The Global Governance of HIV/AIDS
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The Global Governance of HIV/AIDS

Intellectual Property and Access to Essential Medicines

Edited by Obijiofor Aginam, John Harrington and Peter K. Yu

The Global Governance of HIV/AIDS explores the implications of high international intellectual property standards for access to essential medicines in developing countries. With a focus on HIV/AIDS governance, the volume provides a timely analysis of the international legal and political landscape, the relationship between human rights and intellectual property, and emerging issues in global health policy. It concludes with concrete strategies on how to improve access to HIV/AIDS medicines.
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Chapter 6: Re-visiting the patents and access to medicines dichotomy: An evaluation of TRIPs implementation and public health safeguards in developing countries

Tahir Amin


One of the key concerns surrounding the Agreement on Trade-Related Aspects of Intellectual Property Rights (TRIPs) was its potential impact on access to medicines (Correa, 2000, p. 35). Many developing and least-developed countries were required, for the first time, to implement a minimum level of patent protection for pharmaceutical chemical products. India, with the second highest HIV population globally and recognized as the pipeline of affordable generic drugs for the developing world, was confronted with numerous implementation challenges (Chaudhuri, 2005). Brazil and Thailand, which had invested heavily in their universal antiretroviral (ARV) access programmes for HIV/AIDS patients, faced rising costs of drug prices as patents came into play (Ford, Wilson, Chaves, Lotrowska and Kijtiwatchakul, 2007, pp. S21–9). As a result, a vast amount of literature and public health commentary suggested how developing and least-developed countries could use the flexibilities within TRIPs to ensure patents not make medicines unaffordable (Musungu and Oh, 2005). However, pressure from developed countries, combined with a lack of political will or understanding of the issues in developing countries, has resulted in difficulties for many countries seeking to implement such flexibilities. Yet, despite these difficulties, there have been successes in developing countries implementing safeguards within their patent laws, which have subsequently been used to ensure continued access to affordable medicines. The purpose of this chapter is to provide a comparative review and evaluation of the manner in which a selection of developing countries chose to implement TRIPs into their patent laws and how these policies straddle the patents and access to medicines dichotomy.

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