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The 2019 report 'Chilling Prospects' tracks the progress of sustainable cooling access, noting that 1.05 billion people remain at high risk due to lack of cooling. It highlights the development of National Cooling Plans in China and India and introduces the 'Cooling for All Needs Assessment' to move beyond equipment-based projections toward a holistic approach covering human safety, food security, and health services. The report emphasizes the risk posed by the 2.2 billion lower-middle income people who may adopt inefficient cooling devices, increasing GHG emissions.

The report examines the shift in intellectual property standard-setting from multilateral forums like the WTO and WIPO to bilateral and regional trade agreements. It highlights the risk of "TRIPS-plus" provisions—standards exceeding the WTO's TRIPS Agreement—which erode flexibilities for developing countries. A central focus is the application of non-violation complaints in bilateral deals (e.g., US-Chile, CAFTA), which the authors argue could make WTO discussions irrelevant and restrict the right of states to regulate IP in the public interest. The document also updates activities in the TRIPS Council, WIPO's committees on patents and genetic resources, and various UN agencies regarding traditional knowledge and public health.