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IX. Concluding Comments It is too soon to draw any strong conclusions about what the effects will be of India's upcoming introduction of product patents for pharmaceuticals. In answer to the question posed in the title: "exploitation of the poor?" the answer is probably no--if nothing else because the "poor" in India are too poor to consume pharmaceuticals, even under the current regime. For the 70% or so of the population who currently does not have access to pharmaceuticals, the introduction of patent protection, and any price effects that may follow, are irrelevant. We have also seen that, of the drugs currently on the market, just under ten percent are on-patent in Europe. Extrapolating this percentage into the future, which may itself be questionable, means that even if product patents result in significantly higher prices, much of the pharmaceutical market will not be affected. Considering only the part of the market which will be affected by the new regime, there are a number of reasons for thinking that the low incomes of India's consumers and the lack of medical insurance will not ensure low prices, as is sometimes suggested. confidence that this will be the case. Firstly, the latter two features are likely to begin to change in the next decade. Historical and cross-country evidence also does not give And, perhaps most importantly, patent-owning firms may not be setting prices to maximize profits in the Indian market. They maximize global profits, and the politics of drug price regulation may dictate a limit to how low they will be willing to set prices in India. Price control may also be ineffective in keeping down prices, since patent protection in combination with both the transfer-price loophole and a possible threat to not supply give firms non-negligible power in bargaining with the government over the price of patented drugs. Whatever eventuates, the fact that the industry is very competitive today means that any monopoly profits obtained by patentowning firms once product patents become available can, with reasonable confidence, be attributed to the change in IPR regime. Indian firms are moving into the world generics market and, although the introduction of product patents will cause them to lose their first-mover advantage, their low manufacturing costs will continue to give them an advantage in competing for this market. It may become somewhat less and amoxil. Incyte Corporation Incyte Corporation Incyte Corporation Incyte Corporation Incyte Corporation Vertex Pharmaceuticals Inc. Tercica, Inc. CollaGenex Pharmaceuticals, Inc. AlphaRx Inc. Akorn, Inc. G.D. Searle & Co. Pharmacopeia Drug Discovery MedImmune, Inc. Millennium Pharmaceuticals, Inc. Medtronic, Inc. SmithKline Beecham Plc Forest Laboratories Lorus Therapeutics Inc. Schering-Plough Corp. Amgen Inc. InfiMed Therapeutics Inc, because altace alternatives. For More Information on Mental Disorders in Children, Contact: Office of Communications, NIMH Information Resources and Inquiries Branch 6001 Executive Blvd., Room 8184, MSC 9663 Bethesda, MD 20892-9663 Phone: 301-443-4513 TTY: 301-443-8431 FAX: 301-443-4279 Mental Health FAX 4U: 301-443-5158 NIMH home page address: : March 2000 Updated: April 30, 2003 and amphetamine.
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Recent rises in new HIV infections has led some commentators to comment that prevention education has failed and has led to some considerations of the place that disclosure by HIV positive people has played as a factor influencing these rises. In the US, the Centre for Disease Control CDC ; in May 2003 has adopted a prevention model which places increased focus on identification of those at risk and testing; increased surveillance of positive people and getting them onto treatment together with promotion of a disclosure ethic for HIV positive people. This new CDC prevention education model has the very real potential to create division and if you like viral apartheid between those who bear the virus and the uninfected and is strenuously opposed by NAPWA. NAPWA considers that there are some very important education and policy questions which need examining so that the needs of positive people and their individual rights are not at odds with the needs of negative men and the agendas of public health. If a model such as the CDC were it to be adopted in Australia by policy makers and government, it would have the effect of leading to further stigmatisation and discrimination of positive people with the very real potential for this approach to be to the detriment of HIV positive people, their health and well being. This paper builds upon the recent work that the National Association of People Living with HIV AIDS NAPWA ; has conducted with its own membership on the desired roles and responsibilities of positive people in prevention and includes some of the points of discussion from the 2004 national HIV Educator's conference Search Stream on positive in prevention. 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1658 identity codes of the cases and controls with their data in the Finnish Prescription Register and the Special Reimbursement Register. Using the Anatomical Therapeutic Chemical ATC ; codes, 11 we located any and all prescriptions for NSAIDs for each person and the dates they were written during the 2 years prior to the index day. For each prescription the amount of NSAID was then assigned according to the defined daily dose coding DDD; defined as the standard dose per 24 h for an adult taking the drug for its main indication ; as suggested by WHO.11 The amount of DDD was used as a proxy for supply. The proximity of NSAID therapy to the MI was defined as the most recent supply of a prescription before the index day. The users were classified in three mutually exclusive categories: a ; current users: the supply of the prescription started before and extended beyond the index day; b ; recent users: the supply of the prescription ended 130 days before the index day; and c ; past users: the supply of the prescription ended 31 days to 2 years before the index day. If a person had prescriptions with different NSAIDs inside a time category, he or she was classified as a multiple NSAID user. Persons with no prescriptions of NSAIDs during the 2 years prior to the index day were classified as non-users. Further description of the methods is presented in the Supplementary data.

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