CHLAMYDIA, GONORRHEA, TRICHOMONIASIS, HEPATITIS, CHANCROID, SCHIZOPHRENIA, LYMPHOGRANULOM VENERUM OR LGV, MOLLUSCUM AND CONTAGIOSUM.He is such a genius dealing with brain and mind issues, you can write to him on joseherbals28@gmail.com He will surely be able to help you

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  8. Hello, Am smith elena from United State. I want to say a very big thanks to dr.davismartin for his wonders.i have been suffering from fibroid for long and i have tried so many medications it works a little and goes back to how it was before, not until few months back when i saw a post by sarah about how she got cure with herbal medication from dr.davismartin and got cured. so i email his address and he sent me the herbal product which i use to get rid of my fibroid problem am so happy to be free You can contact him via his email. drdavismartin62@gmail.com

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  9. Thank you Dr. Okuns, your herbal medicine is a good remedy for herpes cure, and Removing Warts! You can contact Dr. Okuns via E-mail: herbal.home247@yahoo.com for any types of diseases solutions or WhatsApp him on: +2348078467513

    My name is Mary Hanson, am from United State. I want the general public
    to know how this great man called Dr. Okuns cure me and my sister from GENITAL HERPES with the herbal medicine gotten from him, And i have confirmed that he cures other diseases too like STD, SYPHILIS, CANCER, HIV AIDS, My own was worst I have suffered for Human papilloma virus HPV) for 2years he cure me too!!! herbal is a great medication. he have a medicine that is 100% percent assured to cure any type of disease and you don't need to spend so much money anymore . I want you to contact Dr. Okuns on E-mail: herbal.home247@yahoo.com My family is now a brand new one, so stop your worries and go get your herbal medicine now to get your family free from deadly disease. Once again thanks to Dr. Okuns you can contact him now via phone number: +2348078467513 or email him on: herbal.home247@yahoo.com

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  10. I am Matthias lang, from Orlando u s a, i suffered from schizophrenia
    for 28 years, i lived in pain with the knowledge that i wasn't going to ever be like every normal human, i contacted so many doctors on this issue,and i have use so many western drugs prescribe by various doctors and all was no avail, because i was determined to get my life back, one day i was researching for this on internet and i saw a post about devansh herbal health care who cure different manners of diseases,including schizophrenia, I contacted him via email: devanshherbalheathcare@gmail.com and made purchase of the schizophrenia herb, i received the herb through USPS within 24 hours, when i received the herb i applied it as prescribed, and to god be the glory i was totally cured of schizophrenia within 1 months of usages,my dear brothers and sisters You do not have to suffer more just contact him for his medicine on devanshherbalheathcare@gmail.com.com he will definitely put an end to that problem of yours

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  11. My name is Emilia Peters, I am here to give my testimony about a doctor who helped me in my life. I was infected with HERPES SIMPLEX VIRUS in 2015, i went to many hospitals for cure but there was no solution, so I was thinking how can I get a solution out so that my body can be okay. One day I was in the river side thinking where I can go to get solution. so a lady walked to me telling me why am I so sad and i open up all to her telling her my problem, she told me that she can help me out, she introduce me to a doctor who uses herbal medication to cure HERPES SIMPLEX VIRUS and gave me his email, so i mail him. He told me all the things I need to do and also give me instructions to take, which I followed properly. Before I knew what is happening after two weeks the HERPES SIMPLEX VIRUS that was in my body got vanished . so if you are also heart broken and also need a help, you can also email him at:drejiehiwaseharbalcenter@gmail.com or call him or talk with him through wasap on +2347067607558
    You can also contact him if are diagnosed with any the virus below
    {1}HIV and AIDS
    {2}Diabetes
    {3}Epilepsy
    {4} Blood Cancer
    {5} He Can Make you get Pregnancy
    {6.} HPV
    {7} ALS
    {8} Hepatitis
    {9} Diabetes
    {10}Love Spell

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  12. . I GOT CURED OF HERPES AFTER USING DR OOSA HERBAL MEDICINE.

    I caught genital herpes from my ex boyfriend who never had any symptoms. I have had it for 4 months now,and it has affected my life. I have told my husband who I trusted about it and I have never had a bad reaction, it has affected my new relationships with my husband. People think herpes is really a minor skin irritation herpes has a long term effects on health. The stigma attached to this virus by ignorant people is ridiculous. Most people have herpes in one form or another. I would like to advise people on how i get rid of my herpes.i was reading a comment on the internet,and i saw a testimony posted by a woman from island that she get rid of her herpes with the help of doctor oosa. so i was so happy when i saw that post,that his herbal medication is free.i quickly collect the herbal doctor email and i email him within 5 hr he respond to my email.i explain things to him he told me not to worry that i should fill his herbal form wish i did.he only request for little money that he will use to buy the items for the preparation of the herbal medicine,wish i send to him because the pain was too much for me to bear.after some days he told me that he has prepare the herbal medicine,that i should send him my address that he want to sent it to me via DHL or FED-EX that was how i got the herbal medication.and i use it as i was told.after few days i found out that my herpes was no more.when some of my friend who has herpes saw me they were surprise and i also introduce them to the man and they are also cure from the same herpes.if you have herpes,kindly contact doctor oosa via this email doctoroosaherbalhome@gmail.com . i know people might be wondering why posting such things online but i am gland and i want each and everyone living with herpes to know that there's herpes cure because i have suffer for so many years searching for this cure.

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  13. I was diagnosed of herpes in 2015 and I tried all possible means to get cure but all to no avail until i saw a post in a health forum about a herbal doctor from Africa who prepare herbal medicine to cure all kind of diseases including herpes virus, at first i doubted if it was real but decided to give it a try, when i contact this herbal doctor via his email i bought the herpes herbal medicine and received it through DHL within 3 days and used it as prescribed,
    i tested negative to HPV virus within 2 weeks of usage. Thanks to https://drsuccessfulcuring.wixsite.com/drsucessful I got lot of information.DR.successfulcuringhome@gmail.com or Dr.successfulcuringhome@hotmail.com https://drsuccessfulcuring.wixsite.com/drsucessful.. or talk to him via What's Number +2349054910629 thanks once again to Dr GOD bless you abundantly….

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  14. GET RID OF HERPES BY A HERBALIST DOCTOR CALL DR EGBE.
    IVANA ALENA" I want to give almighty praise to DR EGBE who cure me from herpes. He is a great man who God send from heaven to save people’s life, when i contacted this deadly virus disease i thought that was the end of the world for me little did I know that there is a man called DR EGBE who has made a breakthrough in the cure of herpes with the help of herbal treatment which I confided in a friend in south Africa he told me about this man called DR EGBE and how he cured the mum and dad from genital herpes after many years of living with this deadly diseases he told me of the cost and procedure I felt it worth a try after I have been spending so much on medical drugs to make me live like every normal human being so I contacted DR EGBE and did as he commanded without missing his words he did all he needed to do and sent me the herbal medication via DHL shipment I took it as he directed it was exactly 19 days as DR EGBE has spoken when he emailed me and told me to go for a check up again and I went to my greatest surprise it was negative I felt it was a dream so I went to three different hospital and it was still negative then I cried out in a loud voice and people gathered in the hospital and I told them my story in tears how this man called DR EGBE have saved my life and they started demanding for his mail to contact him it was only last week my friend monica who was herpes positive came back from visiting DR EGBE as a healthy woman I told her about DR EGBE you can reach him through his email address egbegodytemple@hotmail.com he never fails hold done my friend don't cry no more when our helper is here I believe in him he am sure you will be lucky as I am too just email him on egbegodytemple@hotmail.com he is a savior of life. any DISEASE: you have will be cure by DR EGBE
    1. HIV/AIDS
    2. HERPES
    3. CANCER
    4. ALS
    5. Hepatitis B
    6. Diabetes
    7. if anyone want to get how Menstruation back again
    email. egbegodytemple@hotmail.com


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  15. It still unbelievable to believe that HIV AIDS still has cure, me and my Husband has been suffering from HIV AIDS for so many years and we have search for help but we were unable to find one, i was told that there was no cure for HIV AIDS but somehow i believe that there was someone out that has a cure, so that was how i went in search for s solution on how to get cured of HIV AIDS and surprisingly i saw comment on daily news papers where lady testify of how Dr obor herbal medicine cure her, i was so confused because first i thought that there was no cure but now seeing that someone outside has a cure, i thoughts of it as a scam but something told me to give it a try and when i did he reply me and assure me that me and my husband will be cured once we receive his herbal medicine, that was how he prepared it, and send my herbal medication that me and my husband used that cure me and my husband in Just 2 weeks and we were tested HIV AIDS Negative. All Thanks to the powerful Dr obor for his help in my life. contact him on his email OBORSPELLHOME@GMAIL.COM
    whats sup him on +2348105813057

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  16. MY NAME IS NITA.

    Dr Williams,herbal treatment is the best to shrink fibroid naturally.

    Four months ago, I was scheduled an operation to remove a fairly large uterine fibroid (approx. 8 cm), which had caused me a great deal of pelvic pain and pressure on my bladder. My doctor insisted that there was no other choice but to go under the knife and I had reluctantly agreed (after trying several medications to decrease the size of the fibroid to no avail). It was approx. 2 months prior to the surgery when my husband comes across dr williams herbal remedies which my husband found and ordered for me online. With the help of my loving husband, I followed the step and procedure on how i should be taking it. and one months later I was scheduled for an ultrasound check: it was shocking. The fibroid had completely gone, I had consulted my doctor and cancelled the surgery and with your dedicated counseling guidance I managed to completely treat the fibroid from my uterus, along with the pain and anxiety that this condition had inflicted on me. Thank you so much for your kind help,any body with similar problem should contact him on his email address drwilliams098765@gmail.com his a good man

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  17. Dear viewers i am here to share my story on how i got cured quickly of HIV AIDS disease that i have suffered for so many years and since then i had never got a cure,but successfully after reading an article of Dr Akuna,i got my healing in less than 2weeks after suffering for 23years of this virus and i have searched for remedy but all to no avail. but the healing herbal cure of Dr Akuna was made manifest in my life. i suffered so many symptoms and it got so worse that my immune system started dehydrating but thanks to Dr Akuna who came and made me whole and complete again.why go through more pain when the great Dr Akuna came help you with your health challenges of all kinds,HSV1-2,DIABETES,HPV,GONORRHEA,SYPHILIS,HBV,GENITAL WARTS, And many more. Just write to him for assistant and i am sure he is already waiting to help you.his email is:drakunasolutiontemple@gmail.com or his what app line:+2348154625070 or his websites:http://drakunasolutiontem.wixsite.com/dr-akuna

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  18. My name is William Morgan, am from canada. I have been suffering from HERPES SIMPLEX VIRUS disease for the past years now, and ever since then i was having constant pain, especially in on my abdomen. During the first year, I had faith in God that one day I will be healed and be free from this disease, this disease started spreading and circulating all over my body and all this while I have been going for medical check up and also taking some medication, few months later when I was searching through the Internet, if I could get any help concerning my illness and disease, on my searching I saw a testimony of someone who was cured from this same disease HERPES SIMPLEX VIRUS. By one herbal medicine Man called Dr Olufemi Ade through his herbal medicine, so i copy his email address wish is drolufemiadeherbalhome@gmail.com, I wrote and email him telling him about my (HERPES VIRUS) then he told me not to worry that he is going to cure my disease through his herbal medicine! I never believed him, then he told me that he is going to prepare a herbal medicine for me. Which i will be taking, then after taking the herbal medicine and abiding to all the procedures given to me by this herbal medicine man on how to take the herbal medicine, behold few weeks later I started experiencing changes in my body capitally all over my body. I assumed that i have been cured. Then i called and email him telling him again on how i was filling he then asked me to go for a check up, so i went for the check up, believe me i was tested free from this disease, i never believed him, so i went to another hospital for a check up again the doctor confirmed the something that i was free. i was so happy and i give glory and almighty to God for using this man to save me from my shame. This was how i got ride of my condition. So friends there is hope out there to that your problem no need for cry anymore. my only advise is if you have any similar issue or you or want to be a helper to any of your friends. you can email him at drolufemiadeherbalhome@gmail.com OR WhatsApp him on his mobile number +2349060272306 ... call .. +2348050557377.. He can also cure the following disease.. HIV AND AIDS VIRUS, DIABETICS, CANCER, LASSA FEVER, MENOPAUSE DISEASE, LASSA FEVER, ASTHMA, IMPOTENCY.. and Many more... CONTACT HIM TODAY AND REGAIN YOUR HEATH BACK TO NORMAL,

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  19. I GOT CURED FROM HERPES WITHIN 8 DAYS, AFTER USING DR ADAGHE HERBAL MEDICINE.

    My name is Mrs Lisa Willard am out here to testify about how Dr Adaghe cured my (HERPES SIMPLEX VIRUS) i visited different hospital but they gave me list of drugs which were expensive to treat the virus but to no avail. I was browsing through the Internet searching for remedy on HERPES and i saw comment of people talking about how Dr Adaghe them. when i contacted him he gave me hope and send a Herbal medicine to me which i first thought wont solve anything but later i gave it a try and it seriously worked, my HERPES result came out negative. I am so happy as i am sharing this testimony. My advice to you all who thinks that their is no cure for herpes and also no genuine spell caster that is Not true just contact him and get cured today Dr Adaghe spell shrine can cure all kinds of sickness.Remember delay in treatment leads to death email him @ {doctoradaghebalhome@gmail.com}.


    HE IS ALSO SPECIALIZED IN THE TREATMENT OF VARIOUS AILMENT
    1 HIV/AIDS VIRUS
    2 CANCER DISEASE
    3 TUMOR DISEASE ETC
    HE CAN ALSO PROVIDE SOLUTION TO THE FOLLOWING LIFE PROBLEM
    1 EATING AND LOVE MAKING IN DREAM
    2 MASTURBATION ETC
    EMAIL HIM TODAY @ doctoradaghebalhome@gmail.com

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