an International Film Circuit release of a Sparkwater India Production A film by Dylan Mohan Gray Narrated by William Hurt Publicity Contact: Adam Segal adam@the2050group.com (202) 422-4673 Distribution Contact: Wendy Lidell wlidell@infc.us 212-777-5690 India/UK • 2013 • 87 mins • 16:9 • 5.1 Stereo • NR • In English • All Digital Formats www.fireintheblood.com downloadable images: www.internationalfilmcircuit.com/fireintheblood/press.html LOGLINE A shocking exposé of how pharmaceutical companies use patent law to keep profits unconscionably high even at the expense of peoples’ lives, and a plea for universal access to affordable, life-saving generic medicines. This is a message made even more timely by the current conversation about affordable healthcare in the US. SYNOPSIS An intricate tale of “medicine, monopoly and malice”, FIRE IN THE BLOOD tells the story of how Western pharmaceutical companies and governments aggressively blocked access to affordable AIDS drugs for the countries of Africa and the global south in the years after 1996 - causing ten million or more unnecessary deaths. It is also the inspiring story of the improbable group of people who decided to fight back. Shot on four continents and including contributions from global figures such as President Bill Clinton, Bishop Desmond Tutu and economist Joseph Stiglitz, FIRE IN THE BLOOD is the neverbefore-told true story of the remarkable coalition which came together to stop 'the Crime of the Century' and save millions of lives. As the film makes clear, this story is by no means over. With dramatic past victories having given way to serious setbacks engineered far from public view, the real fight for access to lifesaving medicine is really just beginning. KEY CREDITS Writer/Director Producer Executive Producer Narrator Director of Photography Supervising Editor Editor Sound Design Composer Songs DYLAN MOHAN GRAY DYLAN MOHAN GRAY CHRISTOPHER HIRD WILLIAM HURT JAY J. ODEDRA CHRISTOPHER SEWARD DYLAN MOHAN GRAY KUNAL SHARMA ASHUTOSH PHATAK BARRY KEVIN DONNELLEY NANA FREDY MASSAMBA WEBSITE www.fireintheblood.com FACEBOOK www.facebook.com/fireintheblood TWITTER www.twitter.com/fitbmovie FILM STILLS www.internationalfilmcircuit.com/fireintheblood/press.html Directed by DYLAN MOHAN GRAY Featuring: Zackie Achmat Linda-Gail Bekker, MD Denis Broun, MD Edwin Cameron William J. Clinton Eric Goemaere, MD William F. Haddad Yusuf Hamied Noerine Kaleeba Lisa Kalolo Nomvuselelo Kalolo Periasamy Kousalya Elvis Basudde Kyeyune James P. Love Noor Jehan Majid, MD Donald G. McNeil, Jr. Peter Mugyenyi, MD Peter Rost, MD Khundrakpam Pradip Kumar Singh Suniti Solomon, MD Joseph Stiglitz Desmond Tutu DIRECTOR’S STATEMENT “Whenever anyone asks me what Fire in the Blood is all about, I always say it’s about the crime of the century. I felt totally compelled to make this film because the historian in me first could not believe, and then could not accept that there was not a single film or even book in circulation which told this endlessly fascinating and important story…” Several years ago I got to know a couple of the key figures in the film, and soon thereafter began to learn about the “sick business” of medicine. The more I read, saw and heard, the more I became convinced that this film had to be made, and made before the story it tells was completely obscured and lost. As in the film, it was the unimaginable carnage of AIDS, first and foremost in Sub-Saharan Africa, which infused urgency into the fundamental question of access to medicine. For several years after the breakthrough of combination antiretroviral (ARV) therapy had turned HIV/AIDS from a death sentence to a highly manageable chronic condition in rich countries, millions in the global south were condemned to die horrible, agonising deaths by the world’s very most profitable companies – patent-holding pharma conglomerates – and, more accurately, the Western governments doing their bidding. Along with the profound disgust which is the only rational response to cynicism and inhumanity of this magnitude – all of it, as it turns out, justified with the most flimsy of commercial rationales – came the immense admiration and respect with which I grew to regard the few indomitable individuals who refused to accept what virtually everybody at the time considered to be an unfortunate-but-inevitable state of affairs, whose relentless efforts and stubborn determination ultimately ensured that millions of lives would be saved in Africa and beyond through the introduction of affordable generic AIDS drugs. That in the end is I suppose what really spoke to me about this story: that from something unspeakably dark and inhuman a spark could be struck, that even one or two small, unknown, unconnected individuals could take on the most massive, powerful and unyielding of adversaries, and actually manage to change the world. KEY POINTS AND STATISTICS IN THE FILM Fire in the Blood is a story of almost-unfathomable inhumanity, as Western governments doing the bidding of powerful pharmaceutical companies caused millions of deaths by blockading low-cost AIDS drugs from the countries which most needed them… but it is also the story of an incredibly courageous, creative and resilient group of people who came together to break this blockade, thereby saving millions of lives 10 MILLION OR MORE PEOPLE DIED COMPLETELY AVOIDABLE DEATHS FROM AIDS BECAUSE WESTERN DRUG COMPANIES AND GOVERNMENTS BLOCKED ACCESS TO AFFORDABLE AND AVAILABLE GENERIC MEDICINE No one has ever been called to account for what some have called “the Crime of the Century” We believe Fire in the Blood is the first attempt to take a comprehensive look at this story (either in film or book form) The current system governing the development and commercialization of medicine is deeply flawed, unjust and inefficient Very few drug patents issued are for new, novel or improved therapies Patent monopolies encourage profiteering and a focus on high-priced products for the richest sliver of the world’s population Global public health priorities go unaddressed for decades because the markets they impact are uninteresting to drug conglomerates The groundwork for further, possibly even more deadly catastrophes in future years has already been laid Western drugmakers and the governments which represent them have employed biand multilateral trade agreements, coupled with threats of sanctions, to impede supplies of affordable generic drugs from India and other parts of the global south Because of its earlier pro-access patent regime, India became known as “the pharmacy of the developing world”, supplying quality low-cost medicine to the countries of the global south; in the wake of intense pressure, however, a Western-style patent system was introduced which threatens to cut off future supplies of low-cost medicine currently relied upon by billions of people The brand-name drug industry’s claims that monopolies and high prices are “necessary evils” needed to offset massive R&D expenditures do not hold water 84% of basic research for drug discovery is funded by government and other public sources; only 12% of such research is funded by pharmaceutical companies Pharma companies’ R&D expenditures are dwarfed by things such as marketing and advertising, only 1.3% of revenue goes to drug discovery research A system which excludes the vast majority of the world’s population from its benefits can only be wrong Even if the R&D argument were valid, which as the film clearly demonstrates it is not, the fact that the current set-up makes no provision for the health needs of the lion’s share of the world’s people means that reform is urgently needed It has been shown that patent-holders can be compensated for their investments without having monopolies on essential medicine Canada did not allow monopolies on medicine for most of the 20th century: patentholders received a 4-5% royalty whenever someone else copied their products; this approach balanced the public interest in ensuring access to medicine, while incentivizing innovation and research (it did not, however, allow for the runaway profits the industry has grown accustomed to, and the US pharma lobby had Canada’s law nullified as part of the NAFTA, the North American Free Trade Agreement, which came into force in 1994) Millions of people with HIV/AIDS in Africa and other parts of the global south whose lives were saved by low-cost ARVs could soon find themselves facing death yet again for lack of access to medicine Eventually those taking so-called ‘first-line’ antiretrovirals will almost certainly have to switch to more complex ‘second- and third-line’ ARVs, most of which are not available in generic form because they fall under ever-stricter patent regulations No one is stepping forward to bear the exorbitant cost of these drugs at a time when funding for AIDS treatment programmes is in increasingly short supply, and the enormous success of antiretroviral therapy means there are more and more people alive who will need to be kept on treatment in future Roughly one-third of all deaths worldwide in any given year are attributable to treatable and preventable diseases, mainly due to lack of access to medicine The World Health Organization (WHO) has estimated this number to be upwards of 18 million lives unnecessarily lost every year This number promises to rise dramatically as the supply of affordable drugs from India and other key countries in the global south is progressively cut off by American- and European-sponsored trade measures FILMMAKER BIOS DYLAN MOHAN GRAY Director/Producer/Writer/Editor Born of Punjabi-Irish parentage and trained as a historian, Dylan Mohan Gray has worked in various capacities on feature films in over two dozen countries worldwide, in close collaboration with acclaimed directors including Fatih Akin, Peter Greenaway, Paul Greengrass, Deepa Mehta and Mira Nair. Dylan completed university studies in History and Film at Dartmouth College (USA), as well as at the University of Vienna and the Budapest University of Economics. He holds graduate degrees in History from the Central European University and the University of the State of New York, with a research focus on historiography and geographic dimensions of identity. He was also a resident in Film at Canada’s Banff Centre for the Arts. He has a special interest in political stories with significant international and historical components, often involving complex ethical conflicts. Dylan Mohan Gray founded the production company Sparkwater India in 2005. He lives and works in Mumbai (Bombay) and Fire in the Blood is his first feature-length film as writer/director. CHRISTOPHER HIRD Executive Producer Christopher Hird is the founder and managing director of Dartmouth Films (www.dartmouthfilms.com), which he established to concentrate on making independent documentaries, pioneering new ways of funding and distributing them and encouraging new and emerging talent. Recent credits as producer include the Sundance Film Festival selected: Black Gold (2006), The End of the Line (2009) and The Flaw (2011). In 2011 The End of the Line won the €50,000 Puma award for social impact. His other productions include: Planeat, released in over 80 theatres in the USA; John Pilger’s The War You Don’t See, Cocaine Unwrapped and the BFI London Festival premiered How To Re-establish a Vodka Empire. He is a trustee of the Grierson Trust and the Wincott Foundation and has recently been appointed Managing Editor of the Bureau of Investigative Journalism. JAY J. ODEDRA Director of Photography In two decades as a film professional, Jay has worked on every continent and in some of the most demanding locations on earth. Having trained at the BBC and National Film and Television School in the U.K., he embarked upon a career spanning numerous feature and documentary films, television drama, corporate films and commercials, in a full spectrum of formats alongside some of the leading directors in the world. He has had a close collaboration with acclaimed Indian-born director Mira Nair, for whom he shot and directed Second Unit on several feature films, most notably The Namesake and Vanity Fair. He was also the Director of Photography on Nair’s 2008 Mumbai-set AIDS drama, Migration. A native of Kampala, Uganda, whose Gujarati family fled the dictatorship of Idi Amin, Jay is now based in London. CHRISTOPHER SEWARD Supervising Editor Editor of landmark, award-winning feature documentaries including Micheal Moore’s Sicko (Academy Award nominee for Best Documentary Feature, 2007) and Fahrenheit 9/11 (the highest-grossing documentary of all time and winner of the Palme d’Or at the 2004 Festival de Cannes), Christopher has most recently been a part of the creative teams for First Position, which premiered at 2011 Toronto Film Festival, State of Control, Look at What the Light Did Now, Fat Sick & Nearly Dead, Hey, Boo: Harper Lee and 'To Kill a Mockingbird' and Shenandoah. He won the 2007 American Cinema Editors Award for Best Documentary Editor for Sicko, and in 2004 was nominated for the American Cinema Editors Award for Best Documentary Editor for Fahrenheit 9/11. KUNAL SHARMA Sound Design Kunal is a National Film Award winner for his work in the film 1971 (2007) and received an award for technical excellence from the International Indian Film Academy for the film Devdas (2002). He also won a Filmfare Award in Sound Design and was nominated for the Screen Award in Sound for Udaan (2010). Kunal’s other feature projects have included Vishal Bhardwaj’s Blood Brothers (2007), Shaitan (2011), Ribhu Dasgupta’s Michael (2011) and Anurag Kashyap’s films Paanch (2003), Black Friday (2004), No Smoking (2007), Gulaal (2009), That Girl in Yellow Boots (2010) and Gangs of Wasseypur I & II (2012). ASHUTOSH PHATAK Composer One of the leading figures in Indian contemporary music, Ashu (as he is popularly known) has been a much-sought-after composer and producer for the past 15 years. He has composed background scores for numerous feature films including HELP, White Noise, Snip!, Bombay Boys and Whispers, and has released three albums: Sigh of an Angel, The Psychic Plumber and Other Lies and The Petri Dish Project. Ashu is also one of the founding partners of Blue Frog, a landmark venue for live music in Mumbai and Delhi, and has composed scores for over 1000 television commercials. KEY CONTRIBUTOR BIOS (alphabetical order) ZACKIE ACHMAT Human Rights Activist, Co-Founder, Treatment Action Campaign (TAC) Zackie Achmat (b. 1962) grew up fighting apartheid in South Africa; member of the African National Congress (ANC) since 1980. Former sex worker, diagnosed with HIV shortly before the country’s first free elections in 1994. Co-founded the Treatment Action Campaign (TAC) in 1998. TAC quickly became the most important grass-roots organization in Africa (and arguably the entire world) agitating for access to essential medicine. Despite rapidly failing health, he refused to start antiretroviral treatment until the South African government agreed to implement a publicly-funded national treatment programme. His boycott of antiretroviral drugs (ARVs), as depicted in Fire in the Blood, drew substantial international attention to the issue of access to AIDS medicine in Africa. Achmat has received numerous international honours, including the Nelson Mandela Award for Health and Human Rights (2003), and in 2004 was voted among the “Greatest South Africans” of all time in a nationwide poll. He is currently Co-Director of the South African human rights and social justice organization, Ndifuna Ukwazi. EDWIN CAMERON Justice of the Constitutional Court, South Africa Edwin Cameron (b. 1953) lived with HIV for twelve years before speaking out in 1999. His decision to go public with his HIV-positive status was virtually unique for a prominent person in Africa at the time, and even in intervening years very few well-known Africans have disclosed living with HIV. He says he went public following the death of South African activist Gugu Dlamini, who was brutally murdered shortly after going public with her status. A Rhodes Scholar and prominent human rights lawyer during apartheid, Cameron is now a sitting justice in South Africa’s Constitutional Court (since 2009), having previously served as justice of the Supreme Court of Appeal (2000-08). His eloquent advocacy and brilliant legal mind have made him one of the world’s leading voices for access to medicine as a human right. Nelson Mandela has called him “one of South Africa’s new heroes.” His publications include Witness to AIDS (2005, forward by Nelson Mandela), and Defiant Desire - Gay and Lesbian Lives in South Africa (1995). WILLIAM J. CLINTON 42nd President of the United States of America (1993-2001); founder, William J. Clinton Foundation In 2001, after serving as the 42nd President of the United States, William J. “Bill” Clinton (b. 1946) set up the William J. Clinton Foundation to address pressing global problems. In 2002, the Clinton HIV/AIDS Initiative (now called the Clinton Health Access Initiative) was established to procure the lowest-cost ARVs for treatment programmes in developing countries. By 2007, the foundation’s high volume procurement of generic drugs helped push prices for ARV treatment in Africa down to below $100 per patient per year. The Clinton Foundation’s wholehearted embrace of generic drugs from India and other countries in the global south in its procurement efforts played a significant role in promoting acceptance of these medications and counteracting the multinational drug industry’s efforts to portray them as being less effective and generally of lower quality than high-priced branded products. Bill Clinton left office with the highest approval rating (66%) of any postwar American president. WILLIAM F. HADDAD “Father of the American Generic Drug Movement”, Co-Founder, the Peace Corps and the Generic Trade Association, investigative journalist William F. “Bill” Haddad (b. 1928), who made his name as a resourceful investigative journalist and innovative political strategist, has been a tireless advocate of low-cost generic drugs and campaigner for access to essential medicine for almost half a century. Founder and Chairman of the Generic Pharmaceutical Industry Association (now Generic Pharmaceutical Association, or GPhA) in the US for over a decade, he initiated and negotiated the landmark Drug Price Competition and Patent Restoration (Hatch-Waxman) Act of 1984. Earlier in his career, Haddad was a founder of the Peace Corps and the Office of Economic Opportunity (OEO) poverty program under President John F. Kennedy. He also served as advisor to President Kennedy, Special Assistant to Robert Kennedy’s 1968 Presidential Campaign, and was nominated for the Pulitzer Prize for his investigative journalism in the area of political corruption on behalf of the New York Post and New York Herald Tribune. Author of several books, including Hard Driving: My Years with John DeLorean (1985). Haddad assembled the team of activists and other stakeholders who negotiated the groundbreaking “$1 a day” Cipla AIDS medicine offer in 2001, as depicted in Fire in the Blood. He currently serves as the Chairman/CEO of Biogenerics Inc. and is based in New York. YUSUF K. HAMIED Chairman, Cipla Indian scientist Yusuf Hamied (b. 1936) shot to global prominence in early 2001 when he announced that his company, Cipla, a socially-conscious generic drugmaker founded in 1935 on Gandhian principles of Indian selfreliance, would supply a combination of AIDS drugs to developing countries for less than $1 a day, at a time when first-line antiretroviral (ARV) medication sold for up to more than $15,000 per year. A Ph.D. in Chemistry from England’s Cambridge University, where he was mentored by the 1957 Nobel laureate Sir Alexander Todd, Hamied also pioneered the development of single-pill combinations of three AIDS drugs, drastically simplifying the treatment of HIV/AIDS (an innovation many in the AIDS treatment community view as being at least equal in significance with Cipla’s dramatic price reductions on ARVs). Perhaps the world’s best-known advocate of affordable drugs, Hamied worked relentlessly for more than a decade to persuade the Indian government that for a country with such mass poverty to allow monopolies on food and medicine was fundamentally immoral, unsustainable and wrong. These efforts finally culminated in the Patent Act of 1970, which eliminated product patents on medicine and eventually turned India into the “pharmacy of the developing world”, supplying all parts of the global south with affordable, high-quality medicine (the 1970 law was struck down as a result of intense Western pressure in 2005). Over the course of the nearly four decades it was in force, the 1970 Indian patent legislation single-mindedly promoted by Hamied was responsible for saving and prolonging literally hundreds of millions of people’s lives, and significantly alleviating the suffering of billions more. Often characterized as a modern-day ‘Robin Hood’, CNN-IBN recently named Hamied ‘Indian of the Year 2012’ in business for his role is drastically lowering the price of cancer medication. JAMES LOVE Director, Knowledge Ecology International, intellectual property/access to knowledge activist James Packard “Jamie” Love (b. 1950), Director of Knowledge Ecology International (KEI), a Washington- and Geneva-based organization which deals with intellectual property- and access to knowledge issues, has been involved in the fight against AIDS since the 1990s. He is particularly interested in how international intellectually property policy and innovation policy impact on public health. In addition to leadership roles with various civil society groups, “he advises UN agencies, national governments, international and regional intergovernmental organizations and public health NGOs, and is the author of a number of articles and monographs on innovation and intellectual property rights”, according to KEI. Knowledge Ecology International received a MacArthur Award for Creative and Effective Institutions in 2006. Educated at Harvard and Princeton, Love has been closely associated with Ralph Nader and Joseph Stiglitz for many years. He has played a critical role in the global movement for affordable medicine, especially AIDS drugs, for well over a decade, and his tireless efforts to secure low-cost antiretrovirals for Africa (as depicted in Fire in the Blood) led directly to Cipla’s landmark “$1 a day” offer at the beginning of 2001. Love has also been instrumental in promoting the idea and laying the groundwork for the Medicines Patent Pool, a mechanism intended to reduce prices and encourage combinations of newer, patented AIDS medications for people in low- and middle-income countries. DONALD G. MCNEIL, JR. Health and Science Reporter for the New York Times Donald McNeil (b. 1954) is one of the world’s most respected health reporters. He joined the New York Times in 1976 and has covered AIDS, malaria, SARS and other major global health stories in over fifty countries for “the newspaper of record”. In February 2001, McNeil broke the story of Cipla’s landmark offer to sell a combination of AIDS drugs for $350 per patient per year, or just below $1 a day, on the front pages of the New York Times and the International Herald Tribune. Previously he was correspondent for the New York Times in South Africa and France, and has also taught journalism at Columbia University. He received an Overseas Press Club award in 2006 and the Robert F. Kennedy Journalism Award in 2007. PETER MUGYENYI Director and Co-Founder, Joint Clinical Research Center (JCRC), Kampala; physician, leading authority on treatment of HIV/AIDS in Africa After narrowly escaping capture by Idi Amin’s secret police and going into exile, Ugandan physician Peter Mugyenyi became a leading pediatrician with a prosperous practice in the UK, but later chose to return home to terrible conditions and a meagre salary, and retrain himself in HIV epidemiology, in order to help his country battle its devastating AIDS epidemic. One of the most prominent voices in the global medical community who argued in favour of the idea that Africans could, and would, successfully follow antiretroviral treatment regimens (something which very few people at the time believed would happen, but which history has proven to be totally correct), Dr. Mugyenyi is the founder and director of the Joint Clinical Research Centre (JCRC), Africa’s largest AIDS treatment and research center, and has come to be recognized as one of the leading HIV/AIDS researchers in the world. In 2002, he took it upon himself to order a shipment of low-cost generic ARVs from India, in total defiance of Uganda's patent laws, challenging the authorities to arrest him and refusing to leave the airport until the drugs were allowed into the country and guarantees were given that future shipments would also be cleared. This action led to an almost-overnight tenfold increase in the numbers of people on ARVs in Uganda, and effectively ended the blockade of low-cost generic AIDS drugs for Africa (today almost all Africans on ARVs take generics, almost all of which still come from India). Mugyenyi also played a major consultative role in the formulation of the PEPFAR (President's Emergency Plan for AIDS Relief) program, which was announced at the 2003 State of the Union address by President George W. Bush. He was seated beside Laura Bush when the announcement was made, and Bush made reference to him in the speech. PEPFAR has put millions of Africans on lifesaving antiretroviral treatment, and is widely viewed as by far the single most positive legacy of the Bush presidency. Peter Mugyenyi’s landmark 2008 book Genocide by Denial: How Profiteering from HIV/AIDS Killed Millions details how Western governments and drug companies callously oversaw the deaths of millions of Africans who would never have been able to afford their branded drugs. A follow-up to this book will be published in January 2013. Dr. Mugyenyi will be present at the Sundance Film Festival in Park City, Utah, on January 20, 2013, for the North American premiere of Fire in the Blood. PETER ROST Former Vice-President of Pfizer Inc., Pharmacia and Wyeth Pharmaceuticals; physician Peter Rost, MD (b. 1959), a medical doctor and native of Sweden, worked in upper management for three of the world’s largest pharmaceutical companies, Pfizer, Wyeth and Pharmacia, over the course of a nearly three-decade career in the industry. Increasingly dismayed by the unethical commercial practices he witnessed, he eventually decided to speak out against them. In a sensational 2004 Op-Ed in the New York Times, Rost, then Vice-President of Marketing at Pfizer, wrote: “Americans are dying without the appropriate drugs because my industry and Congress are more concerned about protecting astronomical profits for conglomerates than they are about protecting the health of Americans.” In 2005, Dr. Rost testified before the US Senate’s Health Committee against Pfizer’s marketing practices. Representative Rahm Emmanuel, later President Obama’s first Chief of Staff said, “I would like to nominate Dr. Rost for the Guts of the Year award… I want to thank Dr. Rost for blowing the whistle on the pharmaceutical industry, breaking down myths perpetuated by the industry that help keep prices and profits high at the expense of American families.” Pfizer relieved Rost of his duties in December 2005. Peter Rost’s 2006 book The Whistleblower: Confessions of a Healthcare Hitman describes the illegal and at times criminal business practices he witnessed while working as an executive in the pharmaceutical industry. Rost has also authored a medical textbook as well as a novel. JOSEPH STIGLITZ Economist, Winner of the 2001 Nobel Prize for Economics Joseph Stiglitz (b. 1943) has often been referred to as “the most famous economist in the world.” He won the Nobel Prize for Economics in 2001 for his work on information asymmetry in the free market. He served as Chairman of the US Council of Economic Advisers under President Clinton (1995-1997), Senior Vice-President and Chief Economist of the World Bank (1997-2000) and has been a professor of economics at Stanford, Yale, Princeton and Oxford universities. He currently teaches at Columbia University in New York and serves as President of the International Economic Association. In 2011, TIME magazine named Stiglitz one of the 100 most influential people in the world and he featured in the Foreign Policy list of “top global thinkers”. He holds more than forty honorary doctorates. Stiglitz has special interests in inequality, the patent system, trade and globalization. He emerged as a leading intellectual supporter of the Occupy Movement in late 2011, describing it as part of a “worldwide movement against inequality”. Professor Stiglitz’s numerous publications include Globalization and its Discontents (2002), Fair Trade for All (2006) and, most recently, The Price of Inequality: How Today’s Divided Society Endangers Our Future (2012). DESMOND MPILO TUTU Winner of the Nobel Peace Prize, anti-apartheid activist Among the world’s best-known peace and anti-racism activists, Desmond Tutu (b. 1931) is the winner of the Nobel Peace Prize (1984), the Albert Schweizer Prize for Humanitarianism (1986), the Gandhi Peace Prize (2007) and the Presidential Medal of Freedom (2009). He has referred to HIV/AIDS as “the new apartheid.” Tutu is the patron of the Desmond Tutu HIV Foundation, Desmond Tutu TB Centre and has also served as the honorary chairman for the Global AIDS Alliance. He is also Chairman of “The Elders”, a group of world leaders who contribute their integrity and leadership in dealing with some of the world's most pressing problems. Other members of the group include Nelson Mandela, Graça Machel, Kofi Annan, Muhammad Yunus and Aung San Suu Kyi. OTHER CONTRIBUTORS LINDA-GAIL BEKKER One of Africa's leading HIV researchers and epidemiologists; Deputy Director of the Desmond Tutu HIV Centre at the University of Cape Town (UCT), Chief Operating Officer of the Desmond Tutu HIV Foundation. DENIS BROUN Executive Director of UNITAID (international organization set up to facilitate bulk purchase of drugs to fight AIDS, TB and malaria); physician and leading French expert on AIDS in Africa; previously worked with the World Bank, UNICEF, WHO and UNAIDS in the fields of global public health, pharmaceuticals and health economics. ERIC GOEMAERE Physician with decades of experience in HIV/AIDS, led the early battle against AIDS in South Africa as head of Médecins Sans Frontières (MSF); honorary doctorate in medicine from the University of Cape Town credited him with having “transformed the reality of health care for HIV/AIDS patients”; pioneer of AIDS treatment in resource-poor settings. NOERINE KALEEBA Pioneering AIDS activist; physiotherapist by profession; co-founded The AIDS Support Organisation (TASO) in Uganda, 1987, after her husband Christopher was diagnosed with AIDS; TASO has since grown into one of the most significant civil society groups in Africa; served on World Health Organization (WHO) Global Commission on HIV/AIDS and was programme adviser to UNAIDS for ten years; first African elected as Chair of the ActionAid International Board of Trustees; author of We Miss You All: AIDS in the Family. NOOR JEHAN MAJID Mozambican doctor working on HIV/AIDS; joined the Italian Catholic Community of Sant’Egidio DREAM (‘Drug Resource Enhancement against AIDS and Malnutrition’) programme in 2002; DREAM’s objective is to provide a ‘gold standard’ of AIDS treatment in resource-poor settings on par with the best HIV care in the world, and has achieved remarkable results in numerous exceptionally difficult environments; programme now operates in ten of Africa’s poorest countries. SUNITI SOLOMON Leading Indian AIDS physician, diagnosed first case of HIV in India, 1986; Founded Y.R. Gaitonde Centre for AIDS Research and Education (YRG CARE) in Chennai, 1993; YRG CARE has provide comprehensive treatment and care for over 17,000 people with HIV since its founding, and is the preeminent centre for AIDS research in India. OTHER HIV-POSITIVE CHARACTERS in alphabetical order NOMVUSELELO (MUSI) KALOLO and LISA KALOLO Mfuleni, Western Cape, South Africa ELVIS BASUDDE KYEYUNE Kampala, Uganda PERIASAMY KOUSALYA Chennai, India KHUNDRAKPAM PRADIP KUMAR SINGH Imphal, Manipur, India KEY CONTRIBUTOR QUOTES PETER MUGYENYI There is no developed country which would have tolerated the loss of millions of their citizens while life-saving drugs were available. EDWIN CAMERON The drugs were enormously expensive. They took up a third of my judicial salary. […] Most people in Western Europe and North America accepted that drug manufacturers are entitled to a specified price in the open market, which is a market defined by North American and Western European conditions. And if that price is unreachably high to people in the developing world, Africa and Asia, South America, that’s just too bad. Those people must die. ZACKIE ACHMAT (Archive/1999) The only reason we are dying is because we are poor. JAMES LOVE The rap was, you couldn’t give drugs to people in Africa because they would misuse them. They wouldn’t be compliant in terms of treatment. They’d develop resistance, resistance would come back and kill Americans or kill Europeans. PETER MUGYENYI (Archive/8 July 2000) Where are the drugs? That’s where they are. The drugs are where the disease is not. [applause] And where is the disease? The disease is where the drugs are not. EDWIN CAMERON (Archive/8 July 2000) I’m here because I’m on antiretroviral therapy. I can afford my medication. […] Now why should I have the privilege of purchasing my life and health when 34 million people in the resourcepoor world are falling ill, feeling sick to death, and are dying? NOMVUSELELO (MUSI) KALOLO Lots of people were dying because they needed the ARVs. Those who didn’t die, they must thank God… ERIC GOEMAERE (Medecins Sans Frontieres) We were fighting desperately to try to convince patent-holders, the main pharmaceutical companies […] we said, listen, none of the clients here are using your drugs and will probably ever be able to use your drugs. Can you please allow us to import generic drugs? And they answered to us very quickly. And the answer, of course, was no. DONALD MCNEIL The actual price of the pill has nothing to do with what it costs to manufacture the pill. […] They were still making a profit at five cents. But they were charging the same twenty-five dollars a pill in South Africa that they were in the United States. So I began to see more how completely screwed up and unfair the system was. PETER ROST The concept is to set the price at the level where you will maximise revenues. That means you are going to lose some patients because it’s so high, but you’re making up for it because the others are forced to pay that very high price. ZACKIE ACHMAT If my sisters or brothers or cousins had HIV, or had AIDS, and needed medicines, they wouldn’t have been able to get it. And I grew up in a house where your mum said if all the kids can’t have chocolate, one is not going to have it. NELSON MANDELA (Archive) It would have been futile for me to come to him to say, “I want you now to change, to take drugs”… because his position is that as long as drugs are not available to everybody, especially the poor, he will not take them. JAMES LOVE I asked Dr. Hamied, I said, “look, what we’re trying to figure out is, you know, rock bottom prices, what would it cost to get an AIDS drug?” YUSUF HAMIED The whole of Africa was being taken for a ride. INDIRA GANDHI (Archive) My idea of a better ordered world is one in which medical discoveries would be free of patents and there would be no profiteering from life or death. JOSEPH STIGLITZ We make them [patents] because we believe that, when they are appropriately designed, they will promote innovation and societal well-being. But when they’re not appropriately designed, they will result in people dying, and they will result in a suppression of innovation. And it’s happened over and over again… YUSUF HAMIED Public-funded research should be free for the public. PETER MUGYENYI I knew where drugs were and as a doctor it was my job to try and save my patients’ lives. GEORGE W. BUSH (Archive/2003) Antiretroviral drugs can extend life for many years. And the cost of those drugs has dropped from $12,000 a year to under $300 a year. Seldom has history offered a greater opportunity to do so much for so many. LINDA-GAIL BEKKER It was this sort of incredible fierce determination to show that in fact not only was it feasible, but we could do it better than many parts of the world. BILL CLINTON If you ran the numbers, there was no way, given the available price structure, that all the money they put in the Global Fund, and all the money President Bush and Congress would give to the American effort, was going to be enough to save the number of people that had to be saved in a hurry. […] It was clear to me that no matter how much money they put in it would never be enough unless they could buy generics. DONALD G. MCNEIL, Jr. In the area of pharmaceuticals, and particularly in the area of life-saving drugs, if you can’t get the right to that drug, your citizens die. And forcing a country to sign a law that says, okay, we’ll let our citizens die so you can keep your patent monopolies and your prices up seems to be immoral. YUSUF HAMIED What is likely to happen? People are going to die. To me that is genocide. PETER MUGYENYI They have us as their hostages. If we face an emergency here in Africa we shall die, because the laws don’t protect us. DONALD MCNEIL The companies can’t continue to take the position, “Ah, they’re just Africans, let them die”, and it’s going to be even harder for them to take the position, “Ah, they’re just old Americans, let them die...” ZACKIE ACHMAT All those people who had the power to stop it, including drug company executives, are responsible for all those deaths… of lives that could have been saved between 1996 and 2003. And the rich world didn’t care until poor people mobilized. DONALD McNEIL “You fight our patent monopolies, we will make sure you die!” I mean, that was their attitude... PETER MUGYENYI We have discovered so many things in the world and we cannot fail to discover a formula where business can continue and prosper, and poor people don’t have to pay the price with their lives. BILL CLINTON When it became a life or death question it’s obvious that the whole TRIPS system is going to have to be amended… so that we don’t have these fights that cause people to die, we can never let this happen again. JAMES LOVE People have to figure out that they don’t have to accept a pessimistic crappy future. They can change things. You can change things, I can change things, we can change things. ZACKIE ACHMAT (Archive) We have made the mightiest industry in the world shake in its boots! Q&A with Director DYLAN MOHAN GRAY What appealed to you about this particular story and the wider subject? Initially it was really just shock and disgust that so many millions of lives could be so callously and I would say brutally set aside, with very little attention paid to the fact and no one called to account. Then it seemed absolutely incredible to me that there was no book or film on the subject, aside from some contemporary news pieces. Later, once I started delving more deeply into it, I was immensely moved and inspired by the people who played key roles in breaking the blockade of AIDS drugs into Africa, and it struck me that the example of their passion, bravery and determination could potentially ignite a spark in all kinds of people inclined to work for change, in whatever area, but who might doubt their power to actually make a difference. And finally, when it became clear to me that the story was being lost, swept under the rug and forgotten, that there was a very real threat no lessons would be taken from this unimaginable atrocity and that the drug industry and major Western governments were actively working to shut down future production of low-cost generic medicine in the global south, something which will almost certainly lead to horrific, unnecessary loss of life in rich countries as well as poor, it seemed to me that there was no option but to try and do something to get this story out there. When did you start learning about this story and begin think about making a film about it? The genesis of the project goes back to the spring of 2004, when I was working on a film in Sri Lanka and happened to read an article in The Economist about Yusuf Hamied, an Indian generic drugmaker who was battling to get lower-cost AIDS drugs into developing countries. I was both fascinated by the story and surprised I hadn’t heard more about it, and quite soon thereafter by a quirk of fate it turned out that my friend, who later became my partner, is actually related to Dr. Hamied, so I was able to go meet him in Bombay some months later, and eventually through him met several other people who would later become key contributors to the film. How long did it take you to complete it and what were the biggest challenges, both in accessing information and getting to speak to people you needed to interview, including Bill Clinton? The original firm decision to do the film was taken in June 2007 and I have been working on it ever since then. Without a doubt the biggest challenge was taking a fairly complex story and subject with a lot of important strands, and trying to distill it down into something that could be both comprehensible and compelling for general audiences. When I did my initial research I had drawn up a list of people I really wanted to do on-camera interviews with for the film, and ultimately I got all of them. Unsurprisingly, the most difficult person on the list to get time with was Bill Clinton. It took a year and a half to schedule the interview, and even on the day it looked like it might actually get cancelled, but finally it came through, which of course I was extremely happy about since he plays such an important part in this story. What drove you to make a film about AIDS and pharmaceutical companies? I didn’t have any interest in making a film about either. There are plenty of films on AIDS already, and I would also say that pharmaceutical companies are not necessarily interesting as a subject either. This film is really a case study about human rights, globalization, trade, big business and the extent to which governments work on behalf of immensely profitable corporations against the better interests of huge swaths of humankind. The real villain of this story for me is not an industry addicted to astronomical profits, irrespective of the consequences, but the governments which do their deadly bidding, all the while firmly perched on a high moral horse and claiming to care about human rights. Why aren’t there more contributors from Big Pharma in the film? I made a decision very early on in the process to include among the interviewees only people who played a direct role in the story. I certainly wasn’t interested in including paid mouthpieces or lobbyists, which is what the pharma industry always offers people like me doing stories about it. There were a number of players from ‘Big Pharma’ whom I would have liked to bring in, but they weren’t interested in participating. I have spoken to many of them off the record, and often they cite confidentiality agreements which prohibit them for speaking about their time in whichever company, although almost all of them are now no longer part of the industry. Just as an aside, I have found it exceptionally interesting how the current and recent leadership of major drug companies has tended to absolve itself of responsibility in the crimes portrayed in the film by pointing to the fact that there is now a “new generation” of executives, which has “learned many lessons”, that “that was a different time”, etc. Contrition is rarely expressed. In earlier versions of the film I included a number of Big Pharma executives from that era in archive material, but in the end I had to break my rule and bring in an honest but alas not-directly-involved ‘pharma voice’ in the person of Peter Rost. He was a high-level executive at three major pharmaceutical companies during a decades-long career, a genuine “true believer” in what the drug industry stands for and has achieved, until eventually as VicePresident of Pfizer becoming deeply disillusioned with its business practices and turning whistleblower. I often say that of all the people in this film, Dr. Rost is almost certainly the one most hated by Big Pharma, since he was the ultimate insider and his insights are impossible for them to brush aside with a dismissive wave of the hand. What would you like the public to understand by watching this film? The levels of popular understanding about how basic research into life-saving drugs, almost all of which is publicly-funded, comes to be controlled by a handful of giant corporations, which then use government-granted monopoly power to price the resulting medicine far out of reach to all but the most privileged and affluent sliver of the world’s population, are exceptionally low. I certainly think this film has the potential to be a very important conversation-starter. At the moment there is essentially no conversation, despite the fact that up to a third of all deaths worldwide in any given year are directly attributable to this systemic problem. Ultimately I hope Fire in the Blood can open a lot of people’s eyes to the fundamental inhumanity and unsustainability of the current set-up, and the urgent need to begin effecting positive change in terms of how life-saving medicines are researched, developed and delivered to the global public. What would you say about the people like Zackie Achmat portrayed in the film, who took such great risks in order to make sure others could access drugs? They are real heroes to me, and I hope their work gets considerably more recognition because of Fire in the Blood. I have always felt that if people like Zackie, Peter Mugyenyi or Yusuf Hamied were German or Swiss instead of African or Indian, everyone in the world would know their names. You were trained as a historian. How did this background influence the making of this film? I would say my interest in and study of history influence everything in my life, and of course everything in my working life. This includes obvious things like research methods, but also trying to frame a narrative in such a way as to place things into a firm historical context, and underscoring aspects of the material which are likely to be significant in future, to avoid getting pulled into discussions about current affairs. The study of history should ideally also instill ethical principles of fairness, not taking facts or statements out of context, not omitting pertinent information which doesn’t necessarily serve one’s hypotheses, understanding that people in past years did not have all the information at their disposal that we do today, and so on. What kind of policy change would you like to see come out of this film? First of all I would definitely agree that it would be wonderful to see this film ultimately lead to critical changes in policy, because as I have said the current system of developing and commercializing medicine is totally inappropriate for addressing the needs of global public health. That having been said, specific policy objectives will naturally vary from jurisdiction to jurisdiction, depending on what the key barriers to access are in a given place, and where useful opportunities for change appear. In general, however, there are several principles which in my view could go a long way toward protecting the public interest, ensuring and expanding access to lifesaving medicine: • Patent-holders should not be allowed to have monopolies on essential medicines (the ‘Canadian model’, whereby no monopoly was allowed, but a royalty of 4- or 5% was paid to patent-holding companies when generic versions of their products were made and sold, worked beautifully for 70 years) • Publicly-funded research should be freely accessible and serve the public good • There should be a mechanism for challenge the validity of patents on medicine before they are granted (the ‘Indian model’, also known as ‘pre-grant opposition’, has proven very useful in discouraging bogus and frivolous patent claims, which are an especially significant problem in the realm of pharmaceuticals) • The US and other Western governments must make an explicit commitment not to exert economic pressure on, or threaten sanctions against, developing countries for exercising their international rights to make essential medicine available to their citizens • Any pharmaceutical company applying for a patent must publicly disclose associated research costs • Doctors and pharmacists should be required to disclose any remuneration or non-monetary incentives they receive from pharmaceutical companies in a publicly-accessible database • Pharmaceutical companies and researchers should be legally required to disclose all research results, and there should be significant criminal penalties for not doing so Of these, the first two are obviously the most important. Intellectual property and access to medicine might seem at first to be topics which would make for a pretty dry film… have you found it can be tough to pique people’s curiosity? It can be difficult at times, mainly because the issues don’t necessarily lend themselves to being encapsulated in a few words. In my experience, it is important to underline that this film tells a story, rather than being about an issue, but also to make it clear that the story is one which is extremely relevant and important to all of us. Of course they get all that when they see the film, but as you say the challenge is often in piquing that initial curiosity. A strong trailer helps, and we have had an excellent response to ours, probably because it really highlights the “crime story” nature of the film. I was at the Toronto Film Festival a few years back, meeting a lot of important, busy people in quick succession, with precious little time to make my case, which is why I began to introduce the film as being about “the Crime of the Century”. Once I said that, people invariably wanted to hear more about it, and more importantly listened to what I had to say from that point onward with a view to learning about a unique crime, rather than an ‘issue’. Isn’t it stretching things to refer to this story as the crime of the century? No… and, if so, then only in the sense that there’s still a fair bit of the 21st century left… although it’s worth pointing out that the Lindbergh kidnapping, the case commonly associated with the phrase, also took place relatively early in the 20th century. Fire in the Blood tells the story of a crime which killed more people than just about any other in history (though there will always be debates as to how something like the Great Leap Forward should be categorized), yet in contrast with various other well-known mass atrocities and genocides, relatively few people are on the one hand aware of its dimensions or on the other hand realize that this was in no way the unavoidable calamity it has generally been made out to be… so I do feel very strongly that the moniker of “Crime of the Century” is totally apt in this case, and that it also puts the magnitude of what happened into appropriate context. CREDITS Director/Producer/Editor/Narrator Executive Producer Narrator Director of Photography Music Co-producer Supervising Editor Co-Editors Sound Design Associate Producers Production Consultant Director of Photography (India) Sound Recordists Production Accountant Line Producer (India) Line Producer (South Africa) Line Producer (Uganda) Line Producer (USA) Line Producer (Mozambique) Line Producer (Peru & Colombia) Production Manager (South Africa) Production Manager (Mozambique) Production Manager (Chennai) Production Associates Archival Research/Fact-checking Archival Research Offline Editors Sound Mix Sound Editors Narration Mix Music Mix Engineers DYLAN MOHAN GRAY CHRISTOPHER HIRD WILLIAM HURT JAY J. ODEDRA ASHUTOSH PHATAK RUMANA GRAY CHRISTOPHER SEWARD PASCAL AKESSON HUGH WILLIAMS KUNAL SHARMA ANUP PODDAR SARAH NUTALL STEVE BENNETT KESHAV PRAKASH TARUN BHANDARI JEFF HOOD GUILLERMO PALACIOS ROCHAN GANU YASMINE STAFFORD STEVEN MARKOWITZ BIG WORLD CINEMA DANIEL KALINAKI JASON MALONEY ANTONIO FORJAZ, IDEAIS MULTIMEDIA ANDREA ZARATE MORENO ANNALET STEENKAMP CESAR ANUWAR K. CHINNADURAI ROCHAN GANU, DEEPIKA LAL CHETNA AGARWAL DEEPIKA LAL ROY HARRIS NHLANHLA MTHETHWA CHERYL VAN GRUNSVEN VIVEK PRATAP SIDHESH N. DHAWDE ALOK DE DEAN PICARDO ZAHIR BANDUKWALA ROHAN VENGURLEKAR DEAN PICARDO ISHAAN NAIK, ABHISHEK GAUTAM Additional Photography Additional Sound Recordists Additional Editing Still Photographers Interpretors/Translators Motion Graphics Title Design Graphic Design Video Post-Production (India) Digital Intermediate (DI) DI Colorist Online Editor Online Edit Assistant Envy Post Production Manager Sound Studios Music Studios Publicist (London) UK Outreach Transcription Chartered Accountant Legal Services E&O Insurance World Sales JOHN J. MOERS, RODNEY PATTERSON GIULIO BICCARI, MORAY WEDDERBURN TIM NEWMAN, CRAIG MATTHEW, ED FABRY JIM ANDERSON, PAUL BANG, TED ROTH DOMINIC YIP, JULIAN JOSEPH MARK MALOOF, S. ‘SUBBU’ SUBRAMANIAN ANURADHA SINGH SANTIAGO BARCO LUNA, HANNAH PATON RUVAN BOSHOFF, JOSE CABRAL ABBAS, ANANT S. BHAGWAT THANDO GOOLOZA O PREMRATA SINGH (BOBIE) LALKHOLIAN GUITE (HENRY) ANDREA ZARATE MORENO ELIZABETH KOBARA, SANDRA LOURENCO NOL HONIG, TOUPEE FILM, NEW YORK VAISHALI KAJI MANOJ SADHUKA PIXION – SAMEER PANDIT, BOBBY MITHUN D'SOUZA, YOGESH CHHAG GAGAN MESHRAM, KUNJAN OZA SACHIN ADVIKAR, SHRUTI BORA ENVY POST, LONDON BLAIR WALLACE ANDREW MITCHELL LAURA HEWETT KATE GEORGE PURPLE HAZE STUDIOS, THO AUDIO POST FIESTA, MUMBAI RIBBIT STUDIOS, MUMBAI ALEX ROWLEY, ar:pr MATT HIRD, DARTMOUTH FILMS WORDS INFOCOM, RADHIKA CHINAI ANAND MEHTA AND ASSOCIATES NAHEED CARRIMJEE DESAI DESAI CARRIMJEE & MULLA HDFC ERGO GENERAL INSURANCE CO. LTD. FILMS TRANSIT INTERNATIONAL (JAN ROFEKAMP, DIANA HOLTZBERG) SONGS “Pradip’s Theme” Composed for Fire in the Blood and performed by Barry Kevin Donnelly “Kaboyi Kaboyi (Woodpecker)” Traditional Swazi Song arranged by Philip Miller Performed by Nana Courtesy of Rory Bester, Worldgoround Records, Cape Town “Lobelanga” Written by Fredy Massamba and Frederic Hirschy Performed by Fredy Massamba Courtesy of Skinfama Production, Brussels “When He Plays Jazz He’s Got Hot Lips” Written by Henry Busse, Henry Lange, and Lou Davis Performed by Paul Whiteman and his Orchestra (1922) ARCHIVAL FOOTAGE ABC News VideoSource Big World Cinema BBC Worldwide Corbis C-SPAN Doordarshan Framepool Getty Images McNeil/Lehrer Productions William J. Clinton Foundation Avert Bureau for International Reporting (BIR), New York The Newsmarket Courtesy of the WGBH Media Library & Archives, Boston Etat d’Urgence Production (MSF-TV), Paris Gandhi Films Foundation (GFF), Mumbai Kaiser Family Foundation (KFF), Washington Oxfam GB, Oxford Photoshare TVE, London Community Media Trust (CMT), Cape Town (“TAC footage courtesy of the CMT/UCT HIV/AIDS Archive. Part of this archive can be found online at www.beatit.co.za”) Audiovisual Library of the European Commission, Brussels, © European Union, 2011 Courtesy of Outcast Films and Action = Life Collective IRIN Films, Integrated Regional Information Networks, Nairobi Wikimedia Commons Stock footage provided by Styrofilm/Redblue/Janvozenilek/Lewis/Cattails/HDtravelshots/Pond5.com Film Footage courtesy of Shutterstock Images LLC, Used by Permission Archival Film and Video Materials from the Collections of the Library of Congress, Washington, DC George W. Bush Presidential Library, Lewisville, TX National Institute of Allergy and Infectious Diseases (NIAID) US National Institutes of Health (NIH), Bethesda, MD Public Health Image Library (PHIL), Centers for Disease Control (CDC), Atlanta U.S. Environmental Protection Agency (USEPA), Washington, DC World Health Organization (WHO), Geneva World Trade Organization (WTO), Geneva CARTOONS COURTESY OF: Zapiro (Jonathan Shapiro), www.zapiro.com Polyp (Paul Fitzgerald), www.polyp.org.uk Jeff Stahler (Used by permission of Universal Uclick for UFS. All Rights Reserved) PHOTOGRAPHERS WHO GENEROUSLY DONATED IMAGES TO THIS PROJECT: Zoriah (Zoriah Miller), www.zoriah.com Jonnek Jonneksson Kaytee Riek Jeffrey Schramek, www.collectnobel.com Micheal Spender James Wagner, www.jameswagner.com ADDITIONAL PHOTO CREDITS: Eric Miller; WHO/Jean-Marc Ferre, P. Virot, Peter Williams, Chris Black; CDC/C. Goldsmith, P. Feorino, E.L. Palmer, W.R. McManus; Manan Vatsyayana/AFP/Getty Images; Cipla; © Felix Masi/Voiceless Children, Courtesy of Photoshare; TAC photo courtesy of Avert; © Gideon Mendel/CORBIS; Estate of Jacques Lowe; Personal Collections of Elvis Basudde Kyeyune and William F. Haddad THE FILMMAKERS WISH TO THANK THE FOLLOWING FOR THEIR SUPPORT AND ASSISTANCE IN THE MAKING OF THIS FILM: The DREAM Project of the Community of Sant’egidio Doctors Without Borders/Médecins Sans Frontières (MSF) and the archives of Etat d’Urgence Production (MSF-TV), Paris Treatment Action Campaign (TAC) and the archives of the Community Media Trust (CMT), Cape Town Desmond Tutu HIV Foundation Cipla William J. Clinton Foundation The Fair Use Project Documentary Film Program Stanford Law School, Stanford University Amita Chebbi François Bonnici, Jr., MD Hoosen ‘Jerry’ Coovadia, MD Donald W. Light Y.R. Gaitonde Centre for AIDS Research & Education (YRG CARE) – Suniti Solomon, MD, N. Kumarasamy, MD DREAM – Paolo Germano, MD, Paola Rolletta, Isaias Joao and Family, Adalberta Grachane Aruna Vasudev Community Media Trust (CMT) – Gareth Dawson, Dalli Weyers Robin Wood, MD Marta Darder, MD Asanda Ngobo and Family Nathan Geffen Robert Ochai Jonathan Berger Vikramaditya Motwane Jason Maloney Alan Greenspan Shannon Davidson Loveleen Tandan Peter Bull Homi Adajania Blue Frog – Emmanuelle de Decker, Srila Chatterjee Hormuz Mehta Marek Posival Mario Grigorov Jaideep Gogtay, MD Lodestar Universal – Shashi Sinha, Habeeb Nizamudin Naseeruddin Shah Knowledge Ecology International (KEI), Washington, DC Paul Roux, MD Beverley and Joel Wynne Sara McLoed, Etat d’Urgence Production (MSF-TV), Paris Giles Nuttgens Francois Venter, MD William J. Clinton Foundation, New York – Shaffiq Essajee, MD, Betsy McManus, Adam Schulz Cipla Medpro SA – Jerome Smith Gloria Rembe James Middleton Cape Argus Pick n Pay Cycle Tour Quality Chemicals (QCIL), Kampala – Emmanuel Katongole, George Baguma Stop AIDS Campaign UK Ashgar Moledina, MD, and Family, Wellworth LDA, Maputo H. Srinivas Albertina Ervilha and Family Greg Chapman, Gudrun Olafsdottir Cristina Guerreros, Luis Sanguinetti, Azul Guerreros Sanguinetti Environmental Response Television (ERTV) – Dale Kemery, Robert Cibulskis Dinaz Stafford Nikhil Swadi Sis Lulu, Hannan Crusade, Gugulethu Brent van Rensburg Diana Gibb, MD Eric Marty, ACT UP Paris Devika Mahadevan, Kapil Gupta Purnima Singh Scott Campbell, Elton John AIDS Foundation Biotoscana SA, Bogota – Carlos Adolfo Munoz, Jose Ramirez A.P. Raman Rohit Rao, Eske Group, Lima Joseph Safdie, Caligor Pharmacy Patrick Chu, Edenbridge Pharmaceuticals Oxfam GB – Ryan Witchalls Germán Holguín, Misión Salud, Bogota James Lavigne Denny Lee Wiebke von Carolsfeld A SPARKWATER INDIA PRODUCTION © Sparkwater Productions India Pvt. Ltd., 2012