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access to medicines address public health adopted Africa Group proposal African countries Agreement and Public amendment anti-competitive practices apply Article 30 authorisation basis circumstances of extreme COMESA compulsory licence issued Declaration delegations determine the grounds Developing a regional developing and least Doha Doha Declaration domestic manufacturing capacity domestic market draft Decision drug authorities ensure epidemics exhaustion of intellectual exhaustion of rights expeditious solution export extreme urgency flexibility framework on access grant grounds for compulsory group of developing health and promoting HIV/AIDS implementation intellectual property rights issue compulsory licences least developed countries malaria Malawi medicines Chapter Minister Ministerial Conference moratorium Namibia national emergency obligations parallel imports patent holder patent laws patent protection pharmaceutical products pharmaceutical sector Pharmacy problem promoting access protecting public health public health crises recognised regional legal framework regional market relevant safeguards specific technology transfer territoriality third countries TRIPs Agreement TRIPs Council Uganda WTO Members Zimbabwe