37. Deputy Aengus Ó Snodaigh asked the Taoiseach and Minister for Defence his views on the development of a new anti-malarial drug, tafenoquine (details supplied); the measures he will take to ensure that this drug is safe; and his plans to ensure that it is not prescribed to Defence Forces personnel unless it has been established that it is appropriate for prescription. (Question 10200/18 asked on 21 Mar 2018 - Defence Forces Medicinal Products)

Deputy Aengus Ó Snodaigh: This question is a follow up on an issue I have been raising for a number of years in this Chamber, namely, the administration of anti-malarial drugs by the Defence Forces on unsuspecting soldiers. Following on from the withdrawal of the sale of Lariam in Ireland by Roche Products (Ireland) Limited, I am seeking a commitment from the Minister of State that no new drug will not be provided to the Defence Forces unless it has been deemed safe, taking into account the exp...

113. Deputy Aengus Ó Snodaigh asked the Taoiseach and Minister for Defence the cost of replacing outstanding stocks of lariam with malarone or doxcycline; and if he will make a statement on the matter. (Question 8274/18 asked on 20 Feb 2018 - Defence Forces Medicinal Products)

Minister of State at the Department of Defence (Deputy Paul Kehoe): I am advised by the military authorities that to replace current stocks of Lariam it would cost €380.24 to replace it with Doxycycline and €1,789.06 to replace it with Malarone. 
As I have previously indicated, the choice of medication for overseas deployment is a medical decision made by Medical Officers in the Defence Forces having regard to the specific circumstances of the mission and the individual member of the Defence For...

7. Deputy Aengus Ó Snodaigh asked the Taoiseach and Minister for Defence his plans to publish the recommendations of the latest report of the lariam working group. (Question 3175/18 asked on 24 Jan 2018 - Defence Forces Medicinal Products)

Deputy Aengus Ó Snodaigh: This question relates to the working group which was set up before the Minister took up his role looking into the use of lariam within the Defence Forces. The Minister told me last night in a reply to a parliamentary question that the group had made 12 recommendations. When will the report be published and when will we know what those recommendations are? Do the recommendations comply with last June’s Dáil motion that stated lariam should be discontinued as a drug of...

141. Deputy Aengus Ó Snodaigh asked the Taoiseach and Minister for Defence if the report of the lariam working group as referenced by him in a Private Memberss debate on the matter in Dáil Éireann on 28 June 2017 has been completed and provided to him; and if he will make a statement on the matter. (Question 3224/18 asked on 23 Jan 2018 - Defence Forces Medicinal Products)

Minister of State at the Department of Defence (Deputy Paul Kehoe): The Report of the Working Group on Malaria Chemoprophylaxis, which was convened in the context of current and potential litigation, has been completed and provided to me. The Working Group has made a total of twelve recommendations, which are intended to ensure that the Defence Forces medical policies and practices continually develop in light of best practice. I have accepted these recommendations in principle whilst recognis...

58. Deputy Aengus Ó Snodaigh asked the Taoiseach and Minister for Defence the action he has taken further to the Dáil Éireann motion prohibiting the use of Lariam as a drug of first choice for soldiers deployed overseas in areas in which exposure to malaria is a risk. (Question 52874/17 asked on 12 Dec 2017 - Defence Forces Medicinal Products)

Minister of State at the Department of Defence (Deputy Paul Kehoe): As I stated in my reply to the Private Members’ Motion, which was before the Dáil on 28 June, fundamentally the use of anti-malarial drugs is a medical matter that should be decided by qualified medical professionals. In the Defence Forces these are decisions for highly qualified Medical Officers having regard to the specific circumstances of the mission and the individual member of the Defence Forces.
As I have outlined previo...

53. Deputy Aengus Ó Snodaigh asked the Taoiseach and Minister for Defence if he has instructed the military authorities to cease issuing lariam to soldiers as per the Dáil Éireann’s instructions on 28 June 2017; and if he has begun the preparations for consultation with soldiers’ representative groups in conjunction with the HSE to help alleviate the ongoing effects on some soldiers that were issued the anti-malaria drug lariam. (Question 32261/17 asked on 11 Jul 2017 - Defence Forces Medicinal Products)

Minister of State at the Department of Defence (Deputy Paul Kehoe): As I stated in my reply to the Private Member s’ Motion which was before the Dáil on 28 June, fundamentally the use of anti-malarial drugs is a medical matter that should be decided by qualified medical professionals. In the Defence Forces these are decisions for highly qualified Medical Officers having regard to the specific circumstances of the mission and the individual member of the Defence Forces. I have already indicated ...

1459. Deputy Aengus Ó Snodaigh asked the Taoiseach and Minister for Defence if the remaining number of Lariam tablets held by the Defence Forces is less than 200; and if when exhausted, the stockpile of Lariam will be replaced with a safer alternative anti malaria drug. (Question 19479/17 asked on 02 May 2017 - Defence Forces Medicinal Products)

Minister of State at the Department of Defence (Deputy Paul Kehoe): I propose to take Questions Nos. 1459 and 1466 together.
As I already outlined to the Deputy in my response to Parliamentary Questions Nos. 694 and 695 on 4 April last, I am advised by the military authorities that drugs are purchased on a demand basis under the four year framework agreement on the supply and pricing of medicines. This agreement is between the Irish pharmaceutical healthcare association (IPHA) and the HSE. The...

1466. Deputy Aengus Ó Snodaigh asked the Taoiseach and Minister for Defence the estimated cost of replacing Lariam with Malarone or Doxcycline to be used for overseas troops on an annual basis. (Question 19547/17 asked on 02 May 2017 - Defence Forces Medicinal Products)

Minister of State at the Department of Defence (Deputy Paul Kehoe): I propose to take Questions Nos. 1459 and 1466 together.
As I already outlined to the Deputy in my response to Parliamentary Questions Nos. 694 and 695 on 4 April last, I am advised by the military authorities that drugs are purchased on a demand basis under the four year framework agreement on the supply and pricing of medicines. This agreement is between the Irish pharmaceutical healthcare association (IPHA) and the HSE. The...

379. Deputy Aengus Ó Snodaigh asked the Taoiseach and Minister for Defence the details of missions or deployment of soldiers abroad in 2015 that used the anti-malaria drugs Malarone and Doxycycline; the number of Defence Forces personnel involved; the rank of those on such missions; and the duration they were deployed for these missions. (Question 18562/17 asked on 12 Apr 2017 - Defence Forces Medicinal Products)

Minister of State at the Department of Defence (Deputy Paul Kehoe): I have been advised by the military authorities that the information sought cannot be provide within the required timeframe. I will revert to the Deputy when the information is available.
 ...

380. Deputy Aengus Ó Snodaigh asked the Taoiseach and Minister for Defence his views on whether doxycycline 100mg is a broad spectrum antibiotic (details supplied). (Question 18563/17 asked on 12 Apr 2017 - Defence Forces Medicinal Products)

Minister of State at the Department of Defence (Deputy Paul Kehoe): You have referred to the use of Doxycycline as a broad spectrum antibiotic and to the information provided in previous Parliamentary Questions. I am advised that Doxycycline is an antibiotic which has a wide range of applications, including as a prophylactic agent in the prevention of malaria. It has very limited application in the actual treatment of malaria.
I am further advised that there is a contradiction between Section ...

694. Deputy Aengus Ó Snodaigh asked the Taoiseach and Minister for Defence the number of Lariam tablets and other anti-malaria drugs issued to Defence Forces personnel for the duration of overseas deployments since 2015, in tabular form. (Question 16640/17 asked on 04 Apr 2017 - Defence Forces Medicinal Products)

Minister of State at the Department of Defence (Deputy Paul Kehoe): I propose to take Questions Nos. 694 and 695 together.
I am advised by the military authorities that the following table reflects the number of Lariam (Mefloquine), Doxycycline and Malarone tablets issued to Defence Forces personnel for the duration of overseas deployments since 2015 and the amount of anti- malaria drugs in stock at present.
Quantities on anti-malaria drugs issued and in stock since 2015:
 Drug Quantit...

695. Deputy Aengus Ó Snodaigh asked the Taoiseach and Minister for Defence the remaining number of lariam and other anti-malaria drugs that are presently stockpiled to be used for Defence Forces personnel when deployed overseas. (Question 16641/17 asked on 04 Apr 2017 - Defence Forces Medicinal Products)

Minister of State at the Department of Defence (Deputy Paul Kehoe): I propose to take Questions Nos. 694 and 695 together.
I am advised by the military authorities that the following table reflects the number of Lariam (Mefloquine), Doxycycline and Malarone tablets issued to Defence Forces personnel for the duration of overseas deployments since 2015 and the amount of anti- malaria drugs in stock at present.
Quantities on anti-malaria drugs issued and in stock since 2015:
 Drug Quantit...

835. Deputy Aengus Ó Snodaigh asked the Taoiseach and Minister for Defence if he will provide details of any reports commissioned by the Government into the anti-malaria drug Lariam; and if the findings of these reports will be made public. (Question 9626/17 asked on 28 Feb 2017 - Defence Forces Medicinal Products)

Minister of State at the Department of Defence (Deputy Paul Kehoe): A Malaria Chemoprophylaxis Working Group was established in January 2011 and reported in April 2013. The Group was re-convened in August 2015. 
The purpose of the Group is to review, inter alia, issues arising in relation to the use of Lariam, particularly in the context of the current and potential litigation. In addition, the Group was tasked with reviewing the use of the drug Primaquine as part of the overall medical treatm...

15. Deputy Aengus Ó Snodaigh asked the Taoiseach and Minister for Defence if he has met representatives of the group, Action Lariam for Irish Soldiers, or if he will confirm the date when he will be meeting the group. (Question 33875/16 asked on 09 Nov 2016 - Defence Forces Medicinal Products)

Deputy Aengus Ó Snodaigh: In a previous debate with me on Lariam, the Minister of State said he had no problem meeting one of the groups that has been active on this matter, Action Lariam for Irish Soldiers. Has he met representatives of that group and if not, when can he meet them?
 ...

22. Deputy Aengus Ó Snodaigh asked the Taoiseach and Minister for Defence if his attention has been drawn to the fact that the anti-malaria drug, Lariam, was taken off the market here by its manufacturer in July 2016; that the acknowledged side effects of Lariam include anxiety, depression, paranoia and suicidal behaviour; that 50 serving or former members of the Defence Forces have lodged claims against the State having been given the drug; and if he will instruct the Defence Forces to immediately end the use of this controversial drug. (Question 27230/16 asked on 27 Sep 2016 - Defence Forces Medicinal Products)

Deputy Aengus Ó Snodaigh: The reason I raise this issue, similar to the previous question, is I have tabled questions about use of the anti-malaria drug, Lariam, since 2008. Seven Ministers of Defence have taken the same position as the Minister of State, including a number of Fianna Fáil Ministers. It is high time that he instructed the Defence Forces to cease administering the drug to those who are deployed in sub-Saharan Africa.
 ...

27. Deputy Aengus Ó Snodaigh asked the Taoiseach and Minister for Defence if his attention has been drawn to the fact that the former head of the British army (details supplied) has apologised to British troops who were given the controversial anti-malarial drug Lariam; his views on Irish troops continuing to be prescribed Lariam; and if he will apologise to serving and former members of the Defence Forces who were prescribed Lariam. (Question 27135/16 asked on 27 Sep 2016 - Defence Forces Medicinal Products)

Deputy Aengus Ó Snodaigh: It is only very rarely that one hears me comment - it is usually in the negative - on British army officers, especially those who served in the North. However, given the comments last month of a former commander-in-chief of the British Army, Mr. Richard Dannatt, who apologised to British soldiers for being in charge when Lariam was prescribed for those operating in sub-Saharan Africa, will the Minister of State consider taking a similar stance, given that former Minist...

975. Deputy Aengus Ó Snodaigh asked the Taoiseach and Minister for Defence the number of officers or soldiers treated for the side effects of Lariam and the cost of same in the past ten years. (Question 27336/16 asked on 27 Sep 2016 - Defence Forces Medicinal Products)

Minister of State at the Department of Defence (Deputy Paul Kehoe): I propose to take Questions Nos. 975, 977 and 980 to 985, inclusive, together. 
The health and welfare of the men and women of the Defence Forces is a priority for both myself and the Defence Forces. The choice of medication for overseas deployment is a medical decision made by Medical Officers in the Defence Forces, having regard to the specific circumstances of the mission and the individual member of the Defence Forces. Cos...

976. Deputy Aengus Ó Snodaigh asked the Taoiseach and Minister for Defence the number of Malarone and doxycycline tablets issued to both officers or soldiers by the Defence Forces since 2012. (Question 27337/16 asked on 27 Sep 2016 - Defence Forces Medicinal Products)

Minister of State at the Department of Defence (Deputy Paul Kehoe): I propose to take Questions Nos. 976 and 978 together. 
The health and welfare of the Defence Forces is a priority for both myself and the Defence Forces. As the Deputy is aware that there are three anti-malarial drugs in use by the Defence Forces, namely Lariam (mefloquine), Malarone and Doxycycline. The choice of medication for overseas deployment, for both officers and enlisted personnel, is a medical decision made by Medical...

977. Deputy Aengus Ó Snodaigh asked the Taoiseach and Minister for Defence the way in which it is determined whether Malarone or doxycycline, is issued to soldiers instead of the preferred drug Larium (mefloquine). (Question 27338/16 asked on 27 Sep 2016 - Defence Forces Medicinal Products)

Minister of State at the Department of Defence (Deputy Paul Kehoe): I propose to take Questions Nos. 975, 977 and 980 to 985, inclusive, together. 
The health and welfare of the men and women of the Defence Forces is a priority for both myself and the Defence Forces. The choice of medication for overseas deployment is a medical decision made by Medical Officers in the Defence Forces, having regard to the specific circumstances of the mission and the individual member of the Defence Forces. Cos...

978. Deputy Aengus Ó Snodaigh asked the Taoiseach and Minister for Defence the number of tablets of Lariam (Mefloquine) issued to both officers or soldiers by the Defence Forces since 2012. (Question 27339/16 asked on 27 Sep 2016 - Defence Forces Medicinal Products)

Minister of State at the Department of Defence (Deputy Paul Kehoe): I propose to take Questions Nos. 976 and 978 together. 
The health and welfare of the Defence Forces is a priority for both myself and the Defence Forces. As the Deputy is aware that there are three anti-malarial drugs in use by the Defence Forces, namely Lariam (mefloquine), Malarone and Doxycycline. The choice of medication for overseas deployment, for both officers and enlisted personnel, is a medical decision made by Medical...

979. Deputy Aengus Ó Snodaigh asked the Taoiseach and Minister for Defence if the Representative Association of Commissioned Officers, RACO, had complained on behalf of its members to military authorities regarding serious side effects of the anti-malaria mefloquine drug Lariam; if his Department was aware of the issues they raised as far back as 2005; and if RACO raised concerns with the military authorities or directly with previous Ministers and if so when (Question 27340/16 asked on 27 Sep 2016 - Defence Forces Medicinal Products)

Taoiseach and Minister for Defence (Deputy Enda Kenny): I am advised that at present there are no concerns or issues from the Representative Association of Commissioned Officers (RACO) to the Military Authorities with respect to the use of Lariam. I am also advised that back in 2005 the use of Lariam was discussed as part of a general briefing in the wider context of medical provisions for overseas deployments, specifically the Liberia theatre of deployment. Such enquiries and debriefs are routi...

980. Deputy Aengus Ó Snodaigh asked the Taoiseach and Minister for Defence if alternative anti-malaria drugs, such as Malarone or doxycycline, were prescribed as a matter of course instead of Lariam (mefloquine) to soldiers of all ranks or just some ranks who were scheduled to be deployed in sub-Saharan Africa; and the medical criteria which was used to decide not to prescribe Lariam in individual cases or in case of certain ranks. (Question 27341/16 asked on 27 Sep 2016 - Defence Forces Medicinal Products)

Minister of State at the Department of Defence (Deputy Paul Kehoe): I propose to take Questions Nos. 975, 977 and 980 to 985, inclusive, together. 
The health and welfare of the men and women of the Defence Forces is a priority for both myself and the Defence Forces. The choice of medication for overseas deployment is a medical decision made by Medical Officers in the Defence Forces, having regard to the specific circumstances of the mission and the individual member of the Defence Forces. Cos...

981. Deputy Aengus Ó Snodaigh asked the Taoiseach and Minister for Defence if cost was routinely or ever a factor when choices were being made by the Defence Forces medical staff when deciding which anti-malaria drug was to be prescribed for soldiers to be deployed in sub-Saharan Africa since 2005. (Question 27342/16 asked on 27 Sep 2016 - Defence Forces Medicinal Products)

Minister of State at the Department of Defence (Deputy Paul Kehoe): I propose to take Questions Nos. 975, 977 and 980 to 985, inclusive, together. 
The health and welfare of the men and women of the Defence Forces is a priority for both myself and the Defence Forces. The choice of medication for overseas deployment is a medical decision made by Medical Officers in the Defence Forces, having regard to the specific circumstances of the mission and the individual member of the Defence Forces. Cos...

982. Deputy Aengus Ó Snodaigh asked the Taoiseach and Minister for Defence if an explanation was ever given as to the reason the determination was reached that Lariam was to be the drug of choice for soldiers being deployed abroad in Sub-Saharan Africa; if the determination has been reviewed since; and the reason thereof, especially in view of other countries military authorities no longer prescribing Lariam due to concerns of its lasting side effects. (Question 27343/16 asked on 27 Sep 2016 - Defence Forces Medicinal Products)

Minister of State at the Department of Defence (Deputy Paul Kehoe): I propose to take Questions Nos. 975, 977 and 980 to 985, inclusive, together. 
The health and welfare of the men and women of the Defence Forces is a priority for both myself and the Defence Forces. The choice of medication for overseas deployment is a medical decision made by Medical Officers in the Defence Forces, having regard to the specific circumstances of the mission and the individual member of the Defence Forces. Cos...

983. Deputy Aengus Ó Snodaigh asked the Taoiseach and Minister for Defence the countries which the military authorise and still regard Lariam as the prescribing drug of choice to be issued to units of deploying soldiers. (Question 27344/16 asked on 27 Sep 2016 - Defence Forces Medicinal Products)

Minister of State at the Department of Defence (Deputy Paul Kehoe): I propose to take Questions Nos. 975, 977 and 980 to 985, inclusive, together. 
The health and welfare of the men and women of the Defence Forces is a priority for both myself and the Defence Forces. The choice of medication for overseas deployment is a medical decision made by Medical Officers in the Defence Forces, having regard to the specific circumstances of the mission and the individual member of the Defence Forces. Cos...