# \[e-drug\] MSF Press Release Durban

**URL:** https://talk.edrugplus.org/t/e-drug-msf-press-release-durban/8634
**Category:** e-drug
**Created:** [July 10, 2000, 2:42am UTC](https://talk.edrugplus.org/t/e-drug-msf-press-release-durban/8634 "2000-07-10T02:42:02Z")
**Posts on this page:** 1
**Page:** 1

<div class="post-metadata">

### Author: ![ethoen](https://avatars.discourse-cdn.com/v4/letter/e/977dab/32.png) [@ethoen](https://talk.edrugplus.org/u/ethoen)
#### Post date: [July 10, 2000, 2:42am UTC](https://talk.edrugplus.org/t/e-drug-msf-press-release-durban/8634/1 "2000-07-10T02:42:02Z")

</div>

E-drug: MSF Press Release Durban  
---------------------------------------------  
PRESS RELEASE

MSF CALLS FOR REPLICATION AND EXPANSION OF  
SUCCESSFUL EFFORTS TO REDUCE AIDS DRUG PRICES

Durban, South Africa, 9 July 2000 � On the eve of the XIII International  
AIDS Conference, the medical aid agency M�decins Sans Fronti�res (MSF)  
released a report demonstrating how some developing countries have already  
significantly reduced the prices of AIDS drugs, and suggested steps to  
replicate and expand upon these successes.

By producing quality generic medicines, countries such as Brazil have made  
AIDS drugs affordable to tens of thousands of people who would otherwise go  
untreated because they could not afford branded products. Through an  
analysis of ten essential drugs for HIV/AIDS in 8 countries, the report,  
entitled 'HIV/AIDS Medicines Pricing', shows how the minimum price  
for AIDS drugs in the developing countries studied is on average 82%  
less than in the US. This difference has not resulted from discounts  
by multinational  
companies, but rather from generic competition and initiatives by national  
governments.

In parallel to the efforts of individual countries, the report also  
recommends the UN, led by UNAIDS, should develop a system to facilitate the  
bulk purchasing of AIDS drugs by putting out a tender to multinational  
pharmaceutical drug companies and local and international generic producers.

'We are using antiretroviral treatment in our program here in South Africa  
to reduce the transmission of HIV to newborns, so we know these drug can be  
safely and effectively used in a resource-poor setting,' said Eric Goemaere,  
M.D., Head of Mission, MSF-South Africa. 'We would like to expand this  
program to the treatment of adults, but we are blocked by high drug prices.  
We are doubtful that current approaches, including drug donations and vague  
promises of price reductions, will benefit our patients anytime soon. In  
contrast, if generics were available in South Africa, we could treat  
patients tomorrow.'

In the report, MSF challenges the international community to take immediate  
steps to bring antiretroviral prices down to levels that would be affordable  
to people in developing countries. The report states that through  
dramatically expanded generic production and bulk purchasing, the price of  
antiretroviral treatment could be reduced to as little as US$200 a year.  
This target price contrasts sharply to US$2,250 price that would  
result from the recently announced UNAIDS public-private partnership  
(85% reduction off the current global price of triple drug therapy of  
$15,000).

MSF cited the UN vaccine and contraceptive programs as models of what  
can be done when international organisations, national governments,  
and the drug  
industry work together to dramatically increase access to essential medical  
interventions in poor countries. These efforts have created dramatic price  
differentials between developing countries and wealthier nations: oral  
contraceptives cost US$0.14-0.23 per month through the UN and US$30  
in the United States.

When countries are barred from accessing low cost drugs due to the  
exclusive marketing rights of the patent holder, international  
organizations should actively support the efforts of developing  
countries to improve access  
through parallel imports, and voluntary and compulsory licenses.

In addition, the report shows that justifications for high prices of  
originator's branded products are overstated. Public investment in AIDS  
drugs has been significant: 5 out of 6 of the antiretrovirals analysed in  
the study received public funding and the patents for drugs (didanosine and  
stavudine) are held by public authorities.

'Differential pricing should not have a negative effect on research and  
development of new treatments, especially when you consider that Africa  
currently only represents one percent of the world-wide drug market' said  
Daniel Berman, coordinator of MSF's Access to Essential Medicines Campaign.  
'Companies can survive and prosper if prices are lower in poor countries.  
More importantly, millions of lives can be saved.'

The report is available on the Internet at:  
www.msf.org  
www.accessmed-msf.org  
# # #  
"Ellen 't Hoen" \<ethoen@compuserve.com\>  
Health Action International (HAI) Europe  
website:[http://www.haiweb.org](http://www.haiweb.org)  
--  
Send mail for the `E-Drug' conference to `e-drug@usa.healthnet.org'.  
Mail administrative requests to `majordomo@usa.healthnet.org'.  
For additional assistance, send mail to: `owner-e-drug@usa.healthnet.org'.
