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Thailand
Issues Compulsory License for an Important AIDS Drug
On November 29, 2006 the
government of Thailand took an important step in lowering the price and
increasing availability of an important first-line HIV/AIDS drug,
efavirenz (Stocrin), despite it still being under patent by the US
pharmaceutical corporation, Merck & Company. It announced it would issue
a compulsory license to the Government Pharmaceutical Organization of
Thailand to produce the drug. The Thai government said it was allowed to
do this under international trade and IP law, as well as Thai law.
In the announcement, the
government said that under the Doha Declaration (agreed to at a WTO
ministerial in Doha, Qatar in 2001), and the WTO Agreement on
Trade-Related Aspects of Intellectual Property Rights (TRIPS), “member
countries have a right to issue a safeguard measure to protect public
health, especially for universal access to essential medicines using
compulsory licensing on the patent of pharmaceutical products.” It also
referred to the Thai Patent Act, saying that the government had the
right to use any patent rights “for non-commercial public uses.”
The Thai government has
reportedly been pressured in recent weeks by the Office of the US Trade
Representative, on behalf of the broader pharmaceutical community, to
enter first into discussions with Merck to make the drug in question
available at a lower price. A spokesperson from USTR told the monitoring
group Intellectual Property Watch (IPR) (http://ip-watch.org/index.php?res=1024_ff&print=0)
that it had “not provided specific advice” to the Thai authorities in
this case.
The spokesperson told IPR that
the USTR does not question the fact that World Trade Organization (WTO)
rules allow for compulsory licenses, but said it expects Thailand, as a
WTO member, to “follow certain steps,” and that it would have been
appropriate to engage all parties first. An NGO letter signed by 140
organizations and individuals, including the Oblate JPIC Office, was
sent to US Secretary of State Condoleezza Rice, and USTR Susan Schwab,
asking the US to stop any interference with the Thai effort to issue a
compulsory license.
(Click here for a copy of the letter)
The Thai government is working
to supply HIV/AIDS medicines to Thais infected with the virus at no
cost. Physicians in Thailand reported that there have sometimes been
insufficient quantities of efavirenz available for patients who needed
it. They had been encouraging the Thai government to supply a generic
(cheaper) and more certain supply of the drug through a compulsory
license granted to the Government Pharmaceutical Organization of
Thailand. The drug is said to be highly effective and safe, in contrast
to cheaper HIV/AIDS medicines which are more toxic.
In a report from Intellectual
Property Watch, the Thai government reportedly met recently with Merck &
Company “in a very constructive and friendly atmosphere. MSD proposed to
reduce the price to 550 Baht/m, [from] 1,400 previously. Our GPO
[Government Pharmaceutical Organization] can provide at 560/m.”
According to IPW, the Thai
government intends to maintain the compulsory license in place for a
period of five years, until 31 December 2011. |