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Healthy Skepticism Library item: 8992

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: Journal Article

Cawthorne P, Ford N, Limpananont J, Tienudom N, Purahong W.
WHO must defend patients' interests, not industry
Lancet 2007 Mar 24; 369:(9566):974-975
http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6T1B-4N9XF65-9&_user=10&_coverDate=03%2F30%2F2007&_rdoc=9&_fmt=full&_orig=browse&_srch=doc-info(%23toc%234886%232007%23996300433%23646931%23FLA%23display%23Volume)&_cdi=4886&_sort=d&_docanchor=&_ct=38&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=198d30e029c3c1b712b405c760067573


Abstract:


Notes:

“Is WHO’s Director-General, Margaret Chan, more concerned about the needs of patients or the interests of industry? Addressing an audience in Bangkok in February, she stressed the need to negotiate with drug companies over access to medicines, and that the use of compulsory licensing to import and manufacture generic versions of patented drugs must be ‘balanced’.

Her statement was in reference to the Thai Government’s recent issuing of compulsory licences for efavirenz, lopinavir/ritonavir, and clopidogrel.
Thailand is one of the few developing countries that have achieved universal access to antiretrovirals, but access to efavirenz (needed by around 15% of people on treatment) and lopinavir/ritonavir (for the increasing number of people who need second-line) are limited because of high price.

There are several reasons why Chan’s comments are misplaced…”

 

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...to influence multinational corporations effectively, the efforts of governments will have to be complemented by others, notably the many voluntary organisations that have shown they can effectively represent society’s public-health interests…
A small group known as Healthy Skepticism; formerly the Medical Lobby for Appropriate Marketing) has consistently and insistently drawn the attention of producers to promotional malpractice, calling for (and often securing) correction. These organisations [Healthy Skepticism, Médecins Sans Frontières and Health Action International] are small, but they are capable; they bear malice towards no one, and they are inscrutably honest. If industry is indeed persuaded to face up to its social responsibilities in the coming years it may well be because of these associations and others like them.
- Dukes MN. Accountability of the pharmaceutical industry. Lancet. 2002 Nov 23; 360(9346)1682-4.