Express Pharma

Will a limited vaccine waiver limit future options?

As attempts to ring-fence markets and restrict access continue, will India and South Africa toe the WTO line?

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After formulating and garnering the support of over 100 countries for a TradeRelated Intellectual Property Rights (TRIPS) waiver for COVID essentials, why did the governments of India and South Africa be part of a proposal to water it down?

A leaked draft of a World Trade Organisation (WTO) document, which reportedly emerged after discussions among India, South Africa, the US and the European Union (EU), is currently being discussed by governments of other WTO member states.

While it could be considered a much-needed break in the stalemate since South Africa and India first launched this campaign in October 2020, health NGOs feel this limited vaccine waiver could instead turn out to be the first step down a wrong lane, as it could set a bad precedent for the future.

Other experts feel that this negotiation is a start, as it will ease supply of COVID-19 vaccines. Would it be pragmatic to settle for just vaccines now, hoping either that the COVID pandemic becomes more manageable or that the waiver is expanded to medicines and diagnostics through further negotiation?

These concerns do seem valid. Firstly, the proposed compromise covers just vaccines. Though the document hints at including treatments and diagnostics at a later date, why not now?

A petition from the People’s Vaccine Alliance points out that IP barriers are probably higher for treatment with only 427 of the 5,293 COVID-19 patent filings being for vaccines. Thus, 92 per cent patent filings were not for vaccines and removing IP barriers for treatments, tests and other medical technologies (such as genomic surveillance) will have an even faster impact (via generics) compared to vaccines. Thus, while vaccines are important for prevention of COVID-19, the importance of diagnostics and therapeutics cannot be ignored.

The Alliance, a global coalition of over 90 organisations and networks, has asked the Government of India’s Ministry of Commerce and Industry to push the WTO towards waiving all forms of intellectual property (IP) on the COVID-19 vaccine ahead of WTO’s General Council meeting.

Secondly, the proposed deal is geographically limited. India is eligible for this proposed vaccine waiver as its share of vaccine exports was 2.4 per cent as of January 2022, according to the WTO-IMF’s COVID-19 vaccine tracker, which is well below the criteria of not exporting more than 10 per cent of COVID-19 vaccines in 2021.

However, doesn’t this criterion defeat the entire purpose of allowing developing countries with large vaccine manufacturing capacities to make affordable vaccines and export as much