Tackling Infectious Diseases — House of Commons, 2017-04-20
Topic: Health
Jeremy John Elton Lefroy (Conservative, Centre-right): I congratulate my colleague from the International Development Committee, the hon. Member for Ealing, Southall (Mr Sharma), on his comprehensive speech, which covered a huge amount of ground. I also declare my interest as a member of the boards of the Liverpool School of Tropical Medicine and the Innovative Vector Control Consortium, which develops new insecticides to put on bed nets to counter mosquitos, and as chair of the all-party group on malaria and neglected tropical diseases I had the honour on Monday this week to chair a meeting in Washington, as chair of the Parliamentary Network on the World Bank and International Monetary Fund, with Madame Christine Lagarde of the IMF and Dr Jim Kim, president of the World Bank. Dr Kim spoke about infectious diseases and the threat posed by them. He pointed out that we had come together as a world with three countries in west Africa—Liberia, Guinea and Sierra Leone—to tackle Ebola. There was a huge cost of life there, particularly among medical workers, but the co-ordinated action enabled that epidemic to be curtailed; it could have been much worse. He talked also about Zika and the work done on it. He pointed out, too, that a major epidemic of an infectious disease, possibly a flu, which could affect as many as 30 million people resulting in a scale of deaths that we have not seen since Spanish flu in 1919, was perfectly possible and very much on the radar. That illustrates why this debate is so important The UK Government have been at the forefront in providing resources for research and development as to tackling infectious diseases and the deployment of those tools in the countries where they are needed, not only in the cases of Ebola and Zika, but, as the hon. Gentleman mentioned, in terms of the rise in the resistance to drugs, particularly for tuberculosis, but also for malaria. Resistance has been growing to the artemisinin-based combination therapy drugs, or ACTs, in south-east Asia, and, as we know, it is always from south-east Asia that resistance grows to malaria drugs; it did for chloroquine and it did for sulfadoxine-pyrimethamine, or SP, and now it is for the ACTs. That is where the real threat from malaria lies: if resistance grows there and then crosses to sub-Saharan Africa, we face the prospect of yet another drug becoming less effective. ACTs have played a huge role in cutting the number of deaths from over 1 million in 2000 to less than half a million last year The UK Government have played a major role through the funding of, for instance, the Medicines for Malaria Venture and the Innovative Vector Control Consortium, which I mentioned earlier, and I welcome the announcements this week by the Secretary of State on additional funding to combat neglected tropical diseases. I hope some of that funding will go into developing new drugs in the area, because we have shortfalls in the pipeline for tackling some of those diseases; some have very effective existing drugs, but others do not. We must also not forget the role that vaccines play, as the hon. Gentleman also mentioned, in respect of TB As the hon. Gentleman made clear, these are not commercial propositions in most cases. They are not drugs that companies can afford to develop on their own; they need the support of Governments and foundations. It is tremendous how Governments and foundations such as Wellcome and the Bill and Melinda Gates Foundation have stepped up, and indeed drugs companies in the case of neglected tropical diseases, where they have provided billions of doses free across the globe in the past 15 to 20 years I want to conclude by giving three reasons why we should be concerned about this matter and taking this action. First, that is absolutely the right thing to do: dealing with diseases that affect people across the globe, and not just the poorest people—the 1.5 billion who suffer from neglected tropical diseases and those who suffer from malaria, TB and HIV—but the people in our own countries who suffer from these diseases. Let us not forget that those people are right on our doorstep and in our midst Secondly, this is highly cost-effective. A ratio of about 40:1 has been mentioned, and I have seen that in many places. What we spend on international development has to be extremely effective. In many cases, what we spend on research and development and on treating these diseases is pretty much the best buy in international development, which is why I welcome the fact that the UK Government have concentrated more resources on these areas Thirdly, the UK is a world leader. That is even more important now that we are coming out of the European Union. We have institutions such as the London School of Hygiene & Tropical Medicine, Imperial College London, the University of York, the Liverpool School of Tropical Medicine, the University of Dundee and the University of Aberdeen. Many of our universities across the United Kingdom are world leaders in this area, and it is vital that, as we look to create a more global Britain, we do not neglect those areas in which we are already world leaders. That involves a number of things, such as investment in the form of Government support, primarily through DFID and in cash, but also ensuring that the best scientists such as the young researchers who want to come to this country because of our excellence can continue to do so and will not be blocked Let us not forget that researchers are often not well paid. If we set salary-based caps for immigration, we will automatically disqualify some of the brightest minds on the planet from coming here, so let us ensure that that does not happen. If we are to have immigration rules, they should be based on the task and not on the salary. Setting a cap of £30,000, for example, would probably exclude half the PhD and other doctoral posts in this country. This is absolutely critical. We also need to encourage our own researchers to go and work across the globe in collaboration with others. This kind of research is not national; it is international, and it requires the widest possible collaboration I want to conclude by thanking my hon. Friend the Minister, who is absolutely committed and who I know will have played a major role in the decision on neglected tropical diseases in the past week. This is something we have been waiting and calling for, and the Government’s announcement has exceeded our expectations. That is tremendous. It is great for the United Kingdom and, above all, for the people who are suffering from neglected tropical diseases That comes on top of a range of announcements on malaria, TB and HIV. As we come to the end of this Parliament, I hope that all the manifestos—particularly the Conservative manifesto—will contain a commitment to continue to spend 0.7% of our GDP on international development and a repeat of the commitment to make research and development on infectious diseases and the deployment of those resources a key priority for the new Government.