Inability to agree a real pandemic intellectual property Waiver at WTO is a devastating global failure for people the world over

MSF is disappointed in the inadequate outcome after nearly two years of discussions at the WTO

Geneva, 17 June 2022  

Background: Today, more than 20 months since India and South Africa first proposed a landmark intellectual property (IP) Waiver for COVID-19 medical tools at the World Trade Organization (WTO), governments have reached a decision at the 12th WTO Ministerial Conference in Geneva this week (12-15 June). The decision text contains a set of clarifications of the existing public health safeguards and a limited exception for the procedure of using compulsory licensing for export of COVID vaccines by eligible countries, for a duration of five years. 

Dr. Christos Christou, International President of MSF: 

“We are disappointed with the inadequate outcome on waiving intellectual property for COVID-19 medical tools that resulted from more than 20 months of deliberations.  

We acknowledge that a few changes were made to the agreement that mitigated some of the most worrisome elements of the earlier text presented in May 2022, but overall, we are disappointed that a true intellectual property waiver, proposed in October 2020 covering all COVID-19 medical tools and including all countries, could not be agreed, even during a pandemic that has claimed more than 15 million people’s lives.  

This agreement fails overall to offer an effective and meaningful solution to help increase people’s access to needed medical tools during the pandemic, as it does not adequately waive intellectual property on all essential COVID-19 medical tools, and it does not apply to all countries. The measures outlined in the decision will not address pharmaceutical monopolies or ensure affordable access to lifesaving medical tools and will set a negative precedent for future global health crises and pandemics.  

Throughout the pandemic, MSF has repeatedly pointed out the challenges and struggles faced by frontline healthcare workers in providing care for people facing COVID-19. Despite lofty political commitments and words of solidarity, it has been discouraging for us to see that wealthy countries failed to resolve the glaring inequities in access to lifesaving COVID-19 medical tools for people in low- and middle-income countries. 

Without agreement on a true global solution to ongoing access challenges, MSF now urges governments to take immediate steps at the national level to make sure people have access to needed COVID-19 medical tools. Governments should consider using all available legal and policy options, including suspending intellectual property on COVID-19 medical tools, issuing compulsory licenses on key medical technologies to overcome patent barriers, and adopting new laws and policies to ensure the disclosure of essential technical information needed to support generic production and supply.  

MSF also calls on governments to take concrete steps to rethink and reform the biomedical innovation system to ensure that lifesaving medical tools are developed, produced and supplied equitably where monopoly-based and market-driven principles are not a barrier to access. It is time to prioritise saving lives instead of protecting corporate and political interests”. 

Share

Latest stories

Website preview
Why is this Ebola outbreak so different?
On May 15, 2026, the Democratic Republic of Congo's Ministry of Health officially declared an Ebola disease outbreak in the northeast of the country, where Doctors Without Borders (MSF) teams are operating. Since then, authorities have reported nearly 500 suspected cases and more than 130 deaths across multiple health zones. On the same day, Uganda announced the virus had crossed its borders. The outbreak is caused by the Bundibugyo virus - rarer and one for which no vaccine or treatment has been approved yet. Here is what we know about the unfolding crisis in the DRC and Uganda.
msf-sa-press.prezly.com
Website preview
South Sudan: New MSF report exposes escalating attacks on civilians
Indiscriminate attacks on civilians and civilian structures – including bombing hospitals – forced recruitment, sexual violence, access constraints and shrinking humanitarian space are realities for people in South Sudan, as described by Doctors Without Borders (MSF) in their report on escalating violence in the country, “They Killed Them While We Were Running”. The report details that a total of 12 attacks on MSF staff and facilities left an estimated 762,000 people without access to healthcare between January 2025 and April 2026.
msf-sa-press.prezly.com
Website preview
DRC: MSF preparing large-scale response to Ebola outbreak in Ituri province
Following the official declaration of an Ebola Virus Disease outbreak by the Ministry of Health in the Democratic Republic of Congo on 15 May, Doctors Without Borders (MSF) is preparing to rapidly scale up its medical response in Ituri province, in the country’s northeast.
msf-sa-press.prezly.com

About Doctors Without Borders (MSF) Southern Africa

Contact

70 Fox Street, 7th Floor Marshalltown, Johannesburg South Africa

011 403 4440

DL-JNB-Joburg-Press@joburg.msf.org

www.msf.org.za