Using the Mozambique National Quality Policy to Encourage Biomedical Research, Innovation, & Infrastructure Investment

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Using the Mozambique National Quality Policy to Encourage Biomedical Research, Innovation, & Infrastructure Investment Rachael Eckles, JD/MA Director, Regulatory Policy Bristol-Myers Squibb August 10, 2017 1

DISCLAIMER The views expressed by the speaker are personal opinions and should not be attributed to anyone else, including their respective employers. The speaker does not have an actual or potential conflict of interest in relation to this presentation. This presentation is not intended as legal advice and should not be relied upon as legal advice. 2

BMS Mission To discover, develop and deliver innovative medicines that help patients prevail over serious diseases. 3

Bristol-Myers Squibb at a Glance BMY CEO Giovanni Caforio, M.D. R&D Investment IN 2015 $ 5.92 BILLION $ 4.04 BILLION on a non-gaap basis* Headquarters New York City 25,000 Employees www.bms.com Business Biopharmaceuticals $ 16.6 BILLION IN REVENUE Net Sales 2015 Orencia Eliquis Sprycel Hepatitis C franchise Yervoy Opdivo Largest Selling Products 2015 *This non-gaap amount excludes significant upfront and milestone payments for business development transactions and other specified R&D items. A reconciliation of GAAP to non-gaap measures can be found on our website at www.bms.com. $1.9 BILLION $1.9 BILLION $1.6 BILLION $1.6 BILLION $1.1 BILLION $942 MILLION 4

DISEASE AREA FOCUS R&D Strategic Focus Immuno- Oncology Immunoscience Virology Genetically Defined Diseases Oncology Cardiovascular Fibrotic Diseases Metabolics* DRUG PLATFORMS Small Molecules Biologics Millamolecules Antibody Drug Conjugates *Focus on progressing early development assets and transitioning late-stage assets to AstraZeneca 5

Bristol-Myers Squibb Foundation Highlights IN 2015 ALMOST LOCAL ACTION, GLOBAL IMPACT 325,000 CHILDREN have received HIV/AIDS care through Baylor College of Medicine- Bristol-Myers Squibb Children s Clinical Centers of Excellence in five African countries and a network of rural clinics funded by SECURE THE FUTURE Disaster Relief $25 Million commitment Over 90 grantee projects in 20 countries testing innovative models of care and support to improve access and outcomes for the underserved 2,627 Collaborating PARTNERS Contributing to our global projects 134,280 Health care workers trained around the world through Foundation programs 6

Case Study: Global HOPE* $50 million in catalytic funding over next 5 years Bristol-Myers Squibb Foundation and partners** launched an innovative pediatric oncology treatment network that will help build long-term capacity to treat and dramatically improve the prognosis of thousands of children with blood disorders and cancer in southern and east Africa Our goal is and must continue to be that no child anywhere in the world should die from cancer. But at a minimum, all children should have the same fighting chance. Giovanni Caforio The Global HOPE initiative aims to treat more than 5,000 children and train thousands of healthcare professionals within the region. *HOPE: Hematology-Oncology Pediatric Excellence; **Partners include Baylor College of Medicine (raising an additional $50 million), Texas Children s Hospital and the governments of Botswana, Uganda and Malawi 7

Why is a Strong National Quality Policy Important in Mozambique? Cancer affects the lives of children all over the world, but it is estimated that up to 90 percent of children with cancer live in developing countries In low income countries where access to healthcare is limited, childhood cancer survival rates are as low as 10-20%. Although HIV/AIDS infections amongst children remain a critical health priority in sub-saharan Africa, cancer is emerging as one of the major causes of childhood death on the African continent. * *Excerpted from The Borgen Project, Treating Childhood Cancer inafrica. Accessible at: https://borgenproject.org/childhood-cancer-in-africa/. 8

Case Study: Counterfeit Drugs in Africa 9

USP-Ghana Partnership: Center for Pharmaceutical Advancement And Training USP is working to help build Africa s capacity to tackle the growing threat of counterfeit and substandard medicines, a major public health challenge on the continent. We are committed to being one of Africa s most trusted partners and a resource for the quality control of medicines. We are collaborating with global, regional and local partners to ensure people in Africa have medicines they can rely on to be of good quality, safe and beneficial. -Kelly Willis USP SVP of Global Public Health *More information on the program accessible at: http://www.usp.org/news/uspghana-expands-center-pharmaceutical-advancement-and-training-combat-poorquality-medicines-africa?language_content_entity=en. 10

Components of a Strong National Quality Policy engages diverse stakeholders transparent predictable patient-centered public-private partnering encourages innovation addresses unmet healthcare needs 11

A Strong National Quality Policy Attracts: Innovative Programs to Deal with Emerging Health Crises Clinical Trial Investment Private Sector Jobs Public-Private Partnership Opportunities 12

National Quality Policy is Necessary to Address Emerging Health Crises Cancer affects the lives of children all over the world, but it is estimated that up to 90 percent of children with cancer live in developing countries In low income countries where access to healthcare is limited, childhood cancer survival rates are as low as 10-20%. Although HIV/AIDS infections amongst children remain a critical health priority in sub-saharan Africa, cancer is emerging as one of the major causes of childhood death on the African continent. * *Excerpted from The Borgen Project, Treating Childhood Cancer inafrica. Accessible at: https://borgenproject.org/childhood-cancer-in-africa/. 13

A Strong National Quality Policy Attracts Clinical Trial Investment Builds Research & Healthcare Capacity Boosts Economy Improves local infrastructure 14

A Strong National Quality Policy Attracts Private- Sector Pharmaceutical Industry Jobs Jobs across the US, EU5, Japan, Korea, Mexico, Canada, and Australia 1,600,000 direct jobs Innovative Biopharmaceutical Industry US 4,500,000 jobs EU5 1,700,000 jobs 6,400,000 jobs downstream Vendors and Suppliers JAPAN 630,000 jobs KOREA 440,000 jobs 8 million TOTAL JOBS MEXICO 680,000 jobs AUSTRALIA 64,000 jobs CANADA 80,000 jobs 15

A Strong National Quality Policy Encourages Public- Private Partnerships Demonstrates Commitment to Patient Safety Encourages Innovation Reduces Health Disparities 16

Acknowledgements Government of Mozambique ANSI RSS Group USAID INNOQ Workshop Participants 17

Thank You! General Questions: Rachael Eckles @ Rachael.Eckles@bms.com. Bristol-Myers Squibb Foundation Inquiries: Phangisile Mtshali, Director, Corporate Philanthropy, BMS Foundation @ Phangisile.Mtshali@bms.com. (Based in Johannesburg, South Africa). 18