A charity group urges Thailand to reject a U.S. trade deal that could end an affordable-drugs program, which is seen as a model for Asia.
Thomas H. Maugh II
L.A. Times Staff Writer
July 13, 2004
BANGKOK, Thailand — A potential trade agreement between Thailand and the
United States could derail this country's production of inexpensive AIDS
drugs and imperil the future of an anti-HIV program that is widely
considered a model for countries throughout Asia, the group Doctors Without
Borders said Monday.
"If the Thais sign such an agreement, they will have to close down their
generic drug production," Paul Cawthorne of the Belgium-based group told a
news conference. "Trade rules are the biggest threat" to the fight against
AIDS, he said.
Thailand is one of the few countries — others include India and Brazil —
that manufacture generic versions of anti-HIV drugs developed by U.S.
manufacturers.
The country began researching manufacturing techniques for the drugs in the
early 1990s and was preparing to market a generic version of the drug
didanosine when Bristol-Myers Squibb Co., the drug's manufacturer, served
notice that it held a valid patent on the drug. The Thai government was
ready to accede, but Doctors Without Borders urged it to fight the claim.
The following year, Thailand's Central Intellectual Property Court ruled
the patent invalid in Thailand, paving the way for the country to begin
large-scale drug production.
That decision was, in effect, reinforced last September when the World
Trade Organization agreed that poor nations could ignore patents in times
of national health crises.
A free-trade agreement — meant to greatly expand business exchanges between
the United States and Thailand — would incorporate language reinstating the
patents, in an effort to protect U.S. drug companies. The Bush
administration has also argued that the generic versions of the drug are
potentially unsafe and that they are not as effective as the branded
versions, a claim most experts dispute.
The reinstatement of patents was part of a similar agreement signed last
year by Singapore. Brazil has refused to sign an agreement because of the
provision.
Cawthorne, head of Doctors Without Borders in Thailand, urged the Thai
government on Monday to follow Brazil's example lest it upset its thriving
generic drug industry.
In March 2002, the Thai Government Pharmaceutical Organization began
producing a single pill that contains the three drugs recommended by UNAIDS
for first-line treatment of HIV infection: stavudine, lamivudine and
nevirapine. The pill reduced the monthly cost of treatment for an
individual from an estimated $750 to $30. The government now plans to
provide it free to 50,000 Thai citizens.
Thai Prime Minister Thaksin Shinawatra said Sunday at the opening of the
15th International AIDS Conference here that the government would spend $20
million to provide about 40,000 of those patients with drugs and that the
rest of the money would come from the Global Fund to Fight AIDS,
Tuberculosis and Malaria. He also said Thailand would soon begin exporting
the drugs to neighboring Cambodia, Laos and Myanmar.
Thaksin said Thailand would also offer its manufacturing technology to
Africa in the near future.
The high cost of AIDS drugs has been a continuing theme at the meeting,
whose title this year is "Access for All."
On Monday, activists shut down the large booth operated by GlaxoSmithKline
at the conference center exposition, ringing it in a black band and waving
signs reading, "Greed = Death."
Return to: CPTech Home -> Main IP Page -> IP and Healthcare -> Thailand Page |