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20 - The Health Impact Fund: how to make new medicines accessible to all

Published online by Cambridge University Press:  01 March 2011

Solomon Benatar
Affiliation:
University of Cape Town
Gillian Brock
Affiliation:
University of Auckland
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Summary

Introduction: severe poverty persists on a massive scale and could be greatly reduced at low cost

Many more people – some 360 million – have died from hunger and remediable diseases in peacetime in the 20 years since the end of the cold war than have perished from wars, civil wars, and government repression over the entire twentieth century. And poverty continues unabated, as the official statistics amply confirm: 1020 million human beings are chronically undernourished (FAO, 2009), 884 million lack access to safe water (WHO & UNICEF, 2008, p. 30), and 2500 million lack access to improved sanitation (WHO & UNICEF, 2008, p. 7), while 2000 million lack access to essential medicines (Fogarty Center for Advanced Study in the Health Sciences, n.d.), 924 million lack adequate shelter (UN-Habitat, 2003, p. vi) and 1600 million lack electricity (UN-Habitat, n.d.). About 774 million adults are illiterate (UNESCO, 2008) and 218 million children are child laborers (ILO, 2006, p. 6).

Roughly one-third of all human deaths, 18 million annually, are due to poverty-related causes, straightforwardly preventable through better nutrition, safe drinking water, cheap rehydration packs, vaccines, antibiotics and other medicines. People of color, females and the very young are heavily over-represented among the global poor, and hence also among those suffering the staggering effects of severe poverty. Children under 5 account for half, or 8.8 million, of the annual death toll from poverty-related causes (UNICEF, 2009). The over-representation of females is clearly documented (UNDP, 2003, pp. 310–330).

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Publisher: Cambridge University Press
Print publication year: 2011

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References

,Fogarty Center for Advanced Study in the Health Sciences (n.d.). Strategic Plan: Fiscal Years 2000–2003. Bethesda, MD: National Institutes of Health. www.fic.nih.gov/about/plan/exec_summary.htm (Accessed December 21, 2009).
,Food and Agriculture Organization (FAO) (2009). 1.02 billion people hungry: One sixth of humanity undernourished – more than ever before. Press Release, Rome, June 19. www.fao.org/news/story/en/item/20568/icode/ (Accessed December 21, 2009).
,Global Forum for Health Research (2004). The 10/90 Report on Health Research 2003–2004. Geneva: GFHR. Also available at www.globalforumhealth.org.Google Scholar
Hardin, G. (1974). Lifeboat ethics: the case against helping the poor. Psychology Today 8, 38–43, 123–26.Google Scholar
Hollis, A. (2005). An Efficient Reward System for Pharmaceutical Innovation. Working paper, Department of Economics, University of Calgary, econ.ucalgary.ca/fac-files/ah/drugprizes.pdf (Accessed December 21, 2009).
Hollis, A. (2007). Incentive Mechanisms for Innovation. IAPR Technical Paper. www.iapr.ca/iapr/files/iapr/iapr-tp-07005_0.pdf (Accessed December 21, 2009).
Hollis, A. & Pogge, T. (2008). The Health Impact Fund: Making New Medicines Accessible for All. New Haven, CT: Incentives for Global Health. Also available at www.healthimpactfund.org.Google Scholar
,International Labour Office (ILO) (2006). The End of Child Labour: Within Reach. Geneva: International Labour Office.Google Scholar
Oxfam, (2007). Investing for Life. Oxfam Briefing Paper. www.oxfam.org/en/policy/bp109_investing_for_life_0711 (Accessed December 21, 2009).
Pogge, T. (2005). Severe poverty as a violation of negative duties. Ethics and International Affairs 19, 55–84.CrossRefGoogle Scholar
Pogge, T. (2008). World Poverty and Human Rights. (2nd edn.) Cambridge: Polity Press.Google Scholar
Sen, A. (1994). Population: delusion and reality. New York Review of Books 41, 62–71.Google Scholar
Singer, P. (1972). Famine, affluence, and morality. Philosophy & Public Affairs 1, 229–243.Google Scholar
,United Nations Development Program (UNDP) (2003). Human Development Report 2003. New York: Oxford University Press.Google Scholar
,UNESCO Institute for Statistics (2008). Literacy Topic. December 1. www.uis.unesco.org/ev.php?URL_ID=6401&URL_DO=DO_TOPIC&URL_SECTION=201 (Accessed December 21, 2009).
,UN-Habitat (2003). The Challenge of Slums: Global Report on Human Settlements 2003. London: Earthscan.Google Scholar
,UN-Habitat (n.d.). Urban Energy. www.unhabitat.org/content.asp?cid=2884&catid=356&typeid=24&subMenuId=0 (Accessed December 21, 2009).
,United Nations Children's Fund (UNICEF) (2009). Global child mortality continues to drop. Press Release, New York, September 10. www.unicef.org/media/media_51087.html (Accessed December 21, 2009).
,World Health Organization (WHO) (2008). The Global Burden of Disease: 2004 Update. Geneva: WHO Publications.Google Scholar
,World Health Organization (WHO) and UNICEF (2008). Progress on Drinking Water and Sanitation: Special Focus on Sanitation. New York and Geneva: UNICEF and WHO. Available at www.who.int/water_sanitation_health/monitoring/jmp2008/en/index.html (Accessed September 30, 2010).Google Scholar

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