TPPA & Access to Medicines
Matt Cleary Médecins Sans Frontières Australia
Médecins Sans Frontières Australia – www.msf.org.au a brief history
Médecins Sans Frontières Australia – www.msf.org.au what we did (2010)
outpatient consultations 7,334,066
admitted patients 362,266
measles vaccinations 4,542,353
HIV/AIDS patients registered under care 171,450
individual mental health consultations 163,799
deliveries (inc. C-sections) 151,197
treatments for violence trauma 39,993
treatments for sexual violence 10,430
surgical interventions 58,326
Médecins Sans Frontières Australia – www.msf.org.au TPPA: our Concerns
Access & Innovation Balanced approach
Today it encompasses 9 countries. Tomorrow what will be the reality? Will the TPPA be the blue print globally for the future? Aggressive IP provisions go far beyond International trade requirements & undermine previous access to medicines commitments
Médecins Sans Frontières Australia – www.msf.org.au Importance of Generic Competition
Generic Medicines Access
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Médecins Sans Frontières Australia – www.msf.org.au Importance of Generic Competition
Humanitarian operations Our HIV / AIDS experience in developing countries Depend on the availability of Today MSF Tx 170,000 people quality & affordable generic with HIV/AIDS with ARV’s in 19 medicines countries This includes: MSF sources >80% of its ARV’s from India Drugs Good for 1st line ARV Tx but Rapid Tests 2nd line drugs is still very Vaccines expensive (3 times 1st line) Khayelitsa, South Africa: 12.2% of patients on 5yr + Tx changed to 2nd line
Médecins Sans Frontières Australia – www.msf.org.au Magnitude: access to medicines
Under TPPA, it is not just drugs for HIV/AIDS that will be affected. Access is not limited to communicable diseases Who will pay for treatment to non- communicable diseases?
Médecins Sans Frontières Australia – www.msf.org.au Innovation in Medicines
Developing countries & MSF need innovation Example: Paediatric ARV’s.
Products need to be adapted
Cheaper in cost But not a need in developed countries
Médecins Sans Frontières Australia – www.msf.org.au Contradiction in reality
Australia, the USA, and other negotiation parties commitments to global health are in contradiction to the IP provisions we have seen proposed in this trade agreement Australia’s present foreign aid policies that contribute to the Global Fund to fight, AIDS, TB, and Malaria will be grossly affected if generic medicines are not available or delay New science shows that treatment is also prevention and that we can bend the curb of the HIV/AIDS epidemic At the UN High level meeting on AIDS in New York in June 2011 all members agreed to “15 by 15”
15M people on ARV’s by 2015
9M more than today
Médecins Sans Frontières Australia – www.msf.org.au how to find out more www.msf.org.au
facebook.com/msf.aus
twitter.com/MSFAustralia
youtube.com/user/MSFAustralia
www.msfaccess.org/
Médecins Sans Frontières Australia – www.msf.org.au thank you
Médecins Sans Frontières Australia – www.msf.org.au