Discours de l’Afrique du Sud à l’OMS, à la suite du #Pharmagate
▻http://keionline.org/node/1913
In 2000, the cost of combination antiretroviral therapy per person per annum was US$10 000. In 2010, ten years later these costs had been reduced to USS$1 000 per person per annum. We have further reduced these costs by 50%. This would not have been possible without generic competition. This explains why today, South Africa has been able to put 2,4 million people on treatment.
Today around 4% of South Africans are on second line antiretroviral therapy. This number must be increased to 14% for those who have been on ART for more than 5 years. We know the long-term problems of managing a life-long chronic disease and the challenges of patients who fail first line therapy, who must be put on second line and salvage therapy. We need to avoid virological failures and achieve good clinical and immunological outcomes. This will not be possible at current costs which are 2,5 times the cost of 1st-line therapy.
Similar arguments can be made regarding XDR-TB which is a killer and can be aggressively confronted with newer therapies, i.e. only if they are affordable. We have to put people on treatment that is affordable.
EB134/12 refers to the MDR-TB crisis, having patients put on a waiting list. This should be avoided - and can be avoided.
Generic competition has been the main driver of affordable medicines
#sida #génériques #pharma #brevets #tuberculose #santé
