Pan American Health Organization. Area of Medicines and Health Technologies. Project of Essential Medicines and Biologicals. Access to High-Cost Medicines in the Americas: Situation, Challenges and Perspectives. Washington, D.C. PAHO © 2010. Technical Series No. 1 Essential Medicines, Access, and Innovation. 

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The document is based on the conclusions of the First International Conference on Access to High-cost medicines and Limited Sources (November 2008) organized by the Pan American Health Organization (PAHO) and Brazil's Ministry of Health and Ministry of Foreign Affairs, with participation of delegations from Argentina, Barbados, Brazil, Bolivia, Colombia, Costa Rica, Chile, Ecuador, El Salvador, Guatemala, Honduras, Jamaica, Mexico, Panama, Paraguay, Peru, the Dominican Republic, Suriname, and Uruguay.

The document has four chapters and two annexes. Chapter 1 presents the document's history and objectives. Chapter 2 examines issues related to high-cost medicines and limited sources and the different declarations and initiatives launched by WHO/PAHO to confront these problems. Chapter 3 describes the challenges in the Region due to high-cost medicines; and, finally, Chapter 4 proposes a series of strategies for the future to help improve access to these medicines. The document also has two annexes: the first presents the history of the conference and the second contains an overview of some of the presentations made during the event.