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健康权包括获取基本仿制药的权利:对肯尼亚2008年《反假冒法》提出质疑。

Right to health encompasses right to access essential generic medicines: challenging the 2008 Anti-Counterfeit Act in Kenya.

作者信息

Maleche Allan, Day Emma

机构信息

Human rights lawyer and the Executive Director of KELIN.

Human rights lawyer and a volunteer lawyer at KELIN.

出版信息

Health Hum Rights. 2014 Dec 11;16(2):E96-E104.

Abstract

To what extent has the right to access generic HIV medication been implemented in Kenya for the 1.6 million people living with HIV? How does this relate to the right to health under international and national law? This paper examines a constitutional challenge brought to the High Court of Kenya in 2009 (the "Anti-Counterfeit Case") against the Anti-Counterfeit Act of 2008, which the petitioners, all of whom were living with HIV, argued would affect their ability to access affordable and generic antiretroviral medication. They argued that this would amount to a violation of their right to life, dignity, and health. This case is particularly interesting because the new Kenyan Constitution came into force in 2010, after the case had been filed, and specifically provided for the right to health for all of Kenya's citizens, as well as giving direct effect to all international laws ratified by the Kenyan government. This paper follows the Anti-Counterfeit Case, which includes amendments filed by the petitioners following the new constitutional changes, the arguments by the different parties in the case, and the inappropriateness of counterfeit laws as measures to control substandard and falsified medicine. The case has resulted in the suspension of significant parts of the Anti-Counterfeit Act that would pose a challenge to parallel importation, and to the court issuing a directive that the sections be amended. The judgment is examined in detail, as are the broader implications of this case for other countries in Eastern Africa.

摘要

对于肯尼亚160万艾滋病毒感染者而言,获取抗逆转录病毒仿制药的权利落实情况如何?这与国际和国内法律规定的健康权有何关联?本文审视了2009年向肯尼亚高等法院提起的一项宪法质疑(“反假冒案”),该案针对的是2008年《反假冒法》,所有请愿者均为艾滋病毒感染者,他们认为该法会影响其获取价格合理的抗逆转录病毒仿制药的能力。他们辩称,这将构成对其生命权、尊严权和健康权的侵犯。此案尤为引人关注,因为新的肯尼亚宪法在该案件立案后于2010年生效,特别规定了肯尼亚所有公民的健康权,还赋予肯尼亚政府批准的所有国际法直接效力。本文追踪了“反假冒案”,包括请愿者在宪法变更后提交的修正案、案件中不同方的论点,以及将反假冒法律作为控制不合格和伪造药品措施的不当之处。该案件导致《反假冒法》中对平行进口构成挑战的大部分条款被暂停执行,法院还发布指令要求对这些条款进行修订。本文详细审视了该判决,以及此案对东非其他国家的更广泛影响。

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