Abstract
China’s pharmaceutical industry is experiencing a period of high growth, in which global stakeholders have played an important role. The WTO framework has opened up new opportunities and challenges for the stakeholders in this sector. The purpose of this chapter is to examine the WTO and Trade Related Aspects of Intellectual Property Rights Agreement (TRIPS) rules related to the pharmaceutical industry as a whole; the WTO’s challenges to the regulatory and legal system in China, especially surrounding the patents issue, pharmaceutical quality control, price control, and the potential of Chinese herbal medicines; and the WTO’s overall impact on the development of indigenous pharmaceutical and biotech industries.
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Reference
‘An Internet survey shows that two-thirds of Chinese children have suffered domestic violence’ (Chung kuo wan lu tiao tsa fa hsien yu chan fen dzih er er tung tsen tsao shuo jia bao), Central Daily News (6 December 2004).
‘Arranged marriage is the new way of finding spouses for village youths’ (Bao ban hwen yen, nong tsuen ching nien shing kwei shu), World Journal (11 December 2005), p. A-14.
Banister, J. (1992) ‘China: Recent Mortality Levels and Trends’, Paper prepared for the annual meeting of the Population Association of America, Denver, May.
‘Beijing will invest more than 100 billion yuan in the new Eleventh Five-Year Plan’ (Beijing shih yih wu chien yih yuen jien sheh shing nong tsun), Sina News (23 January 2006) (http://news.sina.com.tw/articles/13/54/62/13546275.html?/linkchina/20060123.html/).
‘Boys are preferred in reduced births among villagers’ (Nong min shen yu shao, nan hai ren shih bao), World Journal (4 May 2005), p. A-14.
Burrill & Co. (2005) Presentation at China Life Sciences Partnership Meeting, 18 June.
‘Cancer tops the major causes of death among Chinese residents’ (Er shing dzong liu chu chung kuo tsen shih jiu min dzih shih bin yin chou wei), Sina News (20 April 2006) (http://news.sina.com.tw/articles/13/78/14/13781488.html?/linkchina/).
CDC Mobility and Mortality report (2006), Chinese Ministry of Health.
Center of Strategic and International Studies (2004) ‘Diffusing China’s time bomb: sustaining the momentum of China’s HIV/AIDS response’, B. J. S. Morrisson and D. Thompson (eds) (http://www.csIs.org/media/CSIS/pubs/040413-china_aidz.pdf).
Chen, C. C. (1989) Medicine in rural China: A personal account (Berkeley, Calif.: University of California Press).
‘China is determined to contain avian flu’ (Wha shen twen yu bao: chung kuo tsen fu kan ching liu kan jiue shing jien ting), Sina News (23 November 2005) (http://news.sina.com.tw/articles/13/38/20/13382087.html?/linkchina/).
‘China is on the threshold of an ageing society’ (Chung kuo kwa jing lao ling hua sheh hwei), World Journal (5 March 2006), pp. 50–2.
China Social Science Institute (2005) Blue Paper on Social and Economic and Conditions of China.
Chinese Insurance Annual Statistics (1999).
‘Chinese women choose foreigners as their second husbands’; ‘Divorce rate rises fast in China’ (Ta lu li hwen lu biao shen, dzai hwen bu tiao hang jiah lan), World Journal (5 October 2005), p. A-3.
Coale, A. J. (1984) Rapid Population Change in China, 1952–1982 (Washington, DC: National Academy Press).
Coale, A. and Banister, J. (1994) ‘Five Decades of Missing Females in China’, Demography 31, no. 3, 459–86.
Communication with Xu Hua, Secretary General, China AIDS Foundation. 20 December 2005.
Cui, Y., Zhang, Z.-F., Froines, J., Zhao, J., Wang, H., Yu, S.-Z. and Detels, R. (2003) ‘Air pollution and case fatality of SARS in the People’s Republic of China: An Ecological Study’, Environmental Health, November (http://www.ehjournal.net/content/2/1/15).
Dong, W. (2001) ‘Health Care Reform in Urban China’, Working paper 2001/2, Munk Center for International Studies, University of Toronto.
‘Environmental pollution is serious and 700 million Chinese are drinking dirty water’ (Shuei wu yen dzong, chih yih ren heh dzan shuei), Epoch Times (11 January 2006), p. A-3.
‘Fast urbanization in China leads to cities of 49 million people’ (Chung kuo kwai shu tsen tsen hwa, yuh bai wan tsen shih tah shih shi jiou keh), Sina News (10 November 2005) (http://news.sina.com.tw/articles/13/34/48/13344856.html?/china/>).
‘5 per cent of Beijing’s diabetics are children’ (Beijing tan niao bing hwan dzeh, wu tsen shih er tung), Ohayo Network (2005) (http://www.ohayo.com.tw/ohayo/medical/news_events/n_news_1_xv.asp?id=8873).
‘Five specialities in one doctor in China’ (Ta lu yih yuan shen shing wu kwan keh), World Journal (21 November 2004).
‘Fluid labour market challenges the rights protection of labourers’ (Lau kung shih tsan liu tung shih jia tah jian tsong jih chung kuo chiuen li jieh go), Sina News (17 February 2006) (http://news.sina.com.tw/articles/13/60/92/13609241.html?/linkchina/20060217.html).
‘Foreign organisms damage China’s ecosystem’ (Wai lai shen wu wei shieh chung kuo shen tai an chiun), Sina News (21 February 2006) (http://news.sina.com.tw/articles/13/62/08/13620868.html?/china/20060221.html/).
‘Forty million people are overweight, a large market for Hong Kong businesses’ (Chung kuo shih chien wan ren tsau tsong kang shan fen fen chian tsan pan tah shih shan), Sina News (19 January 2006) (http://news.sina.comtw/articles/13/53/75/13537509.html?/linkchina/).
‘Forty million people are overweight, a large market for Hong Kong businesses’ (Chung kuo shih chien wan ren tsau tsong kang shan fen fen chian tsan pan tah shih shan), Sina News (19 January 2006) (http://news.sina.com.tw/articles/13/53/75/13537509.html?/linkchina/).
‘From birds and humans, avian flu spreads’ (Tsong niao tao ren you bing), Sina News (23 November 2005) (http://news.sina.com.tw/articles/13/38/19/13381992.html?/linkchina/).
‘Global sex behaviour report’ (Chuien chiu shing tiao tsa bao kao), Sina News (7 November 2005) (http://eladies.sina.com.en/z/2005sexreport/index.html).
‘Gourmet diet makes Chinese city dwellers lose nutrition balance’ (Tsih deh tai hao, tsen shih jiu min yin yian shih tiao), World Journal (10 July 2005), p. A-13.
Greenhalgh, S. (1990) #x2018;The Evolution of the One-Child Policy in Shaanxi, 1979–88’, China Quarterly, vol. 122, June, pp. 191–229.
Greenhalgh, S. and Winckler, E. (2001) Chinese State Birth Planning in the 1990s and Beyond (Washington, DC: INS Resource Information Center).
Gu, B. and Roy, K. (1995) ‘Sex Ratios at Birth in China, with Reference to Other Areas in East Asia: What We Know’, Asia-Pacific Population Journal, vol. 10, no. 3, pp. 17–42.
Gu, Baochang and Xu, Yi (1994) ‘A Comprehensive Discussion of the Birth Gender Ratio in China’, Chinese Journal of Population Science, vol. 6, no. 4, pp. 417–31.
‘Half of Chinese cities suffer underground water pollution’ (Chung kuo yih ban tsen shih ti hsia suei tsao wu ran), Sina News (1 December 2005) (http://news.sina.com.tw/articles/13/40/33/13403375.html?/linkchina/).
‘Health survey shows bad nutritional status for Chinese children’ (Jien kan tiao tsah hsien chung kuo thing shau nien ying yian tzwan kwan chien jieh), Sina News (14 April 2006) (http://news.sina.com.tw/articles/13/76/72/13767290.html?/linkchina/).
‘High cancer rate village’ (Ai dzen kao tsuen: bai shing bu nen tsen shou wu ran dzih tung), Sina News (29 April 2005) (http://www.sina.com.cn/).
‘HIV/AIDS close to 135,000 cases, with 7,773 deaths’ (Ai dzeh bing kan ran dzeh bao kao 13.5 wan ren, shih wan 7,773 li), Sina News (29 November 2005) (http://news.sina.com.tw/articles/13/39/70/13397056.html?/linkchina/).
‘HIV infected number 1 million and 95 per cent not detected’ (Wo kuo ai dseh bing kan ran ku jih you bai wan 95% tsuan ran yuen wei dzao tau), Sina News (1 December 2003) (http://news.sina.com.tw/articles/11/53/34/1153341O.html?/linkchina/20031201_2.html).
‘Homosexual males rank the second high-risk population in HIV transmission’ (Nan tung shing lien dzai kan ran ai dzeh bing kao wei hisen ren chiun chung wei chu ti er), Sina News (2 December 2005) (http://news.sina.com.tw/articles/13/41/43/13414338.html?/linkchina/).
Hsiao, W. C. L. (1995) ‘The Chinese Health Care System: Lessons for Other Nations’, Social Science and Medicine, vol. 41, no. 8, October, pp. 1047–55.
‘Japanese tobacco maker is looking to the Chinese market’ (Reh ben jih yuh chung kuo yen tsao shih tsan), World Journal (14 August 2005), p. A-11.
Johansson, S. and Nygren, O. (1991) ‘The Missing Girls of China: A New Demographic Account), Population and Development Review, vol. 17, no. 1, March, pp. 35–51.
Lavely, W. (1986) ‘Age Patterns of Chinese Marital Fertility, 1950–1981’, Demography, vol. 23, no. 3, pp. 419–34.
Lee, K. C. (2004) ‘Aikang Hospital: Multinationals Compete for Health Care Market’ (Aikang yih yuan wai dzih chian tan yih Liao shih tsan), World Journal, 15 February, p. 48.
Lei, G. (2001) ‘Reconstituting the Rural—Urban Divide: Peasant Migration and the Rise of Orderly Migration in Contemporary China,’ Journal of Contemporary China, vol. 10, no. 28, pp. 471–93.
Leslie, C. (1976) Asian Medical Systems: A Comparative Study (Berkeley, Calif.: University of California Press).
‘Malpractice leads to serious mistakes. Wellness becomes illness’ (Kwandzou wu Iian yih yuan tih jien, mei bing bien dzong bing), World Journal (7 November 2004), p. A-10.
‘Medicine China’, Wikipedia (2005) (http://en.wikipedia.org/wiki/medicine(China)).
‘Medicine: China’, Wikipedia (2006) (http://en.wikipedia.org/wiki/Medicine(China)#NumberofHospitals).
Mental health problems on rise’, People’s Daily (22 November 2000) (http://www.china.org.cn/english/2000/Nov/4312.htm).
‘Mine disasters expose problems in state-owned mines’, Sina News (30 November 2005) (Kwan nan pu lu kuo you ta kwan lo tung).
‘More than 14 million will face employment difficulties. Newly graduated will face decreased salaries and benefits’ (Wo kuo jing nien yih chien shih bai wan ren jiou nan. Hsing tsen bi yeh shen shih tso hwei jien shau), Sina News (14 February 2006) (http://news.sina.com.tw/articles/13/59/82/13598276.html?/linkchina/>).
‘Most smokers start smoking by 18; monitoring mechanisms are not complete’ (Wu tsen yen min shih bah shuei chien kai shih jieh chu hsian yen, jien du jih dzih bu jien chuan), Sina News (2 June 2006) (http://news.sina.com.tw/articles/13/88/47/13884735/html?/linkchina/).
Murphy, R. and Li, S. (2005) ‘China’s health care construction market’, Commercial Office, US Consulate General, Guangzhou (http://www.buyusainfo.Net/docs/x8008917.pdf).
‘Nearly ten tons of sulfite acid caused serious pollution near Shanghai’ (Shanghai Putung shih twen liu shuen hsieh lou jing ping fun mi shuei ti wu ran), Sina News (6 December 2006) (http://news.sina.com.tw/articles/13/41/84/13418470.html?/linkchina/20051206.html).
‘New law to protect workers’ health’, Xinhua News (13 April 2001) (http://www.china.org.cn/english/2001/Apri/11101.htm).
‘94 per cent of oasis has gone’ (Shih bei tih chiu Mingching lu jou shao shih, 94% hwan mu hwa), World Journal (4 December 2005), p. A-11.
‘One-third of children suffer lead poisoning’ (Wo kuo shan fen dzih yih er tung hsie chien han Liang tsao an chiuen dzih biao), Sina News (18 February 2006) (http://news.Bina.com.tw/articles/13/61/28/13612883.html?/linkchina/).
‘Only 10 per cent have sought help from a doctor for sexual health’ (Yu tao shing wen ti kan yih shen dzh bu dzu yih tsen), World Journal (23 October 2005), p. A-14.
Parkin, D. M, Bray, F., Ferlay, J. and Pisani, P. (2005) ‘Global Cancer Statistics, 2002’, CA: A Cancer Journal Clinicians, vol. 55, pp. 74–108.
Peng, X. (1989) ‘Major Determinants of China’s Fertility Transition’, China Quarterly, vol. 117, March, pp. 1–38.
Peng, X. (1991) Demographic Transition in China: Fertility Trends since the 1950s (Oxford: Clarendon Press).
‘Physical checkups show that 18 million are excessively overweight’ (Jieh kan shih tseh, yi chien ba bai wan tsen nine ren tseh fei), World Journal (17 April 2005), p. A-10.
‘Pneumonia is number one cause of mortality’ (Fei yen shih wan ren shu chin ti yih), World Journal (11 November 2005), p. A-13.
‘Presentation at China Life Sciences Partnership Meeting’, Burrill & Co. (18 June 2005), Ritz-Carlton Hotel, Philadelphia, PA (http://www.burrillandco.com/docs/china_access_forums.ppt#85617,slide).
‘Psychological health stressed’, China Daily (26 March 2001) (http://www.china.org.cn/english/2001/Mar/9601/htm).
‘Report on the Nutrition and Health Status of the Chinese population’, US Center of Disease Control and Prevention (2003).
‘Respiratory diseases ranked number one as major cause of mortality for rural villagers’ (Hu shih jih bing dzih ming liu dze chung kuo non tsuen pai ming ti yih), China News (8 November 2005) quoted from Central Daily News Services (http://news.sina.com.tw/articles/13/33/92/1339228.html?linkchina/20051108.html).
Riley, N. E. (2004) ‘China’s Population: New Trends and Challenges’, Population Bulletin, June (http://www.findarticles.com/p/articles/mi_ga3761/is_200406/ai_n9455376/pg_1).
Rosenthal, M. M. (1987) Health Care in the People’s Republic of China: Moving toward Modernization (Boulder, Col.: Westview Press).
‘SARS inflicted nearly 2 billion dollars loss on Beijing Tourism industry’, Xinhua News (2003) (http://antisars.gianlong.com/8639/2003-6-17/208@902264htm).
‘Severe Acute Respiratory Syndrome’, CDC Morbidity and Mortality Report. Center for Disease Control (2003) (http://www.cdc.gov/mmwr/mguide_sars.html).
‘Shanghai plans to control the population at under 9 million’ (Hu chung shing tsen ren ko, kung zeh tsai jiu bai wan nei), World Journal (11 November 2005), p. C-4.
‘Shonghua residents evacuated for fears of pollution’ (Fan du hai, Song hua jian bien jiu ming tse li), World Journal (25 November 2005), p. A-11.
‘Sixteen million Chinese suffer from mental illness’, People’s Daily (8 April 2001) (http://www.china.org.cn/english/2001/Apr/10586.htm).
‘Sixty per cent of married males reported as overweight’ (Beijing yih hwen nan shing liu tsen ti tsong tsau biao), World Journal (12 June 2005) (from Central Daily News Services), p. A-5.
‘Spread of porcine flu in Shih Shuan Province’ (Buo jih jiou tsen shih), World Journal (31 July 2005), p. A-1.
‘STDs cases increase by 100 times in eighteen years’ (Shing bing hwan shih bah nien tsen yu bai bei), World Journal (12 June, 2005), p. A-5.
‘The government should improve the public health system. Delegates make three suggestions’ (Cheng fu ying kai wan shan kung kung wei Shen ti shih, tai biao ti chu shang ta jien yih), Quoted from Southern City newspaper, Sina News (10 February 2004) (http://www.sina.com.cn/c/2004-02-10/10162818227.shtml).
‘The next fifteen years will see major changes in the population structure’ (Wei lai shih wu nien, ren ko jieh koh kwan jien chih), World Journal (17 July, 2005), p. A-13.
‘The quarantined areas in Shih Chuan saw an emergency delivery of vaccines’ (Shih Chuan fen shuo yih chu, jing jih dze yue yuen yih miao), p. A-11; ‘Spread of porcine flu in Shih Shuan Province’ (Buo jih jiou tsen shih), World Journal (31 July 2005), p. A-1.
‘There should be a buffer between patients and health care providers’ (Shing Ian shih pin: wei yih hwan kwan shih sheh dzeh yih tao hwan tsong tai), Sina News (2 February 2004) (http://news.sina.com.tw/articles/11/73/79/11737916.html?/linkchina/20040220.html).
‘Three major crises in China’ (Wo kuo tan chien sheh whei mien ling shan ta fen hsien), Sina News (22 December 2005) (http://news.sina.com.tw/articles/13/45/89/13458999.html?/linkchina/20051222.html).
‘Three major crises in China’ (Wo kuo tan chien sheh whei mien ling shan ta fen hsien), Sina News (22 December 2005) (http://news.sina.com.tw/articles/13/45/89/13458999.html?/linkchina/20051222.html).
‘Truth about HIV/AIDS in Shing Tai City of Hebei Province’ (Hebei shing tai shih ai tse bing tsen hsian tiao tsa), Sina News (30 November 2005) (http://news.sina.com.tw/articles/13/39/99/13399961.html?/linkchina/).
‘12 per cent of Chinese male mortality is related to smoking’ (Chung jui hsien yu nan shing shih wan dzeh chung bai fen dzeh shih er yu shih yen you kwan), Sina News (17 November 2005) (http://news.sina.com.tw/articles/13/36/42/13364272.html?/linkchina/20051117.html).
‘20 per cent of the population consumes half of the health care resources’ (Oh mei ren ko chuan chiu Tian tsen, youn tiu ban shu yi hu), United Daily News, Quoted from Sina News (24 May 2005) (http://news.sina.com.tw/articles/13/01/07/13010745.html?/living/20050524.html).
‘20,000 have malignant tumours every year in Beijing’, Sina News (19 August 2004).
‘200 million Chinese suffer iron deficiency’ (Lian yih chung kuo ren chiueh tie shing ping shieh), Ohayo Network (2006) (http://www.ohayo.com.tw/ohayo/medical/news_events/n_news_1_xv.asp?id=8873).
‘Two-thirds of cities engulfed by garbage’ (Shan fen dzih er tsen shih shien ru tsong wei), World Journal (15 May 2005), p. A-12.
UNAIDS (2005) UNAIDS Report, 2005.
UNESCAP (2003) ‘Infant mortality rates, 1985–1990, 1990–1995, and 1995–2000, and Mortality under age 5 years, 1990–1995 and 1995–2000’ (Accessed online at http://www.unescap.org/wid/04widresources/0lstatistic/table2.4.pdf, on July 29, 2003).
‘Very toxic chemicals exploded in Jiangshu Province’ (Jiang shut u shih hwa kung tsan tswen fan jiu tu wu tsu kwan bao tsa), Sina News (2 December 2006) (http://news.sina.com.tw/articles/13/40/63/13406336.html?/linkchina/20051202.html).
‘Vice-chair of People’s Congress reveals that the Ministry of Health will not allow an increase in pharmaceutical prices’ (Rent a fu wei yuan jian tou lou wei Shen bu jian jih dze yih yuan yao ping jiah jia), Sina News (24 May 2005) (http://www.sina.com.cn).
Wang, M. L. (2006) ‘WTO, trade, exclusion and global health inequity’, Paper to be presented at the Global Health Society Conference, Rio de Janeiro, Brazil.
Wang, R. (2002) ‘Top-ranked businesses target private hospitals’ (Ta lu sho fu, liu Yung shing miao tsuen ming ying yih yuan), World Journal, 24 February, p. 54.
Wang, X. W. and Chen, X. H. (2005) ‘Theory and practice of capital operating in hospital financing’, Research Publication 410078, Chung Nan University.
‘Warnings from David Ho: China is facing three major infectious epidemics’ (Ho ta yih jing kao: chung kuo dzan mien ning shan ta bing du wei hsieh), Sina News (24 November 2004) (http://news.sina.comtw/articles/12/49/85/12498534.html?/linkchina/20041124.html).
White, T. (1994) ‘Two Kinds of Production: The Evolution of China’s Family Planning Policy in the 1980s’, Population and Development Review, vol. 20, suppl., pp. 137–58.
WHO (2000) WHO Health Report (World Health Organization).
World Health Organization (2003), Country Health Indicator: China 2003 (Geneva, Switzerland: WHO).
WHO (2004) World Health Report (World Health Organization).
WHO (2006) 2005 World Trade Report (April) (World Trade Organization).
‘WHO should be alarmed by the increasing incidence of bird flu’ (Shih wei: ching liu kang tsen dwo, ta lu ying jieh bei), World Journal (18 November, 2005), p. A-3.
World Bank (1984) China statistics (Washington, DC: World Bank).
World Bank (1989) China: Long-term Issues in Options for the Health Sector (Washington, DC: World Bank).
Zeng, Y. et al. (1993) ‘Causes and Implications of the Recent Increase in the Reported Sex Ratio in China’, Population and Development Review, vol. 19, no. 2, pp. 283–302.
Zhang, W. (2006) Interview with Dr. Weizhang, ‘China’s hospital systems’, Philadelphia.
Zhang, Y. Y. (19 April, 2004) ‘Ageing threatens the future of China. Ageing population will be twice that of the young population by 2040’ (Lao nien hwa wei hsieh wei lai chung kuo er ling shih ling lao nien ren ko we er tung Liang bei), China Industrial and Business Times, Quoted from Beijing Sina Net (http://news.sina.com.tw/articles/11/88/93/11889301.html?/linkchina/).
Zheng, Zeguang (2005) ‘China’s Development and Sino—US Relations’, Presentation at the Global Interdependence Center’s 24th Annual Monetary and Trade Conference, 9 November 2005.
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Wang, Ml. (2007). The World Trade Organization, and the Present and Future of China’s Pharmaceutical Industry. In: WTO, Globalization and China’s Health Care System. Palgrave Macmillan, London. https://doi.org/10.1057/9780230286962_4
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