# \[e-drug\] What will happen in January 2005?

**URL:** <https://talk.edrugplus.org/t/e-drug-what-will-happen-in-january-2005/19260>\
**Category:** e-drug\
**Created:** [April 1, 2004, 10:55am UTC](https://talk.edrugplus.org/t/e-drug-what-will-happen-in-january-2005/19260 "2004-04-01T10:55:36Z")\
**Posts on this page:** 1\
**Page:** 1

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**Author:** ![Albert\_Petersen1](https://avatars.discourse-cdn.com/v4/letter/a/a87d85/32.png) [@Albert\_Petersen1](https://talk.edrugplus.org/u/Albert_Petersen1)\
**Post date:** [April 1, 2004, 10:55am UTC](https://talk.edrugplus.org/t/e-drug-what-will-happen-in-january-2005/19260/1 "2004-04-01T10:55:36Z")

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E-DRUG: What will happen in January 2005?  
-----------------------------------------

Dear friends,

We all are aware about the WTO agreements that have to be followed by the  
middle developed countries from 1.1.2005 on. That's in 9 months from now.

I am wondering that nobody is discussing the consequences and no concrete  
steps are taken to avoid increasing problems in access to ARVs in all our  
programs in the field. Having discussed that question with some friends in  
South and North I feel more and more a very big uncertainty.

All ARVs that were patented before 1996 will continue to be available as  
generics too. Who would be able to prepare a detailed list about those drugs  
and that drugs that will be offered as brands only? We should inform our  
networks and partners soonest because some of them might have started using  
the newer ARVs in generic form for alternative regimes. They will get  
problems soon because of export restrictions from supplier side.

And of course this will be the same for using raw materials. We still are  
talking about increasing the local production in least developed countries.  
There are only very few, the capacity is low up to now but most of the  
obstacles are based in the WTO procedures. No LDC is able to fulfil all the  
complicated bureaucratic requests for such a proposal. So the only way up to  
now can be a governmental order to a local company to produce generic ARVs  
for public distribution - no export, no sale. Mozambique is going this way,  
Cosmos in Nairobi is waiting for such an order from the government, and  
others will follow hopefully.

But of course, they do need raw materials - and developed and middle  
developed countries only offer them. Does it mean that nobody in the LDCs  
will be allowed in future to produce ARVs as generics that were developed  
after 1996?

I feel we have to raise these questions, some of us might know the answers.  
Please share them with us and with all the partners in South and North that  
are waiting for precise advice and assistance.

Albert Petersen

i/c of Difaem-Pharmaceutical Department, Tuebingen, Germany  
Chair of EPN (Ecumenical Pharmaceutical Network), Nairobi, Kenya  
Difaem - German Institute for Medical Mission  
P.O.Box 1307  
72003 T�bingen  
Germany  
Tel: +49/7071/206531  
Fax: +49/7071/27125  
e-Mail: petersen.amh@difaem.de  
www.difaem.de

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