all rights reserved the World Health organisation (WHo) defines a counterfeit medicine as "a medicine which is deliberately and fraudulently mislabelled with respect to identity and/or source. counterfeiting can apply to both branded and generic products and counterfeit products may include products with the correct ingredients, or with the wrong ingredients, without active ingredients, with insufficient active ingredients or with fake packaging". 1 By this definition, a medicine that is knowingly substandard and deliberately and fraudulently mislabelled by the manufacturer to mislead a patient as to its content would be a counterfeit product. However, a product that is substandard because of a failure of Good Manufacturing practice would not be counterfeit. the world trade in these counterfeit medicines is very big business with a real threat both to public health and to the finances of the pharmaceutical industry. also, organised crime