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Brazil: from universal ARV access to universal HCV treatment? Juliana Vallini

Brazil: from universal ARV access to universal HCV treatment? Juliana Vallini Friday, 23rd, July, 2010. Brazilian Context. Health system with universal access to the population; Fundamental human right; Integrated programs of Viral Hepatitis and AIDS. Brazilian Context – Hepatitis.

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Brazil: from universal ARV access to universal HCV treatment? Juliana Vallini

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  1. Brazil: from universal ARV access to universal HCV treatment? Juliana Vallini Friday, 23rd, July, 2010

  2. Brazilian Context • Health system with universal access to the population; • Fundamental human right; • Integrated programs of Viral Hepatitis and AIDS.

  3. Brazilian Context – Hepatitis • 10.507 patients. • Total expenditure: - Pegylated interferon: R$ 18.441,00 2006 – 2010 R$ 759.093.648,00. • Interferon: R$ 1.562,00 2006-2010 R$ 24.015.020,00. (rate: US$1= BR$1,79). Merck x Roche.

  4. Brazilian Context • Lowering ARV prices in Brazil: • Use of TRIPS flexibilities. • Not granting frivolous patents (TDF case as an example). • Information about the product.

  5. Post- grant aspects and price negotiation. • Prices in other developing countries (MIC) • Regulatory aspects (If there is a generic registered) • Local production or importation (south-south cooperation for R&D) • Quantity

  6. Tenofovir • 1st line ARV – increase fastly - 47,000 patients (2009) • Patent deposited in Brazil in1995 • Opposition • MoH declared it of public interest in April 2008 • Brazilian Patent Office does not grant the patent (2009) • HIV/AIDS and hepatitis B. - Brazil – price reduction US$ 47 mi. - Adefovir (GSK) x Tenofovir (Gilead) • CIPLA- prequalified • Not granted in India too.

  7. 2009 TDF = US$ 42 millions = 14,7% budget imported ARV

  8. Challenges • Expand access to fair prices to HV medicines. • Use of the TRIPS flexibilities as reiterated by the Doha Declaration on TRIPS and Public Health and in the last WHA resolution related to VH. • WHA 2008 – Global Strategy on Innovation, Public Health and Intellectual Property – put it into practice – VH is included. • The need for cooperation and exchange of information among the developing countries (south- south). • Transfer of technology.

  9. Thank you! juliana.vallini@aids.gov.br

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