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History: This Programme began in 1966 as a general Registry for Handicapped Children. This was disbanded in 1980 and continued as a surveillance Programme for live and stillborn infants with congenital anomalies who were born in the Province of Alberta. The Programme became an associate member of the ICBDMS in 1996. Size and coverage: All live and stillbirths in the province are included which at present comprises about 40, 000 births per year. The definition of stillbirth is 20 weeks or more or 500 grams or more. The vast majority of births occur in hospital approximately 97% ; . In 1997 a special fetal congenital anomalies surveillance system was started to include those fetuses with congenital anomalies who were either spontaneously lost prior to 20 weeks or where there was termination as a result of prenatal diagnosis. Legislation and funding: Reporting is voluntary. The system is run by members of the Department of Medical Genetics, Alberta Children's Hospital University of Calgary reporting to Alberta Vital Statistics and Alberta Health. Funding is from Alberta Ministry of Health and promethazine.
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Table A-3.2.1 Guidelines and appointment system to support advanced services for HIV AIDS Among facilities reporting they offer any care or support services CSS ; for HIV AIDS clients, percentage having the indicated items to support advanced services for HIV AIDS, by background characteristics, Kenya HIV AIDS SPA 2004 Percentage of facilities with: Observed record Observed guidelines protocols for offering the service, in all system for indisites where the indicated service is offered vidual client Care of Care of adults appointments in Opportunistic Symptomatic, children living living with all relevant infections palliative care with HIV AIDS HIV AIDS program sites 1 6 7 Number of facilities offering CSS for HIV AIDS clients 28 100 19 Number of sites offering CSS for HIV AIDS clients 144 198 42.
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To be only the infrastructure but, most importantly or prominently, the lack of new drugs that would reduce the length of treatment and address the resistances that have been built in and the absence of drugs in the last 30 years is due to the fact that the TB market is only a few $100million and well beyond the blockbuster threshold expected today by current economic infrastructure when it comes to drug development. So the expectation is that in TB the return on investment would be too low and when we always have the discussion as to whether its IP or infrastructure or financing, I find myself very frustrated thinking that we can't on the one hand say innovation equals IP and consider that it would be a legitimate interest for all of us to consider how the IP system in the future should, therefore, be designed so that innovation in health serves all the population and enables the development of drugs that also serve the developing world. Today these new initiatives, public private partnerships not only in TB but in malaria and others, are trying to make creative use of the current system but wouldn't it make sense rather than creating adhoc mechanisms in the future to address neglected diseases to actually build into the system mechanisms that ensure that incentives are built into the infrastructure providing incentives to the players and investors to also address drugs for neglected diseases. That would be the recommendation to the Commission. Robert Mallett I appreciate both points that have been made. I don't necessarily disagree with them. Actually, I think we have made substantial progress here because I understood from a lot a reading I have been doing and Pfizer has been a well-worn target of one NGO that because of our stance about patents, patents were keeping people from getting their medicines. Well, we have made some progress today, because the suggestion that the IPR system as it now exists is not appreciably incentivised to bring new innovative drugs to developing countries around their diseases is one that we should be talking about. What are the steps we should be taking to incentivise companies to be able to do that? I agree with that and that would be a very helpful and worthwhile conversation. That is not, however, the conversation that has been taking place in the last 8 or 9 months so I actually believe that we are making substantial progress in talking about this issue. I agree entirely with what Joelle Tanguy and Mary Moran said and I think that we would be more than happy to engage in that conversation, if we can get the conversation focused there. That's not where it has been. Eric Noehrenberg: International Federation of Pharmaceutical Manufacturers Association Francisco's Cannabrava's presentation has made clear what this whole debate is about. It is not a debate about access to public health, not a question about access to healthcare but much more a question of industrial policy. You talked about Devine right to patent but there is also no Devine right to copy and indeed the experience of your own country should actually illustrate the fact that there are a lot of problems in local production. As you well know, it is extremely expensive. The Brazilian local copiers are subsidised to the tune of $15million a year for treating 90, 000 AIDS patients out of a population of 160 million people. Brazilian health officials have and remeron.
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From September' 2001 till January' 2004, distal education on the subject of Radio diagnosis was provided by the department of Radiodiagnosis and imaging, SGPGIMS, Lucknow to the faculty & residents of Radiology department of SCB Medical College, Cuttack, Orissa and other radiological setups of Orissa, which is 1500 Km away. Few sessions were conducted with Radiodiagnosis department of PGIMER, Chandigarh located 700 Km. Teleradiology tool used was desktop video-conferencing system with PTZ camera interphased with film digitizer at both ends. Communication link was provided with 128 Kbps ISDN telephonic lines for video-conferencing. Radiological images were transferred prior to main consultation and conference. Each session was conducted for one and half to two hours, depending and ritalin.
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Table 2. List of questions posed to the Working Group.
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