Mr. Chairman, India has always been of the view that the
Declaration on the TRIPS Agreement and Public Health,
adopted at Doha, constitutes a major landmark in the
short history of this organisation. It is a landmark
because it recognises the primacy of public health needs
and the sensitivity of this organisation to the problems
faced by the poor in the less developed countries. It is
unfortunate that it took us so long to reach a solution
in respect of one segment of the Declaration, namely, the
mechanism to be put in place to meet the requirements of
developing and least developed countries that have
insufficient or no manufacturing capacities in the
pharmaceutical sector.
I am glad that we are finally seeing the end of this
problem. We feel that the apprehensions of some sections
of the pharmaceutical industry were largely misplaced.
The Declaration clearly indicates that it is intended to
address public health problems, afflicting many
developing and least developed countries, especially
those resulting from HIV/AIDS, tuberculosis, malaria and
other epidemics. While it recognises the importance of
intellectual property protection for the development of
new medicines, it emphasises the fact that the TRIPS
Agreement does not and should not prevent Members from
taking measures to protect public health and, in
particular, to promote access to medicines for all. The
Declaration recognises the right of each Member to grant
compulsory licences and the grounds upon which such
licences are granted and also the right to determine what
constitutes a national emergency or other circumstances
of extreme urgency.
In our view, there were no grounds also for doubts
regarding the manner in which the system established
under paragraph 6 of the Declaration would be utilised.
This system is intended for use by WTO Members with
insufficient or no manufacturing capacities in the
pharmaceutical sector to address public health problems.
We have always maintained that countries with some
manufacturing capacity would resort to use of this
mechanism only when their domestic industry is unable to
meet their needs. There is already existing flexibility
under the TRIPS Agreement for issue of compulsory
licences and wherever the domestic industry can fully
meet at reasonable cost public health needs arising as a
consequence of the kind of problems alluded to in the
Decision, it would make no commercial sense to import
products. Such countries would, however, need to use
this facility whenever their domestic industry is
incapable of meeting their requirements at reasonable
cost or when it is found that domestic capacity is
insufficient.
We are also of the view that sufficient safeguards have
been provided in the draft Declaration of 16 December
2002 to deal with problems of possible diversion of
products and the misuse of the mechanism. We feel,
therefore, that there was really no ground for any doubts
regarding the operation of the system. The 16 December
text was sufficient in itself to deal with all such
problems. It may be noted also that this was intended to
be a temporary mechanism until amendment of the TRIPS
Agreement and that work on preparation of such an
amendment was to commence by the end of 2003 with a view
to its adoption within six months.
With reference to your statement, Mr. Chairman, we note
that in order to promote transparency and avoid
controversy, notifications under paragraph 2(a)(ii) of
the Decision would include information on how the Member
in question had established, in accordance with the Annex
that it has insufficient or no manufacturing capacity. It
has been clarified to us during the consultations that
this does not involve provision of a great deal of
technical or other information but only to indicate
briefly and concisely the methodology for determination
of insufficient capacity and the conclusions that were
drawn on the basis of available data.
With regard to the reasonable measures taken to prevent
diversion of medicines, special packaging, labelling
and/or colouring should be used to distinguish products
produced under the Decision, provided such distinction is
feasible and does not have a significant impact on price.
In general special packaging and/or special colouring or
shaping should not have a significant impact on the price
of pharmaceuticals. With regard to packaging of active
ingredients, it was clarified to us during the
consultations that special labelling including indication
of the destination country would meet the requirements.
While this is essentially an attempt to respond to
special circumstances, any production process would
necessarily have a commercial dimension since it involves
buying and selling of products. We would expect
pharmaceutical companies in all parts of the world to
contribute to this noble cause by paring their costs and
making available pharmaceutical products at the lowest
possible cost to our ailing brethren. We would also
expect that the results accruing from this mechanism are
not negated by the creation of cumbersome systems that
would lead to huge delays in reaching across medicines
at reasonable cost to those that need them or discourage
Members from using the system for the benefit of the
people. In order to make this system successful, sincere
collective effort is required on the part of all Members
and the entire pharmaceutical industry.
Mr. Chairman, we joined the consensus on this Decision in
December last year. We are delighted that today it has
been possible for the entire Membership to join.
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