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Matthew B. Flynn - Pharmaceutical Autonomy and Public Health in Latin America: State, Society and Industry in Brazil’s AIDS Program

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Pharmaceutical Autonomy and Public Health in Latin America: State, Society and Industry in Brazil’s AIDS Program
Author:
Matthew B Flynn
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Routledge
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Books / Politics
Year:
2014
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Pharmaceutical Autonomy and Public Health in Latin America

Brazil has occupied a central role in the access to medicines movement, especially with respect to drugs used to treat those with the human immunodeficiency virus (HIV) that causes the acquired immune deficiency syndrome (AIDS). How and why Brazil succeeded in overcoming powerful political and economic interests, both at home and abroad, to roll out and sustain treatment represents an intellectual puzzle.

In this book, Matthew Flynn traces the numerous challenges Brazil faced in its efforts to provide essential medicines to all of its citizens. Using dependency theory, state theory, and moral underpinnings of markets, Flynn delves deeper into the salient factors contributing to Brazils successes and weaknesses, including control over technology, creation of political alliances, and instrumental use of normative frameworks, and effectively explains the ability of countries to fulfill the prescription drug needs of its population versus the interests and operations of the global pharmaceutical industry.

Pharmaceutical Autonomy and Public Health in Latin America is one of the only books to provide an in-depth account of the challenges that a developing country, like Brazil, faces to fulfill public health objectives amidst increasing global economic integration and new international trade agreements. Scholars interested in public health issues, HIV/AIDS, and human rights, but also social scientists interested in Latin America and international political economy, will find this an original and thought-provoking read.

Matthew Flynn is an Assistant Professor of Sociology and International Studies at Georgia Southern University in Statesboro, Georgia. His interests include political economy, health, and development with a focus on Latin America.

Routledge Studies in Latin American Politics

1 Research and International Trade Policy Negotiations

Knowledge and Power in Latin America

Edited by Mercedes Botto

2 The United Nations in Latin America

Aiding Development

Francis Adams

3 Fear and Crime in Latin America

Redefining State-Society Relations

Luca Dammert

4 Populism in Venezuela

Ryan K. Brading

5 Civil Society and Participatory Governance

Municipal Councils and Social Housing Programs in Brazil

Maureen M. Donaghy

6 Representation and Effectiveness in Latin American Democracies

Congress, Judiciary and Civil Society

Edited by Moira B. MacKinnon and Ludovico Feoli

7 Lula, the Workers Party and the Governability Dilemma in Brazil

Hernn F. Gmez Bruera

8 Transnational Activism and National Movements in Latin America

Bridging the Divide

Edited by Eduardo Silva

9 Democracy, Revolution and Geopolitics in Latin America

Venezuela and the International Politics of Discontent

Edited by Luis Fernando Angosto-Ferrndez

10 Transforming Brazil

A History of National Development in the Postwar Era

Rafael R. Ioris

11 Pharmaceutical Autonomy and Public Health in Latin America

State, Society, and Industry in Brazils AIDS Program

Matthew Flynn

First published 2015
by Routledge
711 Third Avenue, New York, NY 10017

and by Routledge
2 Park Square, Milton Park, Abingdon, Oxon, OX14 4RN

Routledge is an imprint of the Taylor & Francis Group, an informa business

2015 Taylor & Francis

The right of Matthew Flynn to be identified as author of this work has been asserted by him in accordance with sections 77 and 78 of the Copyright, Designs and Patents Act 1988.

All rights reserved. No part of this book may be reprinted or reproduced or utilized in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording, or in any information storage or retrieval system, without permission in writing from the publishers.

Trademark Notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe.

Library of Congress Cataloging-in-Publication Data

Flynn, Matthew (Matthew B.), author.

Pharmaceutical autonomy and public health in Latin America : state,

society, and industry in Brazils AIDS program / Matthew Flynn.

p. ; cm. (Routledge studies in Latin American politics ; 11)

Includes bibliographical references and index.

I. Title. II. Series: Routledge studies in Latin American politics ; 11.

[DNLM: 1. Acquired Immunodeficiency Syndromedrug therapy

Brazil. 2. Anti-Retroviral AgentseconomicsBrazil. 3. Anti-Retroviral

Agentstherapeutic useBrazil. 4. Drug Industryeconomics

Brazil. 5. Health PolicyBrazil. WC 503.2]

RA643.86.B6

362.196979200981dc23

2014034871

ISBN: 978-1-138-83253-4 (hbk)
ISBN: 978-1-315-73598-6 (ebk)

Typeset in Sabon
by Apex CoVantage, LLC

To my parents, Jim and Kathy Flynn

Contents

ABIA	Brazilian Interdisciplinary Association for AIDS
ABIFINA	Brazilian Fine Chemicals Producers Association
ABIQUIF	Brazilian Pharmochemicals Producers Association
ACTPN	US Presidents Advisory Committee on Trade Policy and Negotiations
ADAPs	AIDS Drug Assistance Programs
AIDS	Acquired Immune Deficiency Syndrome
ALFOB	Brazilian Association of Public Labs
ANVISA	National Health Vigilance Agency (Brazils drug regulatory agency)
API	Active Pharmaceutical Ingredient
ARV	Antiretroviral drug
AZT	Zidovudine, an antiretroviral drug
BMS	Bristol-Myers Squibb
BNDES	Brazilian National Development Bank
CEME	Central Medicines Agency
CL	Compulsory license
ENSP	Sergio Arouca National School of Public Health (Escola Nacional de Sade Pblica Sergio Arouca)
FDA	Food and Drug Administration
FDC	Fixed-dose combinations
FEBRAFARMA	Brazilian Pharmaceutical Industry Federation
FHC	Fernando Henrique Cardoso, President of Brazil from 19952002
FIOCRUZ	Oswaldo Cruz Foundation
FM	Farmanguinhos ( Instituto de Tecnologia em Frmacos Medicines and Drugs Technology Institute)
FOIA	Freedom of Information Act
FURP	Foundation for Public Drugs, Pharmaceutical Laboratory of So Paulo State
GATT	General Agreement on Tariffs and Trade
GECIS	Executive Group of the Industrial Health Complex
GSK	GlaxoSmithKline
INPI	Brazilian Patent Office
INTERFARMA	Brazilian Research-based Pharmaceutical Manufacturers Association
IP	Intellectual property
IPRs	Intellectual property rights
IQUEGO	Pharmaceutical Laboratory of Goania State
IVB	Vital Brazil Institute, Pharmaceutical Laboratory of Rio de Janeiro State
LAFEPE	Pharmaceutical Laboratory of Pernambuco State

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