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Estonia Pharmaceuticals and Healthcare Report Q2 2008

Published by: Business Monitor International

Published: Apr. 22, 2008 - 56 Pages


Table of Contents


Executive Summary
Estonia Pharmaceuticals And Healthcare Industry SWOT
Political SWOT
Economic SWOT
Business Environment SWOT
Pharmaceutical Business Environment Ratings
Table: Central And Eastern Europe Pharmaceutical Business Environment Rankings
Limits Of Potential Returns
Risks To Realisation Of Returns
Estonia - Market Summary
Regulatory Regime
Recent Regulatory Developments
Intellectual Property Regime
Pricing Regime
Reimbursement Issues
Recent Pricing And Reimbursement Developments
Industry Developments
Epidemiology
Table Occurrence Of Malignant Neoplasms In Estonia*
Healthcare Sector
Table: Recently Approved Generics In Estonia
Healthcare Reforms
Healthcare Funding
Healthcare Insurance
Pharmaceutical Sector
Manufacturing
Wholesale Sector
Retail Pharmacies
Table: Pharmacies And Pharmacy Market Ratios, 2004-2009
Biotechnology
Medical Devices
Industry Forecast
Overall Market Forecast
Table: Estonia’s Drug Expenditure And Prescription Market Indicators, 2006-2012 (US$mn unless otherwise stated)
Key Growth Factors - Industry
Table: Estonia’s Health Expenditure Indicators, 2006-201 31
Key Growth Factors - Macroeconomic
Table: Estonia - Economic Activity
Patented Market Forecast
Table: Estonia’s Patented Drug Market Forecast Indicators
Generics Market Forecast
Table: Estonia’s Generics Market Indicators, 2006-2012
OTC Market Forecast
Table: Estonia OTC Market Forecast Indicators (US$mn unless otherwise stated)
Export/Import Forecasts
Table: Estonia Pharmaceuticals Exports & Imports Forecasts (US$mn)
Other Healthcare Data Forecasts
Table: Other Healthcare Data, 2006-2012
Key Risks To BMI’s Forecast Scenario
Competitive Landscape
Company Monitor
GlaxoSmithKline
Pfizer
Novartis
Sanofi-Aventis
Merck & Co
Grindeks (includes Tallinn Pharmaceutical Plant)
BMI Forecast Modelling
How We Generate Our Industry Forecasts
Pharmaceutical Industry53
Pharmaceutical Business Environment Ratings Methodology
Ratings Overview
Table: Pharmaceutical Business Environment Indicators
Weighting
Table: Weighting Of Components
Sources


Abstract

Poor healthcare has been seen as a weak link in Estonia’s 15-year post-Soviet economic ‘miracle’,
although the government has made significant inroads in improving public provision. Similarly, the use of
pharmaceuticals has continued to rise, with the market topping US$233mn in 2007, up by 12.5% on the
previous year. In the forecast period, increased healthcare spending and strong economic growth forecasts
will support further development of the market, which is forecast to reach US$331mn by 2012.


In BMI’s revised Business Environment Rankings for the 16 major markets of Central & Eastern Europe
(CEE) for Q208, Estonia is once again found in a respectable fifth place. However, in absolute terms,
Estonia will remain a marginal market in the CEE region, being significantly smaller than the other two
Baltic markets. The main limiting factor is the small and falling population, which is compounded by the
strict reimbursement regime. On a positive note, the country will continue to invest in biotechnology and
pharmaceutical research and development (R&D), which is strongly supported by the government.


Moreover, the country is facing an increasing burden of AIDS/HIV, which will require expensive
treatments. According to the European Centre for Disease Prevention and Control (ECPDC), Estonia had
504 new cases of HIV/AIDS per million inhabitants in 2006, compared to the average rate across Europe
of 111 per million. Nevertheless, the country, which has the highest HIV infection rate in the European
Union (EU), has already implemented a 2006-2014 programme focusing on surveillance, prevention and
treatment of the disease.


In terms of the pharmaceutical industry landscape, imports remain main source of medicines used in the
country, especially as exports have tailed off in the aftermath of the recent move of some of the
operations of the largest local firm Tallinn Pharmaceutical Plant - part of Latvia’s Grindeks - abroad.
Nevertheless, the local industry has some attraction to foreign players, as illustrated by the January 2008
purchase of active pharmaceutical ingredient (API) producer ProSyntest by US healthcare firm
Cambrex, through its Swedish subsidiary Cambrex Karlskoga. Low costs of production in the region
are seen as the key draw.


However, market expansion is severely limited by strong competition in the supply chain, characterised
by a concentrated wholesale market and chain-dominated retail pharmacy landscape. However, in late
2007, the government agreed to lift restrictions on opening new outlets, which is likely to lead to more
rapid growth of the number of retail outlets. The move has been made in response to the failure of the
present structures to encourage the establishment of new pharmacies in areas of need.


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