This is an archive of the Treatment Action Campaign's public documents from December 1998 until October 2008. I created this website because the TAC's website appears unmaintained and people were concerned that it
was becoming increasingly hard to find important documents.

The menu items have been slightly edited and a new stylesheet applied to the site. But none of the documents have been edited, not even for minor errors. The text appears on this site as obtained from the Internet Archive.

The period covered by the archive encompassed the campaign for HIV medicines, the civil disobedience campaigns, the Competition Commission complaints, the 2008 xenophobic violence and the PMTCT, Khayelitsha health workers and Matthias Rath court cases.

TAC Electronic Newsletter

8 August 2007


To subscribe: email and respond to the confirmation email.
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To donate to TAC, please click here.

To contact TAC, email or phone +27 21 788 3507. Please do not email because email to that address is seldom read.

TAC website:

March against hate crimes and violence against women

On Thursday 9 March, Women's Day, a march against hate crimes will be hosted by Concerned Residents of Soweto, People Opposing Women Abuse (POWA), Positive Women's Network, Forum for the Empowerment of Women, One in Nine Campaign and the Joint Working Group of LGBTI Organisations in South Africa.

The march is in response to the murders of Sizakele Sigasa and Salome Massoa, lesbian women from Meadowlands Soweto.

The march begins at 10am at Meadowlands Stadium. It will proceed to Meadowlands Police Station.

TAC supports this march and urges everyone to participate.

For comment from TAC please contact Nosisa Mhlathi on 084 399 0031 or Gordon Mthembu on 072 897 7552.

For comment from the host organisations please contact:
Dawn Cavanagh (), Prudence Mabele () and Carrie Shelver ()


TAC Hate Crimes Pamphlet

Here is the text of a new TAC's pamphlet on hate crimes:

Everyone has the right to freedom and security of the person which includes the right to be free from all forms of violence from either public or private sources.

(Section 12 of the Constitution)



More than 52 000 cases of rape and 9 000 cases of “indecent assault” were reported to the South African Police Services between April 2006 and March 2007. “Indecent assault” refers to forced anal penetration or forced oral sex. It is estimated that one in three South African women will be sexually assaulted in her lifetime. This rate is the worst in the world for a country not at war. A Medical Research Council study also indicates that only one in nine women who are raped actually report the assault to the police.  Rape is underreported for a variety of reasons, including fear of retaliation, lack of education about the law’s protections, economic dependence upon the assailant, the poor treatment of women who speak out, and feelings of shame about the assault.  There is also a lack of faith in the police and the judiciary, as only 11% of rape cases result in conviction, and this too leads to the underreporting of rape.  The low conviction rate can be attributed to a number of causes, including lack of police interest in pursuing cases, unwillingness of witnesses to testify, and poor handling of physical evidence.

The Treatment Action Campaign raises its voice in solidarity with the coalition of organisations fighting to end all gender-based violence, including rape. Sexual assault is degrading, violent and inhumane.  All people in South African society must unite to oppose it!


But, there is an additional reason for TAC to join, support and lead campaigns against all forms of sexual assault: rape increases the risk of HIV transmission.  No amount of HIV/AIDS education or prevention training can defend a person from the transmission of HIV through rape, which, due to its violent nature, increases the likelihood of transmission.  Only post-exposure prophylaxis (PEP), a treatment cycle of anti-retroviral drugs (ARVs), can prevent HIV infection. Since 2002, the government has claimed to guarantee access to PEP for all rape survivors, but most survivors, both female and male are still unable to access these medications, particularly in rural or poor areas. 
We demand that the government prioritize access to PEP for rape survivors in ALL communities!


Domestic Violence Act of 1998: This Act commits the government to the elimination of domestic violence, noting that the victims of domestic violence “are among the most vulnerable members of society.” This act includes provisions for protection orders against perpetrators of domestic violence, guarantees the privacy of survivors, and criminalizes rape within marriage.

Sexual Offences Bill: This bill, proposed eight years ago, was passed in the National Assembly in May 2007.  It is before the National Council of Provinces.  The Sexual Offences Bill is a much needed improvement on South Africa’s previous rape laws. It severely restricts the circumstances in which survivors’ sexual histories can be admitted as evidence, widens the definition of rape beyond “sexual intercourse with a woman without her consent” to include different kinds of penetration that can be perpetrated against women or men, and provides access to post-exposure prophylaxis.  However, it only guarantees access to PEP if the incident is reported to the police; TAC must work with its allies to ensure access to PEP for all survivors of sexual assault, as many cannot or do not wish to bring charges against their attackers. 

Make protection from sexual assault a legislative priority! The Sexual Offences Bill must become law in 2007, and it must include PEP access for ALL survivors, not just those who report the assault to the police.


These decisions by the highest courts in South Africa are victories but they must be made real. We can build upon them to educate ourselves and our communities, and to make sure that the government respects, protects, and promotes the right to be free from all forms of violence from either public or private sources. TAC members and the rest of South African society must be educated about rape, the toxic social attitudes surrounding its acceptance, and the legal protections against sexual assault.

There is a stigma surrounding rape, much like with HIV status.  This stigma prevents survivors from coming forward and from fighting for their rights as citizens.  We must end the stigma surrounding sexual assault, so more survivors can come forward without shame.  Only then will survivors be truly protected by the law.  Through education, we can empower South Africa to stand up and speak out against rape.


TAC welcomes decision of Indian court to dismiss Novartis petition

On 6 August 2007 the Madras High Court rejected a petition by the Swiss pharmaceutical company Novartis challenging the validity of a particular provision of the Indian Patents Act that restricts the granting of patents to substantially innovative products. Novartis in its petition had claimed that the section does not comply with the  World Trade Organization (WTO) Agreement on Trade Related Aspects of Intellectual Property Rights (TRIPS), and in addition, is in conflict with the Indian Constitution.  

Dismissing the petition and upholding the validity of the legislation, the High Court ruled - amongst other things - that:

Importantly, the judgment protects a legal framework that goes to some lengths to ensure the production of affordable medicines in India.  Unlike South African law, the Indian Patents Act takes significant advantage of the flexibilities and public health safeguards permitted under TRIPS, which the WTO recognises "does not and should not prevent members from taking measures to protect public health."  In particular, the WTO recognises that TRIPS "can and should be interpreted and implemented in a manner supportive of WTO Members' right to protect public health and, in particular, to promote access to medicines for all."
The Indian judgment is a victory for health activists, poor people and people with life-threatening and chronic illnesses globally - including HIV/AIDS.  As was the case in South Africa in 2001 when the Pharmaceutical Manufacturers' Association and 39 of its members withdrew their unjustifiable challenge to access-friendly provisions in the amended Medicines Act, the developments in India show that domestic and international activism, collaboration between government and civil society and competent legal work are essential if the rights of patients are to be protected against narrow corporate interests.   In particular, the TAC congratulates the Cancer Patient Aid Association of India, the Lawyers' Collective and Médecins Sans Frontières for their strong political, technical and legal support given to the Government of India in its defence of the statutory provision under attack.

Despite a number of victories in South Africa against multinational pharmaceutical companies, some of them continue to conduct themselves in a manner that threatens access to sustainable supplies of affordable essential medicines.  In ensuring sustained access to antiretroviral (ARV) treatment, two companies in particular are refusing to play ball - MSD and Abbott.  In particular, they refuse to license multiple suppliers to produce and/or import generic versions of ARV medicines containing efavirenz, lopinavir and/or ritonavir.  Shortly, however, the TAC's legal representative - the AIDS Law Project - will be filing a complaint at the Competition Commission on its behalf against the two companies.  In the complaint, the TAC will seek an order compelling the two companies to grant multiple licences on reasonable terms and conditions.

For further comment, please contact Regis Mtutu (TAC International Co-ordinator) on 084 310 8614 or Jonathan Berger (AIDS Law Project) on 011 356 4100.


Latest developments in TAC versus Rath and South African Government

On 5 November 2005, the TAC lodged a court application against twelve respondents including Matthias Rath and the Government of South Africa. The TAC has filed its reply to Rath's affidavit. The two key affidavits are:

For details on this court case, please see the Interdict against Rath's clinical trial, unregistered medicines and false advertising court case on

The reasons for the case taking so long to be heard are partially described in this TAC electronic newsletter and in this newspaper article.

TAC's lawyers will now proceed to ask for a court date to be set.
For comment, please contact Nathan Geffen on 084 542 6322.


Letter by the Deputy-Editor of the Daily Dispatch to President Mbeki in response to the President's online letter


An open letter to our President after his online newsletter regarding the Frere Hospital investigation

Dear President Mbeki,

I AM not adept at the nimble philosophical dance which weaves through the letter in which you berate this newspaper, so I’ll get straight to the point: You are right.

You are right to say that “The facts communicate the conclusion that neonatal mortality at Frere Hospital is not significantly different from the national incidence of such mortality”.

But, this conclusion, I’m afraid, leaves you hoist by your own petard.

Before I show you how, let me explain something that may have passed you and your health minister by.

Our exposé was never about numbers, (but, of course, we had to rely on the Frere’s own unreliable statistics to illustrate the mortality trend). We did not make any particular claims about an “extraordinary” rate of neonatal deaths at Frere, we simply noted that the rate “exceeded” national and provincial rates.

Our reports were about the reasons for the baby deaths at Frere. This should have been clear to the average reader in our headline: “Why Frere’s Babies Die”.

Our reports were about people – the mothers and fathers who had to bury their babies because our health care system let them down. They were also about some dedicated medical staff who battled to provide quality care in an under-funded, under-resourced, and
mismanaged public hospital.

But you have chosen to rely on numbers, so let us hoist you then.

I would argue it is a damning admission to say Frere’s baby deaths are not significantly different to the rest of the country. From this we can assume that the reasons we described behind these deaths – including Frere Hospital’s own notes on negligence and maltreatment – are common in other state hospitals.

If this is the case, perhaps your deputy health minister Noziziwe Madlala-Routledge was correct to describe what she discovered on a visit to Frere as “a national emergency”.

Mr President, you will be comforted to note that your argument that Frere is no different will be supported by the new Saving Babies report of the Medical Research Council, which will be published soon.

This report – which we cited in our coverage – will say that one in five baby deaths in South Africa is completely avoidable.

Compiled by the Maternal and Infant Healthcare Strategy Unit of the MRC, the report estimates 23000 babies die annually in the first month of their lives – and thousands more are stillborn.

Contributor Dr Joy Lawn, a senior policy and research adviser, writes in her foreword that this number is equivalent to a daily crash of four minibuses full of passengers, killing all on board.

These figures will show that it is almost impossible for South Africa to reach the UN’s fourth Millennium Development Goal of reducing by two-thirds the
mortality rate of children under five by 2015.

Interestingly, it will also show that countries poorer than us elsewhere in Africa are succeeding in slashing their neonatal mortality rates. Malawi, for one, has reduced its rate by 25 percent.

What should one make of this “mini-skirt” of statistics, as you describe it, then, Mr President?

I trust you can see now that we did not lie in our reports. In fact, let us point out how your health minister’s team confirmed much of what we reported.

Here are some examples.

We reported on the general state of neglect and decay at the hospital. Health Minister Manto Tshabalala-Msimang responded by increasing the hospital’s maintenance budget ten-fold.

We wrote about a shortage of beds in maternity.
She responded by ordering the construction of a new labour ward.

We described the shortage of nurses. She acknowledged this was true and said she would recruit more urgently.

We cited problems with equipment. Tshabalala-
Msimang said six more incubators would be bought. And it goes on, a basket of reforms for which we are grateful.

But tell us, Mr President, if our reports were wrong and were lies, would the health minister have visited Frere at all and would she have announced all these changes?

I’m afraid I cannot argue your case that our reports represent a post-modern interpretation of reality. I cannot even begin to understand what the following statement that you quoted means: “(Post-modernism is a) rejection of the picture of knowledge as accurate representation; rejection of truth as correspondence to reality; ... and a suspicion of grand narratives, metanarratives of the sort perhaps best illustrated by
dialectical materialism.”

I wonder, though, what kind of truth did Murchia King experience when she watched her stillborn son, Liano, being buried at Haven Hills Cemetery?

Did Mariska Barrow-Radloff, who carried her dead baby around inside her for two weeks, experience a post-modern truth?

Or what about Noxolo Macewana, whose baby died while she waited 10 hours for a Cæsarian? What was her truth?

By the way, none of these women have had their personal tragedies acknowledged by your government. Perhaps someone should offer them some basic human compassion. It would be more appreciated than the “dialectical materialism” to which you refer.

Let us remind you, Mr Mbeki, what we said at the outset of our series on Frere:

“This tragedy is the result of our collapsing public health system, bereft of funding, resources and skilled staff. Sadly, our baby death investigation proves that when public health is mismanaged, human beings die.”

And that, sir, remains the truth for us.

Your humble servant,

Andrew Trench

Deputy Editor

Daily Dispatch


For a history of this incident, see the following articles in the Daily Dispatch:

See the following responses by government: