# \[e-drug\] 11th Model List of Essential Drugs (cont'd)

**URL:** <https://talk.edrugplus.org/t/e-drug-11th-model-list-of-essential-drugs-contd/7059>\
**Category:** e-drug\
**Created:** [January 15, 2000, 11:04am UTC](https://talk.edrugplus.org/t/e-drug-11th-model-list-of-essential-drugs-contd/7059 "2000-01-15T11:04:46Z")\
**Posts on this page:** 1\
**Page:** 1

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**Author:** ![gasmanna](https://avatars.discourse-cdn.com/v4/letter/g/e480ec/32.png) [@gasmanna](https://talk.edrugplus.org/u/gasmanna)\
**Post date:** [January 15, 2000, 11:04am UTC](https://talk.edrugplus.org/t/e-drug-11th-model-list-of-essential-drugs-contd/7059/1 "2000-01-15T11:04:46Z")

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E-drug: 11th Model List of Essential Drugs (cont'd)  
---------------------------------------------

[Cross-posted from treatment-access@hivnet.ch. Thanks, HH]

Dear friends,

I think we should be very clear about the difference between setting  
public health priorities, and including medicines as essential drugs. We  
should be looking, in my opinion, for effective solutions for the  
HIV/AIDS epidemic which includes treatment. What we have now are  
medicines that are extremely difficult to get and manage for most  
people that need them and have limited efficacy. I believe our main  
problem in the treatment area is that we still do not have the  
treatments we need, namely effective, safe, manageable and  
affordable. Those products when available should be included as  
essential drugs.

I agree with Richard in the sense that it is too early to have the  
therapies we have for HIV/AIDS included as essential drugs.  
Moreover, putting them in the model list would put enormous  
pressures on governments and will divert very scarce resources. The  
products available are not good or safe enough.

On the other hand there is no doubt HIV/AIDS is a major public health  
problem and we need better solutions. I think we should continue to  
work towards having the available treatments, including  
anti-retrovirals cheaper, but we should press internationally to get  
better research in the areas of prophylaxis and treatments that can  
become real solutions for the millions of people that suffer and will  
suffer this disease and thus become essential drugs and hopefully  
vaccines.

Nadine Gasman  
Mexico  
tel: 525-2510283  
fax: 525-2512518  
e-mail: gasmanna@netmex.com

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