The Ministry of Health has suspended the use and distribution of REPLENISH, a therapeutic feed designed for babies with acute malnutrition, citing reports of adverse effects.
In a letter dated January 7, Dr. Diana Atwine, the ministry’s permanent secretary, urged health facilities to cease using the product while investigations are conducted.
Collaborating with the National Drug Authority (NDA) and National Medical Stores (NMS), the ministry is examining the issue to safeguard public health.
“As a precautionary measure, we request an immediate suspension of REPLENISH in all health facilities,” Dr. Atwine stated, adding that alternative brands should be used in the interim.
She also directed the NDA to ensure no remaining stocks of REPLENISH are distributed.
Parents whose children have experienced adverse reactions were encouraged to report cases to Susan Namukose, the commissioner for health services and nutrition.
Adverse Effects Under Investigation
The NDA confirmed receiving multiple reports of adverse reactions linked to REPLENISH, particularly in the Karamoja sub-region, late last year.
Patients reported severe vomiting and diarrhea after consuming the product.
“When numerous reports about a product surface, we investigate,” NDA spokesperson Abiaz Rwamwiri said. The NDA has launched a nationwide investigation to determine the product’s safety, testing all batches to rule out potential contamination during distribution.
Distribution of REPLENISH will remain halted until the investigation concludes.
“If specific batches are contaminated, they will be identified and destroyed. Should the issue affect the entire product, a full recall will be initiated,” Rwamwiri explained, emphasizing the suspension as a temporary precaution.
National Medical Stores Respond
Sheila Nduhukire, spokesperson for the National Medical Stores, noted that REPLENISH is locally manufactured and has been used effectively in the past.
She highlighted that the reported adverse reactions are isolated and not yet conclusively linked to the product.
“We are monitoring the situation closely, while ongoing tests by the NDA and Uganda National Bureau of Standards will confirm if public safety is at risk,” Nduhukire said.
Impact on the Karamoja Sub-Region
The Karamoja sub-region has been significantly affected by the suspension. According to Richard Nadete, chief administrative officer of Nabilatuk district, local health facilities received instructions to stop using REPLENISH.
Although supplies remain in storage, usage has been halted until further guidance is issued.
Statistics from Moroto Hospital reveal that around 1,014 children under five, out of a target population of 22,740, are referred annually to the nutrition ward for severe malnutrition.
The health ministry has assured the public that findings from the investigation will be shared promptly, ensuring the safety and well-being of affected communities.