Keywords:
HIV/AIDS, African Union, African Medicine AgencyAbstract
This essay aims to delve into the policies that emerged from the African Union to deal with the infection by human immunodeficiency virus (HIV) in the continent, including its social and economic consequences. The article emphasizes that political actions in the field of HIV/AIDS, along with the corresponding declarations (which often refer to malaria and tuberculosis too), constitute the seed for the appearance of incipient supranational structures on health in Africa. Within these great initiatives, driven to provide health sovereignty to the continent, we can find the creation of the African Center for Disease Control and Prevention, the Pharmaceutical Manufacturing Plan for Africa and the African Medicines Agency.
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AU, African Union (2000) Constitutive Act, en https://au.int/en/constitutive-act (última consulta: 14/11/2021).
AU, African Union (2002) First Ordinary Session. Assembly of the African Union, Declaration, Ass/AU/Dec. 1-5(I) & Ass/AU/Dec1. 1-3(I), Durban, South Africa, 9–10 July, en https://au.int/en/decisions/assembly-heads-state-and-government-first-ordinary-session
AU, African Union (2003) Protocol to the African Charter on Human and Peoples’ Rights on the Rights of Women in Africa, pp. 24, en https://au.int/en/treaties/protocol-african-charter-human-and-peoples-rights-rights-women-africa
AU, African Union (2006) Abuja Call for Accelerated Action towards Universal Access to HIV and AIDS, Tuberculosis and Malaria Services in Africa, en: https://au.int/sites/default/files/pages/32894-file-2006_abuja_call.pdf
AU, African Union (2012) Roadmap on Shared Responsibility and Global Solidarity for AIDS, TB and Malaria Response in Africa, 3 July, en https://apf.francophonie.org/IMG/pdf/5c-annexe_2_rapport_sur_le_vih_c_levrat_suisse__feuille_de_route_de_l_union_africaine_anglais.pdf
AU, African Union (2013) Abuja actions toward the elimination of HIV and AIDS, tuberculosis and malaria in Africa by 2030. Declaration of the Special Summit of AU on HIV/AIDS, TB and Malaria (ATM), Abuja, Nigeria, 12?16 July, en https://au.int/sites/default/files/documents/30729-doc-abuja_declaration_on_hiv_etc_special_summit_-_english.pdf
AU, African Union (2014) Decisions and Declarations of the Twenty-Second Ordinary Session on the Assembly of the African Union, Assembly/AU/Dec.499(XXII), en https://au.int/sites/default/files/decisions/9659-assembly_au_dec_490-516_xxii_e.pdf
AU, African Union (2015a) Catalytic Framework to End AIDS, TB and Eliminate Malaria in Africa by 2030. Stride towards sustainable health in Africa, en https://au.int/sites/default/files/pages/32894-file-catalytic_framework.pdf
AU, African Union (2015b) Briefing note on the African Medicine Agency. First Meeting of the Specialised Technical Committee on Health, Population and Drug Control (STC-HPDC-1), Addis Ababa, Ethiopia, 13-17 April, en https://au.int/sites/default/files/newsevents/workingdocuments/28074-wd-stc-_briefing_notes_on_african_medicines_agency_ama_-_english.pdf
AU, African Union (2016a) Assembly of the Union. Twenty-Seventh Ordinary Session, 17-18 July, Kigali, Rwanda, en https://au.int/sites/default/files/decisions/31274-assembly_au_dec_605-620_xxvii_e.pdf
AU, African Union (2016b) Africa Scorecard on Domestic Financing for Health, en https://au.int/sites/default/files/documents/31331-doc-au_scorecard_-_final_english.pdf
AU, African Union (2016c) African Medicines Agency. Business Plan, en https://au.int/sites/default/files/newsevents/workingdocuments/30386-wd-ama_business_plan_draft_10_feb_2016.pdf
AU, African Union (2018a) Africa Scorecard on Domestic Financing for Health, 2018, en http://www.afmeurope.org/wp-content/uploads/2018/07/A3_Africa-Scorecard_2018_en_hires.pdf
AU, African Union (2018b) Africa CDC Framework for Antimicrobial Resistance 2018-2023, en https://africacdc.org/download/africa-cdc-framework-for-antimicrobial-resistance/
AU, African Union (2019a) African Union Handbook 2019. A guide for those working with and within the African Union, en https://au.int/sites/default/files/pages/31829-file-au_handbook_2019_english.pdf
AU, African Union (2019b) List of countries which have signed, ratified/acceded to the Protocol to the African Charter on Human and People’s rights on the Rights of Women in Africa, en https://au.int/sites/default/files/treaties/37077-sl-PROTOCOL%20TO%20THE%20AFRICAN%20CHARTER%20ON%20HUMAN%20AND%20PEOPLE%27S%20RIGHTS%20ON%20THE%20RIGHTS%20OF%20WOMEN%20IN%20AFRICA.pdf (última consulta: 14/11/2021).
AU, African Union (2019c) Africa Scorecard on Domestic Financing for Health, 2019, en https://scorecard.africa/table
AU, African Union (2021) African Union Handbook 2021. Arts, culture and heritage: Levers for building the Africa we want, pp. 270, en https://au.int/sites/default/files/documents/31829-doc-AU_HBK_2021_-_ENGLISH_web.pdf
AU & UNIDO, African Union and United Nations Industrial Development Organization (2012) Pharmaceutical Manufacturing Plan for Africa. Business Plan, pp. 104, en https://au.int/sites/default/files/pages/32895-file-pmpa_business_plan.pdf
AU & WHO, African Union and World Health Organization (2014) First meeting of African Ministers of Health jointly convened by the AUC and WHO, Luanda, Angola, 16?17 April, pp. 57, en https://www.afro.who.int/sites/default/files/2017-07/volume-1-ministerial-meeting-final-en.pdf
AUC, African Union Commission (2015a) Agenda 2063. Framework Document. The Africa We Want, en https://uclgafrica-alga.org/wp-content/uploads/2019/06/INL__Agenda-2063-Technical-Document.pdf (última consulta: 14/11/2021)
AUC, African Union Commision (2015b) Agenda 2063. The Africa we want. Popular version, en https://au.int/sites/default/files/documents/36204-doc-agenda2063_popular_version_en.pdf (última consulta: 14/11/2021).
AUC, African Union Commision (2016) Ending Child Marriage and Stopping the Spread of HIV… Opportunities and challenges for action, pp. 40, en https://au.int/sites/default/files/documents/31788-doc-desk_review_on_the_linkages_of_child_marriage_and_hiv.pdf
BÁEZ MELIÁN, J. M. (2008). “Un análisis crítico del actual sistema internacional de cooperación al desarrollo”, en Estudios Económicos de Desarrollo Internacional, 8, 2, pp. 21?40.
BAVINTON, Benjamin; Pinto, Angie; Phanuphak, Nittaya, et al. (2018) “Viral suppression and HIV transmission in serodiscordant male couples: an international, prospective, observational, cohort study”, The Lancet HIV, 5, 8, pp. e438-47 (https://www.thelancet.com/journals/lanhiv/article/PIIS2352-3018(18)30132-2/fulltext)
doi: 10.1016/S2352-3018(18)30132-2.
CDC, Centers for Disease Control (1981) “Pneumocystis Pneumonia --- Los Angeles”, Morbidity and Mortality Weekly Report (MMWR), 30 (21), pp. 250-252 (https://www.cdc.gov/mmwr/preview/mmwrhtml/june_5.htm (última consulta: 12/11/2021)
CL-UAH, Clínica Legal de la Universidad de Alcalá (2019) «La responsabilidad penal por la transmisión del VIH», en https://pactosocialvih.es/wp-content/uploads/11_UAlcala_responsabilidad_penal_baja.pdf (última consulta: 16/06/2022).
COHEN, Myron; Chen, Ying; McCauley, Marybeth, et al; HPTN 052 Study Team (2011) “Prevention of HIV-1 infection with early antiretroviral therapy”, en The New England journal of medicine, 365 (6), pp. 493-505 (https://www.nejm.org/doi/pdf/10.1056/NEJMoa1105243?articleTools=true)
doi:10.1056/NEJMoa1105243.
FARIA, Nuno; Rambaut, Andrew; Suchard, Marc, et. al. (2014) “HIV epidemiology. The early spread and epidemic ignition of HIV-1 in human populations”, en Science, 346, pp. 56?61.
MEDICUSMUNDI & MÉDICOS DEL MUNDO (2019) “La salud en la cooperación al desarrollo y la acción humanitaria. Informe 2019”, en http://www.medicusmundi.es/storage/resources/publications/5e00a24a56d6f_informe-2019-medicusmundi-con-indice.pdf
MUSUNGU Y DUTFIELD (2003) Acuerdos Multilaterales y un mundo ADPIC plus: Organización Mundial de la Propiedad Intelectual (OMPI), en https://quno.org/sites/default/files/resources/Multilateral-Agreements-in-TRIPS-plus-Spanish.pdf
OAU, Organization of African Unity (1981) African (Banjul) Charter on Human and People’s Rights, pp. 18, en https://www.achpr.org/legalinstruments/detail?id=49 (última consulta: 14/11/2021)
OAU, Organization of African Unity (1990) African Charter on the Rights and Welfare of the Child, pp. 34, en https://au.int/en/treaties/african-charter-rights-and-welfare-child
OAU, Organization of African Unity (2001) Abuja Declaration on HIV/AIDS, tuberculosis and other related infectious diseases, OAU/SPS/ABUJA/3. African Summit, Abuja, Nigeria, 24?27 April 2001, pp. 8, en https://au.int/sites/default/files/pages/32894-file-2001-abuja-declaration.pdf
OBASANJO (2004) AIDS Watch Africa. An instrument for promoting AIDS responses in Africa, en https://data.unaids.org/una-docs/awa_brochure_en.pdf
ONUSIDA (2021) “Hoja informativa 2021”, en https://www.unaids.org/sites/default/files/media_asset/UNAIDS_FactSheet_es.pdf (última consulta: 12/11/2021)
PETTIFOR, Audrey; MacPhail, Catherine; Nguyen, Nadia; et al. (2013) “Can money prevent the spread of HIV? A review of cash payments for HIV prevention”, en AIDS and Behaviour, 16, 7, pp. 1729?38
doi: 10.1007/s10461-012-0240-z.
PNUD, Programa de las Naciones Unidas para el Desarrollo (1990) Desarrollo Humano Informe 1990, Tercer Mundo Editores, Colombia, Oxford University Press (ISBN 958-601-283-2), en http://hdr.undp.org/sites/default/files/hdr_1990_es_completo_nostats.pdf
RODGER, Alison; Cambiano, Valentina; Bruun, Tina, et al; PARTNER Study Group (2016) “Sexual activity without condoms and risk of HIV transmission in serodifferent couples when the HIV-positive partner is using suppressive antiretroviral therapy”, en Journal of the American Medical Association, 316 (2), pp. 171-81 (https://jamanetwork.com/journals/jama/fullarticle/2533066)
doi: 10.1001/jama.2016.5148.
RODGER, Alison; Cambiano, Valentina; Bruun, Tina, et al; PARTNER Study Group (2019) “Risk of HIV transmission through condomless sex in serodifferent gay couples with the HIV-positive partner taking suppressive antiretroviral therapy (PARTNER): final results of a multicentre, prospective, observational study”, en Lancet, 393 (10189), pp. 2428-38 (https://www.thelancet.com/action/showPdf?pii=S0140-6736%2819%2930418-0)
doi: 10.1016/S0140-6736(19)30418-0.
RODRÍGUEZ C., Marcelo (2021) “Las pandemias precedentes a la COVID-19: de la peste de Atenas a la peste rosa”, en Ciencias Psicológicas 15, 1: e-2555.
doi.org/10.22235/cp.v15i1.2555.
SAMPATH, Shrikanth; Khedr, Anwar; Qamar, Shahraz; et al. (2021). “Pandemics throughout the history”, en Cureus, 13, 9.
doi: 10.7759/cureus.18136.
UN (1970). General Assembly resolution A/RES/2626(XXV) of 24 October 1970: International Development Strategy for the Second United Nations Development Decade, en https://undocs.org/en/A/RES/2626(XXV)
UNAIDS (2017). Ending AIDS: Progress towards the 90-90-90 targets, en http://www.unaids.org/en/resources/documents/2017/20170720_Global_AIDS_update_2017
UNAIDS (2021) “UNAIDS Data 2020”, pp. 436, en https://www.unaids.org/sites/default/files/media_asset/2020_aids-data-book_en.pdf (última consulta: 12/11/2021)
UNDP, United Nations Development Programme (2008) Compendium of key documents relating to human rights and HIV in Eastern and Southern Africa, en: https://www.undp.org/content/dam/aplaws/publication/en/publications/hiv-aids/compendium-of-key-documents-re-human-rights-hiv-in-eastern-and-southern-africa/203.pdf
WTO, World Trade Organization (2001). Declaration on the TRIPS agreement and public health. WT/MIN(01)/DEC/2. Adopted on 14 November 2001. Fourth session of the Ministerial Conference, en: https://www.wto.org/english/thewto_e/minist_e/min01_e/mindecl_trips_e.pdf (última consulta 02/02/2022)
WTO, World Trade Organization (2002) Prórroga del período de transición previsto en el párrafo 1 del artículo 66 del Acuerdo sobre los ADPIC para los países menos adelantados Miembros con respecto a determinadas obligaciones relativas a los productos farmacéuticos, en https://docs.wto.org/dol2fe/Pages/SS/directdoc.aspx?filename=s:/IP/C/25.pdf&Open=True
WTO, World Trade Organization (2015) Extension of the transition period under article 66.1 of the TRIPS Agreement for least developed country members for certain obligations with respect to pharmaceutical products, en https://docs.wto.org/dol2fe/Pages/SS/directdoc.aspx?filename=q:/IP/C/73.pdf&Open=True
WTO, World Trade Organization (2017) Agreement on trade-related aspects of intellectual property rights (as amended on 23 January 2017), en https://www.wto.org/english/docs_e/legal_e/31bis_trips_e.pdf