# \[e-drug\] Lancet on WHA

**URL:** <https://talk.edrugplus.org/t/e-drug-lancet-on-wha/14370>\
**Category:** e-drug\
**Created:** [May 21, 2002, 5:54am UTC](https://talk.edrugplus.org/t/e-drug-lancet-on-wha/14370 "2002-05-21T05:54:57Z")\
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**Post date:** [May 21, 2002, 5:54am UTC](https://talk.edrugplus.org/t/e-drug-lancet-on-wha/14370/1 "2002-05-21T05:54:57Z")

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E-drug: Lancet on WHA  
-------------------------------------------------------------------------  
[Copied as fair use. KM]

[http://www.thelancet.com/journal/vol359/iss9319/full/llan.359.9319.news.2114](http://www.thelancet.com/journal/vol359/iss9319/full/llan.359.9319.news.2114)  
6.1

Brundtland sets out priorities at annual World Health Assembly  
Lancet 2002; 359: 1759 (May 18)

WHO plans to step up its campaigns against poverty-related diseases  
whilst also intensifying programmes aimed at tackling cardiovascular  
illnesses, obesity, and other ailments of richer nations,  
director-general Gro Harlem Brundtland told the annual world health  
assembly (WHA) on May 13.

But as Brundtland set out WHO's priorities, activists criticised the  
agency for doing too little to further its once vaunted goal of  
health--and hence medicines--for all.

"The world is living dangerously: either because it has little choice;  
or because it is making the wrong choices about consumption and  
activity", Brundtland said in her opening address to the 191-nation WHA,  
which considered issues ranging from bioterrorism to infant feeding.

She said she wanted to "reinvigorate WHO's work on diet, food safety,  
and human nutrition, linking basic research with efforts to tackle  
specific nutrient deficiencies in populations and the promotion of good  
health through optimal diets".

Brundtland said WHO should be proud of putting health firmly on  
political agendas and for pioneering global initiatives such as Roll  
Back Malaria, Stop TB, and immunisation partnerships. But far more was  
needed, she stressed.

"We must further increase the funding for tackling the illnesses of  
poverty. We must increase the number of people who can access  
treatments, like antiretrovirals, at the same time as we scale up  
prevention programmes. We must do all we can to increase access to  
essential medicines and health technologies", she continued.

As Brundtland was speaking in the elegant assembly hall, M�decins Sans  
Fronti�res (MSF) stationed a truck carrying an exhibition entitled  
"TRAPPED" outside the UN compound in a bid to drive home its concerns  
that WHO isn't doing enough on this front.

MSF hailed WHO's recognition of generic producers such as Cipla and the  
recent inclusion of antiretrovirals on its list of essential medicines.  
But it urged WHO to show more courage in taking on pharmaceutical giants  
to further lower the price of drugs in poor countries and to take a  
higher profile in the ongoing debate on free trade and patent  
protection.

"WHO has been a follower, not a leader; an observer, not an actor", said  
Ellen 't Hoen, coordinator of the MSF Access Campaign. "Be more active.  
We need a strong public health voice for those who are silent", she  
appealed.

Bernard Pecoul, an MSF director, lamented the omission of research and  
development funding from the WHA agenda. He said WHO was minimising the  
crisis caused by the chronic lack of industry interest in developing new  
drugs against "neglected" diseases such as leishmaniasis and Chagas  
disease and against increasingly resistant strains of malaria which  
affect millions every year. Of the 1393 new drugs approved between 1975  
and 1999, only 13 were specifically indicated for a tropical disease,  
according to MSF.

A grassroots coalition from developing countries, under the banner of  
the People's Health Assembly, accused WHO of forgetting its former goal  
of Health for All by 2000. "Data on very sensitive health indices  
including infant, maternal, and under 5 mortality rates, life expectancy  
at birth, and prevalence of malnutrition show the alarming fall of  
health standards", the group said. "During a period of 10 years between  
1990 and 2000, life expectancy of over a billion people has gone down by  
10 years from 50 to 40."

Clare Kapp

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