GENEVA - November 5 - Health talks opening today at the United Nations in Geneva have the potential to change the way medical research is conducted and ensure that urgently needed products are developed and made accessible, the international medical humanitarian organisation Doctors Without Borders/Médecins Sans Frontières (MSF) and Knowledge Ecology International said today.
Representatives from ministries of health are gathering today for the second round of negotiations of the Intergovernmental Working Group for Public Health, Innovation and Intellectual Property (IGWG). They are charged with coming up with a plan of action to ensure new medical products are developed, and existing ones are made affordable.
"The R&D system is broken, it is not delivering," said Dr. Tido von Schoen-Angerer, Director of MSF's Access to Essential Medicines Campaign. "Take tuberculosis, for example; because tests are either antiquated or too high-tech, we don't have any practical tool to diagnose TB in people with HIV, who are precisely the ones most at risk of dying. And because drugs to treat resistant strains of TB are too weak, up to 20 percent of HIV uninfected and two-thirds of HIV infected patients with multidrug- resistant TB, die during treatment."
Governments at the World Health Organization (WHO) in 2006 created the IGWG following the release of a WHO report that said that intellectual property is not a significant factor in contributing to innovation for diseases that disproportionately affect developing countries. Similarly, a Lancet study concluded that only one percent of the 1,556 drugs developed in the last twenty-five years targeted neglected diseases and tuberculosis, although these diseases account for over 10 percent of the disease burden.
The IGWG represents the first chance for countries to begin building a system for medical innovation and access to medicines that prioritises such diseases, develops needed health tools, and makes them affordable.
"This is an unprecedented opportunity to change the paradigm," said James Love, Director of Knowledge Ecology International (KEI). "The IGWG has been asked to de-link the cost of R&D from the price of medicines. This is enormously important. We need new mechanisms and institutional responses to move toward a paradigm of innovation plus access, rather than a set of poorly functioning trade-offs. The big ideas in the negotiation are patent pools, prizes, and a treaty on medical R&D. They are also the most controversial."