South-South Exchanges related to Patents in Developing Countries and LDCs: A Civil Society Reading

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South-South Exchanges related to Patents in Developing Countries and LDCs: A Civil Society Reading Heba Wanis BSc, MPH Researcher Egyptian Initiative for Personal Rights Second WIPO Inter-Regional Meeting on South-South Cooperation on Patents, Trademarks, Geographical Indications, Industrial Designs and Enforcement Cairo, 6-8 May 2013

Outline 1. Why South-South? 2. How does South-South cooperation/ exchange take place? 3. Some of its aspects 4. Examples of the use of the TRIPS flexibilities 5. Role of public interest civil society in South- South exchange 6. Beyond patents: the wider policy space

Why South-South? (1) - Acknowledgement of the growing capacities in the area of IP and development in developing countries. - This growing expertise in the South, by nature, takes into consideration socioeconomic conditions and challenges in developing countries and LDCs - IP gets contextualised

Why South-South? (2) - Safeguarding against non-development friendly IPRs - The learning process that developing countries and LDCs are going through, has to be acknowledged and shared - What works, what does not work

Why South-South? (3) Acknowledging both the particularity, and diversity of DCs and LDCs

South-South Exchanges: characteristics Are not necessarily official Academia, research centres Civil society networks Media Require a credible facilitator

How does South-South cooperation take place? 1. Bilateral level Within one region, mostly Patent offices undertaking bilateral agreements, often for training purposes Visiting expert/ consultant to another country s patent office

How does South-South cooperation take place? 2. Regional level (1) Allowing for wider participation Wider context for exchanges on IP challenges and best practices Creation of informal networks to support official work

2. Regional level (2) Series of regional training workshops for pharmaceutical patent examiners South African countries, Cape Town, Nov 2008 MENA countries, Cairo, April 2009

2. Regional level (3) Project on Enhancing Access to Treatment: Intellectual Property Protection and AIDS in EMR/MENA countries, 2007-2008 Partners: WHO/EMRO, WHO/HQ UNDP HIV/AIDS Regional Programme in the Arab States UNDP Arab Initiative on Trade, Development and Economic Governance Third World Network

2. Regional level (4) Outcomes: IP regime/a2m Assessment Tool + national country studies

2. Regional level (5) Regional workshop on Access to Essential Medicine: Patent and the Law, Alexandria 15-16 May 2013. Bibliotheca Alexandrina and International Development Law Organisation (IDLO)

How does South-South Cooperation take place? 3. Global level Initiatives/ programmes organised by intergovernmental organisations (IGOs) e.g. UN organisations; or international NGOs South Centre (IGO of developing countries) Research (importance of documentation) Civil society networks e.g. WHO Watch project of People s Health Movement (including faith-based organisations) Media: News, Mailing lists and virtual think tanks

South-South Exchanges: aspects 1. Technical and legislative Creating an orientation towards development Capacity development pertaining to the use of patents in a developing country context Incorporating TRIPS flexibilities in national legislation Making full use of TRIPS flexibilities Strict Patentability Criteria Pre and post grant opposition systems Compulsory License/Government Use Licenses Parallel Importation Exceptions to patent rights (e.g. Bolar exception)

South-South Exchanges: aspects 2. Political Political and Positive: Use of TRIPS flexibilities in a large number of developing countries and LDCs Politically sensitive to use; none in Arab/MENA region Political and negative: Political influence leading to signing of FTAs and going beyond the minimum standards of IP protection set by the TRIPS Agreement

Examples of Use of TRIPS Flexibilities (1) Pre-Grant Opposition filed in India in 2006 against GlaxoSmithKline (GSK) s application for a patent on Combivir - a combination of two existing drugs in one pill GSK withdrew its patent applications in India as well as in other countries Resulted in improved access to generic versions of Combivir.

Examples of Use of TRIPS Flexibilities (2) Governments have the right to determine grounds for compulsory licence - negotiations to obtain a license on reasonable terms and conditions from the patent holder failed - public interest, - national emergencies, - public health nutrition, - failure to exploit or insufficiency of working - to remedy anti competitive practices Not just for emergencies and not limited to certain diseases

Examples of Use of TRIPS Flexibilities (3) Zimbabwe: CL in 2003 Zambia: CL in 2004 to Pharco Mozambique to manufacture ARV combination lamivudine, stavudine & nevirapine Mozambique: CL in 2004 to manufacture same combination Ghana: GU in 2005 Eriteria: imported ARVs in 2005 for public non-commercial use

Examples of Use of TRIPS Flexibilities (4) Malaysia In 2002, issued a Government Use licence to import generic version of patented ARVs from India Treatment cost per patient per year dropped by 81% Indonesia GU in 2004, to manufacture ARVs Thailand GU in 2006, 2007 to import/ manufacture ARVs 2008, issued 3 GU licences

Examples of Use of TRIPS India Flexibilities (5) CL in 2013 for Sorafenib Grounds: not available at a reasonably affordable price 97% reduction in treatment cost

Role of public interest civil society in SS exchange (1) Distinction between public-interest and business-interest : PINGOs and BINGOs Informal networks across the globe High level of expertise On-going research in specialised areas such as access to medicines and health policy (specialised NGOs and think tanks) Fast flow of information and strong advocacy tools

Role of public interest civil society in SS exchange (2) Strong presence in global health trade and IP negotiations at intergovernmental level (observers) defending positions of the South Influenced outcomes of negotiations to the interest TRIPS Agreement, WHO Global Strategy on Public Health, Innovation and IP, WIPO Development Agenda

Role of public interest civil society in SS exchange (3) Influencing discussions on substandard medicines at the WHO, shifting the focus from the counterfeit/ip angle to a more health-related one Strongly advocating for LDCs extension at WTO

3rd People s Health Assembly, Cape Town, July 2012

3rd People s Health Assembly, Cape Town, July 2012

Beyond patents Sharing experiences of the wider policy space at national level Constitutional support of public interests Health insurance schemes Medicine pricing and procurement mechanisms Rational use of medicines (esp. antimicrobials) Pharmaceutical manufacturing capacity Role of public interest civil society organisations at national level

Thank you Heba@eipr.org