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| | {{Drug List/ja}} |
| <languages/> | | <languages/> |
| {{short description|Substance used to diagnose, cure, treat, or prevent disease}}
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| {{Redirect/ja|Medicines/ja||Medicine (disambiguation)/ja|と|Medication (disambiguation)/ja}} | | {{Redirect/ja|Medicines/ja||Medicine (disambiguation)/ja|と|Medication (disambiguation)/ja}} |
| {{Redirect/ja|Pharmaceutical/ja||Pharmacy/ja|と|Pharmacology/ja|と|Pharmaceutical industry/ja}} | | {{Redirect/ja|Pharmaceutical/ja||Pharmacy/ja|と|Pharmacology/ja|と|Pharmaceutical industry/ja}} |
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| 2013年、[[BioMarin Pharmaceutical]]は、がん患者の実験薬へのアクセス拡大に関する話題の中心にいた。 | | 2013年、[[BioMarin Pharmaceutical]]は、がん患者の実験薬へのアクセス拡大に関する話題の中心にいた。 |
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| <div lang="en" dir="ltr" class="mw-content-ltr">
| | ===医薬品へのアクセスと薬物価格=== |
| ===Access to medicines and drug pricing=== | |
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| <div lang="en" dir="ltr" class="mw-content-ltr">
| | {{Main/ja|Essential medicines/ja|Societal views on patents/ja}} |
| {{Main|Essential medicines|Societal views on patents}} | |
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| <div lang="en" dir="ltr" class="mw-content-ltr">
| | [[World Health Organization/ja|世界保健機関]](WHO)が定義する必須医薬品とは、「人口の大多数の医療ニーズを満たす薬物であり、それゆえ、適切な量、適切な剤形、地域社会が購入可能な価格で、いつでも入手可能であるべきである。最近の研究によると、HIV治療薬以外のWHOの必須医薬品リストに掲載されている医薬品のほとんどは、開発途上国では特許を取得しておらず、これらの[[access to medicines/ja|医薬品へのアクセス]]が普及していないのは、経済発展の基本的な問題、すなわちインフラの欠如と貧困から生じていることがわかった。[[Médecins Sans Frontières/ja|国境なき医師団]]はまた、「[[Campaign for Access to Essential Medicines/ja|必須医薬品へのアクセスキャンペーン]]」を実施しており、主に開発途上国で発生している現在治療不可能な病気により多くのリソースを割くよう提唱している。[[Access to Medicine Index/ja|医薬品アクセス指数]](Access to Medicine Index)は、製薬会社が開発途上国で自社製品をどの程度利用可能にしているかを追跡するものである。 |
| Essential medicines, as defined by the [[World Health Organization|World Health Organization]] (WHO), are "those drugs that satisfy the health care needs of the majority of the population; they should therefore be available at all times in adequate amounts and in appropriate dosage forms, at a price the community can afford." Recent studies have found that most of the medicines on the WHO essential medicines list, outside of the field of HIV drugs, are not patented in the developing world, and that lack of widespread [[Access to medicines|access to these medicines]] arise from issues fundamental to economic development – lack of infrastructure and poverty. [[Médecins Sans Frontières|Médecins Sans Frontières]] also runs a [[Campaign for Access to Essential Medicines|Campaign for Access to Essential Medicines]] campaign, which includes advocacy for greater resources to be devoted to currently untreatable diseases that primarily occur in the developing world. The [[Access to Medicine Index|Access to Medicine Index]] tracks how well pharmaceutical companies make their products available in the developing world.
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| | [[:ja:知的所有権の貿易関連の側面に関する協定|TRIPS協定]]や[[:en:Doha Declaration|ドーハ宣言]]を含む1990年代の[[:ja:世界防疫機構|世界貿易機関]](WTO)交渉は、医薬品の国際貿易と知的財産権が交差する問題を中心に行われ、先進国は新薬開発のための投資を保護するための強力な[[:ja:知的財産権|知的財産権]]を求め、開発途上国は自国のジェネリック医薬品産業を振興し、[[:en:compulsory licenses|強制ライセンス]]によって国民が医薬品を入手できるようにすることを求めた。 |
| [[World Trade Organization|World Trade Organization]] negotiations in the 1990s, including the [[TRIPS Agreement|TRIPS Agreement]] and the [[Doha Declaration|Doha Declaration]], have centered on issues at the intersection of international trade in pharmaceuticals and [[intellectual property rights|intellectual property rights]], with developed world nations seeking strong intellectual property rights to protect investments made to develop new drugs, and developing world nations seeking to promote their generic pharmaceuticals industries and their ability to make medicine available to their people via [[compulsory licenses|compulsory licenses]]. | |
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| | 特に、製薬会社の特許と、その特許によって世界中の貧困層が手に入れることのできない高額な薬物価格に関して、倫理的な異議を唱える人もいる。批評家たちはまた、独占的な特許権とその結果としての高価格が、製薬会社が研究開発に必要な多額の投資を回収するために必要であるという理論的根拠にも疑問を呈している。ある研究では、新薬のマーケティング費用は研究開発費の2倍になることが多いと結論づけている。また、特許権による和解は、より安価なジェネリック医薬品へのアクセスを遅らせる結果となるため、消費者、医療制度、州・連邦政府にとって負担が大きいという批判もある。 |
| Some have raised ethical objections specifically with respect to pharmaceutical patents and the high prices for drugs that they enable their proprietors to charge, which poor people around the world, cannot afford. Critics also question the rationale that exclusive patent rights and the resulting high prices are required for pharmaceutical companies to recoup the large investments needed for research and development. One study concluded that marketing expenditures for new drugs often doubled the amount that was allocated for research and development. Other critics claim that patent settlements would be costly for consumers, the health care system, and state and federal governments because it would result in delaying access to lower cost generic medicines.
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| | [[Novartis]]は、インドにおける薬物[[Gleevec/ja|グリベック]]の特許をめぐってインド政府と長期にわたる争いを繰り広げ、[[:en:Novartis v. Union of India & Others|Novartis対インド連合&その他]]として知られる訴訟で最高裁に持ち込まれた。最高裁は僅差でNovartisに不利な判決を下したが、薬物特許反対派はこれを大きな勝利と主張した。 |
| [[Novartis|Novartis]] fought a protracted battle with the government of India over the patenting of its drug, [[Gleevec|Gleevec]], in India, which ended up in a Supreme Court in a case known as [[Novartis v. Union of India & Others|Novartis v. Union of India & Others]]. The Supreme Court ruled narrowly against Novartis, but opponents of patenting drugs claimed it as a major victory. | |
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| | ===環境問題=== |
| ===Environmental issues=== | |
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| | {{Main/ja|Environmental impact of pharmaceuticals and personal care products/ja}} |
| {{Main|Environmental impact of pharmaceuticals and personal care products}} | |
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| | 医薬品やパーソナルケア製品が環境に与える影響については議論がある。PPCPsは、個人が健康や[[:ja:美容|美容]]のために使用する物質であり、[[:en:agribusiness|農業ビジネス]]が家畜の成長や健康を促進するために使用する製品である。 PPCPsは、処方薬や市販の治療薬、動物用医薬品、香料、化粧品など、何千種類もの多様な化学物質の集合体である。PPCPsは世界中の水域で検出されており、環境中に残留するものは[[Environmental Persistent Pharmaceutical Pollutant/ja|環境残留性医薬品汚染物質]]と呼ばれている。 これらの化学物質が人間や環境に及ぼす影響はまだわかっていないが、現在までのところ、人間の健康に影響を及ぼすという科学的証拠はない。 |
| The environmental impact of pharmaceuticals and personal care products is controversial. PPCPs are substances used by individuals for personal health or [[cosmetics|cosmetic]] reasons and the products used by [[agribusiness|agribusiness]] to boost growth or health of livestock. PPCPs comprise a diverse collection of thousands of chemical substances, including prescription and over-the-counter therapeutic drugs, veterinary drugs, fragrances, and cosmetics. PPCPs have been detected in water bodies throughout the world and ones that persist in the environment are called [[Environmental Persistent Pharmaceutical Pollutant|Environmental Persistent Pharmaceutical Pollutant]]s. The effects of these chemicals on humans and the environment are not yet known, but to date there is no scientific evidence that they affect human health.
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| | == こちらも参照 == |
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| == See also ==
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| {{div col|colwidth=30em}} | | {{div col|colwidth=30em}} |
| * [[Adherence (medicine)|Adherence]] | | * [[Adherence (medicine)/ja|アドヒアランス]] |
| * [[Deprescribing|Deprescribing]] | | * [[Deprescribing/ja|デ・プレスクライビング]] |
| * [[Drug nomenclature|Drug nomenclature]] | | * [[Drug nomenclature/ja|薬物の命名法]] |
| * [[List of drugs|List of drugs]] | | * [[List of drugs/ja|薬物のリスト]] |
| * [[List of pharmaceutical companies|List of pharmaceutical companies]] | | * [[List of pharmaceutical companies/ja|製薬会社のリスト]] |
| * [[Orphan drug|Orphan drug]] | | * [[Orphan drug/ja|希少薬]] |
| * [[Overmedication|Overmedication]] | | * [[Overmedication/ja|過剰投薬]] |
| * [[Pharmaceutical code|Pharmaceutical code]] | | * [[Pharmaceutical code/ja|医薬品コード]] |
| * [[Pharmacy|Pharmacy]] | | * [[Pharmacy/ja|薬学]] |
| {{div col end}} | | {{div col end}} |
| </div>
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| | == 外部リンク == |
| == External links == | |
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| {{Commons category|Pharmaceutical drugs}} | | {{Commons category|Pharmaceutical drugs}} |
| * [http://curlie.org/en/Health/Pharmacy/Drugs_and_Medications Drugs & Medications Directory | Curlie] | | * [http://curlie.org/en/Health/Pharmacy/Drugs_and_Medications Drugs & Medications Directory | Curlie] |
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| * [https://www.fda.gov/drugs U.S. Food & Drug Administration: Drugs] | | * [https://www.fda.gov/drugs U.S. Food & Drug Administration: Drugs] |
| * [https://www.who.int/medicines/publications/essentialmedicines/en/ WHO Model List of Essential Medicines] | | * [https://www.who.int/medicines/publications/essentialmedicines/en/ WHO Model List of Essential Medicines] |
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| | {{Major Drug Groups/ja}} |
| {{Major Drug Groups}} | | {{Pharmacy/ja}} |
| {{Pharmacy}} | | {{二次利用/ja}} |
| {{二次利用}} | |
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| [[Category:Drugs| ]] | | [[Category:Drugs| ]] |
| [[Category:Chemicals in medicine]] | | [[Category:Chemicals in medicine]] |
| [[Category:Pharmaceutical industry]] | | [[Category:Pharmaceutical industry]] |
| [[Category:Products of chemical industry]] | | [[Category:Products of chemical industry]] |
| </div>
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