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Technology. The issue of differential prices with benefit from differential prices, we are not against differential prices, we could not be against that concept if it represents better access to pharmaceuticals. We are absolutely in favour of public private partnerships. I don't think it falls in the usual category of PPPs but very recently the Brazilian Government and the NGO, Medecins Sans Frontieres, has established an agreement to provide drugs to South Africa on a non-commercial basis. I cannot say that we are running away from every possible discussion and we will definitely not refrain from addressing the impact that patents have on access to medications. Regarding Dr Noehrenberg's point, I cannot understand the problem with advocating transfer of technology. That is the objective of the TRIPS Agreement. I don't understand your objection to that point. If we should take away that element from the TRIPS Agreement, I do not see what the purpose of the TRIPS Agreement would be for developing countries. It is better not to have the Agreement if we do not have that element which is the minimal we can expect for developing countries. Regarding the preservation of the right to copy in Brazil, as you know, what we have in terms of the existing, the strongest pharmaceutical industry established in Brazil, is exactly the international pharmaceutical industry. What we have as domestic, as indigenous, pharmaceutical industry is very small. We are not India. India does have an extremely wealthy and rich genetics pharmaceutical company. I wish we could have the same strength in terms of being prepared to produce generics but the reality is that we are not in the same position. What we have has been absorbed by the multinational industry so that's the reality and I find it contradictory to hear from a representative of Pharma that Brazil is applying an industrial policy in Brazil. It must be only for the benefit of the international pharmaceutical company and we do provide even tax incentives for the pharmaceutical company so what are we complaining about. Jeffrey Kemprecos: Merck and Co. Inc. First of all, Francisco is a very skilled and well-briefed negotiator and wish he could work for the Americans. One of the ways you would solve the ambiguities in the TRIPS Agreement would be to have, for instance, dispute settlement and, of course, Brazil and other countries have tried to thwart dispute settlements or place an indefinite moratoria on them. That inhibits the ability for the WTO member states to work out how you could solve the ambiguities. These extra agreement declarations we get seem to be the preferred route. I think Brazil has benefited enormously from its patent law and the change in the overall commercial environment there since 1996. I don't have the precise figures, but its to the tune of hundreds of millions of dollars in new investment from the multinationals and that clearly represents technology transfer. So I would ask Francisco, well how much is enough for Brazil. You have mentioned technology transfer several times. Brazil in the mid 90s anyway was doing many things to not only encourage our investment but serious investment internally from a budding biotech sector. Which brings me to my last point. It will be interesting to see Francisco in Geneva one day when Mexico is issuing a compulsory license for one of the biotech products coming out of Sao Paulo and I think these interests shift back and forth and none of them appears to be set in concrete, not that I want that to happen having lived through it in Brazil. It is not the most favourable investment or commercial environment when one negotiates with what is, in fact, a gun to the head. The New Yorker had an article in midDecember on India and I invite people to read this because it really strips away much, for example, thymuskin. Hyoscine a. Increased respiratory tract No absolute contraindications for managing bronchial secretions in the last days and hours of life Blocks the final common cholinergic pathway through which prokinetic drugs act. In long term use, closed angle glaucoma c. 0.2-0.8mg b. 0.8-1.2mg secretions b. Colic c. Sialorrhoea drooling ; a. 1.2-2.4mg [2, 10] and valium.
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