TPPA & Access to

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 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

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  Drugs Good for 1st line ARV Tx but  Rapid Tests 2nd line drugs is still very  expensive (3 times 1st line) Khayelitsa, South : 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 policies that contribute to the Global Fund to fight, AIDS, TB, and 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