{"id":4233,"date":"2021-06-01T16:24:08","date_gmt":"2021-06-01T14:24:08","guid":{"rendered":"https:\/\/santediabete.org\/?p=4233"},"modified":"2021-06-01T17:27:44","modified_gmt":"2021-06-01T15:27:44","slug":"centenaire-de-linsuline-plaidoyer-pour-une-resolution-visant-un-acces-universel-a-linsuline","status":"publish","type":"post","link":"https:\/\/santediabete.org\/en_en\/2021\/06\/01\/centenaire-de-linsuline-plaidoyer-pour-une-resolution-visant-un-acces-universel-a-linsuline\/","title":{"rendered":"100th Anniversary of Insulin: Advocating for a Resolution to Achieve Universal Access to Insulin"},"content":{"rendered":"

L\u2019anne\u0301e 2021 marque le centenaire de la de\u0301couverte de l\u2019insuline en 1921 a\u0300 l\u2019Universite\u0301 de Toronto au Canada. L\u2019insuline est un traitement vital pour des millions de personnes atteintes de diabe\u0300te a\u0300 travers le monde. Ce nombre est en forte progression et les besoins en insuline humaine vont continuer a\u0300 augmenter dans les prochaines anne\u0301es. La Fe\u0301de\u0301ration internationale du diabe\u0300te estime que d\u2019ici 2045, le nombre de personnes atteintes de cette maladie chronique aura augmente\u0301 de 51%. L\u2019acce\u0300s a\u0300 des traitements abordables est absolument crucial pour la survie des patients mais aussi un pre\u0301-requis pour permettre notamment aux pays en de\u0301veloppement de de\u0301finir et de\u0301ployer des strate\u0301gies nationales.<\/p>\n

Mais a\u0300 ce jour, l\u2019acce\u0300s a\u0300 ces traitements est loin d\u2019e\u0302tre une re\u0301alite\u0301 pour tous. Les capacite\u0301s de production mondiale restent concentre\u0301es entre les mains de trois producteurs, Sanofi, Novo Nordisk et Eli Lilly, ce qui empe\u0302che toute com- pe\u0301tition et entrai\u0302ne des re\u0301percussions sur l\u2019approvisionne- ment et les prix de l\u2019insuline dans les pays en de\u0301veloppement, mais aussi dans certains pays riches comme les Etats-Unis.<\/p>\n

Au Mali, le prix d\u2019un flacon d\u2019insuline avoisine les 7 euros alors que le salaire minimum de\u0301passe a\u0300 peine les 50 euros. Une e\u0301tude mene\u0301e dans le pays a montre\u0301 qu\u2019une anne\u0301e d\u2019ap- provisionnement en insuline absorbait plus 17% des revenus d\u2019une famille.<\/p>\n

Ces prix e\u0301leve\u0301s repre\u0301sentent un obstacle majeur a\u0300 l\u2019acce\u0300s a\u0300 l\u2019insuline. Ceci est d\u2019autant plus inacceptable que les prix de production sont estime\u0301s a\u0300 moins de 72 dollars par an et par personne, et d\u2019autant plus paradoxal que les inventeurs de l\u2019insuline en avaient ce\u0301de\u0301 les brevets pour un dollar symbolique, en 1923.<\/p>\n

L\u2019obstacle du prix s\u2019ajoute a\u0300 d\u2019autres contraintes pour la prise en charge des patients sur le terrain, comme l\u2019acce\u0300s a\u0300 des professionnels de sante\u0301 forme\u0301s, aux meilleurs outils de suivi (lecteurs et bandelettes de glyce\u0301mie), aux outils d\u2019ad- ministration (seringue, stylos…) etc.<\/p>\n

Une mobilisation internationale<\/h2>\n

Sante\u0301 Diabe\u0300te a mene\u0301 une campagne internationale aux co\u0302te\u0301s d\u2019autres organisations de la socie\u0301te\u0301 civile a\u0300 l\u2019occasion du centenaire de l\u2019insuline, en particulier pour qu\u2019une re\u0301solution sur l\u2019insuline soit porte\u0301e par les E\u0301tats membres de l\u2019Organisation mondiale de la sante\u0301 (OMS) lors de la 74e\u0300me Assemble\u0301e mondiale de la sante\u0301 qui se tient a\u0300 Gene\u0300ve du 21 mai au 1er juin 2021.<\/strong>
\n\"\"\"\"
\nL\u2019objectif d\u2019une telle re\u0301solution est que la communaute\u0301 inter- nationale reconnaisse les obstacles a\u0300 l\u2019acce\u0300s a\u0300 l\u2019insuline, 100 ans apre\u0300s sa de\u0301couverte, et intensifie les efforts pour ame\u0301- liorer l\u2019acce\u0300s. Les solutions passent notamment par une plus grande transparence sur les prix pratique\u0301s d\u2019un pays a\u0300 l\u2019autre par les trois multinationales se partageant le mar- che\u0301 mondial (Eli Lilly, Novo Nordisk et Sanofi), une plus large production de bio-similaires, notamment de bio-similaires pre\u0301-qualifie\u0301s par l\u2019Organisation Mondiale de la sante\u0301 (OMS) ou ayant e\u0301te\u0301 homologue\u0301es par les agences du me\u0301dicament des pays.\"\"<\/p>\n

Aux co\u0302te\u0301s notamment de MSF Access campaign, de Health Action International (HAI), de T1 International et de l\u2019Obser- vatoire de la transparence dans les politiques du me\u0301dicament (OTMeds), Sante\u0301 Diabe\u0300te s\u2019est mobilise\u0301e de\u0300s le mois de septembre 2020 pour demander aux e\u0301tats membres de l\u2019Or- ganisation Mondiale de la Sante\u0301 de de\u0301poser une proposition de re\u0301solution sur l\u2019acce\u0300s a\u0300 l\u2019insuline lors du comite\u0301 exe\u0301cutif qui s\u2019est tenu du 18 au 26 janvier 2021. Sant\u00e9 Diab\u00e8te a re\u0301alise\u0301 un plaidoyer important aupre\u0300s du gouvernement franc\u0327ais pour que celui porte cette proposition de re\u0301solution.<\/p>\n

Malheureusement, face a\u0300 la pression de nombreux pays europe\u0301ens, des e\u0301tats unis… aucune proposition n\u2019a e\u0301te\u0301 de\u0301pose\u0301e lors de ce comite\u0301 exe\u0301cutif. Cependant la Russie a de\u0301pose\u0301 un \u00ab point de de\u0301cision<\/a> \u00bb a e\u0301te\u0301 de\u0301pose\u0301 par la Fe\u0301de\u0301ration de Russie et adopte\u0301. Ce point a e\u0301te\u0301 soutenu par diffe\u0301rents pays dont la France.<\/p>\n

Ce point de de\u0301cision ouvre la voie au de\u0301po\u0302t par la Fe\u0301de\u0301ration de Russie d\u2019une re\u0301solution sur le diabe\u0300te et sur les MNTs incluant la question de l\u2019acce\u0300s a\u0300 l\u2019insuline.<\/p>\n

Pour soutenir cette de\u0301marche, en fe\u0301vrier 2021, Sante\u0301 Diabe\u0300te a e\u0301te\u0301 a\u0300 l\u2019initiative d\u2019un commentaire publie\u0301 dans The Lancet<\/a> : estimant que ne pas re\u0301pondre aux proble\u0300mes d\u2019acce\u0300s a\u0300 l\u2019insuline a\u0300 l\u2019occasion du centenaire de la de\u0301couverte de celle-ci serait une faute e\u0301thique et morale de la communaute\u0301 internationale.<\/p>\n

En paralle\u0300le, l\u2019OMS a lance\u0301 le \u00ab Global Diabetes Compact<\/a> \u00bb le 14 avril 2021. Sante\u0301 Diabe\u0300te, MSF et OTMeds ont profite\u0301 du lancement de cette nouvelle strate\u0301gie diabe\u0300te de l\u2019OMS pour appeler la communaute\u0301 internationale a\u0300 faire plus pour re\u0301pondre a\u0300 l\u2019urgence internationale sur le diabe\u0300te et l\u2019acce\u0300s a\u0300 l\u2019insuline<\/a>.<\/p>\n

La Fe\u0301de\u0301ration de Russie a finalement de\u0301pose\u0301 un projet de re\u0301solution, dont les ne\u0301gociations se sont tenues entre fin avril et le milieu du mois de mai. Sante\u0301 Diabe\u0300te, MSF Access campaign, Health Action International (HAI), T1 International, NCD Alliance et la Fe\u0301de\u0301ration Internationale se sont battus pour obtenir une re\u0301solution ambitieuse, notamment ceux de l\u2019Union europe\u0301enne et les Etats-Unis, qui faisaient pression pour un texte diluant les re\u0301fe\u0301rences a\u0300 l\u2019acce\u0300s a\u0300 l\u2019insuline, a\u0300 la transparence sur les prix et les objectifs a\u0300 atteindre.<\/p>\n

 <\/p>\n

En parall\u00e8le, une mobilisation nationale en France<\/h2>\n

Suite au communique\u0301 de Sante\u0301 Diabe\u0300te avec Me\u0301decins sans frontie\u0300re-France et OTMeds, le 14 avril 2021, un groupe de de\u0301pute\u0301s s\u2019est mobilise\u0301 et a de\u0301pose\u0301 un projet de re\u0301solution a\u0300 l\u2019Assemble\u0301e nationale<\/a> pour un acce\u0300s universel a\u0300 l\u2019insuline.<\/strong><\/p>\n

\"\"\"\"<\/p>\n

Cette re\u0301solution, qui a re\u0301colte\u0301 le soutien de 57 de\u0301pute\u0301s de tous groupes politiques confondus, rappelle notamment que: \u00abL\u2019Organisation mondiale de la sante\u0301 a lance\u0301 un programme pilote destine\u0301 a\u0300 pre\u0301qualifier l\u2019insuline humaine afin de stimuler l\u2019acce\u0300s a\u0300 ce me\u0301dicament. \u00bb et appelle le gouvernement franc\u0327ais a\u0300 l\u2019action : \u00ab Il apparai\u0302t de\u0300s lors utile d\u2019inviter le Gouvernement a\u0300 conforter les initiatives de l\u2019Organisation Mondiale de la Sante\u0301 en la matie\u0300re.\u00bb et invite notamment: \u00ab le Gouvernement a\u0300 conforter les initiatives de l\u2019Organisation mondiale de la sante\u0301 en proposant un dispositif ade\u0301quat en vue d\u2019assurer la transparence sur les prix de vente, les marges des interme\u0301diaires, et les cou\u0302ts re\u0301els de production, pour re\u0301e\u0301quilibrer le marche\u0301 de l\u2019insuline et permettre l\u2019acce\u0300s universel a\u0300 ces traitements; Propose au Gouvernement d\u2019appuyer l\u2019augmentation du nombre de laboratoires produisant une insu- line de qualite\u0301 en soutenant plus fortement les initiatives de production locale a\u0300 travers le programme de pre\u0301qualification de l\u2019Organisation mondiale de la sante\u0301 sur l\u2019insuline humaine\u00bb. Cette de\u0301marche des parlementaires franc\u0327ais a e\u0301te\u0301 renforce\u0301e par des se\u0301nateurs qui ont envoye\u0301 des questions au gouvernement sur le sujet.<\/p>\n

Pour renforcer la mobilisation du gouvernement franc\u0327ais durant la phase de ne\u0301gociation, le 14 mai, le quotidien le Figaro a publie\u0301 une tribune co-signe\u0301e par une part importante de ces de\u0301pute\u0301s avec la cosignature de Sante\u0301 Diabe\u0300te, Diabe\u0300te et me\u0301chant, l\u2019Aide aux Jeunes Diabe\u0301tiques, la Fe\u0301de\u0301ration Franc\u0327aise de Diabe\u0301tiques et OTMeds. [https:\/\/www.lefigaro.fr\/sciences\/acces-a-l-insuline-a-l-oms-la-france-doit-soutenir-une-resolution-ambitieuse-20210514<\/a>]<\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

L\u2019anne\u0301e 2021 marque le centenaire de la de\u0301couverte de l\u2019insuline en 1921 a\u0300 l\u2019Universite\u0301 de Toronto au Canada. L\u2019insuline est un traitement vital pour des millions de personnes atteintes de diabe\u0300te a\u0300 travers le monde. Ce nombre est en forte progression et les besoins en insuline humaine vont continuer a\u0300 augmenter dans les prochaines anne\u0301es.…<\/p>","protected":false},"author":10,"featured_media":4240,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-4233","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-non-classe"],"yoast_head":"\nCentenaire de l\u2019insuline : plaidoyer pour une r\u00e9solution visant un acc\u00e8s universel \u00e0 l\u2019insuline – Sant\u00e9 Diab\u00e8te<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/santediabete.org\/en_en\/2021\/06\/01\/centenaire-de-linsuline-plaidoyer-pour-une-resolution-visant-un-acces-universel-a-linsuline\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Centenaire de l\u2019insuline : plaidoyer pour une r\u00e9solution visant un acc\u00e8s universel \u00e0 l\u2019insuline – Sant\u00e9 Diab\u00e8te\" \/>\n<meta property=\"og:description\" content=\"L\u2019anne\u0301e 2021 marque le centenaire de la de\u0301couverte de l\u2019insuline en 1921 a\u0300 l\u2019Universite\u0301 de Toronto au Canada. L\u2019insuline est un traitement vital pour des millions de personnes atteintes de diabe\u0300te a\u0300 travers le monde. 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