PAHO and Gilead Sign Lenacapavir Access Deal for 14 Latin American Countries

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The Pan American Health Organization and Gilead Sciences have reached a new agreement that could expand access to lenacapavir for HIV prevention in 14 countries across Latin America, a deal the AIDS Healthcare Foundation is calling a victory for civil society. AHF, the world's largest HIV care provider, said it was among the first organizations to mobilize after the initial Gilead-WHO agreement excluded Latin American countries, and it joined other civil society groups in calling for that agreement to be expanded. The AHF Global Public Health Institute, in partnership with the National Institute of Public Health of Mexico, conducted a study on lenacapavir's potential impact in the region, finding that greater public health impact will depend on both a significantly reduced price and acceptability among potential users. Dr. Jorge Saavedra, Executive Director of the AHF Global Public Health Institute and former Director General of Mexico's National AIDS Program, said the separate arrangement must aim not simply for a fair price but for a genuinely affordable one, warning that prevention should be less expensive than treatment. Dr. Patricia Campos, AHF Bureau Chief for Latin America and the Caribbean, noted that Argentina, Brazil, Mexico, and Peru helped generate the clinical evidence for lenacapavir through Gilead's pivotal PURPOSE 2 trial yet were excluded from the company's original voluntary licensing arrangement. AHF urged Gilead and PAHO to make pricing, timelines, regulatory requirements, and other key terms transparent, saying access cannot exist only on paper.

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PAHO and Gilead reached an access agreement expanding lenacapavir for HIV prevention to 14 Latin American countries.

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