The CPTPP trade deal is a major threat to public health and warrants a health impact assessment

McNamara, Courtney L.; Green, Liz; Barlow, Pepita; Bellis, Mark A

doi:10.1136/bmj-2022-073302

BMJ

2023

DOI: 10.1136/bmj-2022-073302

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The CPTPP trade deal is a major threat to public health and warrants a health impact assessment

Courtney L. McNamara

Liz Green

Pepita Barlow

et al.

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“…There has been no assessment of the potential effects on health of the UK's decision to join the Comprehensive and Progressive Agreement on Trans-Pacific Partnership, say Courtney McNamara and colleagues (doi:10.1136/bmj-2022-073302). 4 Trade agreements pose many potential health threats. They can increase the price of drugs, interfere with governments' ability to enact health regulations, cause economic and health harms among workers who lose their jobs, and increase the influence of industry on setting standards for public health.…”

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The potential impact of the Comprehensive and Progressive Agreement for Trans-Pacific Partnership on Thailand’s hepatitis C treatment program

Tenni,

Lexchin,

Akaleephan

et al. 2024

Global Health

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Background Thailand has expressed interest in joining the Comprehensive and Progressive Agreement for Trans-Pacific Partnership (CPTPP), a twelve-country plurilateral trade agreement whose original incarnation included the United States of America (USA). When the USA withdrew from this agreement, key intellectual property clauses relevant to pharmaceuticals were suspended. These could be reinstated should the CPTPP Parties decide to do so. Methods This study uses two scenarios to cost the impact the CPTPP would have had on Thailand’s 2020 hepatitis C treatment regime if Thailand joined the CPTPP and suspended clauses were reinstated. Results Joining the CPTPP could have increased the cost more than tenfold if suspended CPTPP clauses were reinstated and Thailand was not willing or able to issue compulsory licenses. Based on the 2020 budget, the price for this possible scenario could have reduced hepatitis C treatment coverage by 90%. Conclusions Acceding to trade agreements such as the CPTPP that require increasing intellectual property protection, could compromise Thailand’s hepatitis C program and other national treatment programs reliant on affordable generic medicines. The CPTPP could also prevent Thailand from relying on its own pharmaceutical capabilities to manufacture medicines needed to sustain its treatment programs.

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The CPTPP trade deal is a major threat to public health and warrants a health impact assessment

Cited by 2 publications

References 15 publications

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The potential impact of the Comprehensive and Progressive Agreement for Trans-Pacific Partnership on Thailand’s hepatitis C treatment program

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