TAC NEWS SERVICE ---------------- 19 September 2002 * Statement by TAC on Excessive Pricing Complaint to Competition Commission * Questions and Answers about Complaint (The complaint, its associated affidavits and this email will be available on the TAC website, www.tac.org.za by 17:00 on Friday.) WE WILL SAVE LIVES AND END DRUG COMPANY PROFITEERING TAC STATEMENT ON EXCESSIVE PRICING COMPLAINT TO COMPETITION COMMISSION The urgent need for medicines to save lives, families and the fabric of our communities today impels a group of applicants (which includes the Treatment Action Campaign, unions and doctors) to launch a complaint with the Competition Commission in South Africa against two major international drug companies, GlaxoSmithKline (GSK) and Boehringer Ingelheim (BI). The complaint charges these corporations with excessive pricing in respect of several key drugs for the treatment of AIDS. The drugs are: Retrovir (zidovudine or AZT), 3TC (lamivudine), Combivir (AZT/lamivudine) and Viramune (nevirapine). This is a novel step that engages South Africa's sophisticated competition regulatory system in an effort to secure justice and rationality in drug pricing in the AIDS epidemic. Tens of thousands of people in our country are dying every year because of excessive prices for these medicines and because of government's lack of determined action to reduce the prices. People living with HIV/AIDS, our doctors and nurses, the Treatment Action Campaign (TAC), the Congress of South African Trade Unions (Cosatu) and the Chemical Energy Paper, Printing, Wood and Allied Workers Union (CEPPAWU) have decided to act jointly against continued, unjust and insupportable drug company profiteering. South Africa needs affordable medicines now. According to the World Health Organisation, the most commonly recommended triple drug therapy for HIV/AIDS is the combination of Combivir (AZT/lamivudine) and Viramune (nevirapine). We are placing the following powerful evidence before the Competition Commission: a month's supply of this treatment regimen at retail prices costs R1176.00 from Glaxo and Boehringer. By contrasts, the best-priced generic internationally cost R276.00 per month. The stark fact is that for the cost of one treatment from the brand name companies four people with AIDS can be treated on generics. We have additional evidence of excessive pricing for individual drugs. Excessive pricing or profiteering by GlaxoSmithKline and Boehringer Ingelheim is directly responsible for premature, predictable and avoidable deaths of people living with HIV/AIDS, both children and adults. For nearly four years, TAC and our allies have campaigned globally for drug companies to issue unconditional voluntary licences, against a royalty payable to the corporations of 4-5%, to allow generic competition and the lowest prices. This is a rational, fair and life-saving proposal. The drug companies have ignored it. Now we are asking the Competition Commission to investigate the complaint and to refer it to the Competition Tribunal. We seek the following relief: An order that GlaxoSmithKline and Boehringer Ingelheim stop the excessive pricing practices; A declaration that the excessive pricing conduct is a prohibited practice for purposes of damages claims by all persons who can establish that they have suffered loss or damage as a result of the prohibitive practice concerned; and An administrative penalty against the companies We are taking this action to ensure that: The right to life is placed before profiteering; People living with HIV/AIDS who work can afford to buy medicines to save their lives; Children living with HIV/AIDS will get access to antiretroviral medicines; Medical schemes can afford to treat people living with HIV/AIDS without going bankrupt; Employers can treat their workers on a sustainable basis; and that Government shakes off the denialist paralysis and develop a national treatment plan. We call on all people in South Africa and across the world to support this action taken by people living with HIV/AIDS, health care professionals, TAC, Cosatu and Ceppawu. We urge everyone to call on all drug companies to immediately issue unconditional voluntary licences for antiretroviral medicines to save the lives of millions in our country and across the world. HAZEL TAU - FIRST COMPLAINANT Hazel Tau, a woman living with HIV/AIDS in Soweto and TAC member says: "Since April 2002, I have not been so well. I have had an increasing number of opportunistic infections including thrush and a lung infection, which was suspected to be pneumonia. My CD4 has dropped to 168. I have also lost a lot of weight. I am aware that I need to go onto treatment now that my CD4 has dropped below 200. But I cannot afford to pay even R1000.00 a month for this. If the prices of ARVs were reduced to between R400.00 to R500.00 a month I could afford treatment on my present salary. I am aware that I will have to sacrifice some things, but I know that this treatment will help me and keep me healthy." SINDISWA GODWANA - THIRD COMPLAINANT Sindiswa Godwana a 32 year old mother of two children lives with HIV/AIDS. Sindiswa was lucky to join a clinical trial in 2001. However, the trial will only last for three years. She says: "Because of the drugs that I am taking I am now healthier than before. My CD4 count is now over 400 and my viral load is now below 50. I am very happy that this has happened because before I started taking the drugs I had vaginal thrush twice. Since the trial, I have had no infections. I no longer feel so tired and I am strong. I can work and help my family and help other people living with HIV who come to the TAC offices for help. When the trial ends next year my fear is that I will not get the drugs anymore and that I will get infections again and my CD4 count will be low again. I cannot afford to pay for these drugs and I do not to want to get sick. I would like the pharmaceutical companies to lower their prices so that people like me can buy these drugs or get these drugs in clinics." ZWELINZIMA VAVI COSATU GENERAL-SECRETARY - NINTH COMPLAINANT "COSATU is concerned about the high cost of drugs to treat AIDS relative to the incomes of working people. Almost 40% of all working people earn under R1000 a month, while 25% earn between R1000 and R2500. The majority of people with HIV in South Africa cannot afford the treatment they need. In this context, the high cost of medical care has imposed an unacceptable burden on our people. According to Statistics South Africa the costs of medical care have risen more rapidly than the Consumer Price Index. One reason for the rapid increase in health costs has been the medical costs associated with the HIV epidemic. Cosatu will campaign to save lives, reduce the prices of ARVs and make all medicines affordable." DR. STEVE ANDREWS - SEVENTH COMPLAINANT "It is morally debilitating to see many of my patients suffer needlessly because they cannot afford to pay for drugs that could save and enhance their lives at the prices that are currently being charged. As a doctor, I realise that I cannot cure, but that I can care. With HIV/AIDS I have witnessed breadwinners removed from their families, plunging people further into poverty; I have witnessed families torn apart by this epidemic. I have witnessed many children dying because they do not have access to treatment, because their parents cannot afford to pay for them at the current prices. I know that the tools to stop or at least substantially reduce these eventualities are within my grasp but that they are restrained by the financial and political impediments imposed by the rich on the poor." DR FRANCOIS VENTER EIGHT COMPLAINANT "As a medical