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Growing the Wealth of the Poor - World Resources Institute

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BOX 2.6CURING POVERTY?TAKING ADVANTAGE OF THE MEDICINALS MARKETE V E N I N T H E E R A O F M O D E R N , L A B - D E S I G N E Dpharmaceuticals, medicinal plants are big business. Approximately47 percent <strong>of</strong> conventional drugs on <strong>the</strong> market todayare ei<strong>the</strong>r natural products or directly derived from <strong>the</strong>seproducts (Newman and Cragg 2007:461). Pharmaceuticalcompanies are putting more resources than ever intobioprospecting in <strong>the</strong> hopes <strong>of</strong> finding new cures hidden in <strong>the</strong>world’s forests and deserts (Kursar et al. 2006:1006). In 2007,<strong>the</strong> global trade in medicinal plants was estimated at US$78billion and growing, propelled by a burgeoning alternativehealth care market and increasing demand for natural cosmeticsacross <strong>the</strong> United States and Europe. Experts predict that<strong>the</strong> medicinals trade will continue to grow at about 7 percentannually for <strong>the</strong> foreseeable future (Lambert et al. 2005:21).Such expansion presents a prime opportunity for rural, naturebasedenterprises to capitalize on a market in which <strong>the</strong>y holda natural advantage. But it also highlights <strong>the</strong> challenge <strong>of</strong>advancing what has always been a low-margin business for ruralresidents into a higher-value enterprise—and doing so withoutoverexploiting <strong>the</strong> fragile natural resource base.The first is for villagers to capture more value from <strong>the</strong> medicinals<strong>the</strong>y harvest, requiring a shift away from <strong>the</strong> current systemin which most benefits accrue to pharmaceutical companies andintermediary traders. The second challenge is to make medicinalplant collection more sustainable by reversing <strong>the</strong> habitatdegradation and overharvesting trends common in commercialmedicinal production. Fortunately, experience indicates that <strong>the</strong>solutions to <strong>the</strong>se problems are <strong>of</strong>ten complementary.Ninety percent <strong>of</strong> <strong>the</strong> medicinals that are traded on <strong>the</strong> globalmarket are still harvested from <strong>the</strong> wild, even though manystudies have indicated <strong>the</strong> importance <strong>of</strong> increasing medicinalcultivation to meet growing global demand (FAO 2005:5;Schippmann et al. 2002:8–11). The low prices received byharvesting communities and <strong>the</strong> habitat degradation associatedwith plant collection stem from <strong>the</strong> fact that, in most instances,<strong>the</strong>re are no effective government or community controls on <strong>the</strong>harvest <strong>of</strong> wild medicinal plants—a de facto open-access situationthat undermines ecosystem health and disadvantages poorrural residents, who typically have little market power.98Rural AdvantageRural and indigenous communities hold a comparative advantagewhen it comes to medicinal plant collection andpreparation since <strong>the</strong>y already account for much <strong>of</strong> <strong>the</strong> globalproduction and use <strong>of</strong> medicinals. For many rural residents,harvesting medicinals is an important—although limited—contributor to total income. For example, studies show that inIndia’s western Himalaya, nomadic tribes rely on medicinalplant cultivation and sales for 5–10 percent <strong>of</strong> <strong>the</strong>ir income(Shekhar and Badola 2000:275). In rural Kwazulu-Natal inSouth Africa, <strong>the</strong> 16,000 medicinal plant ga<strong>the</strong>rers in <strong>the</strong>region earn an average <strong>of</strong> between US$67 and US$98 permonth for <strong>the</strong>ir efforts (Mander 1998:Sec. 5.4). Medicinalsalso provide direct health benefits to people across <strong>the</strong> developingworld, 80 percent <strong>of</strong> whom use such treatments as <strong>the</strong>irprimary source <strong>of</strong> health care (WHO 2006). With <strong>the</strong> knowledgeand resources that <strong>the</strong>se communities currently use in <strong>the</strong>irmedicinals production, <strong>the</strong>y seem well situated to play a centralrole in <strong>the</strong> growing global medicinals market.Dual Challenges:Capturing Value, Harvesting SustainablyRural communities must address two major challenges if <strong>the</strong>yare to use medicinal plants to <strong>the</strong>ir advantage in <strong>the</strong> long term.The reality <strong>of</strong> <strong>the</strong> supply side is that harvesters rarely own <strong>the</strong>land on which <strong>the</strong>y harvest (Schippmann et al. 2002:7,10–11).The individuals who collect <strong>the</strong> specimens tend to work alone,selling <strong>the</strong>ir raw products to traders and processors. In areaswhere employment options are few, <strong>the</strong>se collectors are willingto devote many hours to collection and must accept whatever<strong>the</strong> traders <strong>of</strong>fer <strong>the</strong>m at <strong>the</strong> end <strong>of</strong> <strong>the</strong> day. Frequently,harvesters are forced to travel far<strong>the</strong>r and far<strong>the</strong>r to find wildmedicinal stocks as plants disappear with overharvesting andhabitat destruction caused by timber cuts and land conversion(Mander 1998:Sec. 5.1.1.1). One estimate suggests that suchdestruction and overcollection has led to <strong>the</strong> endangerment <strong>of</strong>more than 4,000 medicinal plants worldwide (Schippmann etal 2002:3–4).The Prunus Africana tree <strong>of</strong> Cameroon is one <strong>of</strong> <strong>the</strong>se endangeredplants. P. Africana was once harvested primarily by localswho used it for wooden tools and to treat chest pain and malaria(WWF 2002:1). In <strong>the</strong> 1970s, pharmaceutical companies beganto use <strong>the</strong> plant’s bark to treat prostate gland hypertrophy.Cameroon’s government eventually allowed all pharmaceuticalcompanies access to its forests as a way to promote competition,and unsustainable harvest practices became <strong>the</strong> norm. When<strong>the</strong>se practices combined with ongoing deforestation, <strong>the</strong> P.Africana population plummeted. The rural communities, leftwithout <strong>the</strong>ir once-common medicinal resource, reaped fewcommercial benefits from <strong>the</strong> deforestation. The trees’harvesters were ei<strong>the</strong>r outsiders working for foreign pharmaceuticalcompanies or locals who gained little for <strong>the</strong>ir effortsbecause <strong>the</strong>y accepted <strong>the</strong> low prices <strong>of</strong>fered by intermediarytraders (Stewart 2003:566–567).

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