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Naciones Unidas A/HRC/30/NI/1 Asamblea General Distr. general 8 de septiembre de 2015 Español Original: inglés GE.15-15164 (S) 250915 021015 *1515164* Consejo

Distr. GENERAL A/HRC/10/44 14 de enero de 2009 ESPAÑOL Original: INGLÉS CONSEJO DE DERECHOS HUMANOS Séptimo período de sesiones Tema 3 de la agenda PROMOCIÓN Y PROTECCIÓN DE TODOS

The Special Rapporteur welcomes the introduction and use of newer medications with improved efficacy and side-effect profiles. (...) A/HRC/20/15/Add.1 GE.12-12897 11 The Special Rapporteur was also informed that stock-outs occur regularly, and that medications are still unaffordable for many people. 31. (...) Sustainable and long-term gains in malaria prevention requires improvement in the availability and accessibility of preventative and treatment-related goods and services, such as insecticide-treated bed nets and malaria medications, along with government efforts to reduce standing water and drain marshy areas that serve as breeding grounds for malarial vectors. 47.

Contiene un resumen de la información actual relativa al acceso a los estupefacientes y sustancias sicotrópicas para utilizarlos con fines médicos y científicos, así como sobre los instrumentos disponibles para determinar los impedimentos que existen para obtenerlos. (...) Desde 2006 la Junta Internacional de Fiscalización de Estupefacientes ha venido pidiendo todos los años a los gobiernos que promuevan el uso médico racional de los estupefacientes y las sustancias sicotrópicas. (...) Pese a las investigaciones realizadas a lo largo de un siglo en el campo de la química médica, aún no se han encontrado alternativas apropiadas a los opioides fuertes para el tratamiento del dolor moderado e intenso. 8.

The patient among them suffered from a shortage of their medications, which may affect their health. The Israeli occupation authorities bear full legal responsibility for the health and lives of all Palestinian prisoners and detainees in their prisons, especially the sick of them.

Además, es preciso que el país intensifique sus esfuerzos por ocuparse de la atención médica de la diabetes y mejorar los centros y servicios de atención de la salud (...) There is also private health expenditure from both, direct out-of- pocket payments and private health insurance policies, which are mostly used for prescriptions, over-the-counter medications and outpatient services. A study found that rises in out-of-pocket health expenditure in Fiji come predominantly from wealthier households in urban areas,15 which may suggest that access to free health-care services by those in most vulnerable situations remains relatively stable. 31. (...) Increasing the availability of psychosocial interventions and counselling services will help to reduce excessive reliance on psychotropic medications, including those used to treat depression and prevent suicide.

The Special Rapporteur has received testimonies of acute shortages and exorbitant prices for life-saving medicines, and for medications to reduce suffering, including accounts of rationing of medical doses by patients who, as a result of dire economic circumstances, have been forced to resell their medications to cover basic needs, such as food. (...) In addition to medicines and medical equipment, it is reported that international companies and suppliers have refused to sell software for managing and monitoring patients’ treatment, including software required for the management of the dosage of medications for cancer patients. 36. Financial restrictions, secondary sanctions and the vagueness, complexity and uncertainty around the determination of items that are exempted from sanctions and those that could be considered “dual-use” (i.e., for civil and military use) have significantly affected a number of medical disciplines and sectors in the country, including nuclear medicine and radiopharmacy, with a direct impact on patients receiving such specialized treatment.