Page 27 - DIVA_No.23_2006
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Interview with Mr Steve Kuo,

                  Director at the Center For Disease Control

                  Department of Health, Taiwan




                                                               Has production started
                                       As  one  of  the conse- 	                       DOH will provide adequate
             We all remember the SARS
                                                               already, and have you
                                       quences  of  SARS, the  	                       remuneration to the patent
             crisis in 2003. How did your   world realizes that we are  	              holder.
                                                               reached an agreement with
             country get the necessary
                                                               Roche, the Swiss pharma-
                                       living in a "Global Health
             information to cope with the   Village." Today, avian flu 	               The CDC has been invited to
                                                               ceutical company?
             disease, and what were the
                                       is making headlines                             take part in technical meet-
             consequences  of the SARS
                                                               Being a non-member of the
                                        around the world. How  	                       ings in Geneva regarding
             pandemic in your country?                                                 the threat of avian flu. Will
                                        does Taiwan's Center for
                                                               WHO, Taiwan would not
                                                               be guaranteed a share of the
                                        Disease Control (CDC) get  	                   these meetings be of benefit
              In the early stage of the SARS   the necessary information  	            to the CDC? If so, in  what
                                                               WHO's Tamiflu stockpile,
              outbreak, we could only get
                                                               should an outbreak occur
                                        regarding the H5NJ virus?  	                   ways?
              limited information from
                                                               here. Therefore, the gov-
              Internet sources and had to rely
                                                               emment needs to be self-
                                        Taiwan still has difficulty 	                  Since May 2005, the WHO
              on the team of  representatives
                                                 information
                                                               sufficient in its avian flu
                                        obtaining 	                                    has begun allowing Taiwan
              from the U.S. Centers for
                                        regarding avian flu out-  	In                  experts and officials to par-
                                                               preparation efforts.
              Disease
                               and
                      Control
                                        breaks around the world,  	                    ticipate in its international
                                                               addition to purchasing
              Preventions (CDC) to provide
                                                               Tamiflu from Roche, we
                                        since we are not a member 	                    meetings as individuals
              us with the information and
                                        of the WHO. Therefore, we 	                    rather than as representatives
                                                               have developed the capaci-
              technical support needed.
                                                               ty to produce this drug. We
                                        must continue to rely large- 	                 of a state. This has enabled us
                                        ly on Internet and media 	                     to gain firsthand information
                                                               would begin mass produc-
              On May 4, 2003, the World
                                                               tion, were an outbreak to
                                        sources for information on 	                   from international discus-
              Health Organization (WHO)
                                                               occur and Roche be unable
                                        such outbreaks, although 	                     sions rather than having to
              finally dispatched two experts
                                                               to meet our needs.
                                        we now can also access  	                      rely on secondhand informa-
              to Taiwan to assist in our
                                        information through the                        tion from the Internet or the
              SARS control efforts. They
                                                               The Taiwan Intellectual
                                        informal channels, we 	                        media.
              acted as a vital bridge between
                                                               Property Office (TIPO) has
                                        established with other
              Taiwan and the international   nations during the SARS  	of              In November 2005, I was
                                                               granted the Department
              community in our common
                                                                Health a conditional corn-
                                        outbreak. 	                                    invited by the WHO to par-
              fight against SARS. With their
                                                                pulsory license to use the
                                        (2) We have made some  	                       ticipate in the "Partners
              help, we were able to join
                                                                Tamiflu patent. In consid-
                                        process since the WHO 	                        Meeting on Avian Influenza
              WHO-organized video-confer-  adopted the International  	                and Human Pandemic
                                                                eration  of  the rights and
              ences and teleconferences to
                                                                interests of the patent hold-
                                        Health Regulations (IHR) 	                     Influenza" as an observer.
              exchange our experiences and
                                                                er, TWO has attached the
                                        in May 2005, which incor-  	                   Even though I could only sit
              ideas with disease-control
                                                                following conditions to the
                                        porates the concept of uni- 	                  with representatives from
              experts from other nations.
                                                                compulsory license: a. The
                                        versal application that may  	                 NGOs and did not have the
                                                                compulsory license is valid
                                        allow Taiwan to become 	                       opportunity to speak, I was
              Taiwan learned from its SARS
                                        part  of  this international 	                 able to interact with delegates
                                                                only until December 31,
              experience that inter-govern-
                                                                2007. b. Treatments as a
                                        partnership. In addition,  	                   from many nations and
              mental communication plays a   Article 4 of  the IHR stipu-  	           organizations on the sidelines
                                                                result  of  the compulsory
              crucial role in disease control
                                                                license is limited to domes-
                                        lates, "each State Party 	                     of  the meetings and obtain
              in this age  of  frequent cross-  shall designate or establish  	        firsthand information from
                                                                tic disease control and pre-
              border exchanges and interna-
                                        a national IHR focal point  	                  them. Through face-to-face
                                                                vention use only.
              tional travel. Therefore, during
                                        and the authorities respon-  	                 discussions, I was able to
                                                                c. Taiwan must use Tamiflu
              the SARS outbreak, the Taiwan
                                        sible within its respective  	                 gain a better understanding of
                                                                supplied by Roche first.
              government speedily compiled
                                                                The DOH may only release
                                        jurisdiction for the imple-  	                 each country's or even each
              a contact list  of  SARS-control   mentation  of  health meas- 	         region's bird flu prepared-
                                                                the antiviral medication
              agencies from around the
                                                      these
                                        ures 		                                        ness and the problems they
                                               under
                                                                produced under the corn-
              world to exchange information   Regulations." Through the 	              have encountered. I also had
                                                                pulsory license,  if  Roche
              on international public health
                                        establishment  of  such a 	cannot supply Tamiflu on a   the chance to network with
              concerns and emergencies.
                                                                timely basis.
                                        mechanism, we expect to 	                       international organizations
              Taiwan suffered a total of 346
                                        have greater access to  	d. If the DOB obtains a vol-   and companies to explore the
              confirmed cases and 73 deaths
                                                                untary license from Roche
                                        information in the very near 	                 possibility  of  cooperation
              from the SARS outbreak. In
                                                                during the compulsory
                                        future,
              addition, Taiwan suffered enor-                                          with them.
                                                                license period, TIPO may
              mous economic losses and
                                        You have gone out in the 	cancel the compulsory
              social disruption during the
                                                                license.
                                        media saying that Taiwan
              SARS outbreak, from which
                                        will produce the Tamiflu
                                                                e. Pursuant to Article 76.5
              we have since fully recovered.
                                        drug for the local market.  of  Taiwan's Patent Act, the
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