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CIPLA'S letter to NACO

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Letter from Cipla to National AIDS Control Organisation offering Nevirapine

donations

November 7, 2000

The Project Director

National AIDS Control Organisation

Ministry of Health & Family Welfare

Room No. A-344, Nirman Bhavan

New Delhi-110 011

Dear Sir,

Nevirapine, the first no nucleoside reverse transcriptase inhibitor, was

introduced in India by Cipla in March this year. In addition to its proven

efficacy in the combination treatment of HIV infection, studies have shown

that a single dose of Nevirapine 200 mg administered to an HIV infected

mother at the onset of labour and another dose given to the newborn (2mg/kg

body weight) within the first 72 hours of birth can reduce HIV transmission

from the mother to the child by as much as 50%.

This has been suggested to be a cost effective strategy in many developing

countries, for the prevention of mother to child transmission of HIV.

In this context, Cipla is pleased to offer Nevimune (Nevirapine tablets and

suspension) for prevention of mother-to-child-transmission of HIV infection

to the Government of India at no cost for distribution within India to areas

where HIV infection is prevalent among pregnant women.

This supply of Nevimune will continue for 2 years from the time the

distribution is taken up by the Government of India/National AIDS Control

Organisation/UNICEF etc.

We therefore welcome a proposal and implementation programme from your side

at the earliest.

Thanking you,

Yours sincerely,

For Cipla Limited

M.K. Hamied

Director

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Dear eFORUM members,

I am Indian doctor working for just over a year as the HIV/AIDS Project

Advisor for Save the Children US based in Kathmandu, Nepal. We are beginning

to see HIV +ve mothers and positive children in Nepal especially in urban

centres of health care. These centers have begun developing protocols for

PMTCT and would greatly benefit from free supplies. I was wondering if CIPLA

might consider the possibility of free supply of Niverapine to these NGO or

government run centres in Nepal. I would be happy to facilitate the

necessary linkages.

I make this request as Nepal and India are traditionally friendly countries

with a long open border whose HIV epidemics are inextricably linked. It is

therefore in both India's and Nepal's interest to work on this issue of HIV

prevention and impact mitigation together.

My contact details are Dr. ph Chandy, HIV/AIDS Project Advisor, C/o Save

the Children US, P. B. No. 2218, Kathmandu, Nepal. Ph: 00-977-1-412598, Fax:

00-977-1-410375 and Email: jchandy@... .

In anticipation of a positive response ASAP,

Sincerely,

Dr. ph Chandy

E-mail:jchandy@...

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Dear Forum members,

CIPLA'S letter to NACO is is a very encouraging move by the pharmaceutical

company. We should now think of promoting screening of antenatal mothers for

HIV. It can be initiated on a pilot basis. The message of availability of drug

for

perinatal prevention should be widelly circulated among the general public.

Taking the size and complexity of other problems, it is not possible for all

actions to be government initiated. The govenrment should encourage NGOs to

take up this implementation.

Dr.A.K.Agarwal

PCS Clinic

P-231, Block B,

Lake Town

Kolkata-700089, India

drakagarwal@...

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