Health equity in economic and trade policies

WTO Forum: Bypassing international agreements may hamper medicines access
Saez C: Intellectual Property Watch, 11 October 2009

Access to medicines in developing countries may be put at risk by European customs regulations and more broadly by trade provisions in most free trade agreements between developed and developing countries, said speakers at the recent World Trade Organization (WTO) Public Forum, held from 28–30 September. European Union (EU) regulation 1383/2003 concerning customs action against goods suspected of IP infringement is open to interpretation, said Sunjay Sudhir, counsellor at the Permanent Mission of India. There are fears that decisions taken under regulation 1383/2003 reflects a larger design for tougher enforcement of IP rights, part of which is a campaign of deliberately confusing quality concerns with IP rights in international organisations. The issue has arisen in the World Health Organization, and can be noticed in TRIPS-plus elements in bilateral free trade agreements, and the Anti-Counterfeiting Trade Agreement (ACTA) under negotiation to the exclusion of many countries, including developing and least-developed countries, according to Sudhir. ‘Regulation 1383/2003 should be reviewed and brought into line with TRIPS, GATT, and the Doha Declaration on the TRIPS agreement and public health,’ he recommended.

Civil society in 30 countries demand turnaround in EPA negotiations
EPA Watch: 25 September 2009

On 25 September 2009, hundreds of farmers, traders, students, women groups and civil society from across Kenya congregated at Uhuru Park to proclaim their concerns about the economic partnership agreements (EPAs) currently under negotiation between the European Union (EU) and African countries. The protesters delivered a petition to the Ministry of Trade as well as Trade committee of the Kenyan parliament. Through a collective mass fax and e-mail action, more than 80 organisations in 30 countries across Europe, Africa and the Pacific have called on decision-makers to fundamentally change the course of the ongoing negotiations. The multiple messages are aimed at stressing the importance of bold committed African leadership displayed by only supporting trade and economic policies that lead to the development of their people.

Crisis an opportunity to find long-term solutions
Kanaga Raja: Third World Network, 15 September 2009

On 14 September, the governing Trade and Development Board (TDB) of the United Nations Conference on Trade and Development (UNCTAD) began its fifty-sixth session with UNCTAD Secretary-General Dr Supachai Panitchpakdi stressing that the global financial and economic crisis presents an opportunity to find long-term, multilateral solutions to the cycle of financial crisis and unsustainable global imbalances. Amongst others, this year's TDB session will also be holding a high-level discussion on the global economic crisis and the necessary policy response. The mega-stimulus packages introduced by many governments appear to have had a decisive impact in slowing the global economy's descent, but Dr Panitchpakdi nevertheless ‘believes we must still continue to be cautious about the evidence for recovery, and in particular what this means for developing countries.’ He also referred to the so-called 'shadow banking system', which at its peak, held assets in the US of approximately $16 trillion, the collapse of which kick-started the global economic crisis.

EPA agreement can benefit Botswana, but needs caution
Kologwe O: Sunday Standard, 10 August 2009

Following the signing of the Southern African Development Community (SADC) countries to negotiate an economic partnership agreement (EPA) with the European Union, the Botswana government has been warned to exercise its rights in making sure that threats facing the private sector are taken into consideration. Dr Howard Sigwele, executive director of Delta Diaries, Botswana's first jointly owned citizen milk producing company, indicated that although there were benefits in the agreement in trying to enhance private sector participation in foreign markets, there were possible threats such as unregulated entry of goods and subsidised European Union imports into Botswana, undermining the performance of local business and lead to company closure. He warned about the possible entry of goods of inferior standard and possible importation of diseases and pests unless measures are taken to prevent this.

India rejects more AIDS drugs patents
Esalimba R: Intellectual Property Watch, 2 September 2009

Authorities in India, the leading producer of generics in the world, have rejected applications for patents on two AIDS drugs, opening the way for cheaper generic versions to be developed and marketed. In the Gleevec case, the Swiss drug company filed a special petition, seeking leave to appeal to the Supreme Court. The petition was to be heard on 31 August but the matter was adjourned after the presiding judge recused himself. India’s patent office has rejected the patents for tenofovir and darunavir, which are expensive but needed for AIDS patients failing on their existing treatments. Brand-name producer Gilead also previously failed to win a patent for tenofovir in Brazil, according to Medicin Sans Frontieres (MSF). The rejection of the patents has yet to be confirmed by official sources. MSF credited Indian Law Section 3(d) with preventing the evergreening of drug patents and opening the way for generics competitors to enter the market.

Intellectual property rights and wrongs
South Centre: 2009

The legitimacy of the intellectual property (IP) system depends on the correct balance between the public interest and the private privilege given to the IP holders. This balance has been disrupted by a one-size-fits-all global regime in the TRIPS agreement. Yet TRIPS has some flexibilities that can be used. Recently, developed countries have been promoting a TRIPS-Plus agenda that reduces or removes TRIPS flexibilities. Their IP enforcement programme has resulted in legitimate generic drugs of developing countries being seized in European ports while in transit to other developing countries. At the World Intellectual Property Organization (WIPO), developing countries have not accepted the TRIPS-Plus proposals and are protesting against the actions on generic medicines. Issues covered here include the row over generic drug seizures, the recent controversies at the WIPO meeting on Patent Cooperation Treaty, the TRIPS-Plus enforcement agenda, and the move towards a ‘global IP infrastructure’.

Re-energising Doha Round, but no movement on substance
Sharma S: Third World Network, 9 September 2009

The two-day Mini-Ministerial meeting of 36 trade ministers hosted by India on 3–4 September appears to have concluded with a few proposals on a process to ‘re-energise’ the World Trade Organization Doha Round of multilateral trade negotiations, but with no movement on substance. Virtually all developing country groupings endorsed the multilateral approach of negotiations and cautioned against the attempt to subvert the process through bilateral or plurilateral negotiations. They also endorsed the December texts as the basis of negotiations rather than unravelling the texts. This is presumably because the US is demanding even more concessions than what is outlined in the December text. In the corridors on the last day of the meeting on 4 September, one negotiator from an invited country said: ‘Not much has happened here but a discussion on process and reiteration of positions.’ A delegate from a G20 country stated: ‘The US came here, but is in no position to offer anything. They are demanding that we open the text and give more market access, but are not willing to offer anything in return.'

South Africa-European Union Summit: Joint statement, 11 September 2009
Council of the European Union: 11 September 2009

The statement covers the cooperation in the Southern African Development Community-European Community (SADC-EC) economic partnership agreement, and the implications for regional integration in Southern Africa. The statement proposes support for regional integration and development in Southern Africa, based on the 1999 Trade, Development and Cooperation Agreement (TDCA). The first Revision Agreement, which together with the Joint Action Plan for the SA-EU Strategic Partnership is argued to lay the ground for an enhanced and deepened relationship in existing and new areas of cooperation, including migration, health, space, energy, information and communication technologies (ICT) and maritime transport.

The anatomy of growth and development in sub-Saharan Africa: Developing a typology of countries in Africa
African Economic Research Consortium: April 2009

The major objectives of this paper are to analyse the inter-relationship among economic growth, inequality and poverty and to propose a typology of countries within sub-Saharan Africa based on the different initial conditions they face and that can be used to derive appropriate development strategies. In particular, an attempt is made at deriving distinct strategies that embrace growth patterns that are likely to reduce poverty in each separate group of countries. The choice of the most appropriate development strategy is clearly context-specific and, ultimately, has to be shaped at the individual country level. Yet, the advantage of a typology is to highlight and emphasises the importance of those key and distinct conditions and features that influence the development paths of different categories of countries sharing relatively similar conditions. In order to understand better the anatomy of the development process, the changing structure of growth throughout this process has to be explored. In a continent where most countries are still at an early development stage and where the majority of the people reside in rural areas and are employed in agriculture, understanding the structural transformation process and the role of agriculture as a potential engine of growth is of fundamental importance.

The interim economic partnership agreements between the EU and African States: Contents, challenges and prospects
ECDPM and ODI: July 2009

To date, claims about the likely development effects of economic partnership agreements (EPAs) have been speculative because the final details of the agreements were unknown. The conclusion of a full EPA with the CARIFORUM region and interim EPAs (IEPAs) with some African and Pacific states makes it possible to analyse what has actually been agreed and to assess the potential development effects. This book provides a comprehensive analysis of the African IEPAs as they stand in early 2009. It also establishes the negotiations that remain to be completed and the challenges facing Africa in implementation, some of which require support from Europe. It provides both a summary of the principle features of very complex documents and also the foundations for the many follow-up studies that will be needed to look in more detail at specific country, sectoral and other specific features of the IEPAs.

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