The fallout from United States-sponsored experiments with pandemic influenza strains has raised strong biosafety concerns and raised dilemmas for implementing the World Health Organization's Pandemic Influenza Preparedness (PIP) Framework. Scientists in the United States (US) have created a new, potent virus, and as a result of outbreak fears, US officials have imposed a de facto moratorium on publication of the studies and are debating proposals to censor public versions of the papers, while restricting access to the scientific details to laboratories that have a "legitimate" need to know. The situation raises significant issues for the PIP Framework, which emphasises that significant research results with pandemic implications should be reported to the international laboratory system, and that novel potentially pandemic strains should be provided to the WHO System for characterisation by its laboratory network. In this case, however, it appears that the US will not be willing to share its viruses and research results with WHO Member States, contradicting its pro-sharing position taken in the negotiation of the PIP Framework.
Health equity in economic and trade policies
This study aims to contribute to the implementation of South Africa’s National Strategic Plan (NSP) on HIV, STIs and TB 2012–2016 by making speciﬁc recommendations on law and policy reforms to achieve an enabling and accessible legal framework in three key areas: patent, competition, and medicines law. The South African Patents Act, as it currently stands, does not take full advantage of the ﬂexibilities available in respect of limitations to patent rights. The study recommends that the Patents Act make use of the full range of express exclusions from patentability available under TRIPS, and proposes that the process for issuing compulsory licenses be signiﬁcantly streamlined, with clear legislative guidelines for determining the grounds upon which compulsory licenses can be granted, as well as their terms and conditions to prevent unnecessary delays. The study concludes by emphasising that its recommendations are aimed at achieving mutually reinforcing goals: promoting access to essential medicines and developing and supporting policies conducive to the growth and development of the domestic generic pharmaceutical industry. The process of reforming South Africa’s laws could beneﬁt from a policymaking approach that is consultative, coherent and developed with the input of all relevant actors, governmental and non-governmental alike.
Health activists in Malawi have expressed concern at what they call government’s ‘secret conduct’ on the proposed anti-counterfeit law, which they fear could legislate against the generic drugs on which Malawi’s health care system heavily relies. In keeping with World Trade Organisation (WTO) and international trade agreement terms, countries in East and Southern Africa are introducing laws reportedly to crack down on infringement of trademark and intellectual property rights. According to this article, Malawi’s proposed law to that effect has already been examined by Cabinet on its way to becoming law. However, health activists have expressed concern that the law may cause drug stock-outs if generic medicines are treated as counterfeits, as has been raised in East African versions of counterfeit law. Government is allegedly denying health civil society access to the document, saying it is not for public consumption. Executive Director for the umbrella body Malawi Health Equity Network (MHEN), Martha Kwataine, said enacting a law against generic medical products will reverse Malawi’s efforts in improving health care and worsen drug stock outs in hospitals. ‘Once we have the new laws, it means we will be forced to buy the most expensive brand-name drugs,’ she added. ‘The big companies that are owners of the patents will be making huge profits at the expense of the lives of poor people in Malawi.’
Botswana was warned last month by a UN Committee that trade agreements should not undermine Botswana’s ability to ensure access to affordable treatment for children or other people with HIV/AIDS. The UN Committee on the Rights of the Child, in a document made public, strongly recommended that Botswana ensure that “regional and other free trade agreements do not have a negative impact on the implementation of children’s rights.” Most importantly, it warned Botswana that trade agreements should not “affect the possibility of providing children and other victims of HIV/AIDS with effective medicines for free or at the lowest price possible.”
In an increasingly globalised world, health is ever more affected by international institutions. Over the past 25 years, the World Bank, the International Monetary Fund (IMF), and the World Trade Organization (WTO) have increasingly dominated policymaking in developing countries, leading to substantial effects on health. Furthermore, global threats to health, such as HIV/AIDS, severe acute respiratory syndrome, avian influenza, and climate change, need eff ective collective action at the international level. Therefore the system of global governance is of central, and growing, importance to health. However, global governance is becoming increasingly controversial, particularly in the case of global economic institutions.
While inequality has become a topic of increased popularity and politicization in recent years, most of the attention has focused on how 1% own an increasingly large share of the world’s wealth, rather than on inequalities between nations. In a global context in which national borders and citizenship pose few barriers to the mobility of capital, the reality is also a story of the world’s richest nations continuing to reap a disproportionate amount of the globe’s profits. Contemporary analyses of global inequality, capitalism, and development would benefit from the lessons of earlier works concerned with similar questions decades before. One example is the classic work written by Walter Rodney, How Europe Underdeveloped Africa. While some contemporary accounts recognise that the problems of African countries do not lie exclusively in Africa, they do not go far enough. Piketty’s discussion of the extraction of wealth from the African continent, for example, is largely independent from his analysis of the accumulation of wealth in other parts of the globe. For Rodney, it was impossible to explain development and the accumulation of wealth in one region without deeply understanding its relations to other regions of underdevelopment and the extraction of wealth. This relation, he argued was not accidental; it was endemic to capitalism itself.
As international development strategies struggle to address issues of human insecurity and socioeconomic inequality, inspiring alternatives are taking shape outside the traditional development discourse. The author argues that locating development strategies within the current neoliberal capitalist framework limits the possibility of success of development goals and strategies, largely designed by 'the North' and argued to be rarely successful in 'the South'. The author argues that these have potential to transform development policy in the South. This article discusses well-being economics, questioning the notion that high income and consumption constitutes genuine wealth, noting that income contributes up to the point of satisfying basic needs, after which human well-being is argued to rest on supporting the development of human potentialities through meaningful livelihoods, strengthening social relations and promoting ways of life in harmony with nature. She argues that this is being applied in the political philosophy of “buen vivir” (living well) in selected Latin American social movements and states to guide a development policy that is more inclusive of human security and their environments. The paper explores the manner in which the concept puts improvement of the quality of life, capacities and potential of the population and its harmonious coexistence with nature at the centre of the economic system, within constitutions, policies in selected countries and in relation to their impact.
After a negotiating process that lasted many days and that was closely watched by dozens of health and development NGOs, the World Health Assembly adopted a resolution on 27 May that established a working group to come up with a global strategy on intellectual property, health research and development, and new medicines for diseases that especially affect developing countries. The resolution was seen by many as the biggest achievement of this year's WHA, and was hailed by many public interest groups that had supported the developing countries, led by Kenya and Brazil, that had first advocated the resolution.
According to the authors, achieving universal health coverage by 2030, as stated in UN Global Goal 3, will require substantial increases in health spending and the proportion funded through taxation or social insurance to make health care affordable for all. Not only will institutions need to be established to ensure sustainable arrangements for social finance, it will also be vital to ensure that health financing is resilient to economic and other shocks if Global Goal 3 is to be realised. This is argued to present a major challenge in Africa, where an economic downturn is projected in a number of resource-dependent countries, such as Mozambique and Guinea Bissau and where countries such as Sierra Leone have weakened health systems. The response to these challenges by governments and development partners, will have important effects on how well people, and the health services on which they rely, cope in the short term and longer-term evolution of health coverage.
The emergence of an increasingly global economy suggests that the ability of individual countries to shape their own destinies is becoming more difficult. International trends and pressures now influence national, and even local, health care policy making. Researchers from the University of the Witwatersrand, South Africa, together with Oxford University, looked at the effect of globalisation on health issues in South Africa and assessed its influence compared to national and local forces.