India is a country with a large poor population many of whom
cannot afford the cost of patented drugs which are sold there by Western
companies. It also has a thriving
generics industry and is known as the ‘pharmacy of the developing world’. It provides strong patent protection and is
an important emerging market, and therefore has been the recipient of a lot of
foreign investment. Since last year
India has started taking steps to circumvent patent protection on important
drugs in order to allow generics companies to make them available at a fraction
of the cost.
In principle the WTO has accepted the concept of
circumventing patent rights on the grounds of public health. In 2001 the ‘Doha Declaration on the TRIPS
Agreement and Public Health’ was adopted by the WTO Ministerial Conference. It concerned the right of members of TRIPS to
grant compulsory licences on patents on certain grounds, including public
health. However in practice compulsory
licensing rarely happens in the developing world.
In 2012 India issued its first compulsory licence for a
medicine. This was issued to Natco for
Bayer’s Nexavar, and Bayer failed to reverse the decision at the Intellectual
Property Appellate Board earlier this year.
BDR Pharmaceuticals has now also requested a compulsory licence for
Bristol Meyers Squibb’s Dastinib.
India has also been revoking patents held by Western drug
companies, such as Allergan’s patents for Ganfort and Combigen recently. This is a policy which China also seems to be
following, recently declaring Gilead’s patent on the AIDS drug Viread invalid. Indian patent law requires derivatives of
drugs to have significantly improved properties to be patentable, making it
difficult to pursue ever-greening strategies to extend patent life. This policy has been cited as an example
which other developing countries should follow (see here) and has also been
criticised (see here).
It seems that India is also considering changes to its foreign
investment rules that would prevent Western drugs companies taking control of
local drugmakers (see here).
So it seems that for now India continues to pursue a brave
and aggressive policy to make Western drugs more affordable to its
population. Whilst many in the West have
voiced their criticism, no action has yet been taken at the level of the
WTO. It will be interesting to see how
the developed world chooses to respond.
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