
They call her Simba Jike, Swahili for
Lioness. Africans love her for her warmth and respect her for
her strictness.
Krisana Kraisintu, a 55 year-old Thai
pharmacist known for her courage and tireless work in helping
the global poor by bringing affordable generic AIDs and malaria
drugs to help victims has been named as Reader’s Digest Asian of
the Year for 2008.
Although international pharmaceutical
companies began manufacturing effective AIDS drugs in the 1990s,
they were so expensive that the Thai government couldn’t afford
to provide them to poor patients. Only the rich could buy them.
By the early part of this decade, more than 450,000 Thais had
died of AIDS, partly due the lack of access to inexpensive
medication.
But in 2002, thanks in large measure to
Krisana Kraisintu, Thailand started mass producing inexpensive
AIDS medicines. Death rates plummeted. Today, Thailand has one
of the best public AIDS treatment programs in the developing
world, with most poor patients getting free medicine.
Thais are not the only beneficiaries of
Kraisintu’s vision and dedication – her drugs are used to treat
poor patients in Laos, Cambodia and Vietnam too. And she has
devoted the last five years to helping Africans battle AIDS, and
another major killer – malaria.
The Reader’s Digest Asian of The Year is
selected by the editors of Reader’s Digest magazines in Asia as
the person who best embodies the contemporary expression of
Asia’s values and traditions.
Kraisintu will receive the prestigious award
and a check for US$5000 at an official ceremony in Thailand.
"If you need any inspiration in 2008 to
finally get around to that New Year’s resolution to help others
more, then Kraisintu is the person to inspire you," says Jim
Plouffe, editor-in-chief of the English-language edition in
Asia. "
Kraisintu didn’t plan on a career in
pharmacy. Passionately fond of the arts, she wanted to be a
conductor.
As a child she was deeply influenced by her
grandmother, a Buddhist nun. "She’d sit outside the house and
buy all the wares of the vegetable vendors who went by so that
they didn’t have to walk all the way to the market," Kraisintu
says. "She often told me, ‘If you have the opportunity to do
good, you should.’"
After getting her doctorate in the UK, she
returned to Thailand in 1981. She taught pharmacology for three
years then joined the publicly owned Government Pharmaceutical
Organization (GPO). In 1989 Kraisintu was chosen to head its
newly created research and development institute. She was 37.
A hard-driving, no-nonsense leader, she
quickly developed inexpensive drugs for diseases ranging from
hypertension to diabetes. Her medicines were cheap because they
didn’t involve expensive basic research – they used the same key
ingredients as those in drugs first created by Western
multinationals. Making such drugs – known as generics – was
legal since the patents on the originals had expired. Although
not technically difficult, the process involves extensive
research and testing.
In 1992, with AIDS spreading rapidly in
Thailand, Kraisintu decided to make generic versions of AIDS
drugs known as antiretrovirals (ARVs). She was especially
interested in zidovu-dine, a drug that reduced the chances of
pregnant HIV-positive women passing the virus to their children.
She immediately ran into opposition.
Zidovudine, originally developed to combat cancer, is highly
toxic, and Kraisintu’s colleagues didn’t want to work on it.
"They felt I’d poison them," she recalls.
She knew that provided proper precautions
were taken, handling the chemicals to make zidovudine was safe,
so she worked alone. Wearing mask, gloves and goggles, she’d
start at 5:30 a.m., seven days a week. For six months she
analyzed drugs and experimented with formulations. Once her
colleagues realized that she remained in good health, they began
helping her.
In 1995, Kraisintu produced her first generic
zidovudine capsules – at one-fifth the cost of the branded
original. It was the developing world’s first generic ARV.
The combination pill had to be taken only
twice daily – instead of other six-pills-a-day regimens – and it
was 18 times cheaper. As a result, more than three-quarters of
the 100,000 people being treated for AIDS in Thailand now take
Kraisintu’s three-in-one cocktail.
In late 2002, Kraisintu received a call from
the owners of a factory in the Democratic Republic of the Congo
(DRC). Many of their employes were dying of AIDS –could she make
GPO-vir for them? Kraisintu, who had been eager to help African
countries tackle their many health problems, immediately agreed.
She has also helped Tanzania produce a
generic ARV and trained hospital staff in four West African
countries to make artesunate suppositories, a treatment that she
developed for children with severe malaria. In addition, she has
helped turn a moribund pharmaceuticals factory in Mali into the
first sub-Saharan facility to produce anti-malarial tablets on
an industrial scale.
Kraisintu resigned from the GPO in 2002 and
became an independent consultant. She comes from a wealthy
family – one of her cousins owns five five-star hotels in Phuket
– so she doesn’t charge for her services and sometimes even pays
for her own expenses.
Krisana Kraisintu’s life achievements are featured in
Reader’s Digest Asian editions in January 2008 to inspire
readers across Asia.