India is facing yet another tragedy linked to adulterated cough syrups, exposing the deep flaws in the country’s poorly regulated pharmaceutical industry.

According to reports, at least 21 children have lost their lives in Madhya Pradesh, while several others are undergoing treatment for acute kidney injury (AKI).

This is the fifth cough syrup-related tragedy involving India-manufactured drugs in the last five years, following incidents in Jammu in 2020, Gambia and Uzbekistan in 2022 and Cameroon in 2023.

These four tragedies claimed the lives of around 160 children. There have been nine tragedies involving India-manufactured cough syrups over the decades, the first dating back to 1972.

The cause of death in most of these cases is acute kidney injury. Kidney failure occurs due to the c

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