Brook K. Baker, Health GAP
May 4, 2004
The office of the United States Trade Representative issued its 2004
Special 301 Report on May 3, 2004. Despite protestations in multiple
contexts that the USTR is not initiating trade policies that undermine
developing countries' flexibility to access affordable medicines for all,
the Special Report contains damning admissions of an intellectual property
agenda designed to pursue the interests of the proprietary pharmaceutical
industry not matter what the cost in human lives. The U.S. campaign for
escalating intellectual property protections, and its corresponding attack
on public health, is broad in geographical scope and increasingly focused
on preventing registration of generic medicines.
Expansive geographic scope: As stated in the Executive Summary (p. 2), the
U.S. is pursuing heightened intellectual property protections in multiple
bilateral and regional free trade agreements all around the globe,
including areas hardest hit by the HIV/AIDS pandemic, e.g., Southern Africa
and Thailand:
Most countries, including the United States, impose stringent
regulatory testing requirements on companies seeking to market a new
drug or agricultural chemical product. Many countries have
recognized, however, the value of allowing abbreviated approval
procedures for second-comers seeking to market an identical product
to one that has already been approved. Generally, these second
applicants may be required to demonstrate only the bioequivalence of
their products with the product of the first company, and will not be
required to repeat all of the expensive and laborious clinical tests
conducted by the first company to prove the safety of the product.
However, because of the expense involved in producing the safety and
efficacy data needed to obtain marketing approval, the TRIPS
Agreement recognizes that the original applicant should be entitled
to a period of exclusivity during which second-comers may not rely on
the data that the innovative company has created to obtain approval
for their copies of the product. During this period of exclusive use,
the data cannot be relied upon by regulatory officials to approve
similar products. This period of exclusivity is generally five years
in the United States and six to ten years in the EC member States.
Other countries that provide a period of exclusivity against reliance
on data include Australia, China, the Czech Republic, Estonia, Japan,
Jordan, Korea, Mexico, New Zealand, Slovenia, and Switzerland. We
commend Bulgaria and Colombia on their recent implementation of data
protection for pharmaceutical and agricultural chemical products,
respectively. In addition, we commend Mexico for passage of
regulations that strengthen the coordination between its health and
patent agencies to protect valid patents of innovative pharmaceutical
products. We urge all WTO members to swiftly complete their
implementation of Article 39.3, including the rest of the Andean
countries, Israel and Turkey.
As more countries fulfill their implementation obligations, we will
adjust our focus to determine whether our trading partners are
providing adequate and effective enforcement as required by the TRIPS
enforcement provisions.
Ibid. p.4.
Reading the steady stream of U.S. complaints about failed intellectual
property protections for drug registration data is a lot like reading a
shortened version of PhRMA's 2004 Submission to the U.S. Trade
Representative for the Special 301 Report. (See full report at
http://www.phrma.org/international/resources/2004-02-12.582.pdf.) Every
country on the U.S. 301 Watch List is discussed at length in the PhRMA
submission except the Philippines. In each and every one of these country
submissions, PhRMA expressly targets registration issues, sometime for
pages at a time. This focus is no surprise because in Appendix B, PhRMA
expressly states that it "urges USTR to use this year's Special 301 report
to launch a global initiative on data exclusivity that will capitalize on
the TRIPS clarifications that the United States has not only gained in the
FTAs but also in recent WTO accessions of China and Taiwan. The United
States should make it clear that the clarifications found in the FTAs on
data exclusivity represent the U.S. interpretation of how the obligations
contained in TRIPS Article 39.3 should be implemented and that it will
allocate the necessary resource to ensure that the non-FTA countries act
accordingly."
301 undermines Doha.
The USTR/PhRMA tag team is hell bent on erecting new
barriers to generic competition in the form of global rules on data
exclusivity and patent/registration linkage. The accomplishment of this
focused campaign would undermine most, if not all, of the pro-public health
flexibilities clarified in the Doha Declaration in November 2001. Even
though compulsory licenses approved at Doha are ill-suited to providing a
steady stream of newer medicines at affordable costs to poor people in
developing countries, the availability (and threat) of compulsory licenses
has pressured Big Pharma to lower drug prices. The possibility of
compulsory licenses has also energized generic producers to prepare for the
post-2005 Big Bang when the TRIPS' straight jacket gets imposed on
countries like India which have heretofore used pre-TRIPS flexibilities to
produce cheaper generics of assured quality to address health needs in
developing countries.
Developing countries and activists alike must resist and raise the stakes
against the registration juggernaut. Death by patent is being replaced by
death by registration. Just as PhRMA and the USTR are willing to move the
battle line when they have lost ground on one IPR front, we must be
prepared to engage them on this new terrain.
Drug regulatory agencies in developing countries must be permitted to use
previously filed proprietary data on drug safety and efficacy in order to
access the bio-equivalence of more affordable generic alternatives.
Without this option, poor people in the Global South will wait five years
at a minimum for access to newer medicines. In many instances, they will
wait much longer as drug companies unfold their cynical evergreening
strategies designed to extend patent protection well beyond a single
20-year term and thereafter use patent/registration linkage to delay
marketing approval for decades.
Registration is not an arcane topic? - it is now a matter of life and death.
The Bush Administration must be prevailed upon by all available means to
sever its allegiance to PhRMA profits and instead to recognize the human
right to health. Otherwise, tens of thousands of people will continue to
die unnecessarily each and every day simply because they cannot afford
medicines routinely available to rich people.
The United States is committed to a policy of promoting increased
intellectual property protection. In this regard, we are making
progress in advancing the protection of these rights through a
variety of mechanisms, including through the negotiation of free
trade agreements (FTAs). We are pleased that the recently concluded
FTAs with Central America including the Dominican Republic, Morocco
and Australia will strengthen the protection of IPR in those
countries. Specifically, the intellectual property chapters of these
agreements provide for higher levels of intellectual property
protection in a number of areas covered by the TRIPS Agreement. We
are also seeking higher levels of protection and enforcement in the
FTAs that are currently under negotiation with Bahrain, Panama, the
Southern Africa Customs Union, in the upcoming FTA negotiations with
Andean countries and Thailand, and in the ongoing negotiation of a
Free Trade Area of the Americas. Another opportunity we are using to
strengthen the protection and enforcement of intellectual property is
the increasing number of trade and investment framework agreement
(TIFA) negotiations with several countries in regions such as the
Middle East and Asia.
Protectionism for drug company data bars registration of generic drugs.
Having lost some of its campaign objectives with respect to narrowing
sovereign rights to issue compulsory licenses, the U.S. is intensifying its
efforts to erect new, insurmountable barriers against registration of
generic medicines not only during a five-year period of data exclusivity
but also during the entire term of a 20-year patent via patent/registration
linkage. The USTR is brazen in admitting these efforts:
One of the key implementation priorities that we have focused on in
this year's review is the implementation of Article 39.3 of the TRIPS
Agreement, which requires WTO Members to protect test data submitted
by drug companies to health authorities against disclosure of that
data and against "unfair commercial use" of that data.
The importance of expanding the reach of data exclusivity and
patent/registration linkage provisions worldwide is highlighted in the 2004
Special 301 Report. Of the fifteen countries on the Priority Watch List,
twelve involved allegations that they did not provide sufficient protection
for confidential data submitted by research-based pharmaceutical companies
(5 years of data exclusivity) and/or that they did not prevent marketing
approval of generic products during the term of a conflicting patent. (The
twelve countries are: Argentina, Brazil, Egypt, India, Korea, Lebanon,
Pakistan, Republic of the Philippines, Russia, Taiwan, and Turkey.)
Similarly, of the thirty-four countries on the "regular" Watch List, over
half, nineteen, were listed in part because of their alleged failure to
protect drug companies' proprietary interests in drug registration data.
(The nineteen countries are: Canada, Chile, Columbia, Costa Rica, Croatia,
the Dominican Republic, Ecuador, Guatemala, Hungary, Israel, Malaysia,
Peru, Poland, Romania, Saudi Arabia, Slovak Republic, Thailand, Uruguay,
and Venezuela.)
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