Skip to main content
Log in

Narrowing the Gaps in Global Disputes: the Case of Counterfeits in Kenya

  • Published:
Studies in Comparative International Development Aims and scope Submit manuscript

Abstract

This article investigates the nature and potential trajectories of global disputes. Conventional accounts of global disputes often see them as inherently open-ended so that actors can always roll back previous defeats; alternatively, path-dependent accounts emphasize the likelihood of those who prevail in early struggles to reproduce their advantaged position. Like path-dependent accounts, I argue that disputes are nested, so that the goals and possible outcomes of new disputes are bounded by the results of earlier disputes—but rather than enlarging the gap between the parties to the dispute by reproducing advantages, nested disputes, on the contrary, lead to the narrowing of positions and to lower stakes. I illustrate this argument by describing two constitutive moments in the debate over intellectual property rights in Kenya: first, the debate around the Industrial Property Act over the exceptions to intellectual property rights; second, the debate around the Anti-Counterfeit Act over whether anti-counterfeit measures should apply to medicines.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Notes

  1. Earlier versions of this paper were introduced in the “Access to Medicines in the Global South” workshop at Brown University; “The Future of Democracy After Neoliberalism: Social Movements in a Globalizing World” workshop at the University of Tokyo; and “Global Diffusion” workshop at Princeton University. I would like to thank all of the participants for their valuable comments, including Kenneth Shadlen, Peter Evans, Andreas Wimmer, and Takeshi Wada.

  2. Compulsory licensing allows the government, without the consent of the patent holder, to grant a license to a third-party manufacturer to commercialize a patented invention; government use allows the government, without the consent of the patent holder, to make direct use of the patent; parallel importation allows for the purchase of a patented drug from a legitimate third party (Musungu and Oh 2006).

  3. Products are falsely labeled if they provide wrong information on the label with regard to the content, date of manufacture, place of manufacture, or date of expiry; products are spurious drugs if contrary to the label they contain no active ingredient or a wrong active ingredient or an insufficient amount of active ingredient; substandard drugs are low-quality drugs caused by poor manufacturing practices, poor transportation techniques or poor storage facilities.

  4. http://www.who.int/medicines/services/counterfeit/impact/ImpactF_S/en/index1.html.

  5. Differentiating between counterfeits and substandard drugs is essential because the legal means required to prevent substandard drugs from reaching the market are very different from the means recommended against counterfeits.

  6. Interview by the author with Ahmed Mohamed (PPB), May 29, 2012.

  7. Interview by the author with Beijing-Holley Cotec in Kenya, May 25, 2012; interview by the author with Omaera, May 22, 2012

  8. Interview by the author with Christa Cepuch (HAI & MSF), Kenya, May 24, 2012.

  9. Interview by the author with Gichinga Ndirangu (HAI), Kenya, June 7, 2012.

  10. Interview by the author with Wilberforce O. Wanyanga, Kenya, May 29, 2012.

  11. Interview by the author with Peter Munyi (HAI), Kenya, June 21, 2012.

  12. Interview by the author with Gichinga Ndirangu (HAI), Kenya, June 7, 2012.

  13. Interview by the author with Wilberforce O. Wanyanga, Kenya, May 29, 2012.

  14. Ibid.

  15. Ibid.

  16. Interview by the author with Gichinga Ndirangu (HAI), Kenya, June 7, 2012; interview by the author with Wilberforce O. Wanyanga, Kenya, May 29, 2012.

  17. Interview by the author with Gichinga Ndirangu (HAI), Kenya, June 7, 2012.

  18. Interview by the author with Wilberforce O. Wanyanga, May 29, 2012, Siringi 2001a.

  19. Interview by the author with Gichinga Ndirangu (HAI), Kenya, June 7, 2012.

  20. Ibid.

  21. Interview by the author with Christa Cepuch (HAI & MSF), Kenya, May 24, 2012; interview by the author with David Njuguna (KIPI), Kenya, May 24, 2012.

  22. Interview by the author with Rakesh Vinayak (Surgipharm), Kenya, May 21, 2012; interview by the author with Anastasia Nyalita (Bayer), Kenya, May 23, 2012.

  23. Interview by the author with Kamamia Wa Murichu (KPDA), Kenya, June 5, 2012; interview by the author with Ravi Menon (Jubilant), Kenya, June 11, 2012.

  24. Interview by the author with Rakesh Vinayak (Surgipharm), Kenya, May 21, 2012.

  25. Interview by the author with Anastasia Nyalita (Bayer), Kenya, May 23, 2012.

  26. http://www.twnside.org.sg/title2/intellectual_property/info.service/2009/twn.ipr.info.090101.htm

  27. Interview by the author with Gichinga Ndirangu (HAI), Kenya, June 7, 2012.

  28. Ibid.

  29. Interview by the author with Wariara Mugo (MSF), Kenya, May 23, 2012.

  30. Message from Christa Cepuch and Peter Munyi (HAI) to [IP-Health] available at http://lists.essential.org/pipermail/ip-health/2009-January/013355.html

  31. Message from Christa Cepuch (HAI) to [IP-Health] available at http://lists.essential.org/pipermail/ip-health/2008-September/013036.html

  32. Ibid.

  33. Ibid.

  34. Ibid.

  35. Interview by the author with William M. K. Mwatu (GSK), Kenya, May 28, 2012; Interview by the author with Ahmed Mohamed (PPB), May 29, 2012.

  36. Interview by the author with William M. K. Mwatu (GSK), Kenya, May 28, 2012.

  37. Interview by the author with Ahmed Mohamed (PPB), May 29, 2012.

  38. Message from Christa Cepuch and Peter Munyi (HAI) to [IP-Health] available at http://lists.essential.org/pipermail/ip-health/2009-January/013355.html

  39. Interview by the author with Christa Cepuch (HAI & MSF), Kenya, May 24, 2012.

  40. Message from Christa Cepuch and Peter Munyi (HAI) to [IP-Health] available at http://lists.essential.org/pipermail/ip-health/2009-January/013355.html; MSF 2010.

  41. Interview by the author with Christa Cepuch (HAI & MSF), Kenya, May 24, 2012; interview by the author with Wilberforce O. Wanyanga, Kenya, May 29, 2012.

  42. Interview by the author with Christa Cepuch (HAI & MSF), Kenya, May 24, 2012.

  43. Interview by the author with Moses Mwangi (KAPI), Kenya, May 18, 2012; interview by the author with William M. K. Mwatu (GSK), Kenya, May 28, 2012.

  44. Interview by the author with Christa Cepuch (HAI & MSF), Kenya, May 24, 2012.

  45. Ibid.

  46. Ibid.

  47. Interview by the author with Moses Mwangi (KAPI), Kenya, May 18, 2012.

  48. Interview by the author with Peter Munyi (HAI), Kenya, June 21, 2012.

  49. Interview by the author with Peter Hime (Kaplan & Stratton law firm), Kenya, June 18, 2012.

  50. KELIN website (http://kelinkenya.org/2012/04/judgment-on-generic-medicines-kenya%E2%80%99s-first-victory-on-the-right-to-health/)

  51. Ibid.

  52. Interview by the author with Christa Cepuch (HAI & MSF), Kenya, May 24, 2012.

  53. Interview by the author with Peter Hime (Kaplan & Stratton law firm), Kenya, June 18, 2012.

  54. However, we should be mindful of the fact that while multinational pharmaceutical companies were heavily involved in lobbying for TRIPS (Sell 2003), health activists’ mobilization against TRIPS started in earnest only with the development of effective anti-AIDS medications, after TRIPS had already been signed.

  55. Of course, there are ways by which parties can capture but then distort otherwise laudable goals. One could argue therefore that the warnings against counterfeit drugs—just like the warnings against generic drugs earlier on—were nothing but a façade. Still, pretending to be concerned with safety does have the outcome, even if unintended, of improving quality standards of drugs.

  56. The petitioners “submitted that Article 51 of [TRIPS] limits the use of the term ‘counterfeiting’ to counterfeit trademark goods; that the TRIPS Agreement forms part of Kenyan law in line with the provisions of Article 2 of the Constitution of Kenya; that the term ‘counterfeit’ as used in the Act goes beyond its internationally accepted legal meaning.”

References

  • Abbott A. Sequences of social events: concepts and methods for the analysis of order in social processes. Hist Methods. 1983;16(4):129–47.

    Article  Google Scholar 

  • Abbott FM, Reichman JH. The Doha round’s public health legacy: strategies for the production and diffusion of patented medicines under the Amended Trips Provisions. J Int Econ Law. 2007;10(4):921–87.

    Article  Google Scholar 

  • Agence France-Presse. GlaxoSmithKline Urges Kenya to Block Fake Medicines. 2008, April 15. Available at http://www.google.com/hostednews/afp/article/ALeqM5gtoV0Ewth7WzM6Fzi8nUvyzyJB8Q.

  • Amin AA, Kowaro GO. Antimalaria Drug Quality in Africa. J Cli Pharm Ther. 2007;32:429–440.

  • Amin AA, Snow RW, Kokwaro GO. The quality of sulfadoxine-pyrimethamine and amodiaquine in the Kenyan retail sector. J Clin Pharm Ther. 2005;30:559–65.

    Article  Google Scholar 

  • Amon JJ. Dangerous medicines: unproven AIDS cures and counterfeit antiretroviral drugs. Glob Health. 2008;4:5.

    Article  Google Scholar 

  • Atemnkeng MA, De Cock K, Plaizier-Vercammen J. Quality control of active ingredients in artemisinin-derivative antimalarials within Kenya and DR Congo. Trop Med Int Health. 2007;12:68–74.

    Google Scholar 

  • Attaran A, Bate R. Deadly Fake Medicines. 2012. New York Times, November 20.

  • Bate R. Making a killing: the deadly implications of the counterfeit drug trade. Washington, D.C.: The AEI Press; 2008.

    Google Scholar 

  • Bate R, Coticelli P, Tren R, Attaran A. Antimalarial drug quality in the most severely malarious parts of Africa—a six country study. PLoS ONE. 2008;3, e2132.

    Article  Google Scholar 

  • Baumgartner FR, Jones BD. Agendas and instability in American politics. Chicago: University of Chicago Press; 1993.

    Google Scholar 

  • Cerny P. From ‘iron triangles’ to ‘golden pentangles’? Globalizing the policy process. Glob Gov. 2001;7(4):397–410.

    Google Scholar 

  • Chepkwony HK, Mwaura N, Guantai E, Gathoni E, Kamau FN, Mbae E, et al. Quality of antimalarial drugs analysed in the National Quality Control Laboratory during the period 2002–2005. East Cent Afr J Pharm Sci. 2007;10:59–62.

    Google Scholar 

  • Chorev N. Political and institutional maneuvers in international trade negotiations: the United States and the Doha development round. In: Blaas W, Becker J, editors. Strategic arena switching in international trade negotiations. Aldershot: Ashgate; 2006.

    Google Scholar 

  • Chorev N. Changing global norms through reactive diffusion: the case of intellectual property protection of AIDS drugs. Am Sociol Rev. 2012a;77(5):1–23.

    Google Scholar 

  • Chorev N. The World Health Organization between north and south. Ithaca: Cornell University Press; 2012b.

    Google Scholar 

  • Cockburn P, Newton PN, Agyarko EK, Akunyili D, White NJ. The global threat of counterfeit drugs: why industry and governments must communicate the dangers. PLoS Med. 2005;2, e100.

    Article  Google Scholar 

  • Correa C. Implications of bilateral free trade agreements on access to medicines. Bull World Health Organ. 2006;401.

  • Deere C. The implementation game: the TRIPS agreement and the global politics of intellectual property reform in developing countries. London: Oxford University Press; 2008.

    Book  Google Scholar 

  • Drahos P. Four lessons for developing countries from the trade negotiations over access to medicines. Liverpool Law Rev. 2007;28:11.

    Article  Google Scholar 

  • Drahos P. The global governance of knowledge: patent offices and their clients. Cambridge: Cambridge University Press; 2010.

    Book  Google Scholar 

  • Editorial. The Problem of Fake and Useless Drugs. 2012. New York Times, November 21.

  • Helfer LR. Regime shifting: the TRIPS agreement and new dynamics of international intellectual property lawmaking. Yale J Int Law. 2004;29(1):1–83.

    Google Scholar 

  • Kapstein EB, Busby JW. AIDS drugs for all: social movements and market transformations. Cambridge: Cambridge University Press; 2013.

    Book  Google Scholar 

  • Keck ME, Sikkink K. Activists beyond borders: advocacy networks in international politics. Ithaca: Cornell University Press; 1998.

    Google Scholar 

  • Kermani F. European generics industry throws its weight behind IMPACT. 2012. Scrip. April 8. Available at http://lists.essential.org/pipermail/ip-health/2010-May.txt.

  • Kibwage IO, Ngugi JK. Sulphadoxine⁄pyrimethamine tablet products on the Kenyan market: quality concerns. East Cent Afr J Pharm Sci. 2000;3:14–9.

    Google Scholar 

  • Kimani D. Illegally Imported, Fake Drugs Flood Kenya. 2004. The East African. 10 May.

  • Kimani D. Anti-Fakes Bill Threatens Access to Generics. 2008. The East African. 6 September.

  • Lewis-Lettington R, Munyi P. Willingness and Ability to Use TRIPs Flexibilities: Kenya Case Study. DFID; 2004.

  • Mahoney J. Path dependence in historical sociology. Theory Soc. 2000;29:507–48.

    Article  Google Scholar 

  • Mey BP. Unfettered consumer access to affordable therapies in the post-TRIPS era: a dead-end journey for patients? Kenya and India case studies. J World Intellect Prop. 2010;13(3):403–73.

    Article  Google Scholar 

  • Ministry of Health, WHO and Health Action International. Antimalarial medicines in Kenya: Availability, quality and registration status, December 2007.

  • Ministry of Medical Services and the Ministry of Public Health. Reforming the Pharmaceutical Sector to Ensure Equitable Access to Essential Medicines and Essential Health Technologies for all Kenyans. Sessional Paper on National Pharmaceutical Policy. Nairobi: Kenya; 2010.

  • MSF. Press Release. Critical moment for Kenyan industrial property bill. 2001a. May 10 Available at http://www.msf.org/article/critical-moment-kenyan-industrial-property-bill.

  • MSF. Press Release. Every Day Parliament Delays Passing IP Bill, 700 More Die of AIDS in Kenya. 2001b. June 5. Available at http://www.msfaccess.org/our-work/hiv-aids/article/489.

  • MSF. Fatal Confusion: How Kenya’s 2008 Anti-Counterfeit Bill Endangers Access to Medicines. A Médecins Sans Frontières Briefing Document; 2008.

  • MSF. Fatal Flaws: How Kenya’s 2008 Anti-Counterfeit Act Could Endanger Access to Medicines. A Médecins Sans Frontières briefing document; 2010.

  • Musungu S, Oh C. The use of flexibilities in TRIPS by developing countries: can they promote access to medicines? Geneva: South Centre and the World Health Organization; 2006.

    Google Scholar 

  • Nayyar GML, Breman JG, Newton PN, Herrington J. Poor-quality antimalarial drugs in Southeast Asia and sub-Saharan Africa. Lancet. 2012;12:488–96.

    Article  Google Scholar 

  • Neondo H. Kenyan High Court set to make landmark decision on access to generic medicines. African Science New; 2012.

  • Newton PN, et al. Poor Quality Vital Anti-Malarials in Africa - An Urgent Neglected Public Health Priority. Malaria Journal. 2011;10:352.

  • O’Brien R, Goetz AM, Scholte JA, Williams M, editors. Contesting global governance: multilateral economic institutions and global social movements. Cambridge: Cambridge University Press; 2000.

    Google Scholar 

  • Orwa JA, Keter K, Ouko PA, Kibwage O, Rukunga M. Influence of manufacturing practices on quality of pharmaceutical products manufactured in Kenya. East Afr Med J. 2004;81(6):287–92.

    Article  Google Scholar 

  • Outterson K, Smith R. Counterfeit drugs: the good, the bad and the ugly. Albany Law J Sci Technol. 2006;16:525–43.

    Google Scholar 

  • Pharma Focus Asia. Counterfeit Drugs: The Issue of Key Concern and its impact on Indian Pharma Industry; 2009.

  • Pierson P. Increasing returns, path dependence, and the study of politics. Am Polit Sci Rev. 2000;94:251–68.

    Article  Google Scholar 

  • Rosenau JN. Governing the ungovernable: the challenge of a global disaggregation of authority. Regul Gov. 2007;1:88–97.

    Article  Google Scholar 

  • Rosenau JN, Czempiel E-O, editors. Governance without government: order and change in world politics. Cambridge: Cambridge University Press; 1992.

    Google Scholar 

  • Schneiberg M, Bartley T. Organizations, regulation, and economic behavior: regulatory dynamics and forms from the nineteenth to twenty-first century. Annu Rev Law Soc Sci. 2008;4:31–61.

    Article  Google Scholar 

  • Sell S. Private power, public law: the globalization of intellectual property rights. Cambridge: Cambridge University Press; 2003.

    Book  Google Scholar 

  • Sell S. TRIPS was never enough: vertical forum shifting, FTAs, ACTA, and TPP. J Intellect Prop Law. 2011;18:447–78.

    Google Scholar 

  • Sell S. The Global IP Upward Ratchet, Anti-Counterfeiting and Piracy Enforcement Efforts: The State of Play. 2010. PIJIP Research Paper no. 15. Washington, DC: American University Washington College of Law

  • Sell SK, Prakash A. Using ideas strategically: the contest between business and NGO networks in intellectual property rights. Int Stud Q. 2004;48:143–75.

    Article  Google Scholar 

  • Sewell Jr WH. Three temporalities: towards an eventful sociology. In: McDonald TJ, editor. The historic turn in the human sciences. Ann Arbor: University of Michigan Press; 1996.

    Google Scholar 

  • Shadlen KC. Patents and pills, power and procedure: the north–south politics of public health in the WTO. Stud Comp Int Dev. 2004;39(3):76–108.

    Article  Google Scholar 

  • Shadlen KC. The politics of patents and drugs in Brazil and Mexico: the industrial bases of health policies. Comp Polit. 2009;42(1):41–58.

    Article  Google Scholar 

  • Shakoor O, Taylor RB, Behrens RH. Assessment of the incidence of substandard drugs in developing countries. Trop Med Int Health. 1997;2(9):839–45.

    Article  Google Scholar 

  • Sihanya B. Patents, Parallel Importation and Compulsory Licensing of HIV/AIDS Drugs: The Experience of Kenya. Managing The Challenges Of WTO Participation: Case Study 19. 2005. Available at http://www.wto.org/english/res_e/booksp_e/casestudies_e/case19_e.htm.

  • Siringi S. Generic drugs battle moves from South Africa to Kenya. Lancet. 2001a;357:1600.

    Article  Google Scholar 

  • Siringi S. Kenya allows parallel importation of drugs. Lancet. 2001b;357:2034.

    Google Scholar 

  • Tai E. Counterfeit Medicines in Kenya. 2011. Pfizer. http://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&ved=0CCsQFjAA&url=http%3A%2F%2Fwww.pfizer.com%2Ffiles%2Fresponsibility%2Fglobal_health%2Felaine_tai.pdf&ei=as-8UqXQH4nokAf2roGQDQ&usg=AFQjCNGOnUM8O0TDlgdgB6LtQy04pbWsGQ&bvm=bv.58187178,d.eW0.

  • Thambisetty S. Timing, continuity, and change in the patent system. In: Haunss S, Shadlen KC, editors. The politics of intellectual property. Northhampton: Edward Elgar; 2009.

    Google Scholar 

  • Third World Network. TWN Info Service on Intellectual Property Issues. 2009. 16 January. http://www.twnside.org.sg/title2/intellectual_property/info.service/2009/twn.ipr.info.090101.htm.

  • Thoithi GN, Abuga KO, Nguyo JM, Mukindia G, Kingondu O, Ngugi JK, et al. Drug quality control work in drug analysis and research unit: observation during 1996–2000. East Cent Afr J Pharm Sci. 2002;5(1):28–32.

    Google Scholar 

  • Thoithi G, Abuga K, Nguyo J, et al. Drug quality control in Kenya: observation in the drug analysis and research unit during the period 2001–2005. East Cent Afr J Pharm Sci. 2008;11:74–81.

    Google Scholar 

  • Unnikrishnan CH. Indian Drug Makers Worried by East Africa’s Legal Proposals. 2010. LiveMint, Feb 16.

  • Wadham N. Kenya Pressured To Implement Anti-Counterfeit Law Despite Access Fears. 2009. Intellectual Property Watch. Available at http://www.ip-watch.org/weblog/2009/07/02/kenya-pressured-to-implement-anti=−counterfeit-law-despite-access-fears/.

  • World Health Organization. Counterfeit drugs—Report of a WHO/IFPMA Workshop, 1992. WHO/DMP/CFD/92. Geneva: World Health Organization; 1992.

  • World Health Organization. The dangers of counterfeit and substandard active pharmaceutical ingredients. WHO Drug Inf. 1997;11(3):123–7.

    Google Scholar 

  • World Health Organization. Report of the International Workshop on Counterfeit Drugs. WHO/DRS/CFD/98.1. Geneva: World Health Organization; 1998.

  • World Health Organization. The quality of antimalarials. A study in selected African countries. Geneva: World Health Organization; 2003.

    Google Scholar 

  • World Health Organization. Survey of the quality of antiretroviral medicines circulating in selected African countries. Geneva: World Health Organization; 2007.

    Google Scholar 

  • World Health Organization. Experience with Supporting Pharmaceutical Policies and Systems in Kenya: Progress, Lessons and the Role of WHO. WHO/EMP/MPC/2010.2.; 2010a.

  • World Health Organization. Preliminary Unedited Draft. Preliminary Draft Survey on National Legislation on Counterfeit Medicines. Working document WHO/ACM/1.; 2010b.

  • World Health Organization. Survey of the Quality of Selected Antimalarial Medicines Circulating in Six Countries of Sub-Saharan Africa; 2011.

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Nitsan Chorev.

Appendix

Appendix

ᅟ Studies on counterfeit and substandard drugs in Kenya

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Chorev, N. Narrowing the Gaps in Global Disputes: the Case of Counterfeits in Kenya. St Comp Int Dev 50, 157–186 (2015). https://doi.org/10.1007/s12116-015-9183-5

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12116-015-9183-5

Keywords

Navigation