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Central Africa: When Streets Become Pharmacies - Booming Illicit Markets in Central Africa

The report says 251 tonnes of medicines were seized from 2020 to 2025 as shortages and high prices push patients to illicit sellers.

  • On Tuesday, the United Nations Office on Drugs and Crime released a report warning that trafficking in counterfeit medicines poses a major public health threat across Central Africa, fueled by gaps in healthcare access.
  • When legitimate medicines are unaffordable or inaccessible, illicit sellers fill the void; consumers in the Central African Republic buy single tablets for about 100 CFA francs rather than expensive boxes of 12 at authorized pharmacies.
  • Between 2020 and 2025, authorities seized at least 251 tonnes of medical products across the region, with annual seizures rising from about five tonnes in 2020 to nearly 116 tonnes in 2024.
  • This illicit trade constitutes a major threat to public health, leading to treatment failures, poisonings, and avoidable deaths, UNODC said. Substandard medicines also contribute to antimicrobial resistance, complicating future disease treatment.
  • Sylvie Bertrand, UNODC's regional representative, argued that no single state can tackle this transnational challenge alone, calling for countries to harmonize laws and expand access to safe, affordable medicines.
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16 Articles

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The United Nations has warned of health risks from trafficking in illegal drugs in Central Africa.

·Germany
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With more than 250 tonnes of medical products seized between 2020 and 2025 in the countries of the Central African Economic and Monetary Community (Cemac), trafficking in medical products constitutes a major threat to public health, development and security in the region. The United Nations Office on Drugs and Crime (UNODC), in partnership with the World Health Organization (WHO) and the Cemac Commission, devotes its new report to this issue.

·Issy-les-Moulineaux, France
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A new United Nations report states that, from 2020 to 2025, more than 251 tons of smuggled medical products were seized in Central Africa, including antibiotics, antimalarials and psychoactive substances, such as tramadol and pregabalin. The recently published document by Unodc (UN Office on Drugs and Crime), the World Health Organization and Cemac (Economic and Monetary Community of Central Africa) considered trafficking in medical products a s…

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UN News broke the news in New York, United States on Tuesday, October 6, 2026.
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