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3 Chi. J. Int'l L. 27 (2002)
TRIPS, Pharmaceutical Patents, and Access to Essential Medicines: A Long Way from Seattle to Doha

handle is hein.journals/cjil3 and id is 33 raw text is: TRIPS, Pharmaceutical Patents, and Access to Essential
Medicines: A Long Way From Seattle to Doha
Ellen 't Hoen*
I. INTRODUCTION
Infectious diseases kill over 10 million people each year, more than 90 percent of
whom are in the developing world.' The leading causes of illness and death in Africa,
Asia, and South America-regions that account for four-fifths of the world's
population-are HIV/AIDS, respiratory infections, malaria, and tuberculosis.
In particular, the magnitude of the AIDS crisis has drawn attention to the fact
that millions of people in the developing world do not have access to the medicines
that are needed to treat disease or alleviate suffering. Each day, dose to eight thousand
people die of AIDS in the developing world.2 The reasons for the lack of access to
essential medicines are manifold, but in many cases the high prices of drugs are a
barrier to needed treatments. Prohibitive drug prices are often the result of strong
intellectual property protection. Governments in developing countries that attempt
to bring the price of medicines down have come under pressure from industrialized
countries and the multinational pharmaceutical industry.
The    World    Trade    Organization     (WTO)      Trade-Related     Aspects   of
Intellectual Property Rights Agreement (TRIPS or Agreement), which sets out
the minimum standards for the protection of intellectual property, including patents
for pharmaceuticals, has come under fierce criticism because of the effects that
increased levels of patent protection will have on drug prices. While TRIPS does
Ellen 't Hoen is Coordinator of the Globalisation Project of M~decins sans Fronti~res (MSF)
Access to Essential Medicines Campaign. She holds a master's degree in law from the University of
Amsterdam. The author wishes to thank Ms. Que Mai Do for her assistance in preparing the
manuscript.
1.    World Health Organization, The World Healtb Report 2001, 144 (WHO 2000).
2.    See UNAIDS, Report on the Global HIV/AIDS Epidemic 125, 129, 133 (UNAIDS 2000), available
online at <http://wvww.unaids.org/epidemicjupdare/report/EpLreport.pdf> (visited Mar 24,
2002) (outlining the statistics utilized to reach the generally recognized figure of eight thousand
deaths per day due to AIDS in the developing world).

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