Intellectual Property Rights and the Potential for Universal Access to Treatment: trips, acta and hiv/aids medicine

Where hiv/aids is concerned, the twin goals of zero new infections' and an aids-free generation' are now, due to advances in treatment (and treatment as prevention), a realistic possibility. However, these goals can only be achieved through the scaling-up of treatment to the point of universal access. It is inevitable that the success of any scaling-up will be predicated on cost, particularly of hiv/aids medicines. This article argues that recent changes in the global intellectual property landscapeeffected by way of bilaterally- and plurilaterally-negotiated trade agreements initiated by developed countriesjeopardise the target of universal access. Enhanced protection of international intellectual property rights increasingly poses a threat to the development of, and international trade in, generic medicines. Unless developing countries move to reinvigorate moribund multilateral institutions, particularly the wto, they will lose control of the intellectual property agenda, and thus the ability to impose an alternative vision regarding universal access.