Health equity in economic and trade policies

WHO Board adopts decision on trade and health
Third World Network

As countries rush to conclude bilateral and regional free trade agreements, there are growing concerns that these trade agreements could adversely affect the health policies of the developing countries. Against this backdrop, the WHO Executive Board has recommended that the next World Health assembly in May adopt a resolution on trade and health. Member States are asked to include health ministries in negotiations on trade agreements and the WHO Secretariat has been tasked to assist in this process.

WHO Board Plan For Fake Medicines Mechanism Excludes Trade And IP
New W: Intellectual Property Watch, 28 January 2012

The World Health Organisation (WHO) Executive Board has agreed to propose to the May 2012 World Health Assembly the establishment of a mechanism for international collaboration on counterfeit and substandard medical products, but with the exclusion of trade and intellectual property issues. The Executive Board resolution would “establish a new Member State mechanism for international collaboration among Member States, from a public health perspective, excluding trade and intellectual property considerations, regarding substandard/spurious/falsely-labelled/falsified/counterfeit medical products”. The next Assembly in May will decide on this resolution. The mechanism would be reviewed by the World Health Assembly after three years, and countries will submit a progress report after one year. A contentious issue around counterfeits has been the suspicion on the part of some developing countries that concerns about counterfeit and substandard medicines are being purposely confused with trade in legitimate generic medicines from those countries. Removing intellectual property and trade from WHO discussions is intended to minimise the possibility of confusion.

WHO Board to address research and development financing, influenza
Mara K: Intellectual Property Watch, 14 January 2010

Finding financing to develop medicines for under-researched diseases, regulatory harmonisation and pandemic influenza preparedness topped the agenda at the World Health Organization's (WHO) Executive Board meeting, held from 18–23 January 2010. Its recommendations will be sent to the annual WHO member decision-making World Health Assembly, which meets in May 2010. Regulatory harmonisation, such as streamlining processes for ensuring drug safety, is one of the major recommendations of the Expert Working Group to increase efficiency in the research and development system. Strengthening regulation is also one of the activities the WHO secretariat has said it is undertaking as part of the implementation of its global strategy, which requires a 'strengthening of the WHO prequalification programme'. Drug regulation may become a key discussion point on public health and intellectual property this year, according to sources. And there is recent concern from several members of the Parliamentary Assembly of the Council of Europe that the threat of pandemics, specifically the flu epidemics, may have been exaggerated 'in order to promote … patented drugs and vaccines'.

WHO enters next phase of global plan to increase flu vaccine production
Saez C: Intellectual Property Watch, 14 July 2011

The World Health Organisation (WHO) has announced it will be entering a new phase in its Global Action Plan for Influenza Vaccines (GAP), in which the organisation will be giving more attention to the local health and policy environment. WHO held its first review of phase 1 of GAP on 12-14 July 2011. WHO’s estimate of the seasonal flu vaccine manufacturing capacities is 800,000 million doses per year, compared to 350,000 in 2006. The estimate rises to 1.7 billion doses by 2015 if all the projects going on now are successful. There are currently 37 manufacturers of influenza vaccine in the world, either operating now or operational by 2015. According to WHO, 10 manufacturers are in Europe, 14 in the Western Pacific region, 6 in the South East Asia region, and 5 in the Americas region. Included in the 37 are 11 new manufacturers in 11 low or middle-income countries are part of the GAP programme, which have been working with WHO to acquire technologies to produce influenza vaccine.

WHO Executive Board unable to move IP Group process
Hong E: Third World Network, 2 February 2007

Several developing-country members of the Executive Board of the World Health Organisation have expressed concern and frustration at the lack of progress and direction of a WHO group tasked with charting the organisation's future action on intellectual property, innovation and health. These concerns were voiced at the WHO's Executive Board meeting being held on 22-30 January. At the end of the discussion on the item, the frustration was even more palpable because the Board itself could not seem to make any progress on the issue.

WHO Intergovernmental Working Group (IGWG) on Public Health, Innovation and Intellectual Property
Mubangizi, P

This presentation was given at the second meeting of the African Civil Society Coalition on the Intergovernmental Working Group in Arusha, Tanzania, 3-4 April 2008. It provides basic information on the Commission on Intellectual Property Rights, Innovation and Public Health (CIPIH), regarding its mandate and the implementation of its recommendations. One of these recommendations was to establish an intergovernmental working group (IGWG) to draw up a global strategy and plan of action in order to provide a medium-term framework based on the recommendations of the Commission. The aims of the strategy and plan of action are to secure an enhanced and financially sustainable basis for needs-driven, essential health research and development relevant to diseases that disproportionately affect developing countries.

WHO members express dismay at delay on counterfeit medicines group
Saez C: Intellectual Property Watch, 19 January 2011

At the World Health Organization (WHO) Executive Board meeting, held from 17-25 January 2011, members raised strong concerns that a working group they mandated last May to address problems with WHO policy on counterfeit and substandard medicines has yet to be formed – with only four months remaining before it must report back to members. The Indian delegation called for a halt to WHO activities on anti-counterfeiting until the outcome of the working group is accepted by member states. Members agreed falsified medicines were a threat for global public health but some delegates argued the solution cannot be dominated by intellectual property rights enforcement concerns. The Indian delegate said that the working group was supposed to investigate the International Medical Products Anti-Counterfeiting Taskforce (IMPACT). IMPACT is a project with international police agency Interpol and other agencies, housed within WHO, and is meant to ‘halt the production, trading and selling of fake medicines around the globe’. It has been criticised in the past by some countries who claim IMPACT has not helped clarify the confusion between substandard, falsified or unsafe drugs and legal, reliable generic medicines.

WHO needs to get serious about high cost of new AIDS drugs
Raja K: Third World Network Info Service on Health Issues, 30 November 2006

The World Health Organisation (WHO) needs to get serious about high cost of new AIDS drugs. AIDS treatment will not be sustainable unless international institutions get serious about the high cost of newer medicines. This warning comes from Medecins Sans Frontiers (MSF) the medical humanitarian organisation. MSF says that the WHO has failed to outline a strategy to help countries access these drugs which remain largely inaccessible in developing countries. Thailand uses compulsory licence for cheaper AIDS drug. Thailand, however, has for the first time announced it will issue a compulsory licence for the domestic manufacture of a key AIDS drug. The following articles report on both these issues.

WHO plea to drugs companies
Boseley S: The Guardian, 4 April 2006

Drug companies should not take out patents on their new medicines or enforce patents in poor countries if that is likely to prevent patients from getting them, an influential commission set up by the World Health Organisation said yesterday.

WHO praises G8 on health
Statement by Dr LEE Jong-wook, Director-General, World Health Organization

"Today the G8 has made an unprecedented commitment to health which has the potential to forever change the lives of millions of people in Africa. Disease kills 3.5 million African children under five every year. HIV/AIDS affects more than 25 million African people. Tuberculosis kills 1500 each day. A woman living in sub-Saharan Africa has a 1 in 16 chance of dying in pregnancy or childbirth. I welcome the G8's pledge to turn these trends around. The aim of providing near-universal access to AIDS treatment for people living with HIV/AIDS by 2010, combined with prevention and care, has the potential to turn the tide on this epidemic. We already know that treatment can turn a fatal disease into a chronic condition and we have demonstrated that this works in resource-poor countries."

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