
1.
Traditional Chinese Medicine
The strong growing demand for TCM in China and South East Asia gives an
optimistic outlook for the Group. In particular, TCM is forms a large
segment of the pharmaceutical market in China. In 2007, sales revenue
for TCM products in China reached approximately US$21 billion,
accounting for around 40% of the total pharmaceutical market in China .
In terms of sales volume, TCM represents two-third of drug sales in
China and sales in TCM are forecast to reach US$28 billion this year.
2. TCM Market
TCM
The strong growing demand for TCM in China and South East Asia gives an
optimistic outlook for the Group. In particular, TCM is forms a large
segment of the pharmaceutical market in China. In 2007, sales revenue
for TCM products in China reached approximately US$21 billion,
accounting for around 40% of the total pharmaceutical market in China[2].
In terms of sales volume, TCM represents two-third of drug sales in
China and sales in TCM are forecast to reach US$28 billion this year.[3]
Market size and potential of influenza (including Influenza A) drugs
Influenza, commonly referred to as the flu, is an infectious disease
caused by RNA viruses of the family Orthomyxoviridae (the influenza
viruses), that affects birds and mammals. The most common symptoms of
the disease are sore throat, fever and coughs. In more serious cases,
influenza causes pneumonia, which can be fatal, particularly for the
young and the elderly. Although it is often confused with other
influenza-like illnesses, especially the common cold, influenza is a
more severe disease than the common cold and is caused by a different
type of virus. Influenza A and Influenza B are strains of the RNA
viruses. There are several sub-types of Influenza A including H1N1,
which is more commonly known as “Swine flu”, and H5N1, commonly referred
to as “bird flu” or “Avian flu” .
The market size and potential of influenza drugs are enormous as
influenza has long been recognised as a universal threat to the human
population. One of the most disastrous outbreaks of influenza was the
Spanish influenza pandemic of 1918 which infected an estimated 500
million people and killed an estimated 8 - 10% of the persons infected[4].
In recent years, Avian flu has killed at least 294 people around the
world since 2003, particularly in Southeast Asia[5]. The recent outbreak
of pandemic Swine Flu, in 2009 has similarly threatened countries all
over the world because the virus spreads quickly and widely. As at 13
June 2010, more than 214 countries and overseas territories or
communities have reported laboratory confirmed cases of pandemic Swine
Flu, including more than 18,172 deaths.[6] The World Health Organisation,
governments and the pharmaceutical industry have made significant
investments on the prevention and cure of the disease in terms of
research and purchase of Influenza A (H1N1) virus medicines.
Clinics and Hospitals
Most hospitals in China are owned and operated by the Chinese government
while clinics are mainly privately owned. In many instances, medical
clinics are the first point of contact that patients establish with
medical professionals. In China, outpatients typically obtain their
prescriptions at hospital or clinic pharmacies, unlike in the United
States and in other developed countries, where patients typically obtain
their prescriptions at pharmacies unaffiliated with the medical service
provider. In China, hospitals account for just below 80% of the
pharmaceutical market, as they are in the enviable position of being
both prescribers and dispensers.
TCM hospitals account for 16% of all hospitals in China, and over 75% of
town hospitals have TCM departments.[7] TCM outpatient departments and
clinics account for more than 16% of all outpatient departments and
clinics and in 2007, some 234 million people were treated in TCM
outpatient departments[8]. In
recent years, the Government has pushed hospitals and clinics to become
profitable and continues reduce the amount of public sector spending on
health while at the same time encouraging private expenditure. The
number of hospitals is set to drop over the next five years, while
admissions will increase as the population continues to grow and age.
[2] Source: PricewaterhouseCoopers ,“Investing in China’s Pharmaceutical Industry”, 2nd edition, 2009 p.4
[3] Source: China Pharmaceuticals and Healthcare Report [Q4 2009]. Business Monitor International.
[4] Source: World Health Organisation: "Ten concerns if Avian Flu becomes pandemic"; 14 October 2005
[5] Source: World Health Organisation: "Cumulative number of confirmed human cases of Avian influenza A (H5N1) reported to the WHO; 6 May 2010
[6] Source: Pandemic (H1N1) 2009 news update published by the World Health Organisation
[7] China Pharmaceuticals and Healthcare Report Q4 2008. Business Monitor International Ltd. p 35
[8] China Pharmaceuticals and Healthcare Report Q4 2008. Business Monitor International Ltd. p 35