Cancer Coalition Aims to Boost Access to Medicines in Poorer Countries

The logo of Swiss drugmaker Novartis is pictured at the French company's headquarters in Rueil-Malmaison near Paris, France, April 22, 2020. (Reuters)
The logo of Swiss drugmaker Novartis is pictured at the French company's headquarters in Rueil-Malmaison near Paris, France, April 22, 2020. (Reuters)
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Cancer Coalition Aims to Boost Access to Medicines in Poorer Countries

The logo of Swiss drugmaker Novartis is pictured at the French company's headquarters in Rueil-Malmaison near Paris, France, April 22, 2020. (Reuters)
The logo of Swiss drugmaker Novartis is pictured at the French company's headquarters in Rueil-Malmaison near Paris, France, April 22, 2020. (Reuters)

Pharmaceutical companies including Novartis and Roche have teamed up with global cancer organizations in an alliance aimed at getting more oncology medications to poorer countries.

Currently, fewer than 50% of the cancer drugs on the World Health Organization's (WHO) essential medicines list are available in low and middle income countries, and the disease burden is growing. Without action, almost three in four cancer deaths are set to occur in these settings in the next decade.

In the first concrete step for the Access to Oncology Medicines (ATOM) Coalition, Novartis has licensed its blood cancer drug nilotinib to the United Nations' Medicines Patent Pool (MPP), allowing generic manufacturers to access the know-how to produce the drug at scale and at a lower cost.

Previously, the technology behind HIV drugs and COVID-19 has been shared in this way, but nilotinib is the first drug for a non-communicable disease in the pool, ATOM said.

It only has a year left on its patent, but Novartis' head of global health Lutz Hegemann said generic manufacturers had signaled it was still worthwhile.

"I think in a year there's a lot that you can try to test and this is not the only medicine that we would consider offering up," he said in an interview.

The aim of the coalition is not just to provide the drugs but also support training, diagnostics and delivery to get them to patients, the Union for International Cancer Control - a key partner - said.

The coalition begins with $32 million from the private sector and will focus initially on capacity building activities in ten lower and middle income countries, developing existing initiatives.

The Access to Medicine Foundation, which has long called out the inequality in access to drugs and care, will collaborate with the group.

"You've got some of the top minds ... the people with deep pockets, the shelves stocked with drugs .... We will be tracking progress on how this consortium delivers," said Jayasree Iyer, director of the foundation.



Greece's 'Instagram Island' Santorini nears Saturation Point

Tourists queue as they wait to take a picture from one of the balconies. Aris Oikonomou / AFP
Tourists queue as they wait to take a picture from one of the balconies. Aris Oikonomou / AFP
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Greece's 'Instagram Island' Santorini nears Saturation Point

Tourists queue as they wait to take a picture from one of the balconies. Aris Oikonomou / AFP
Tourists queue as they wait to take a picture from one of the balconies. Aris Oikonomou / AFP

One of the most enduring images of Greece's summer travel brand is the world-famous sunset on Santorini Island, framed by sea-blue church domes on a jagged cliff high above a volcanic caldera.
This scene has inspired millions of fridge magnets, posters, and souvenirs -- and now the queue to reach the viewing spot in the clifftop village of Oia can take more than 20 minutes, said AFP.
Santorini is a key stopover of the Greek cruise experience. But with parts of the island nearing saturation, officials are considering restrictions.
Of the record 32.7 million people who visited Greece last year, around 3.4 million, or one in 10, went to the island of just 15,500 residents.
"We need to set limits if we don't want to sink under overtourism," Santorini mayor Nikos Zorzos told AFP.
"There must not be a single extra bed... whether in the large hotels or Airbnb rentals."
As the sun set behind the horizon in Oia, thousands raised their phones to the sky to capture the moment, followed by scattered applause.
For canny entrepreneurs, the Cycladic island's famous sunset can be a cash cow.
One company advertised more than 50 "flying dresses", which have long flowing trains, for up to 370 euros ($401), on posters around Oia for anyone who wishes to "feel like a Greek goddess" or spruce up selfies.
'Respect Oia'
But elsewhere in Oia's narrow streets, residents have put up signs urging visitors to respect their home.
"RESPECT... It's your holiday... but it's our home," read a purple sign from the Save Oia group.
Shaped by a volcanic eruption 3,600 years ago, Santorini's landscape is "unique", the mayor said, and "should not be harmed by new infrastructure".
Around a fifth of the island is currently occupied by buildings.
At the edge of the cliff, a myriad of swimming pools and jacuzzis highlight Santorini is also a pricey destination.
In 2023, 800 cruise ships brought some 1.3 million passengers, according to the Hellenic Ports Association.
Cruise ships "do a lot of harm to the island", said Chantal Metakides, a Belgian resident of Santorini for 26 years.
"When there are eight or nine ships pumping out smoke, you can see the layer of pollution in the caldera," she said.
Cruise ship limits
In June, Prime Minister Kyriakos Mitsotakis floated the possibility of capping cruise ship arrivals to Greece's most popular islands.
"I think we'll do it next year," he told Bloomberg, noting that Santorini and tourist magnet Mykonos "are clearly suffering".
"There are people spending a lot of money to be on Santorini and they don’t want the island to be swamped," said the pro-business conservative leader, who was re-elected to a second four-year term last year.
In an AFP interview, Tourism Minister Olga Kefalogianni echoed this sentiment and said: "We must set quotas because it's impossible for an island such as Santorini... to have five cruise ships arriving at the same time."
Local officials have set a limit of 8,000 cruise boat passengers per day from next year.
But not all local operators agree.
Antonis Pagonis, head of Santorini's hoteliers association, believes better visitor flow management is part of the solution.
"It is not possible to have (on) a Monday, for example, 20 to 25,000 guests from the cruise ships, and the next day zero," he said.
Pagonis also argued that most of the congestion only affects parts of the island like the capital, Fira.
In the south of the island, the volcanic sand beaches are less crowded, even though it is high season in July.
'I'm in Türkiye
The modern tourism industry has also changed visitor behavior.
"I listened (to) people making a FaceTime call with the family, saying 'I'm in Türkiye," smiled tourist guide Kostas Sakavaras.
"They think that the church over there is a mosque because yesterday they were in Türkiye."
The veteran guide said the average tourist coming to the island has changed.
"Instagram has defined the way people choose the places to visit," he said, explaining everybody wants the perfect Instagram photo to confirm their expectations.