This is the most ambitious of the CIOMS initiatives to date. It addresses many of the new challenges faced in pharmacovigilance, such as the internet as a source of individual case reports, together with many of the older unresolved issues from previous CIOMS initiatives (e.g. reporting and labelling of deaths). The completed report is intended as a handbook for pharmacovigilance departments and offers many pragmatic solutions to a number of issues. The title, Current Challenges in Pharmacovigilance: Pragmatic Approaches (CIOMS, 2001) is, therefore, an apt one.

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