Asia Pacific Overall Healthcare Outlook 2010
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Transcript of Asia Pacific Overall Healthcare Outlook 2010
2P3B5-54
Disclaimer
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TABLE OF CONTENT
1. Overview of Healthcare Market : Key Takeaways
• Setting the Scene: Outlook for Healthcare Industry from 2010-12
• Global vs. APAC: The New Frontier
2. In-depth Sectoral Analysis, APAC and S Korea
• APAC Pharmaceuticals & Biotechnology Market
• APAC Medical Devices Market
• APAC Clinical Diagnostics Market
• APAC Lifesciences and Health IT Market
• APAC Medical Imaging Market
3. Summary : Best Opportunity Analysis, APAC
• Where to place your bets in APAC: 2010- 2012
4. Decision Support Database
• Total Health Expenditure
• Private Health Expenditure
• Government Health Expenditure
• Percent Healthcare Expenditure in GDP
• Population Aged Above 65
5. About Frost & Sullivan
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Setting the Scene Outlook for Healthcare Industry from 2010-12
Source: Frost & Sullivan
Global Healthcare Market : 2009
• US and Europe were impacted in a major way by global crisis
• Asia also slowed down but not as much as the West
• Valuations were low and M&A was high, many smaller Biotech companies struggled
• Major organizational restructuring occurred, along with portfolios being reassessed
Global Healthcare Market : 2010-12
• Recovery of the markets to a large extent with strong growth in Asia
• Start of major patent expiries
• M&A activity down in the West but could be important in Asia, restructuring will continue
• Asia becoming increasingly important as a market and outsourcing hub
• 5Ps to drive market: Preventive, Preemptive, Personalized, Predictive, Personal Responsibility
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Global vs. APAC: The New FrontierBy 2012 APAC expected to be close to 27% of global market
247 277 311 348
815 880 906 934
0
200
400
600
800
1000
1200
1400
1600
1800
2009 2010 2011 2012
10621157
12181282
23.9%23.9%
27.2%27.2%
23.2%23.2%
26.4%26.4%
CAGR12.2%CAGR12.2%
CAGR6.47%CAGR6.47%
Global & APAC Healthcare Revenues US$ Bn, 2009-2012
• By 2015 APAC could represent ~40% of global market!
Rest of the World
APAC
Note: All figures are rounded; the base year is 2009. Source: Frost and SullivanNote: All figures are rounded; the base year is 2009. Source: Frost and Sullivan
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Asia is however transitioningMoving toward a Multi–Polar World Order
Asia Pacific Market : 2009
• Slowing down of GDP in mature markets – Japan and Australia took a big hit
• Global consolidation left a difficult mess for integration on a local level – job losses and portfolio realignment
• Price cutting and playing the margins game
• The bubble burst for Medical Tourism
• Asia started to set up infrastructure for offshoring and outsourcing for US/EU companies
Asia Pacific Market : 2012
• A shift in the center of the world economically and strategically to Asia
• Asia to move from export led development to consumption led growth
• APAC the fastest growing pharma market and API production hub
• Increased government attention to primary and community based healthcare.
• Focus on building infrastructure and education: government role will be higher
• Increased use of mobile technology in healthcare service delivery
Source: Frost & Sullivan
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APAC Pharmaceuticals & Biotechnology MarketEarlier diagnosis improves disease management and length of therapy
Note: All figures are rounded; the base year is 2009. Source: Frost and SullivanNote: All figures are rounded; the base year is 2009. Source: Frost and Sullivan
Market Drivers
Market Restraints
Long term use of multiple and specialized drugs for the ageing population
Government support for generics and biosimilars
Enhanced diagnosis and management in oncology, cardiovascular, pain etc
Unresolved political and regulations issues Quality concern of generics & counterfeits
Government tenders favour local manufacturers
180 203.5 230 260
570 621.5 636 649
0100200300400500600700800900
100011001200
2009 2010 2011 2012
Rest of the World
APAC
24.6% 28.5%
CAGR6.6 %
CAGR6.6 %
CAGR12.9 %CAGR12.9 %
Pharma & Biotech Revenues, US$ Bn, 2009-2012
APAC Share
750825 866 909
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APAC Medical Devices MarketTransition to a mindset of monitoring
Note: All figures are rounded; the base year is 2009. Source: Frost and SullivanNote: All figures are rounded; the base year is 2009. Source: Frost and Sullivan
46.5 51.3 56.5 62.3
156.5 163.7 171 178.4
0
50
100
150
200
250
300
350
2009 2010 2011 2012
Rest of the World
APAC
203 215 227.5 240.7
23.8%23.8%
25.8%25.8%
Market Drivers
Market Restraints
•Safety, accuracy, efficiency, cost
•Silver industry devices
•Convergence of devices and pharma products
•Regulatory and reimbursement hurdles
•Lack of sufficient distribution networks
•Inadequate training/certification for allied staff
Medical Devices Revenues, US$ Bn, 2009-2012
APAC Share
CAGR5.8%
CAGR5.8%
CAGR10.2%CAGR10.2%
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Note: All figures are rounded; the base year is 2009. Source: Frost and SullivanNote: All figures are rounded; the base year is 2009. Source: Frost and Sullivan
APAC Clinical Diagnostics Market Shift in business model from instrumentation to service revenues
6.9 7.3 7.8 8.5
31.7 33.6 35.6 37.5
0
10
20
30
40
50
60
2009 2010 2011 2012
Rest of the World
APAC
38.640.9
43.446
17.8%17.8%
18.5%18.5%
Market Drivers
Market Restraints
Lab automation
Home care monitoring
Emphasis on early detection
High cost of genomics and proteomics tests
Mutually exclusive target customers
Reimbursement issues
Clinical Diagnostics Revenues, US$ Bn, 2009-2012
APAC Share
CAGR7.3%
CAGR7.3%
CAGR6%
CAGR6%
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Note: All figures are rounded; the base year is 2009. Source: Frost and SullivanNote: All figures are rounded; the base year is 2009. Source: Frost and Sullivan
*Healthcare IT includes: Software, Hardware, IT services and Lifesciences IT
APAC Lifesciences and Health IT Market*Interoperability challenges hinder adoption
7.1 7.9 8.8 9.8
43.5 46.7 49.6 52.7
0
10
20
30
40
50
60
70
80
2009 2010 2011 2012
Rest of the World
APAC
14.5%14.5%
15.7%15.7%
Market Drivers
Market Restraints
Operational efficiency Strong and sustained demand for healthcare services
Consumer demand for quality and access to information
Interoperability
Integration
Lack of skilled resources
Lifesciences & Healthcare IT, US$ Bn, 2009-2012
CAGR7%
CAGR7%
CAGR11.3%CAGR11.3%
APAC Share
50.654.6
58.4 62.5
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APAC Medical Imaging MarketTurnkey projects drive double digit growth in Asia
Note: All figures are rounded; the base year is 2009. Source: Frost and SullivanNote: All figures are rounded; the base year is 2009. Source: Frost and Sullivan
6 6.8 7.7 8.6
13.8 14.2 14.6 15
0
5
10
15
20
25
30
35
40
2009 2010 2011 2012
Rest of the World
APAC
19.8 21 22.3 23.6
32.4%32.4%
36.4%36.4%
Market Drivers
Market Restraints
Rise in turnkey projects
Increasing corporate wellness programs
Integration of Imaging with information systems
New customer sets to be addressed
Price erosion
CAGR6%
CAGR6%
CAGR12.7%CAGR12.7%
Imaging Market Revenues, US$ Bn, 2009-2012
APAC Share
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Where to place your bets in APAC: 2010- 2012
Time
Gro
wth Molecular
Diagnostics
Silver IndustryEquipment
POCT
Vaccines/Biologics
Endoscopy
EMR/EHR
WellnessProducts
Oncology
Value basedImaging
INNOVATIONTRIGGER
SUPERGROWTH
NORMALISATION LEADERSHIP
IndiaChina
S.Korea
SingaporeMalaysia
Vietnam
HealthcareServices
Source: Frost & Sullivan.
17
Decision Support Database
• Total Health Expenditure
• Private Health Expenditure
• Government Health Expenditure
• Percent Healthcare Expenditure in GDP
• Population Aged Above 65
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Decision Support Databases
Decision Support DatabaseTable Total Healthcare Expenditure (Bn USD)
Region / Country 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012CAGR %
(2005 - 2012)North America
Canada 73.0 87.8 101.2 116.9 129.5 138.3 147.0 155.2 163.0 169.8 175.9 6.00United States 1,559.0 1,678.9 1,804.7 1,936.6 2,077.5 2,232.9 2,399.2 2,573.3 2,753.9 2,944.2 3,146.3 7.18
TOTAL 1,632.0 1,766.6 1,905.9 2,053.5 2,207.0 2,371.2 2,546.3 2,728.6 2,916.8 3,114.0 3,322.1 7.11
Latin America
Argentina 11.5 14.7 17.3 20.9 23.3 25.7 27.8 29.9 31.8 33.7 35.5 7.85Brazil 40.7 45.8 55.6 74.0 78.8 83.8 90.0 97.0 104.9 113.7 123.6 7.60Chile 3.8 4.4 5.8 7.0 8.0 9.0 9.9 10.8 11.8 12.8 13.8 10.17Mexico 59.6 58.5 62.2 72.3 78.8 84.7 91.0 97.5 104.0 110.4 116.7 7.08Peru 2.4 2.7 3.1 3.6 3.9 4.2 4.5 4.9 5.2 5.6 5.9 7.46Venezuela 4.7 4.7 6.2 7.2 8.2 9.3 10.5 11.8 13.4 15.3 17.7 13.82
TOTAL 122.7 130.8 150.2 185.0 200.9 216.7 233.8 251.8 271.1 291.5 313.2 7.81
Asia - Pacific
Australia 39.4 51.0 62.4 69.9 74.7 79.9 85.1 90.4 95.9 101.4 107.1 6.29China 71.9 84.3 98.7 116.0 134.3 152.9 172.5 193.7 217.0 242.5 270.7 12.87Hong Kong 9.4 9.5 10.0 10.9 11.9 13.0 14.1 15.5 16.9 18.5 20.3 9.25India 27.5 36.1 41.9 48.5 54.0 59.8 66.1 72.8 80.0 87.5 95.5 10.16Indonesia 6.4 8.0 8.8 9.3 10.6 12.0 13.5 15.3 17.3 19.6 22.2 13.15Japan 315.4 339.5 374.9 379.7 394.0 406.6 414.7 424.9 437.0 451.7 467.5 3.02Malaysia 3.6 4.0 4.6 5.2 5.9 6.7 7.6 8.6 9.6 10.8 11.9 12.66New Zealand 5.1 6.7 8.5 9.4 10.4 11.4 12.3 13.1 13.8 14.4 14.9 6.77Philippines 2.3 2.3 2.5 2.8 3.2 3.6 4.0 4.4 4.9 5.5 6.0 11.45Singapore 3.7 4.0 4.3 4.6 5.0 5.3 5.7 6.2 6.6 7.1 7.6 7.46South Korea 25.3 30.1 33.9 39.3 43.3 47.7 52.2 56.7 61.2 66.0 70.9 8.81Taiwan 16.9 17.8 19.2 21.0 22.8 24.7 26.5 28.2 30.0 31.8 33.6 6.92Thailand 7.8 8.5 9.6 10.7 11.9 13.3 14.8 16.6 18.7 21.1 23.8 12.18
TOTAL 534.6 601.6 679.2 727.3 781.9 836.8 889.1 946.3 1,008.8 1,077.7 1,152.0 6.79
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Decision Support Databases (Contd…)
Decision Support DatabaseTable Total Healthcare Expenditure (Bn USD)
Region / Country 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012CAGR %
(2005 - 2012)Western Europe
Austria 15.3 19.2 22.1 23.1 24.0 24.8 25.7 26.5 27.2 27.9 28.5 3.04Belgium 22.6 29.3 34.0 35.8 37.4 38.9 40.3 41.6 42.9 44.1 45.3 3.40Denmark 15.2 19.2 22.2 23.4 24.4 25.4 26.4 27.4 28.3 29.3 30.3 3.78Finland 9.5 11.8 13.6 14.4 15.1 16.0 16.9 17.7 18.5 19.3 20.1 4.90France 139.0 176.8 205.6 217.9 228.6 239.0 249.3 259.1 268.4 277.8 286.6 3.99Germany 211.1 258.9 294.6 305.9 314.9 323.7 332.6 341.2 349.3 358.1 366.6 2.62Greece 13.0 17.2 19.6 22.3 23.9 25.4 27.0 28.6 30.2 31.8 33.4 5.99Iceland 0.8 1.1 1.3 1.6 1.8 2.0 2.1 2.3 2.4 2.6 2.7 7.80Ireland 9.7 12.8 15.4 16.3 17.9 19.3 20.8 22.3 23.8 25.3 26.8 7.43Italy 99.6 122.3 139.7 143.4 149.1 154.0 159.0 163.8 168.1 172.0 175.4 2.92Luxembourg 1.5 1.9 2.3 2.5 2.7 2.8 2.9 3.0 3.2 3.3 3.4 4.14Netherlands 39.0 50.4 58.1 60.6 63.8 66.2 68.7 71.1 73.3 75.5 77.6 3.59Norway 18.3 22.7 26.1 30.4 32.5 34.7 36.9 39.3 41.4 43.4 45.5 5.94Portugal 11.3 14.3 16.5 17.3 18.2 19.1 20.0 20.9 21.9 22.8 23.8 4.60Spain 49.7 65.0 77.1 88.4 94.4 100.2 106.1 112.1 117.6 123.2 128.1 5.45Sweden 22.2 28.4 33.5 34.1 35.6 37.1 39.2 41.4 43.9 46.6 49.7 5.53Switzerland 29.7 37.0 41.5 43.1 45.7 48.4 51.1 53.8 56.5 59.3 62.2 5.39United Kingdom 121.0 141.5 170.0 180.7 191.9 203.3 214.8 227.0 238.7 250.4 262.6 5.49
TOTAL 828.6 1,029.6 1,193.2 1,261.1 1,321.7 1,380.3 1,439.8 1,499.0 1,555.5 1,612.8 1,668.5 4.08
Eastern Europe
Czech Republic 5.0 6.8 7.5 9.0 9.9 10.8 11.7 12.7 13.6 14.5 15.5 8.03Hungary 4.9 6.9 8.6 9.6 10.8 11.8 12.9 13.9 14.9 15.9 16.8 8.23Poland 12.5 13.6 15.2 17.9 19.7 21.2 22.9 24.7 26.5 28.2 29.8 7.59Russia 21.3 26.2 32.6 38.2 43.7 48.8 53.9 58.7 63.4 67.9 72.2 9.51Turkey 11.6 15.8 19.7 26.0 28.6 31.5 34.0 36.4 39.0 41.2 43.3 7.55
TOTAL 55.4 69.3 83.6 100.8 112.6 124.1 135.3 146.4 157.3 167.7 177.6 8.43
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Decision Support Databases (Contd…)
Decision Support DatabaseTable Total Healthcare Expenditure (Bn USD)
Region / Country 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012CAGR %
(2005 - 2012)Middle East & Africa
Egypt 4.0 3.5 3.7 4.4 5.5 6.5 7.5 8.5 9.7 11.0 12.4 16.03Israel 9.0 9.7 10.4 11.0 11.8 12.5 13.2 14.2 15.3 16.5 17.8 7.05Saudi Arabia 7.9 8.8 9.6 10.4 11.2 11.8 12.4 13.0 13.6 14.2 14.8 5.13South Africa 9.1 13.6 20.0 19.6 20.5 21.6 22.7 23.9 25.2 26.7 28.4 5.50
TOTAL 30.0 35.5 43.6 45.4 49.0 52.4 55.8 59.6 63.7 68.3 73.4 7.11
WORLD TOTAL 3,203.3 3,633.5 4,055.6 4,373.0 4,673.2 4,981.4 5,300.0 5,631.6 5,973.3 6,331.9 6,706.8 6.30
Note: All figures are rounded; the base year is 2005. Source: Frost & SullivanDefinition
Note1. Figures for 2005 are Frost & Sullivan estimates
The above figures indicate health care expenditure
Source: Frost & SullivanSource: Frost & Sullivan
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Decision Support Databases (Contd…)
Decision Support DatabaseTable Private Healthcare Expenditure (Bn USD)
Region / Country 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012CAGR %
(2005 - 2012)North America
Canada 22.2 26.2 30.5 35.6 39.7 42.6 45.5 48.3 50.8 53.1 55.2 6.48United States 841.0 913.2 980.5 1,045.3 1,078.0 1,155.7 1,240.9 1,330.0 1,421.0 1,517.4 1,614.5 6.41
TOTAL 863.2 939.4 1,011.0 1,080.8 1,117.7 1,198.3 1,286.4 1,378.2 1,471.9 1,570.5 1,669.7 6.41
Latin America
Argentina 5.7 7.3 8.5 10.5 12.1 13.6 15.0 16.3 17.5 18.8 20.0 9.71Brazil 22.0 24.7 30.0 39.8 42.3 44.8 48.0 51.5 55.4 59.7 64.6 7.14Chile 2.1 2.4 3.1 3.8 4.3 4.8 5.2 5.6 6.0 6.4 6.9 8.89Mexico 32.8 32.7 34.9 40.7 44.7 48.1 51.7 55.4 59.2 62.9 66.5 7.26Peru 1.2 1.4 1.6 1.8 2.0 2.2 2.4 2.5 2.7 3.0 3.2 8.26Venezuela 2.5 2.5 3.3 3.9 4.5 5.1 5.8 6.6 7.6 8.7 10.2 14.72
TOTAL 66.4 71.0 81.4 100.5 109.8 118.6 128.0 137.9 148.4 159.5 171.3 7.92
Asia - Pacific
Australia 12.3 16.3 20.0 22.5 24.4 26.5 28.8 31.4 34.1 37.0 40.2 8.65China 47.7 56.6 66.4 78.4 91.3 104.5 118.5 133.8 150.7 169.4 189.4 13.44Hong Kong 4.0 4.0 4.1 4.4 4.8 5.1 5.5 5.9 6.3 6.8 7.4 7.54India 21.6 28.5 33.1 38.5 42.9 47.8 53.0 58.5 64.4 70.7 77.4 10.49Indonesia 4.1 5.1 5.6 5.9 6.6 7.4 8.3 9.3 10.4 11.7 13.1 12.10Japan 57.7 61.0 68.8 74.2 78.4 79.6 77.9 76.4 75.0 75.7 76.6 0.45Malaysia 1.7 1.8 2.1 2.4 2.7 3.0 3.4 3.8 4.3 4.7 5.2 12.07New Zealand 1.1 1.5 1.8 2.0 2.1 2.3 2.4 2.6 2.7 2.8 2.8 5.39Philippines 1.4 1.4 1.5 1.7 2.0 2.3 2.5 2.8 3.1 3.5 3.8 11.89Singapore 2.6 2.8 3.0 3.2 3.5 3.8 4.1 4.4 4.8 5.2 5.6 8.27South Korea 11.9 14.1 15.7 17.9 19.3 20.7 22.0 23.0 23.9 24.6 25.1 4.95Taiwan 5.9 6.3 6.8 6.9 7.7 8.7 9.3 9.6 10.1 10.7 11.5 7.55Thailand 5.1 5.5 6.2 6.9 7.6 8.5 9.4 10.6 11.7 13.0 14.5 11.23
TOTAL 177.0 204.7 235.1 264.9 293.2 320.2 345.1 372.0 401.5 435.7 472.6 8.62
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Decision Support Databases (Contd…)
Decision Support DatabaseTable Private Healthcare Expenditure (Bn USD)
Region / Country 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012CAGR %
(2005 - 2012)Western Europe
Austria 4.6 5.7 6.6 6.9 7.1 7.4 7.6 7.8 8.0 8.2 8.4 2.78Belgium 6.5 8.4 9.7 10.2 10.6 10.9 11.2 11.5 11.8 12.0 12.2 2.66Denmark 13.5 17.1 19.7 20.8 21.6 22.5 23.4 24.2 25.0 25.9 26.7 3.65Finland 2.3 2.9 3.3 3.4 3.6 3.8 3.9 4.1 4.3 4.4 4.6 4.16France 33.4 42.2 49.0 51.6 53.9 56.1 58.0 60.1 62.1 64.0 65.7 3.50Germany 45.4 55.7 63.1 65.4 67.1 68.6 70.4 72.0 73.0 74.5 75.9 2.16Greece 6.1 8.1 9.2 10.4 11.1 11.8 12.5 13.2 13.9 14.6 15.2 5.60Iceland 0.1 0.2 0.2 0.3 0.3 0.3 0.3 0.4 0.4 0.4 0.4 6.94Ireland 2.4 3.2 3.9 4.1 4.5 4.9 5.3 5.7 6.1 6.5 6.9 7.84Italy 24.3 29.8 34.0 34.9 36.2 37.3 38.5 39.6 40.5 41.4 42.1 2.72Luxembourg 0.2 0.3 0.4 0.4 0.4 0.5 0.5 0.5 0.6 0.6 0.6 6.85Netherlands 13.4 19.0 22.5 24.4 24.0 25.6 27.0 28.2 28.9 29.7 30.3 3.14Norway 3.0 3.9 4.5 5.2 5.7 6.1 6.6 7.1 7.6 8.0 8.5 7.18Portugal 3.4 4.2 4.8 5.1 5.3 5.5 5.8 6.0 6.3 6.5 6.8 4.22Spain 14.3 18.6 22.1 25.2 26.8 28.4 30.0 31.6 33.1 34.5 35.8 5.13Sweden 3.3 4.2 4.9 5.0 5.2 5.4 5.7 6.0 6.3 6.6 7.1 5.14Switzerland 12.5 15.5 17.3 17.9 18.8 19.7 20.6 21.5 22.3 23.2 24.1 4.38United Kingdom 20.1 23.2 27.4 28.4 29.4 30.3 31.4 32.2 32.7 33.3 33.6 2.46
TOTAL 208.8 262.0 302.3 319.3 331.4 345.0 358.5 371.7 382.7 394.2 404.7 3.45
Eastern Europe
Czech Republic 0.4 0.6 0.6 0.9 0.9 0.9 1.0 1.1 1.2 1.3 1.4 5.91Hungary 1.5 2.1 2.6 2.9 3.3 3.6 4.0 4.3 4.6 4.9 5.2 8.65Poland 3.5 3.8 4.2 4.9 5.4 5.8 6.3 6.7 7.1 7.5 7.9 7.05Russia 9.4 11.6 14.4 16.9 19.3 21.7 23.9 26.1 28.3 30.4 32.4 9.73Turkey 4.0 5.5 6.8 9.1 10.1 11.2 12.2 13.2 14.1 15.1 16.0 8.39
TOTAL 18.8 23.5 28.7 34.8 39.0 43.2 47.4 51.4 55.4 59.2 62.9 8.84
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Decision Support Databases (Contd…)
Decision Support DatabaseTable Private Healthcare Expenditure (Bn USD)
Region / Country 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012CAGR %
(2005 - 2012)Middle East & Africa
Egypt 2.7 2.3 2.6 3.1 4.0 4.8 5.6 6.4 7.3 8.3 9.4 17.41Israel 3.4 3.5 4.1 4.6 5.0 5.4 5.8 6.3 6.8 7.4 8.1 8.34Saudi Arabia 1.8 2.0 2.2 2.4 2.6 2.7 2.8 3.0 3.1 3.2 3.4 5.05South Africa 6.1 8.9 13.1 13.1 13.7 14.3 15.1 15.9 16.9 18.0 19.2 5.68
TOTAL 14.0 16.7 22.0 23.1 25.2 27.3 29.3 31.6 34.1 36.9 40.0 8.17
WORLD TOTAL 1,348.2 1,517.3 1,680.4 1,823.3 1,916.3 2,052.5 2,194.7 2,342.7 2,493.8 2,655.8 2,821.2 6.43
Note: All figures are rounded; the base year is 2005. Source: Frost & SullivanDefinition
Note1. Figures for 2005 are Frost & Sullivan estimates
Figures in the table represents private health expenditure
Source: Frost & SullivanSource: Frost & Sullivan
24P3B5-54
Decision Support Databases (Contd…)
Decision Support DatabaseTable Government Healthcare Expenditure (Bn USD)
Region / Country 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012CAGR %
(2005 - 2012)North America
Canada 50.8 61.6 70.7 81.4 89.8 95.7 101.5 107.0 112.1 116.7 120.7 5.79United States 718.0 765.7 824.2 891.3 999.5 1,077.2 1,158.4 1,243.4 1,332.9 1,426.8 1,531.8 8.04
TOTAL 768.8 827.3 895.0 972.7 1,089.3 1,172.9 1,259.9 1,350.3 1,445.0 1,543.5 1,652.5 7.87
Latin America
Argentina 5.8 7.4 8.8 10.4 11.2 12.0 12.8 13.6 14.3 14.9 15.5 5.77Brazil 18.7 21.1 25.6 34.2 36.5 39.0 42.0 45.5 49.5 54.0 59.1 8.12Chile 1.7 2.0 2.6 3.2 3.7 4.2 4.7 5.3 5.8 6.4 6.9 11.58Mexico 26.8 25.9 27.4 31.6 34.1 36.6 39.3 42.0 44.8 47.5 50.2 6.83Peru 1.2 1.3 1.5 1.8 1.9 2.0 2.2 2.3 2.5 2.6 2.8 6.58Venezuela 2.2 2.2 2.8 3.3 3.7 4.2 4.7 5.2 5.9 6.6 7.6 12.69
TOTAL 56.3 59.8 68.8 84.5 91.1 98.1 105.8 113.9 122.7 132.0 141.9 7.69
Asia - Pacific
Australia 27.1 34.7 42.5 47.4 50.4 53.4 56.3 59.0 61.8 64.4 66.9 5.05China 24.2 27.7 32.3 37.7 43.0 48.4 54.0 59.9 66.3 73.2 81.3 11.62Hong Kong 5.4 5.6 5.9 6.5 7.1 7.8 8.6 9.6 10.6 11.7 12.9 10.34India 5.9 7.6 8.7 10.0 11.1 12.0 13.1 14.3 15.6 16.8 18.1 8.82Indonesia 2.3 2.9 3.2 3.5 4.0 4.6 5.2 6.0 6.9 7.9 9.1 14.83Japan 257.7 278.5 306.1 305.5 315.6 327.0 336.8 348.5 361.9 376.0 390.9 3.59Malaysia 1.9 2.2 2.5 2.8 3.2 3.7 4.2 4.8 5.4 6.0 6.7 13.13New Zealand 4.0 5.3 6.7 7.5 8.3 9.2 9.9 10.5 11.1 11.7 12.1 7.11Philippines 0.9 0.9 1.0 1.1 1.2 1.4 1.5 1.6 1.8 2.0 2.2 10.70Singapore 1.2 1.2 1.3 1.4 1.5 1.6 1.7 1.8 1.9 1.9 2.0 5.45South Korea 13.4 16.0 18.2 21.4 24.0 27.0 30.2 33.6 37.3 41.4 45.8 11.52Taiwan 11.0 11.5 12.4 14.1 15.2 16.1 17.2 18.7 19.9 21.1 22.1 6.61Thailand 2.6 3.0 3.4 3.8 4.3 4.8 5.4 6.0 6.9 8.1 9.3 13.80
TOTAL 357.5 396.9 444.1 462.4 488.8 516.7 543.9 574.3 607.3 642.0 679.4 5.65
25P3B5-54
Decision Support Databases (Contd…)
Decision Support DatabaseTable Government Healthcare Expenditure (Bn USD)
Region / Country 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012CAGR %
(2005 - 2012)Western Europe
Austria 10.7 13.5 15.5 16.2 16.9 17.5 18.1 18.7 19.2 19.7 20.2 3.15Belgium 16.1 20.9 24.3 25.7 26.8 28.0 29.1 30.1 31.1 32.1 33.1 3.68Denmark 1.7 2.1 2.5 2.6 2.7 2.9 3.0 3.2 3.3 3.5 3.6 4.76Finland 7.2 9.0 10.3 10.9 11.6 12.2 12.9 13.6 14.2 14.9 15.5 5.13France 105.7 134.6 156.6 166.3 174.8 182.9 191.3 199.0 206.4 213.9 221.0 4.14Germany 165.7 203.3 231.6 240.6 247.9 255.1 262.2 269.1 276.3 283.6 290.7 2.74Greece 6.9 9.1 10.4 11.9 12.8 13.7 14.5 15.4 16.3 17.2 18.2 6.32Iceland 0.7 0.9 1.1 1.4 1.5 1.7 1.8 1.9 2.1 2.2 2.3 7.95Ireland 7.3 9.6 11.6 12.2 13.4 14.5 15.5 16.6 17.7 18.8 19.9 7.29Italy 75.3 92.4 105.6 108.5 112.9 116.7 120.5 124.3 127.6 130.7 133.3 2.98Luxembourg 1.3 1.6 1.9 2.1 2.3 2.4 2.4 2.5 2.6 2.7 2.7 3.59Netherlands 25.6 31.3 35.7 36.2 39.8 40.7 41.8 42.9 44.4 45.9 47.3 3.88Norway 15.3 18.9 21.6 25.1 26.8 28.5 30.3 32.2 33.8 35.4 37.0 5.67Portugal 8.0 10.1 11.6 12.3 12.9 13.6 14.3 14.9 15.6 16.3 17.0 4.76Spain 35.4 46.4 55.0 63.2 67.6 71.8 76.1 80.5 84.5 88.6 92.3 5.57Sweden 18.9 24.2 28.6 29.1 30.4 31.7 33.5 35.5 37.6 39.9 42.6 5.60Switzerland 17.2 21.5 24.2 25.2 26.9 28.7 30.5 32.3 34.2 36.1 38.1 6.07United Kingdom 100.9 118.3 142.6 152.3 162.6 173.0 183.5 194.7 206.0 217.1 229.0 6.00
TOTAL 619.8 767.6 890.9 941.8 990.3 1,035.3 1,081.3 1,127.3 1,172.8 1,218.6 1,263.7 4.29
Eastern Europe
Czech Republic 4.6 6.2 6.9 8.1 9.1 9.9 10.7 11.5 12.4 13.3 14.1 8.25Hungary 3.4 4.8 6.0 6.7 7.5 8.2 8.9 9.6 10.3 10.9 11.6 8.05Poland 9.1 9.9 11.0 13.0 14.3 15.4 16.6 18.0 19.3 20.6 21.9 7.79Russia 11.9 14.6 18.2 21.3 24.3 27.2 29.9 32.6 35.1 37.6 39.8 9.34Turkey 7.7 10.4 12.9 16.9 18.5 20.3 21.8 23.3 24.8 26.1 27.3 7.08
TOTAL 36.6 45.9 54.9 66.0 73.7 80.9 88.0 95.1 102.0 108.5 114.7 8.21
26P3B5-54
Decision Support Databases (Contd…)
Decision Support DatabaseTable Government Healthcare Expenditure (Bn USD)
Region / Country 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012CAGR %
(2005 - 2012)Middle East & Africa
Egypt 1.3 1.2 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.7 3.0 12.39Israel 5.7 6.2 6.3 6.4 6.7 7.1 7.4 7.9 8.5 9.1 9.7 6.06Saudi Arabia 6.1 6.8 7.4 8.0 8.7 9.1 9.6 10.0 10.5 11.0 11.4 5.15South Africa 3.0 4.7 6.8 6.5 6.8 7.2 7.6 8.0 8.3 8.7 9.2 5.14
TOTAL 16.0 18.8 21.6 22.3 23.7 25.1 26.5 28.1 29.7 31.5 33.3 5.93
WORLD TOTAL 1,855.1 2,116.2 2,375.2 2,549.6 2,756.9 2,929.0 3,105.3 3,288.9 3,479.5 3,676.2 3,885.5 6.20
Note: All figures are rounded; the base year is 2005. Source: Frost & SullivanDefinition
Note1. Figures for 2005 are Frost & Sullivan estimates
The above figures indicate health care expenditure by government
Source: Frost & SullivanSource: Frost & Sullivan
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Decision Support DatabaseTable Percent Healthcare Expenditure in GDP
Region / Country 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012North America
Canada 9.9 10.1 10.2 10.3 10.4 10.7 11.0 11.2 11.4 11.5 11.6United States 14.9 15.3 15.4 15.2 15.4 15.6 15.9 16.3 16.6 17.0 17.4
TOTAL 14.6 14.9 15.0 14.8 15.0 15.2 15.5 15.8 16.2 16.5 16.9
Latin America
Argentina 11.3 11.3 11.3 11.4 11.5 11.7 11.8 11.9 12.0 12.2 12.4Brazil 9.1 9.1 9.2 9.3 9.3 9.3 9.3 9.3 9.4 9.5 9.6Chile 5.8 6.0 6.1 6.4 6.4 6.5 6.5 6.5 6.6 6.7 6.7Mexico 9.2 9.4 9.4 9.4 9.6 9.8 9.9 10.1 10.3 10.5 10.7Peru 4.4 4.5 4.5 4.6 4.7 4.8 4.9 5.0 5.2 5.3 5.5Venezuela 4.9 5.5 5.5 5.6 5.7 5.7 5.8 5.8 5.9 5.9 5.9
TOTAL 8.7 8.8 8.9 9.0 9.0 9.1 9.2 9.2 9.3 9.4 9.5
Asia - Pacific
Australia 9.6 9.7 9.9 10.5 10.7 10.9 11.0 11.1 11.2 11.4 11.7China 5.7 6.0 6.0 6.1 6.4 6.6 6.8 7.0 7.1 7.3 7.5Hong Kong 5.8 6.1 6.2 6.2 6.3 6.6 6.8 6.9 7.1 7.3 7.5India 6.1 6.1 6.4 6.4 6.5 6.6 6.7 6.7 6.8 6.9 6.9Indonesia 3.7 3.4 3.4 3.5 3.5 3.5 3.6 3.7 3.8 3.9 4.0Japan 6.8 6.9 7.0 7.0 7.4 7.9 7.7 7.7 7.8 7.8 7.8Malaysia 3.8 3.9 3.9 4.0 4.1 4.3 4.4 4.6 4.7 4.8 5.0New Zealand 8.7 8.6 8.7 9.0 9.2 9.3 9.5 9.7 9.8 9.9 9.9Philippines 2.9 2.9 2.9 3.0 3.0 3.0 3.0 3.0 3.0 3.0 3.1Singapore 3.8 3.9 3.9 3.9 3.9 4.0 4.0 4.0 4.0 4.1 4.2South Korea 4.9 4.9 5.0 5.0 5.1 5.1 5.2 5.2 5.2 5.3 5.3Taiwan 6.0 6.0 6.1 6.1 6.1 6.1 6.2 6.2 6.3 6.3 6.3Thailand 5.8 5.9 5.9 6.1 6.2 6.3 6.4 6.6 6.8 7.1 7.5
TOTAL 6.4 6.5 6.6 6.6 6.8 7.1 7.0 7.1 7.2 7.2 7.3
Decision Support Databases (Contd…)
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Decision Support Databases (Contd…)
Decision Support DatabaseTable Percent Healthcare Expenditure in GDP
Region / Country 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
Western Europe
Austria 7.5 7.5 7.6 7.6 7.6 7.6 7.6 7.6 7.6 7.7 7.7Belgium 9.1 9.6 9.6 9.7 9.8 9.9 9.9 10.0 10.1 10.2 10.3Denmark 8.8 9.1 9.2 9.1 9.2 9.3 9.4 9.5 9.5 9.5 9.5Finland 7.2 7.3 7.3 7.5 7.6 7.6 7.7 7.7 7.7 7.8 7.8France 9.7 9.8 10.0 10.3 10.5 10.7 10.8 10.9 11.0 11.1 11.3Germany 10.6 10.6 10.7 10.9 11.1 11.2 11.3 11.4 11.5 11.7 11.9Greece 9.8 9.9 9.9 10.0 10.1 10.2 10.2 10.3 10.2 10.3 10.3Iceland 9.9 10.5 10.6 10.6 10.9 11.1 11.3 11.5 11.7 11.9 12.0Ireland 8.0 8.4 8.5 8.6 8.8 9.0 9.2 9.3 9.5 9.7 9.9Italy 8.4 8.3 8.3 8.4 8.4 8.4 8.4 8.5 8.5 8.5 8.5Luxembourg 6.9 6.9 7.0 7.1 7.2 7.3 7.4 7.5 7.6 7.7 7.7Netherlands 9.3 9.8 9.8 10.6 10.9 11.0 11.1 11.2 11.3 11.4 11.6Norway 9.6 10.3 10.4 10.4 10.6 10.8 11.0 11.2 11.4 11.6 11.8Portugal 9.3 9.7 9.9 10.1 10.2 10.3 10.5 10.6 10.7 10.9 11.0Spain 7.6 7.7 7.8 7.9 7.9 8.0 8.1 8.2 8.2 8.3 8.4Sweden 9.2 9.4 9.6 9.7 9.9 10.0 10.1 10.2 10.3 10.4 10.6Switzerland 11.1 11.5 11.5 11.7 11.8 11.9 12.0 12.1 12.3 12.4 12.6United Kingdom 7.7 7.8 8.0 8.2 8.4 8.6 8.8 9.0 9.2 9.3 9.5
TOTAL 9.0 9.1 9.2 9.3 9.5 9.6 9.7 9.8 9.9 10.0 10.1
Eastern Europe
Czech Republic 7.2 7.5 7.5 7.6 7.6 7.7 7.7 7.7 7.9 8.0 8.2Hungary 7.8 8.4 8.6 8.8 8.9 9.0 9.1 9.2 9.3 9.4 9.5Poland 5.9 5.9 6.0 6.0 6.0 6.1 6.3 6.4 6.5 6.6 6.6Russia 6.1 6.1 6.2 6.2 6.2 6.3 6.3 6.4 6.4 6.5 6.6Turkey 6.5 6.6 6.7 6.8 6.8 6.8 6.8 6.9 7.0 7.1 7.2
TOTAL 6.6 6.6 6.6 6.7 6.7 6.8 6.8 6.9 6.9 7.0 7.0
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Decision Support Databases (Contd…)
Decision Support DatabaseTable Percent Healthcare Expenditure in GDP
Region / Country 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
Middle East & Africa
Egypt 4.9 5.0 5.0 5.1 5.1 5.2 5.2 5.2 5.2 5.3 5.3Israel 8.7 8.8 8.8 9.0 9.1 9.1 9.2 9.3 9.4 9.5 9.6Saudi Arabia 4.3 4.3 4.4 4.4 4.4 4.5 4.5 4.5 4.6 4.6 4.7South Africa 8.7 8.2 9.4 8.2 8.1 8.2 8.2 8.2 8.2 8.2 8.2
TOTAL 6.1 6.1 6.1 6.2 6.2 6.2 6.2 6.3 6.2 6.3 6.3
WORLD TOTAL 10.2 10.2 10.3 10.3 10.4 10.6 10.7 10.9 11.0 11.2 11.4
Note: All figures are rounded; the base year is 2005. Source: Frost & SullivanDefinition
Note1. Regional and World total are calculated using weighted average of countries in the region and are not the simple average.
The above figures represent Healthcare Expenditure as percentage of Gross Domestic Product.
Source: Frost & SullivanSource: Frost & Sullivan
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Decision Support Databases (Contd…)
Decision Support DatabaseTable Population 65 Plus (Mn)
Region / Country 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012CAGR %
(2005 - 2012)North America
Canada 4.1 4.2 4.2 4.3 4.4 4.5 4.6 4.7 4.9 5.0 5.2 2.66United States 35.6 35.9 36.3 36.7 37.2 37.9 38.7 39.5 40.2 41.1 42.6 2.14
TOTAL 39.7 40.1 40.5 41.0 41.6 42.4 43.3 44.2 45.1 46.1 47.7 2.19
Latin America
Argentina 4.0 4.0 4.1 4.2 4.2 4.3 4.4 4.5 4.6 4.6 4.7 1.88Brazil 10.0 10.3 10.7 11.1 11.5 11.9 12.3 12.7 13.2 13.7 14.3 3.67Chile 1.2 1.2 1.2 1.3 1.3 1.4 1.4 1.5 1.6 1.6 1.7 3.76Mexico 5.3 5.5 5.8 6.0 6.2 6.4 6.7 6.9 7.2 7.5 7.7 3.74Peru 1.3 1.4 1.4 1.5 1.5 1.6 1.6 1.7 1.7 1.8 1.8 3.35Venezuela 1.2 1.2 1.3 1.3 1.3 1.4 1.4 1.5 1.6 1.6 1.7 3.84
TOTAL 22.9 23.7 24.5 25.3 26.1 27.0 27.9 28.8 29.8 30.8 31.9 3.40
Asia - Pacific
Australia 2.5 2.5 2.6 2.6 2.7 2.7 2.8 2.8 2.9 3.0 3.1 2.59China 92.6 95.0 97.1 99.3 101.7 104.0 106.1 108.5 111.3 114.4 118.2 2.54Hong Kong 0.8 0.8 0.9 0.9 0.9 0.9 0.9 0.9 1.0 1.0 1.0 1.96India 48.7 49.9 51.1 52.5 54.0 55.6 57.4 59.2 61.2 63.3 65.5 3.29Indonesia 11.1 11.6 12.2 12.7 13.2 13.6 14.1 14.6 15.0 15.5 15.8 3.13Japan 23.1 23.7 24.2 24.8 25.5 26.3 27.0 27.7 28.1 28.3 29.1 2.18Malaysia 1.0 1.0 1.1 1.1 1.2 1.2 1.2 1.3 1.3 1.4 1.5 3.91New Zealand 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.6 2.29Philippines 3.2 3.3 3.4 3.5 3.6 3.8 3.9 4.0 4.2 4.3 4.5 3.61Singapore 0.3 0.3 0.3 0.4 0.4 0.4 0.4 0.4 0.4 0.4 0.5 4.07South Korea 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.0 5.2 5.3 5.6 3.56Taiwan 2.0 2.1 2.2 2.2 2.3 2.3 2.4 2.4 2.5 2.5 2.6 2.24Thailand 4.4 4.6 4.8 5.0 5.2 5.4 5.5 5.7 5.9 6.1 6.3 3.26
TOTAL 193.8 199.2 204.3 209.6 215.4 221.4 227.1 233.2 239.4 246.0 254.0 2.79
31P3B5-54
Decision Support Databases (Contd…)
Decision Support DatabaseTable Population 65 Plus (Mn)
Region / Country 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012CAGR %
(2005 - 2012)
Western Europe
Austria 1.3 1.3 1.3 1.4 1.4 1.4 1.5 1.5 1.5 1.5 1.5 1.38Belgium 1.8 1.8 1.8 1.8 1.8 1.8 1.8 1.8 1.9 1.9 1.9 0.99Denmark 0.8 0.8 0.8 0.8 0.8 0.8 0.9 0.9 0.9 1.0 1.0 2.81Finland 0.8 0.8 0.8 0.8 0.9 0.9 0.9 0.9 0.9 0.9 1.0 2.23France 9.7 9.8 9.9 10.0 10.0 10.0 10.1 10.2 10.3 10.5 10.8 1.26Germany 14.2 14.6 15.1 15.6 16.0 16.3 16.5 16.7 16.8 16.7 16.8 0.80Greece 1.9 2.0 2.0 2.0 2.0 2.0 2.1 2.1 2.1 2.1 2.1 0.88Iceland 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.00Ireland 0.4 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.6 2.65Italy 10.7 10.9 11.1 11.3 11.5 11.6 11.7 11.7 11.8 11.9 12.1 0.95Luxembourg 0.1 0.1 0.1 0.1 0.1 0.1 0.1 0.1 0.1 0.1 0.1 2.25Netherlands 2.2 2.2 2.3 2.3 2.4 2.4 2.4 2.5 2.5 2.6 2.7 2.53Norway 0.7 0.7 0.7 0.7 0.7 0.7 0.7 0.7 0.7 0.8 0.8 2.09Portugal 1.7 1.8 1.8 1.8 1.8 1.8 1.9 1.9 1.9 1.9 2.0 1.24Spain 7.0 7.1 7.1 7.1 7.2 7.2 7.3 7.4 7.5 7.5 7.6 1.00Sweden 1.5 1.6 1.6 1.6 1.6 1.6 1.7 1.7 1.8 1.8 1.8 2.37Switzerland 1.1 1.1 1.1 1.2 1.2 1.2 1.2 1.2 1.3 1.3 1.3 2.03United Kingdom 9.4 9.4 9.5 9.5 9.6 9.6 9.7 9.9 10.0 10.2 10.5 1.58
TOTAL 65.4 66.4 67.4 68.4 69.3 70.0 70.8 71.7 72.4 73.3 74.6 1.24
Eastern Europe
Czech Republic 1.4 1.4 1.4 1.5 1.5 1.5 1.5 1.6 1.6 1.7 1.7 2.64Hungary 1.5 1.5 1.5 1.5 1.5 1.5 1.5 1.6 1.6 1.6 1.6 0.86Poland 4.9 5.0 5.0 5.1 5.1 5.1 5.2 5.2 5.2 5.3 5.4 0.83Russia 18.8 19.3 19.8 20.3 20.6 20.8 20.4 19.8 19.2 18.8 18.9 (1.38)Turkey 4.2 4.4 4.5 4.7 4.8 4.9 5.1 5.2 5.3 5.5 5.6 2.54
TOTAL 30.8 31.6 32.3 33.0 33.5 33.9 33.7 33.3 32.9 32.8 33.2 (0.14)
32P3B5-54
Decision Support Databases (Contd…)
Decision Support DatabaseTable Population 65 Plus (Mn)
Region / Country 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012CAGR %
(2005 - 2012)Middle East & Africa
Egypt 3.1 3.2 3.3 3.4 3.5 3.7 3.8 4.0 4.1 4.3 4.5 4.12Israel 0.6 0.6 0.6 0.6 0.6 0.6 0.6 0.7 0.7 0.7 0.7 2.04Saudi Arabia 0.6 0.6 0.6 0.6 0.6 0.7 0.7 0.7 0.7 0.7 0.8 2.91South Africa 2.1 2.2 2.2 2.3 2.3 2.4 2.4 2.5 2.5 2.6 2.6 1.77
TOTAL 6.4 6.6 6.7 6.9 7.1 7.4 7.6 7.8 8.0 8.3 8.6 3.09
WORLD TOTAL 358.9 367.4 375.7 384.3 393.1 402.0 410.3 418.9 427.6 437.4 450.1 2.28
Note: All figures are rounded; the base year is 2005. Source: Frost & SullivanDefinition
The above figures represent total midyear population aged 65 years and above
Source: Frost & SullivanSource: Frost & Sullivan
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Who is Frost & Sullivan
The Growth Partnership Company
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and growth issues.
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36P3B5-54
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