The Venetian Betrayal

“When we were retained six months ago, you wanted suggestions on marketing a possible HIV cure. We wondered then if Philogen was on the brink of something. Now, with you wanting to see what we have, we thought maybe there’d been a breakthrough.”

 

 

He silently congratulated himself. “I think you voiced the operative word. Possible. Certainly, it’s our hope to be first with a cure—we’re spending millions on research—but if a breakthrough were to happen, and you never know when that’s going to occur, I don’t want to be caught waiting months for an effective marketing scheme.” He paused. “No. Nothing to this point, but a little preparedness is good.”

 

His guest acknowledged the explanation with a nod, then she paraded to a waiting easel. He shot a glance at one of the women sitting next to him. A shapely brunette, not more than thirty or thirty-five, in a tight-fitting wool skirt. He wondered if she was an account executive or just decoration.

 

“I’ve done some fascinating reading over the past few weeks,” Corrigan said. “HIV seems to have a split personality, depending on what part of the globe you’re studying.”

 

“There’s truth to that observation,” he said. “Here, and in places like North America , the disease is reasonably containable. No longer a leading cause of death. People simply live with it. Symptomatic drugs have reduced the mortality rate by more than half. But in Africaand Asiait’s an entirely different story. Worldwide, last year, three million died of HIV.”

 

“And that’s what we did first,” she said. “Identified our projected market.”

 

She folded back the blank top sheet on the pad affixed to the easel, revealing a chart.

 

“These figures represent the latest incidents of worldwide HIV infections.”

 

 

 

REGIONS

 

NUMBER

 

North America

 

1,011,000

 

Western Europe

 

988,000

 

Australia-Pacifica

 

22,000

 

Latin America

 

1,599,000

 

Sub-Saharan Africa

 

20,778,000

 

Caribbean

 

536,000

 

Eastern Europe

 

2,000

 

Southeast Mediterranean

 

893,000

 

Northeast Asia

 

6,000

 

Southeast Asia

 

11,277,000

 

Total

 

37,112,000

 

 

 

“What’s the data source?” Vincenti asked.

 

“World Health Organization. And this represents the total current market available for any cure.” Corrigan flipped to the next page. “This chart fine-tunes the available market. As you can see, the data shows roughly a quarter of worldwide HIV infections have already resulted in a manifestation of acquired immune deficiency syndrome. Nine million HIV-infected individuals now have full-blown AIDS.”

 

 

 

REGIONS

 

NUMBER

 

North America

 

555,000

 

Western Europe

 

320,500

 

Australia-Pacifica

 

14,000

 

Latin America

 

573,500

 

Sub-Saharan Africa

 

6,300,000

 

Caribbean

 

160,500

 

Eastern Europe

 

10,800

 

Southeast Mediterranean

 

15,000

 

Northeast Asia

 

17,600

 

Southeast Asia

 

1,340,000

 

Total

 

9,306,900

 

 

 

Corrigan flipped to the next chart. “This shows the projections for five years from now. Again, this data came from the World Health Organization.”

 

 

 

REGIONS

 

ESTIMATE

 

North America

 

8,150,000

 

Western Europe

 

2,331,000

 

Australia-Pacifica

 

45,000

 

Latin America

 

8,554,000

 

Sub-Saharan Africa

 

33,609,000

 

Caribbean

 

6,962,000

 

Eastern Europe

 

20,000

 

Southeast Mediterranean

 

3,532,000

 

Northeast Asia

 

486,000

 

Southeast Asia

 

45,059,000

 

Total

 

108,748,000

 

 

 

“Amazing. We could soon have one hundred ten million people infected, worldwide, with HIV. Current statistics indicate that fifty percent of these individuals will eventually develop AIDS. Forty percent of that fifty percent will be dead within two years. Of course, the vast majority of these will be in Africaand Asia .” Corrigan shook her head. “Quite a market, wouldn’t you say?”

 

Vincenti digested the figures. Using a mean of seventy million HIV cases, even at a conservative five thousand euros per year for treatment, any cure would initially generate three hundred and fifty billion euros. True, once the initial infected population was cured, the market would dwindle. So what? The money would be made. More than anyone could ever spend in a lifetime. Later, there’d surely be new infections and more sales, not the billions the initial campaign would generate, but a continuous windfall nonetheless.

 

“Our next analysis involved a look at the competition. From what we’ve been able to learn from the WHO, roughly sixteen drugs are now being used globally for the symptomatic treatment of AIDS. There are roughly a dozen players in this game. The sales from your own drugs were just over a billion euros last year.”

 

Philogen owned patents for six medicines that, when used in conjunction with others, had proven effective in arresting the virus. Though it took, on average, about fifty pills a day, the so-called cocktail therapy was all that really worked. Not a cure, the deluge of medication simply confused the virus, and it was only a matter of time before nature outsmarted the microbiologists. Already, drug-resistant HIV strains had emerged in Asiaand China.

 

“We took a look at the combination treatments,” Corrigan said. “A three-drug regimen costs on average about twenty thousand euros a year. But that form of treatment is basically a Western luxury. It’s nonexistent in Africaand Asia . Philogen donates, at reduced costs, medications to a few of the affected governments, but to treat those patients similarly would cost billions of euros a year, money no African government has to spend.”