A/HRC/7/30
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Centre launched a programme for the early detection of HIV among pregnant women on a
voluntary basis. This programme is intended to decrease the number of incidents of
mother-to-child transmission, increase access to HIV prevention and treatment, and improve the
quality of care. For HIV-positive people who are addicted to drugs, substitution methadone
therapy has been available since 1997.
18. Tuberculosis prevention and treatment is available free of charge for Polish citizens,
foreigners and refugees. People with tuberculosis and HIV co-infection are provided with free
anti-tuberculosis and antiretroviral treatment. Prisoners were highlighted as a high-risk group
who are also provided with treatment for tuberculosis.
19. The Government of Spain noted that improving access to health care for the population
affected by HIV has been addressed in many resolutions adopted by the World Health Assembly,
but some countries continue to be largely excluded from the benefits of science. The
Intergovernmental Working Group on Public Health, Innovation and Intellectual Property was
welcomed as a step forward in creating consensus among countries on how to correct the
imbalance in health services between rich and poor countries, taking into account research and
development activities, the ability of the developing world to innovate, intellectual property
rights and sustainable funding. Spain also emphasized the relevance of the Millennium
Declaration in the context of HIV/AIDS, including the new global target of universal access to
prevention, treatment and assistance programmes for people living with HIV/AIDS.
20. Reference was made to the value of the Doha Declaration on the TRIPS Agreement in
facilitating developing countries’ access to cheaper medicines through imports or local
production. The Government observed that there is growing consensus among countries to boost
public-private contributions in order to increase and ensure sustainable funding. The
Government’s commitment to double official development assistance in 2008 is expressed in the
Master Plan for Spanish Cooperation and is based on the principles of fairness and universal
access to basic health services.
21. For the Government of Thailand, improving access to health care by focusing on the
poor, the elderly and the disabled is a priority. Since October 2003, universal access to
antiretrovirals and associated care has been provided for people living with HIV whose CD4
count is below 200. In addition, the Government has increased its national health-care budget,
with an increase of more than 36 per cent for the treatment of HIV and AIDS patients. The
Government’s use of patents is also a crucial instrument to ensure access to medicines, especially
second-line antiretroviral medicines which are expensive and in increasing demand. In line with
the 2002 National Health Security Act, which provides universal access for all medicines, the
Government announced its intention to implement compulsory licensing for efavirenz (first-line
antiretrovirals) in November 2006; and lopinavir, ritonavir (second-line antiretrovirals) and
clopidogrel in January 2007. HIV has led to more tuberculosis infections in Thailand. Treatment
and access to medicines are free and access to second-line medicines for patients with resistant
strains is granted. As required, patients also have access to free anti-malarial medicines and bed
nets.
22. With regard to the WHO Intergovernmental Working Group on Public Health, Innovation
and Intellectual Property, Thailand noted that, although the outcome of session two of the
Working Group is still to be determined, it is generally agreed that the main purpose of the
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