Hr. Cornillet nævnte dem indgående. De nationale regeringers indtil for kort tid siden manglende vilje til at bekæmpe denne plage, manglen på en reelt afskrækkende lovgivning i mange lande, disse forfalskningers latterligt lave pris og så frem for alt fattigdommen i de berørte lande, de mest sårbare befolkningsgruppers manglende adgang til sundhedssystemet og deres himmelråbende behov for tilgængelige lægemidler.
Mr Cornillet referred to them at length: the absence, still scarcely remedied, of any real will on the part of national governments to combat this scourge; the absence, too, in many countries of legislation that might genuinely act as a deterrent; the ridiculously low cost of these counterfeit medicines; and, above all, the poverty to be found in the countries concerned and the fact that the most vulnerable population groups, which are crying out for accessible medicines, find it impossible to gain access to health systems.