The office of the U.S. Trade Representative warned that there’s a risk of ineffective or dangerous drugs from online pharmacies that are being illegally run. In a report released Wednesday, the office singled in out 19 countries that raised concerns for the possible movement of counterfeit or pirated drugs,

The U.S. Trade Representative’s annual report on “ notorious markets” also singled out 19 countries over concerns about counterfeit or pirated products.

U.S. government report on “notorious markets” known for counterfeiting and other violations of intellectual property says that nearly all 35,000 online pharmacies around the world are being run illega