摘錄自12月11日香港《文匯報》：有外傭早前於僱主家中誕下死胎後，被揭發曾服用墮胎藥，警方順藤摸瓜揭發一個由外傭經營的墮胎藥地下集團。香港文匯報調查發現，這些地下集團販賣一款處方管制藥「CYTOTEC」，本身用作治療胃潰瘍，但因為有刺激子宮等平滑肌收縮的副作用，被人當作墮胎藥使用。
A foreign domestic helper previously gave birth to a stillborn baby at her employer's home, and it was later discovered that she had taken abortion pills. The police followed the trail and uncovered an underground abortion pill ring operated by foreign domestic helpers. An investigation by Wen Wei Po found that these underground rings sell a prescription-controlled drug called "CYTOTEC," which is originally used to treat gastric ulcers. However, due to its side effect of stimulating the contraction of smooth muscles such as the uterus, it is being used as an abortion pill.
作為處方藥，註冊藥房必須在病人出示醫生證明書後才能出售，但香港文匯報記者日前在沙田一商場，在無醫生紙的情況下，成功購買該藥，更有藥房違規拆成散裝，以每粒15元出售。據悉，更有部分外傭從台灣或菲律賓等地大手入貨，再運到香港「散貨」。
As a prescription drug, registered pharmacies are required to sell it only after the patient presents a doctor's prescription. However, a Wen Wei Po reporter recently successfully purchased the drug at a mall in Sha Tin without a prescription. Some pharmacies even violated regulations by breaking the packaging and selling it individually at HK$15 per pill. It is reported that some foreign domestic helpers are bulk-ordering the drug from places like China's Taiwan or the Philippines and then transporting it to Hong Kong for distribution.
墮胎藥除了地下市場，記者亦發現坊間藥房出售「CYTOTEC」無王管。記者日前走訪沙田石門區一個街坊商場的多間藥房進行實測，記者以顧客身份向職員詢問是否有「CYTOTEC」出售，發現多間藥房店員也未要求記者出示醫生紙，隨即走入配藥部取出一盒標示為「CYTOTEC」的藥物，包裝上顯示為100粒裝，並附有香港藥物註冊標籤。
Apart from the underground market, the reporter also found that "CYTOTEC" is being sold unregulated in local pharmacies. Reporters recently visited multiple pharmacies in a neighborhood mall in Shek Mun, Sha Tin, for an undercover test. Posing as customers, reporters asked staff if "CYTOTEC" was available for sale. They found that staff at multiple pharmacies did not request a prescription and immediately went into the dispensing area to retrieve a box labeled "CYTOTEC." The packaging indicated it contained 100 pills and included a Hong Kong drug registration label.
翻查資料，「CYTOTEC」作為處方藥物，必須持有醫生證明才能購買，但記者放蛇發現有些藥房不僅未有要求客人出示醫生紙，甚至提供會員優惠和散裝銷售，完全無視法規。更令人擔憂的是，店員在銷售過程中並未詳細詢問記者的健康狀況或用藥目的，顯示出對藥物濫用風險的漠視。
According to information, "CYTOTEC" is a prescription drug that requires a doctor's prescription for purchase. However, the undercover investigation found that some pharmacies not only failed to ask customers for a prescription but even offered membership discounts and sold the drug loose, completely disregarding regulations. More worryingly, staff did not inquire in detail about the reporter's health condition or purpose for using the drug during the sales process, showing disregard for the risks of drug abuse.
記者調查發現，「CYTOTEC」的主要成分為米索前列醇（Misoprostol），原本用於治療胃潰瘍，但若用於墮胎，需在專業醫療監督下進行。自行服用可能導致子宮破裂、大量出血，甚至危及生命。此外，藥物劑量不當或胎盤未清，亦可能引發嚴重感染。
The investigation found that the main ingredient of "CYTOTEC" is Misoprostol, originally used to treat gastric ulcers. However, if used for abortion, it should be done under professional medical supervision. Self-administration may lead to uterine rupture, heavy bleeding, and even life-threatening situations. Additionally, improper dosage or incomplete placental expulsion may lead to severe infections.
藥房為求做成生意，竟在無醫生處方證明情況下，公然出售「CYTOTEC」，西醫工會會長陸偉亮直斥「離晒譜」，認為這種情況不僅違反醫療規範，更可能對服用者的健康構成嚴重威脅，呼籲政府加強對藥房及非法藥物流通的監管，並推動公眾健康教育，避免墮胎藥被濫用。
Pharmacies, in their pursuit of business, openly sold "CYTOTEC" without a doctor's prescription. Sunny Luk, President of the Hong Kong Doctors Union, condemned this as "utterly outrageous." He believes this situation not only violates medical regulations but also poses serious threats to the health of those taking the drug. He urged the government to strengthen supervision of pharmacies and the circulation of illegal drugs, and to promote public health education to prevent the abuse of abortion pills.
陸偉亮解釋，「CYTOTEC」原本是一種治療胃潰瘍的藥物，能促進胃壁保護，但同時會刺激平滑肌收縮，包括子宮肌肉。他強調：「這種藥物若被孕婦誤服，可能導致子宮劇烈收縮，引發流產。對於非孕婦，亦可能影響腸道內膜，導致不適甚至損傷。」
Luk explained that "CYTOTEC" is originally a drug used to treat gastric ulcers and promote stomach wall protection, but it also stimulates the contraction of smooth muscles, including uterine muscles. He emphasized: "If this drug is mistakenly taken by a pregnant woman, it may cause violent uterine contractions, leading to miscarriage. For non-pregnant women, it may also affect the intestinal lining, causing discomfort or even damage."
家庭醫生李福基指出，若服用劑量不當或超過適用周數，除有機會導致流血不止外，不完全流產、殘留的胎盤組織更會引發盆腔感染，甚至敗血症，後果可大可小。他憶述一宗觸目驚心的個案道：「曾試過有朋友的外傭因自行服用墮胎藥，導致大量出血，僱主返家後發現馬桶內有嬰兒殘肢，立即報警將外傭送院急救。」墮胎藥的濫用問題反映醫療監管的漏洞，陸偉亮及李福基建議政府加強打擊，同時推廣避孕及健康教育。
Family doctor Aaron Lee pointed out that improper dosage or use beyond the applicable gestational period may not only lead to persistent bleeding but also incomplete abortion. Retained placental tissue can cause pelvic infections and even sepsis, with potentially severe consequences.
He recalled a shocking case: "There was an instance where a friend's foreign domestic helper self-administered abortion pills, resulting in heavy bleeding. The employer returned home to find infant remains in the toilet and immediately called the police, who sent the helper to the hospital for emergency treatment."
According to him, the abuse of abortion pills reflects loopholes in medical supervision. Luk and Lee recommended that the government strengthen crackdowns while promoting contraception and health education.
本身是律師的立法會議員江玉歡對事件表示高度關注，「理論上，這些處方藥的進出應該在藥房電腦系統中顯示，清楚記錄買家資料。然而，香港的藥房並未全面電子化，導致監管難度大增。」她建議，政府應強制藥房採用中央電子系統，並定期進行審計，確保處方藥物流向透明化。
Legislative Council Member Doreen Kong expressed great concern about the incident: "In theory, the inflow and outflow of such prescription drugs should be recorded in the pharmacy's computer system, clearly documenting buyers' information. However, pharmacies in Hong Kong are not fully electronic, making supervision significantly more difficult." She suggested the government should mandate pharmacies to adopt a central electronic system and conduct regular audits to ensure transparency in the flow of prescription drugs.
針對有外傭疑似透過「人肉攜帶」或郵寄方式，將墮胎藥運入香港並進行非法散貨的情況，江玉歡直言情況反映香港在跨境藥物流通上的監管漏洞，強調政府必須採取更嚴格的措施以堵塞相關問題。
Regarding the situation where foreign domestic helpers allegedly transport abortion pills into Hong Kong via "personal carrying" or mail for illegal distribution, Kong noted that this reflects regulatory loopholes in Hong Kong's cross-border drug circulation.
●English Editor: Darius
@DotDotNews Deepline
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