Treatment Action Campaign Statment, 24 January 2002 SUMMARY OF RESOLUTIONS ADOPTED AT THE TAC NEC+ MEETING - 19/20 JANUARY 2002 On 19/20 January 2002 the TAC National Executive Committee met with TAC staff and representatives of key allies in civil society to discuss our objectives and a strategic plan for 2002. The meeting reflected the growth of TAC through its campaigns in 2001, with participants from six of South Africa's nine provinces, as well as representatives from the labour movement, health, religious, NGO and CBO sectors. The following resolutions were agreed upon. 1.National Treatment Plan TAC will step up its campaign for the government to develop and adopt a national HIV/AIDS treatment plan. To this end, it will campaign for 100% coverage of treatment for people with HIV/AIDS who utilise the private health sector by the end of 2002. TAC received a report of complaints received by the AIDS Law Project regarding limited benefits offered by one of South Africa's biggest medical aid schemes, Discovery Health, and endorsed a proposal for legal action on behalf of these clients. TAC will also consider joining this case. The TAC will discuss the convening of a national treatment conference in May 2002 with some of its allies. In the meantime, TAC will * continue to campaign for expanded access to anti-retroviral therapy according to the strict principles set out in the Bredell Consensus Statement; * continue its research on the economics of a national treatment plan and the economic and social benefits of treating people living with AIDS with appropriate medicines; and * begin to campaign for drastic reduction in the prices of essential diagnostic tools needed in the management of HIV, such as PCR and viral load tests. 2.Mobilisation and Advocacy TAC supports the call made by the ANC for voluntarism to improve peoples' lives. In particular, TAC will, during the month of April, mobilise it's supporters in voluntary activities that aim to improve health care services. TAC recognises that preventing HIV and treating AIDS also requires support for programmes that aim to alleviate poverty. In this respect, TAC agreed to a request to organise a march in Cape Town on 20 February 2002- Budget Day- to call for a basic income grant. TAC noted that in August 2002, the African Union will be launched in Cape Town. TAC believes that the building of a Pan African treatment access movement is a priority and will use the launch of the African Union to convene a meeting of African treatment activists in Cape Town. 3.Legal action and litigation TAC believes that in spite of the price reductions on many essential anti-retroviral medicines that occurred in 2001, these medicines remain exorbitantly priced and, therefore, unaffordable for sustained and widespread use in developing countries. We believe that competition in the market for essential medicines is vital to the reduction of prices. We have instructed our attorneys to examine legal strategies to obtain compulsory licences on essential medicines. In the short term, we will support the complaint made by the Indian generic pharmaceutical company, CIPLA, against GlaxoSmithKline and Boehringer Ingelheim at the Competition Commission. Further details of this strategy will be announced in due course. TAC regrets the government's decision to appeal against the Pretoria High Court judgement on mother-to -child HIV transmission prevention (mtctp). While it is agreed that the judgement raises important constitutional questions-this was the whole basis of TAC's case - we do not believe that it will succeed and are concerned that the time taken by the appeal will ultimately be measured in the wasted lives of infants born with preventable HIV infection. To this end, we make two calls : * The government announced a national consultation to review the mtctp programme. The date for this consultation needs to be announced urgently and we ask the government to recommit itself to making this consultation inclusive and to abide by its recommendations. * In its court papers, the government accepted the safety and efficacy of Nevirapine. We, therefore, appeal to the government not to oppose the application that will be launched by the TAC for the execution of orders of Judge Chris Botha that doctors be allowed to prescribe Nevirapine outside of pilot sites where capacity for HIV testing and counselling exists and where there has been consultation with the Medical Superintendent. TAC believes that there is sufficient scientific evidence to support the efficacy and safety of the prescription of anti-retrovirals to victims of rape. We call for an end to the persecution of doctors who are guided by their ethical duty to act in the best interests of their patients. We call on the government to abide by the consensus in medical science and to allow and facilitate the prescription of these medicines where the informed consent of a rape victim has been obtained. Although TAC can look back on 2001 with pride and point to significant victories in our campaigns, the greatest challenges remain ahead. According to the Medical Research Council, nearly six million South Africans live with HIV/AIDS and the need to improve health services and access to medicines for these people, as well as for people with other preventable illnesses, remains great. We call on government, the business sector, churches, trade unions and all of civil society to unite behind this objective. Issued by Mark Heywood TAC National Secretary On behalf of the TAC national Executive Committee 24 January 2002