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Hong Kong healthcare and hospitals
Opinion
SCMP Editorial

Editorial | Properly supervised, weight-loss drugs have a place in Hong Kong

While ensuring that Hongkongers who need the drugs have access to them, the authorities must act against the grey market for the medication

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Advertisements of a weight-loss drug are seen in the Tsim Sha Tsui MTR station on January 21. Photo: Jelly Tse

The use of weight-loss drugs has transformed the treatment of obesity, a chronic disease so prevalent globally it has been described as an epidemic. Injections that suppress appetite have changed the lives of millions. The new drugs were endorsed conditionally by the World Health Organization in December and are seen as a powerful clinical tool offering hope.

But the injections come with health risks and common side effects. It is essential that they are only taken under medical supervision. This is why Hong Kong authorities, when approving their use, required that patients obtain a prescription. The SCMP revealed some of the drugs are available in the city without medical approval, sold online and by a pharmacy. This is a serious concern.

Injections obtained in this way might be counterfeit and prove ineffective or dangerous. The medication may have been improperly stored or transported. There is, therefore, a risk of serious harm, even death. Medical supervision is required to establish the correct dose and monitor how the patient responds. The drugs are usually only recommended for adults with a body mass index of 30 or above.

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The illegal sale or possession of such products can lead to a fine of up to HK$100,000 (US$12,800) and a prison sentence of two years. Anyone tempted to buy them without a prescription should be aware of the consequences. Retail platforms must be careful not to permit such sales and the Department of Health needs to make good on its promise to investigate suspected abuses.

Hong Kong has a weight problem. A recent survey by the Hong Kong Association for the Study of Obesity showed almost one in two residents to be overweight or obese. The drugs have an important role to play in combating the problem. New ones are being developed, including in mainland China. One product, recently approved in the US, takes the form of a daily pill. This will expand access to the drugs and make them cheaper. But there are still many questions to be answered about their long-term effects and effectiveness.
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The fight against obesity must continue, including the use of weight-loss drugs. But they need to be approached with care and caution, under the guidance of healthcare professionals.

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