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的第六段,關於醫藥產業不具有足夠或欠缺製造能力的 <strong>WTO</strong> 會員的藥品專利議<br />
題,接受 <strong>TRIPS</strong> 理事會的建議,增加 <strong>TRIPS</strong> 協定修正條文第 31 條之一 90 ,卻不<br />
以類似「杜哈公共衛生宣言」的模式處理 91 。就邏輯而言,<strong>TRIPS</strong> 協定修正條文<br />
第 31 條之一的作法,至少顯示「杜哈公共衛生宣言」,和 <strong>TRIPS</strong> 協定的嗣後協<br />
定並不具有相同的法律效力。由於「杜哈公共衛生宣言」研擬過程即充斥著高度<br />
的政治張力與對峙、妥協關係,且美國也一再強調「杜哈公共衛生宣言」無法凌<br />
駕其國內法 92 ,並主張「杜哈公共衛生宣言」不過是個法律效果不清或有限的政<br />
治性的文件 93 。儘管如此,軟法性質的「杜哈公共衛生宣言」,並不代表在解讀<br />
<strong>TRIPS</strong> 協定關於強制授權的規定時,不需要參酌「杜哈公共衛生宣言」關於 <strong>TRIPS</strong><br />
協定相關約文的解釋。只是,真正要解決「杜哈公共衛生宣言」爭議,還是需要<br />
另外設置一個較為正式的 <strong>TRIPS</strong> 協定解釋文件 94 ,或類似香港部長會議關於增設<br />
<strong>TRIPS</strong> 協定修正條文第 31 條之一的作法。<br />
1.4 小結<br />
90 ANNEX TO THE PROTOCOL AMENDING THE <strong>TRIPS</strong> AGREEMENT, WT/L/641(8 December<br />
2005) Amendment of the <strong>TRIPS</strong> Agreement, Decision of 6 December<br />
2005(http://www.wto.org/english/tratop_e/trips_e/wtl641_e.htm) (2007/10/05 last visited).<br />
91 “We reaffirm the importance we attach to the General Council Decision of 30 August 2003 on the<br />
Implementation of Paragraph 6 of the Doha Declaration on the <strong>TRIPS</strong> Agreement and Public Health,<br />
and to an amendment to the <strong>TRIPS</strong> Agreement replacing its provisions. In this regard, we welcome the<br />
work that has taken place in the Council for <strong>TRIPS</strong> and the Decision of the General Council of<br />
6 December 2005 on an Amendment of the <strong>TRIPS</strong> Agreement.” 2005: Hong Kong Ministerial<br />
Declaration, Paragraph 40 on <strong>TRIPS</strong> and Public Health ,<br />
http://www.wto.org/english/thewto_e/minist_e/min05_e/final_text_e.htm#public_health (last visited<br />
2007/10/05).<br />
92 James Thuo Gathii, supra note 42, 316.<br />
93 Jeffrey J. Schott, Comment on the Doha Ministerial, 5(1) JOURNAL OF INTERNATIONAL ECONOMIC<br />
LAW 191, 195 (2002).<br />
94 Divya Murthy, supra note 38, 1337 &<br />
1339.<br />
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