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Pharmaceutical Patents and Human Development in Sub-Saharan Africa

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Patenting of Pharmaceuticals and Development in Sub-Saharan Africa

Abstract

The analyses in the preceding chapters have shown that law is integral to development. Yet laws do not themselves give rise to development unless they are properly situated within their social context and realities. Fuller once observed that, “for a given social context one form of law may be more appropriate than another, and that the attempt to force a form of law upon a social environment uncongenial to it may miscarry with damaging results.” This idea that laws must reflect social realities is equally germane in the implementation of international norms on patents in SSA. The patent system is the most widely used form of juridical control of pharmaceuticals in the global marketplace. As Oguamanam aptly explains, “of all the regimes of IP, patent is the most relevant to pharmaceutical research both in terms of the subject matter of pharmaceutical innovation and in consideration of the imperative in that industry for a stronger and more exclusive protective regime.” And private pharmaceutical companies employ the globalized patent regime and its domestic prototypes to regulate the prices of medicines on the market. This private regulation of pharmaceuticals reduces the availability of and/or access to medicines to alleviate human suffering, which in turn affects human survival and development.

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Notes

  1. 1.

    Fuller (1969) at 27.

  2. 2.

    Oguamanam (2010) at 558 [Oguamanam, “Patents and Pharmaceutical R&D”].

  3. 3.

    Barbosa et al. (2007) at 72 [Barbosa et al., “Slouching towards Development”].

  4. 4.

    Fisher and Syed (2007) at 589.

  5. 5.

    See Barbosa et al. (2007), supra note 3; Chon (2006) [Chon, “IP and the Development Divide”].

  6. 6.

    Robinson (2001) at 210.

  7. 7.

    See e.g. Preamble to the UN Declaration on the Right to Development, UN DoC A/RES/41/128 (1986); World Conference on Human Rights, Vienna Declaration and Programme of Action, UN DoCA/CONF.157/23, Vienna, 25 June 1993, para 10; African Charter on Human and Peoples' Rights, 27 June 1981, 21 ILM 58 (entered into force on 21 October 1986), Article 22. The right to development is increasingly being recognized as ius cogens, a peremptory norm of international law.

  8. 8.

    Cann (2004) at 924.

  9. 9.

    UNDP (2000) at 2.

  10. 10.

    Barbosa et al. (2007), supra note 3 at 77.

  11. 11.

    On this point see Bush (2007); Barbosa et al. (2007), ibid at 77; Sen (1999) at 1; de Beer (2009a) at 5 [De Beer, “Defining WIPO’s Development Agenda”].

  12. 12.

    See Meier (1989) at 6.

  13. 13.

    See Gyekye (1994) at 49.

  14. 14.

    UNDP (1996) at 86.

  15. 15.

    Boutros-Ghali (1994).

  16. 16.

    Sen (1999), supra note 11 at 14.

  17. 17.

    UNDP (1996), supra note 14 at 1.

  18. 18.

    Chon (2006), supra note 5 at 2832.

  19. 19.

    See Oppong (2006).

  20. 20.

    Gyekye (1994), supra note 13 at 46.

  21. 21.

    The three Bretton Woods Institutions comprise: the World Bank, the International Monetary Fund, and the World Trade Organization.

  22. 22.

    Oppong (2006), supra note 19 at 124, citing UNCTAD, Trade and Development Report (2004).

  23. 23.

    See Bush (2007), supra note 11 at 28.

  24. 24.

    See UNDP (2009). The 24 ‘low human development’ countries are: Togo, Malawi, Benin, Timor-Leste, Cote d’Ivoire, Zambia, Eritrea, Senegal, Rwanda, Gambia, Liberia, Guinea, Ethiopia, Mozambique, Guinea-Bissau, Burundi, Chad, DR Congo, Burkina Faso, Mali, Central African Republic, Sierra Leone, Afghanistan, and Niger. This classification comes against the backdrop of the vast mineral and biological resources in SSA.

  25. 25.

    Jeffrey Sachs, quoted in Stewart (2004) at 117.

  26. 26.

    See generally Sheerwood (1990), Idris (2003), Fink and Maskus (2005), and Maskus (2005, 2008).

  27. 27.

    Okediji (2007) at 357.

  28. 28.

    Barbosa et al. (2007), supra note 3 at 97.

  29. 29.

    See Idris (2003), supra note 26 at 133.

  30. 30.

    Idris (2003), ibid at 6.

  31. 31.

    Idris (2003), ibid at 133.

  32. 32.

    Oguamanam (2010), supra note 2 at 559 & 561, citing 2006 WHO report and 2008 Oxfam report.

  33. 33.

    Oxfam (2008) at 1.

  34. 34.

    Roose-Snyder and Doyle (2009) at 282.

  35. 35.

    See Paragraph 19 of the Doha Ministerial Declaration.

  36. 36.

    See Gold and Morin (2009) at 59.

  37. 37.

    See De Beer (2009a), supra note 11 at 4; Haugen (2010) at 698.

  38. 38.

    Article 1, Agreement between the UN and the WIPO, 1974, online: http://www.wipo.int/treaties/en/agreement/index.html.

  39. 39.

    See the WIPO Development Agenda (2007).

  40. 40.

    WIPO, Proposal by Argentina and Brazil for the Establishment of a Development Agenda for WIPO, DoCWO/GA/31/11. The initial proposal for this development agenda was made by Argentina and Brazil, and joined by Bolivia, Cuba, Dominican Republic, Ecuador, Egypt, Iran, Kenya, Peru, Sierra Leone, South Africa, Tanzania and VenezuelA The above countries formed the Group of Friends of Development.

  41. 41.

    See Part II, the Proposal by Argentina and Brazil for the Establishment of a Development Agenda for WIPO, DoCWO/GA/31/11.

  42. 42.

    Khor and Shashikant (2009) at 1.

  43. 43.

    Recommendation 15 of the WIPO Development Agenda, 2007.

  44. 44.

    De Beer (2009a), supra note 11 at 10–11.

  45. 45.

    Kwakwa (2002) at 187.

  46. 46.

    Helfer (2004) at 77.

  47. 47.

    It is worth noting that 19 out of the 45 recommendations have been identified by the WIPO General Assembly for immediate implementation.

  48. 48.

    De Beer (2009a), supra note 11 at 6.

  49. 49.

    See also recommendation 22 of the WIPO Development Agenda.

  50. 50.

    See recommendation 17 of the WIPO Development Agend.

  51. 51.

    See recommendation 42 of the WIPO Development Agenda.

  52. 52.

    For commentaries on the implementation of the WIPO Development Agenda see de Beer (2009b).

  53. 53.

    De Beer (2009a), supra note 11 at 3.

  54. 54.

    De Beer (2009a), ibid at 9–16.

  55. 55.

    De Beer (2009a), ibid at 17; Barbosa et al. (2007), supra note 3; Chon (2006), supra note 5.

  56. 56.

    Haugen (2010), supra note 37 at 702.

  57. 57.

    Khor and Shashikant (2009), supra note 42 at 14.

  58. 58.

    Cho (2005) at 646–647.

  59. 59.

    See Paragraph 4 of the Doha Ministerial Declaration.

  60. 60.

    See paragraph 6 of the Doha Ministerial Declaration.

  61. 61.

    Paragraph 3 of the Doha Ministerial Declaration.

  62. 62.

    Paragraph 6 of the Doha Ministerial Declaration.

  63. 63.

    Paragraph 17 of the Doha Ministerial Declaration.

  64. 64.

    See Paragraph 4 of the Doha Declaration.

  65. 65.

    Mey (2010) at 412.

  66. 66.

    See Paragraph 5(b) of the Doha Declaration.

  67. 67.

    See Article 31(b) of the TRIPS Agreement.

  68. 68.

    See Paragraph 5(d) of the Doha Declaration.

  69. 69.

    ’t Hoen (2009) at xvi.

  70. 70.

    See Gold et al. (2008) at 13.

  71. 71.

    Gold et al. (2008), ibid at 7.

  72. 72.

    See e.g., Elliot (2007) and Sell (2003) at 161–162.

  73. 73.

    See Article 31(f) of the TRIPS Agreement.

  74. 74.

    Srivastava and Satyanarayana (2008) at 86.

  75. 75.

    Padmashree Sampath (2006) at 696.

  76. 76.

    Hoen (2009), supra note 69 at 37.

  77. 77.

    For a discussion of the obstacles associated with Canada’s Access to Medicines regime see Goodwin (2008).

  78. 78.

    See Government of Canada (2007).

  79. 79.

    See Goodwin (2008), supra note 77 at 580–583.

  80. 80.

    Chon (2007) at 490 [Chon, “Substantive Equality in International IP”].

  81. 81.

    Mgbeoji (2007) at 274.

  82. 82.

    Mgbeoji (2007), ibid at 274–275.

  83. 83.

    Drahos reports that in Kiribati, a relatively unknown island nation, there are over 20 pharmaceutical patents registered in its patent office. See Drahos (2010) at 1.

  84. 84.

    Barbosa et al. (2007), supra note 3 at 114.

  85. 85.

    Chon (2006), supra note 5 at 2823.

  86. 86.

    Chon (2007), supra note 80 at 526.

  87. 87.

    Barbosa et al. (2007), supra note 3 at 114–115.

  88. 88.

    Chon (2007), supra note 80 at 501.

  89. 89.

    See Article 27.1 of the TRIPS Agreement.

  90. 90.

    Chon (2007), supra note 80 at 502.

  91. 91.

    Stiglitz and Charlton (2005) at 82–83.

  92. 92.

    Chon (2006), supra note 5 at 2841.

  93. 93.

    Chon (2007), supra note 80 at 475; Chon (2006), ibid

  94. 94.

    Chon (2006), ibid at 2912.

  95. 95.

    Chon (2007), supra note 80 at 479.

  96. 96.

    Chon (2006), supra note 5 at 2836, 2885.

  97. 97.

    Chon (2006), ibid at 2836.

  98. 98.

    Chon (2006), ibid at 2823.

  99. 99.

    Chon (2006), ibid at 2835.

  100. 100.

    Barbosa et al. (2007), supra note 3 at 118.

  101. 101.

    Barbosa et al. (2007), supra note 3 at 118.

  102. 102.

    See Sen (1999), supra note 11; Nussbaum (2000); Nussbaum (1997) at 287. The capabilities here involve being able to live a life of normal length and in good health via access to healthcare services.

  103. 103.

    See Chon (2006), supra note 5 at 2832.

  104. 104.

    See Sen (1999), supra note 11.

  105. 105.

    Sen (1999), ibid at 3–4.

  106. 106.

    Sen (1999), ibid at 3–4.

  107. 107.

    Sen (1999), ibid at 14.

  108. 108.

    Sen (1999), ibid at 11.

  109. 109.

    Nussbaum (1997), supra note 102 at 279.

  110. 110.

    Nussbaum (1997), ibid at 287.

  111. 111.

    Nussbaum (2008) at 10.

  112. 112.

    Nussbaum (2008), ibid at 56.

  113. 113.

    Nussbaum (2000), supra note 102 at 5, 12.

  114. 114.

    Barbosa et al. (2007), supra note 3 at 76.

  115. 115.

    See Chon (2006), supra note 5 at 2832.

  116. 116.

    See generally: Barbosa et al. (2007), supra note 3; Chon (2006), ibid.

  117. 117.

    See Barbosa et al. (2007), ibid at 76, 119; Chon (2006), supra note 5 at 2877.

  118. 118.

    See UNDP (1999).

  119. 119.

    UNDP (2000) at 2.

  120. 120.

    UNDP (2000), ibid.

  121. 121.

    UNDP (2000), ibid at 17.

  122. 122.

    UNDP (2003) at 222.

  123. 123.

    UNDP (2003), ibid.

  124. 124.

    Stiglitz and Charlton (2005), supra note 91 at 68.

  125. 125.

    Stiglitz (2002) at 78.

  126. 126.

    Barbosa et al. (2007), supra note 3 at 108.

  127. 127.

    In the context of Ghana, see section 87 of the Supreme Court Ordinance of 1876. This Ordinance has however been repealed since 1960 by the various Courts Acts. Under the current Courts Act, 1993 (Act 459), section 55 makes the ascertainment of the content and validity of customary law a question law for the courts. For a discussion of the workings of customary law see Fuller (1969), supra note 1.

  128. 128.

    Chon (2006), supra note 5 at 2890–2891.

  129. 129.

    Chon (2006), ibid at 2890, citing Rao (1999) at 68.

  130. 130.

    Stiglitz and Charlton (2005), supra note 91 at 56.

  131. 131.

    Harris (2006) at 738.

  132. 132.

    See Paragraph 17 of the Doha Ministerial Declaration.

  133. 133.

    WHO (2010) at 7.

  134. 134.

    Carrier (2004) at 106.

  135. 135.

    See Carrier (2004), ibid at 110.

  136. 136.

    UNDP (2000) at 64.

  137. 137.

    Amani (2009) at 14.

  138. 138.

    Oguamanam (2010), supra note 2 at 572.

  139. 139.

    See paragraph 2 of the Doha Declaration; paragraph 6 of the Doha Ministerial Declaration.

  140. 140.

    Oguamanam (2006) at 172.

  141. 141.

    Levin (2011) at 47.

  142. 142.

    Ruse-Khan (2011) at 199 [Ruse-Khan, “General Public Interest Exception in TRIPS”].

  143. 143.

    Amani (2009), supra note 137 at 319.

  144. 144.

    See Ruse-Khan (2011), supra note 142 at 174, 199.

  145. 145.

    Engelbrekt (2011) at 156.

  146. 146.

    The suggestion is based on public choice theorization that international institutions act in response to the demands of their constituents. See Oppong (2011) at 75.

  147. 147.

    UNCTAD-ICTSD (2005) at 74.

  148. 148.

    See Wechsler (2011) at 65–67 [Wechsler, “Spotlight on China: Piracy Enforcement”].

  149. 149.

    For a discussion of developing countries negotiating strategies, see Abbott (2005).

  150. 150.

    See Article XX of GATT and Article XIV of GATS. For a detailed analysis of the general exceptions in GATT and GATS see Ruse-Khan (2011), supra note 142.

  151. 151.

    Canada – Patent Protection of Pharmaceutical Products, WD/DS114, Report of the Panel (17 March 2000), paras 7.20–7.24; see also Kur (2011) 208.

  152. 152.

    Panel Report (WT/DS/174R), 15 March 2005, para 7.210.

  153. 153.

    Cornish (1999) at 6.

  154. 154.

    See e.g. section 11(2)(a)(i) of Ghana’s Patents Act, 2003 (Act 657).

  155. 155.

    Ruse-Khan (2011), supra note 142 at 198.

  156. 156.

    See Oguamanam (2011) at 207.

  157. 157.

    This resolution is titled “Public health, innovation, essential health research and intellectual property rights: towards a global strategy and plan of action”, online: http://apps.who.int/gb/ebwha/pdf_files/WHA59/A59_R24-en.pdf. See Oguamanam (2010), supra note 2 at 569.

  158. 158.

    Abbott (2005), supra note 149 at 343–344.

  159. 159.

    See Oguamanam (2011), supra note 156.

  160. 160.

    Oguamanam (2011), ibid note at 209.

  161. 161.

    This project is being spearheaded by the Max Planck Institute for Intellectual Property and Competition Law in Germany and other institutions in Europe.

  162. 162.

    Wechsler (2011), supra note 148 at 91.

  163. 163.

    Wechsler (2011), ibid at 92.

  164. 164.

    See Article 2(2) of the Communication from Argentina, Brazil, Chile, China, Columbia, Cuba, Egypt, India, Nigeria, Peru, Tanzania, and Uruguay, Applicability of the Basic Principles of GATT and of Relevant International Intellectual Property Conventions (MTN.GNG/NG11/W/71) 14 May 1990. [In formulating or amending their national laws and regulations on IPRs, Parties have the right to adopt appropriate measures to protect public morality, national security, public health and nutrition or to promote public interest in sectors of vital importance to their socio-economic and technological development].

  165. 165.

    Wechsler (2011), supra note 148 at 93.

  166. 166.

    Pauwelyn (2001) at 536.

  167. 167.

    Pauwelyn (2001), ibid at 552.

  168. 168.

    On the issue of human need as the ultimate source of rights, see Woods (2003) at 764.

  169. 169.

    Chon (2007), supra note 80 at 486.

  170. 170.

    von Hase (1998).

  171. 171.

    See Amani (2009), supra note 137 at 323.

  172. 172.

    These countries comprise: Argentina, Brazil, Chile, China, Columbia, Cuba, Egypt, India, Nigeria, Pakistan, Peru, Tanzania, Uruguay, and Zimbabwe. Instructively, the bulk of these countries also form part of the Group of Friends of Development which initiated and spearheaded the adoption of the WIPO Development Agenda.

  173. 173.

    Chon (2006), supra note 5 at 2887.

  174. 174.

    See Article 2(2) of the Communication from Argentina, Brazil, Chile, China, Columbia, Cuba, Egypt, India, Nigeria, Peru, Tanzania, and Uruguay, Applicability of the Basic Principles of GATT and of Relevant International Intellectual Property Conventions (MTN.GNG/NG11/W/71) 14 May 1990. [In formulating or amending their national laws and regulations on IPRs, Parties have the right to adopt appropriate measures to protect public morality, national security, public health and nutrition, or to promote public interest in sectors of vital importance to their socio-economic and technological development].

  175. 175.

    See recommendation 45 of the WIPO Development Agenda.

  176. 176.

    WT/DS114/R (17 March 2000).

  177. 177.

    See Yu (2008) at 380.

  178. 178.

    Panel Report, Canada – Patent Protection of pharmaceutical Products WT/DS114/R (17 March 2000) para 7.26.

  179. 179.

    Paragraph 5(a) of the Doha Declaration.

  180. 180.

    Paragraph 19 of the Doha Ministerial Declaration.

  181. 181.

    Pauwelyn (2001), supra note 166 at 538.

  182. 182.

    Pauwelyn (2001), ibid at 552.

  183. 183.

    See Understanding on Rules and Procedures Governing the Settlement of Disputes, Annex 2 of the WTO Agreement, 1869 UNTS 401, 33 ILM 1226 (1994).

  184. 184.

    See Pauwelyn (2001), supra note 166 at 542.

  185. 185.

    See Barbosa et al. (2007), supra note 3 at 83.

  186. 186.

    United States – Import Prohibition of Certain Shrimp and Shrimp Products, Appellate Body Report (WT/DS58/AB/R) 12 October 1998, para 129.

  187. 187.

    United States – Standards for Reformulated and Conventional Gasoline, WT/DS2/AB/R 16–17 (1996).

  188. 188.

    Hestermeyer (2007) at 223.

  189. 189.

    Barbosa et al. (2007), supra note 3 at 106.

  190. 190.

    See Gervais (2009) at 351.

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Adusei, P. (2013). Pharmaceutical Patents and Human Development in Sub-Saharan Africa. In: Patenting of Pharmaceuticals and Development in Sub-Saharan Africa. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-32515-1_7

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