Substandard and counterfeit drugs are also intensely noticeable in developed countries along with poor and developing countries. For example, in North America, counterfeit atorvastatin 14, erythropoietin 14, growth hormone 15, filgrastim 14,15, gemcitabine 16,17, and paclitaxel 16,17 have been reported. In 2007–2008, 149 Americans died due to the uses of adulterated blood thinner, heparin that was legally imported. In 2012, 11 people died and sickened another 100 people in the US because of contaminated steroids. In another case, avastin were found to contain no active ingredients in the vials of the cancer medicine 18. In a study, WHO found that about 28% of antibiotic and 20–90% of antimalarial drugs were failed quality specifications 19.