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  1. Access to essential drugs in poor countries : A lost battle ?

    Article - En anglais

    Drugs offer a simple, cost-effective solution to many health problems, provided they are available, affordable, and properly used.

    However, effective treatment is lacking in poor countries for many diseases, including African trypanosomiasis, Shigella dysentery, leishmaniasis, tuberculosis, and bacterial meningitis.

    Treatment may be precluded because no effective drug exists, it is too expensive, or it has been withdrawn from the market.

    Moreover, research and development in tropical diseases have come to a near standstill.

    This article focuses on the problems of access to quality drugs for the treatment of diseases that predominantly affect the developing world :

    • (1) poor-quality and counterfeit drugs ;

    • (2) lack of availability of essential drugs due to fluctuating production or prohibitive cost ;

    • (3) need to develop field-based drug research to determine optimum utilization and remotivate research and development for new drugs for the developing world ;

    • and (4) potential consequences of recent World Trade Organization agreements on the availability of old and new drugs.

    These problems are not independent and unrelated but are a result of the fundamental nature of the pharmaceutical market and the way it is regulated.

    Mots-clés Pascal : Pays en développement, Pauvreté, Antibiotique, Antiparasitaire, Coût, Economie santé, OMS, Traitement, Organisation, Homme

    Mots-clés Pascal anglais : Developing countries, Poverty, Antibiotic, Parasiticid, Costs, Health economy, WHO, Treatment, Organization, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0113577

    Code Inist : 002B30A06E. Création : 16/11/1999.