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HEALTH SECTOR
overview, trends and opportunities




BETA-TRENDS SEA & LIFE SCIENCES CLUSTERS
              05 September 2012 
                                           11
The global Health market(s)
           Total expenditure on health as % of GDP (2010)




      Source: WHO




:: Total health expenditure: US$ 6.5 x1012
:: Pharmaceutical market: US$ 850 x109
:: Medical device market: US$ 300 x109
Creating value: the Health industries
:: The Health value chain

                            Indústria
                            Química                                          I&D, TIC
                                               Elementos auxiliares de
                                Serviços às         diagnóstico
                                 empresas
                               (consultoria)
                                                     Prestação de cuidados
    I&D, TIC
                                                       Cuidados de
                                                          saúde

                           Produtos
                        Farmacêuticos
                Indústria                                                    UTENTE

                      Dispositivos médicos           Comércio por
                         e consumíveis                 grosso

   Papel, Edição,
     Impressão
                                                                 Farmácias
       Plástico
        Vidro
      Metalúrgia        Indústria              Distribuição/Comércio
                      Electrónica


 Source: ISEG
Is Portugal a competitive player?
Is Portugal a competitive player?
:: The R&D investment has been growing consistently

                          #         Company / Group                                                R&D Expenditure (€)
                          6         Bial – Portela & Cia, SA                                           43,013,339
                          16        Alert – Life Sciences Computing, SA                                12,041,623
                          30        Hovione FarmaCiencia, SA                                            6,167,050
                          33        Tecnimede – Sociedade Técnico-Medicinal, SA                         5,754,878
                          52        Biocant – Associação de Transferência de Tecnologia                 3,133,354
                          55        Eurotrials – Consultores Científicos, SA                            2,927,239
                          61        Ablynx, SA                                                          2,610,585

                      Number of researchers and SA
                        62   Bluepharma – Indústria Farmacêutica, PhDs in selected
                                                                               2,544,467
                      Health Grupo Azevedos
                        94    sector companies (2009)                          1,713,365
                          98   Grupo AtralCipan                                        Researchers 1,663,999
                                                                                                        PhDs
                       Company / Group
                         100   Lilly Portugal – Produtos Farmacêuticos, Lda               (FTE)         (FTE)
                                                                                                   1,646,827             ~83 M€
                       Ablynx, SA                                                           22.8            9.8 (#5)
                                                                                                       R&D Expenditure
                         #      Hospital / Group of Hospitals
                       Alert – Life Sciences Computing, SA                                  210.4            (€)
                                                                                                           10.2 (#4)
                       Bial – Portela & Hospitalar do Porto, EPE
                          1     Centro Cia, SA                                              53.5           5,449,273
                                                                                                            14.1 (#2)
                         2      Centro Hospitalar de Lisboa Central, EPE                                   4,036,972
                       Biocant – Associação de Transferência de Tecnologia                  31.2            10.8 (#3)
                         3      Centro Hospitalar de Lisboa Norte, EPE                                     3,385,751
                       Bluepharma – Indústria Farmacêutica, SA                              34.1              1.0
                         4      Hospital de São João, EPE                                                  2,761,268
                       Critical Health, SA                                                  14.8              1.0
                         5      Hospitais da Universidade de Coimbra, EPE                                  2,635,503
                       Eurotrials – Consultores Científicos, SA                             68.0              2.0
                         6      Centro Hospitalar de Lisboa Ocidental, EPE                                 2,300,726
                       Grupo AtralCipan                                                     14.3              1.4
                         7      Grupo José de Mello Saúde, SGPS, SA                                        1,219,110
                       Grupo Azevedos                                                       10.2              n.a.
                         8      Instituto Português de Oncologia do Lisboa Francisco Gentil, EPE           1,068,554
                       Hovione FarmaCiencia, SAde Oncologia do Coimbra Francisco Gentil,83.0
                         9     Instituto Português                                       EPE                22.0 (#1)
                                                                                                           1,036,725
                       Tecnimede – Sociedade Técnico-Medicinal, SA Francisco Gentil, EPE
                        10    Instituto Português de Oncologia do Porto                49.5                   1.0
                                                                                                           954,018       ~25 M€
                       Source: GPEARI/MCTES
Is Portugal a competitive player?
:: Portugal has a growing number of highly-qualified people ...

      Higher education: Students enrolled and graduates

                                              Graduates      Enrolled
      Education area
                                              (2006-2007)   (2007-2008)

      Biology and Biochemistry                  1,819         9,696

      Dental sciences                            637          3,522

      Pharmaceutical sciences                    893          6,896

      Nursing                                   5,912         19,774

      Medicine                                  1,434         9,053

      Public health services                     253           603

      Diagnostic and therapeutic
                                                3,001         7,468
      technologies

      Therapy and rehabilitation                2,132         6,976

      Engineering: biomedical, clinical,
                                                 304          1,525
      pharmaceutical, health

      Health (not included in other areas)        8            169

                                      Total     16,393        65,682
      Source: GPEARI / MCTES
Is Portugal a competitive player?
:: ... including PhDs ...

       PhDs in Life, Medical and Health Sciences


                      200

                      180

                      160

                      140
        No. of PhDs




                      120

                      100

                       80

                       60

                       40

                       20

                       0



                                             Years

                            Life Sciences   Medical and Health Sciences

      Source: GPEARI / MCTES
Is Portugal a competitive player?
:: ... and the value chain now employs more researchers and PhDs.




                           Number of researchers and PhDs in selected
                           Health sector companies (2009)
                                                                                  Researchers    PhDs
                            Company / Group
                                                                                     (FTE)       (FTE)
                            Ablynx, SA                                               22.8       9.8 (#5)
                            Alert – Life Sciences Computing, SA                      210.4      10.2 (#4)
                            Bial – Portela & Cia, SA                                 53.5       14.1 (#2)
                            Biocant – Associação de Transferência de Tecnologia      31.2       10.8 (#3)
                            Bluepharma – Indústria Farmacêutica, SA                  34.1         1.0
                            Critical Health, SA                                      14.8         1.0
                            Eurotrials – Consultores Científicos, SA                 68.0         2.0
                            Grupo AtralCipan                                         14.3         1.4
                            Grupo Azevedos                                           10.2         n.a.
                            Hovione FarmaCiencia, SA                                 83.0       22.0 (#1)
                            Tecnimede – Sociedade Técnico-Medicinal, SA              49.5         1.0

                            Source: GPEARI/MCTES
Is Portugal a competitive player?
:: The scientific production has been increasing sharply ...

       Scientific production: Life, Medical and Health Sciences


                              3500



                              3000



                              2500
        No. of publications




                              2000



                              1500



                              1000



                              500



                                0



                                                      Years

                                     Life Sciences   Medical and Health Sciences

      Source: GPEARI / MCTES
Is Portugal a competitive player?
From knowledge
   to market
                 1111
Key figures
                              129 Members
       R&D Institutions + Universities
            3100 researchers in Health
                           2000 PhDs
                                    Hospitals
                               8500 physicians
                                    8000 beds
                                 17 M€ in R&D
                          Pharma & Biotech
                            1250 M€ turnover
                               80 M€ in R&D
                             4000 employees
                                   130 PhDs

            Medical Devices & Services
                        570 M€ turnover
                          30 M€ in R&D
                         6000 employee
                               30 PhDs
To become a Member, please visit www.healthportugal.com
Mission

To turn   Portugal into a competitive player in the
research, design, development, manufacturing
and commercialization of health-related products
and services,

in selected market and technological     niches, targeting
the most demanding and relevant international markets,

based on the recognition of its excellence,
technological level and competences in the field of
innovation.
Strategic vision
                                                                     + social and economical development
                                                                       + business
                                                                         + exports
                                                                           + employment (qualified)
                                                                              + health


                                                    STRATEGIC OPTIONS
                                                     well-being / ageing
                                                     diseases (neurodegenerative, cancer,
    Knowledge / R&D + I                               cardiovascular, osteoarticular degenerative,
                         . diseases                   inflammatory, infectious and metabolic)
                 . pharmaceutical                    e-health (AAL-Ambient Assisted Living,
                . medical devices
                   . biotechnology                    process integration and automation)
                . nanotechnology




Enterprise dynamics                                       Public support / Demonstration actions
                    . healthcare                          . support to investment and innovation
             . pharmaceutical                             . public procurement
               . biotechnology                            . FDI attraction
. auxiliary diagnostic means                              . training
            . medical devices       Management            . idea contests
                                            . ICTs        . pilot projects
                                   . process automation
                                        . productivity
Objectives
             in 3-5 years                     in 10 years
        > to change the current
          knowledge-exploitation
          paradigms                      5 new drugs
    > generalization of translational
      research and clinical research     50 new diagnostic
    > bioengineering ecosystems           methods/ devices/
    > to improve the cooperation/         services
      coopetition environment
     > international recognition         4 000 million € turnover
       > strengthen the company           (>70% exports)
         base and the R&D system
Horizontal Anchor Projects (promoted by HCP)

:: Translational Research
  Research “from bench to bedside and back again”...


:: Intellectual Property and Technology Transfer
  Protection and exploitation of new knowledge and technologies...


:: International Promotion & Networking
  Promoting Portugal globally as a competitive player in Health...
  Promoting and fostering cooperation amongst players...




... to turn knowledge into health and wealth
Flagship Projects (co-promoted by HCP members)

:: AAL4ALL – Ambient Assisted Living for All
 Mobilization of an industrial ecosystem for the massification of products
 and services in the area of Ambient Assisted Living (AAL), focused on
 the definition of specifics standards (for products and services).




  Investment: 8.2 M€ (QREN 5.0 M€)
Flagship Projects (co-promoted by HCP members)

:: Do IT – Development and Operation of Translational Research
  Development of translational research strategies and organizational
  models applicable to the entities of the Portuguese health value chain
  (companies, R&D institutions and hospitals).
  Development of innovative and competitive products and services for
  the global Health market.




  Investment: 8.6 M€ (QREN 5.0 M€)
Some trends and opportunities ahead
        in the Health sector
Some trends and opportunities ahead
:: A changing landscape: different needs, different demands...

  ▪  Increased    longevity    and     ageing
  populations.

  ▪ New epidemiologic patterns:
   . Changes in the main causes of death.
   . Chronic diseases.
   . Emerging/re-emerging infectious diseases.
   . Pandemics.


  ▪ Increased purchasing power (namely in
  highly-populated countries with emerging
  economies).

  ▪ Citizens/users more informed, more
  demanding and with higher (geographic)
  mobility.

  ▪ Cost containment.

  ▪…                                                             Source: WHO
Some trends and opportunities ahead
:: ... new opportunities!




                            [image]




                                        [image]




                              [image]
Some trends and opportunities ahead
:: ... new opportunities!




                            [image]
Some trends and opportunities ahead

:: Changing   paradigms in healthcare delivery: P4 Medicine


 ▪ Predictive


 ▪ Preventive
                                     [image]


 ▪ Personalized


 ▪ Participatory
Some trends and opportunities ahead
:: Typologies of products, processes and services: a few examples.

  Sectors /             Resources / Technology Platforms | Typologies of products, processes and services
   Market         Biotechnology                                                             Endogenous /           Organization /
   areas                                 ICT & Electronics        Nanotechnology
                     & Omics                                                               Natural resources       Management

               ▪ Targeted therapies
               ▪ Biopharmaceuticals
               ▪ New antibiotics
                                                                ▪ In-situ drug delivery   ▪ Natural compounds
Pharma         ▪ Drugs for neglected   ▪ Bioinformatics tools
                                                                systems                   (sea, plants, ...)
               diseases
               ▪ Biomarkers
               ▪ Vaccines                                                                                       ▪ Citizen
                                                                                                                empowerment
                                       ▪ Ambient Assisted       ▪ Nanobots                                      ▪ P4 medicine
               ▪ Regenerative          Living products          ▪ Biomedical and                                ▪ New business
Medtech &      medicine                ▪ Point-of-care          molecular imaging                               models
Diagnostics    ▪ Companion             products                 ▪ Minimally invasive                            ▪ New financing
               diagnostics             ▪ Biomedical and         surgery                                         models
                                       biological imaging       ▪ Nanoimplants                                  ▪ Open innovation

                                       ▪ AAL services
Healthcare &                           ▪ e-Health /
                                                                                          ▪ Health/medical
Wellbeing                              telemedicine
                                                                                          tourism
delivery                               ▪ Computer aided
                                       diagnostics
www.healthportugal.com
  www.scienceportugal.com


                                           Luís Soares
                             lsoares@healthportugal.com

                            Rua Eng.º Frederico Ulrich, 2650
                                           Moreira da Maia
                                             4470-605 Maia
                                               PORTUGAL
                                   Tel: (+351) 220 968 183
                                  info@healthportugal.com  26
                                                       26
                                   www.healthportugal.com

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Health Cluster Sector - Luís Soares

  • 1. HEALTH SECTOR overview, trends and opportunities BETA-TRENDS SEA & LIFE SCIENCES CLUSTERS  05 September 2012  11
  • 2. The global Health market(s) Total expenditure on health as % of GDP (2010) Source: WHO :: Total health expenditure: US$ 6.5 x1012 :: Pharmaceutical market: US$ 850 x109 :: Medical device market: US$ 300 x109
  • 3. Creating value: the Health industries :: The Health value chain Indústria Química I&D, TIC Elementos auxiliares de Serviços às diagnóstico empresas (consultoria) Prestação de cuidados I&D, TIC Cuidados de saúde Produtos Farmacêuticos Indústria UTENTE Dispositivos médicos Comércio por e consumíveis grosso Papel, Edição, Impressão Farmácias Plástico Vidro Metalúrgia Indústria Distribuição/Comércio Electrónica Source: ISEG
  • 4. Is Portugal a competitive player?
  • 5. Is Portugal a competitive player? :: The R&D investment has been growing consistently # Company / Group R&D Expenditure (€) 6 Bial – Portela & Cia, SA 43,013,339 16 Alert – Life Sciences Computing, SA 12,041,623 30 Hovione FarmaCiencia, SA 6,167,050 33 Tecnimede – Sociedade Técnico-Medicinal, SA 5,754,878 52 Biocant – Associação de Transferência de Tecnologia 3,133,354 55 Eurotrials – Consultores Científicos, SA 2,927,239 61 Ablynx, SA 2,610,585 Number of researchers and SA 62 Bluepharma – Indústria Farmacêutica, PhDs in selected 2,544,467 Health Grupo Azevedos 94 sector companies (2009) 1,713,365 98 Grupo AtralCipan Researchers 1,663,999 PhDs Company / Group 100 Lilly Portugal – Produtos Farmacêuticos, Lda (FTE) (FTE) 1,646,827 ~83 M€ Ablynx, SA 22.8 9.8 (#5) R&D Expenditure # Hospital / Group of Hospitals Alert – Life Sciences Computing, SA 210.4 (€) 10.2 (#4) Bial – Portela & Hospitalar do Porto, EPE 1 Centro Cia, SA 53.5 5,449,273 14.1 (#2) 2 Centro Hospitalar de Lisboa Central, EPE 4,036,972 Biocant – Associação de Transferência de Tecnologia 31.2 10.8 (#3) 3 Centro Hospitalar de Lisboa Norte, EPE 3,385,751 Bluepharma – Indústria Farmacêutica, SA 34.1 1.0 4 Hospital de São João, EPE 2,761,268 Critical Health, SA 14.8 1.0 5 Hospitais da Universidade de Coimbra, EPE 2,635,503 Eurotrials – Consultores Científicos, SA 68.0 2.0 6 Centro Hospitalar de Lisboa Ocidental, EPE 2,300,726 Grupo AtralCipan 14.3 1.4 7 Grupo José de Mello Saúde, SGPS, SA 1,219,110 Grupo Azevedos 10.2 n.a. 8 Instituto Português de Oncologia do Lisboa Francisco Gentil, EPE 1,068,554 Hovione FarmaCiencia, SAde Oncologia do Coimbra Francisco Gentil,83.0 9 Instituto Português EPE 22.0 (#1) 1,036,725 Tecnimede – Sociedade Técnico-Medicinal, SA Francisco Gentil, EPE 10 Instituto Português de Oncologia do Porto 49.5 1.0 954,018 ~25 M€ Source: GPEARI/MCTES
  • 6. Is Portugal a competitive player? :: Portugal has a growing number of highly-qualified people ... Higher education: Students enrolled and graduates Graduates Enrolled Education area (2006-2007) (2007-2008) Biology and Biochemistry 1,819 9,696 Dental sciences 637 3,522 Pharmaceutical sciences 893 6,896 Nursing 5,912 19,774 Medicine 1,434 9,053 Public health services 253 603 Diagnostic and therapeutic 3,001 7,468 technologies Therapy and rehabilitation 2,132 6,976 Engineering: biomedical, clinical, 304 1,525 pharmaceutical, health Health (not included in other areas) 8 169 Total 16,393 65,682 Source: GPEARI / MCTES
  • 7. Is Portugal a competitive player? :: ... including PhDs ... PhDs in Life, Medical and Health Sciences 200 180 160 140 No. of PhDs 120 100 80 60 40 20 0 Years Life Sciences Medical and Health Sciences Source: GPEARI / MCTES
  • 8. Is Portugal a competitive player? :: ... and the value chain now employs more researchers and PhDs. Number of researchers and PhDs in selected Health sector companies (2009) Researchers PhDs Company / Group (FTE) (FTE) Ablynx, SA 22.8 9.8 (#5) Alert – Life Sciences Computing, SA 210.4 10.2 (#4) Bial – Portela & Cia, SA 53.5 14.1 (#2) Biocant – Associação de Transferência de Tecnologia 31.2 10.8 (#3) Bluepharma – Indústria Farmacêutica, SA 34.1 1.0 Critical Health, SA 14.8 1.0 Eurotrials – Consultores Científicos, SA 68.0 2.0 Grupo AtralCipan 14.3 1.4 Grupo Azevedos 10.2 n.a. Hovione FarmaCiencia, SA 83.0 22.0 (#1) Tecnimede – Sociedade Técnico-Medicinal, SA 49.5 1.0 Source: GPEARI/MCTES
  • 9. Is Portugal a competitive player? :: The scientific production has been increasing sharply ... Scientific production: Life, Medical and Health Sciences 3500 3000 2500 No. of publications 2000 1500 1000 500 0 Years Life Sciences Medical and Health Sciences Source: GPEARI / MCTES
  • 10. Is Portugal a competitive player?
  • 11. From knowledge to market 1111
  • 12. Key figures 129 Members R&D Institutions + Universities 3100 researchers in Health 2000 PhDs Hospitals 8500 physicians 8000 beds 17 M€ in R&D Pharma & Biotech 1250 M€ turnover 80 M€ in R&D 4000 employees 130 PhDs Medical Devices & Services 570 M€ turnover 30 M€ in R&D 6000 employee 30 PhDs To become a Member, please visit www.healthportugal.com
  • 13. Mission To turn Portugal into a competitive player in the research, design, development, manufacturing and commercialization of health-related products and services, in selected market and technological niches, targeting the most demanding and relevant international markets, based on the recognition of its excellence, technological level and competences in the field of innovation.
  • 14. Strategic vision + social and economical development + business + exports + employment (qualified) + health STRATEGIC OPTIONS  well-being / ageing  diseases (neurodegenerative, cancer, Knowledge / R&D + I cardiovascular, osteoarticular degenerative, . diseases inflammatory, infectious and metabolic) . pharmaceutical  e-health (AAL-Ambient Assisted Living, . medical devices . biotechnology process integration and automation) . nanotechnology Enterprise dynamics Public support / Demonstration actions . healthcare . support to investment and innovation . pharmaceutical . public procurement . biotechnology . FDI attraction . auxiliary diagnostic means . training . medical devices Management . idea contests . ICTs . pilot projects . process automation . productivity
  • 15. Objectives in 3-5 years in 10 years > to change the current knowledge-exploitation paradigms  5 new drugs > generalization of translational research and clinical research  50 new diagnostic > bioengineering ecosystems methods/ devices/ > to improve the cooperation/ services coopetition environment > international recognition  4 000 million € turnover > strengthen the company (>70% exports) base and the R&D system
  • 16. Horizontal Anchor Projects (promoted by HCP) :: Translational Research Research “from bench to bedside and back again”... :: Intellectual Property and Technology Transfer Protection and exploitation of new knowledge and technologies... :: International Promotion & Networking Promoting Portugal globally as a competitive player in Health... Promoting and fostering cooperation amongst players... ... to turn knowledge into health and wealth
  • 17. Flagship Projects (co-promoted by HCP members) :: AAL4ALL – Ambient Assisted Living for All Mobilization of an industrial ecosystem for the massification of products and services in the area of Ambient Assisted Living (AAL), focused on the definition of specifics standards (for products and services). Investment: 8.2 M€ (QREN 5.0 M€)
  • 18. Flagship Projects (co-promoted by HCP members) :: Do IT – Development and Operation of Translational Research Development of translational research strategies and organizational models applicable to the entities of the Portuguese health value chain (companies, R&D institutions and hospitals). Development of innovative and competitive products and services for the global Health market. Investment: 8.6 M€ (QREN 5.0 M€)
  • 19.
  • 20. Some trends and opportunities ahead in the Health sector
  • 21. Some trends and opportunities ahead :: A changing landscape: different needs, different demands... ▪ Increased longevity and ageing populations. ▪ New epidemiologic patterns: . Changes in the main causes of death. . Chronic diseases. . Emerging/re-emerging infectious diseases. . Pandemics. ▪ Increased purchasing power (namely in highly-populated countries with emerging economies). ▪ Citizens/users more informed, more demanding and with higher (geographic) mobility. ▪ Cost containment. ▪… Source: WHO
  • 22. Some trends and opportunities ahead :: ... new opportunities! [image] [image] [image]
  • 23. Some trends and opportunities ahead :: ... new opportunities! [image]
  • 24. Some trends and opportunities ahead :: Changing paradigms in healthcare delivery: P4 Medicine ▪ Predictive ▪ Preventive [image] ▪ Personalized ▪ Participatory
  • 25. Some trends and opportunities ahead :: Typologies of products, processes and services: a few examples. Sectors / Resources / Technology Platforms | Typologies of products, processes and services Market Biotechnology Endogenous / Organization / areas ICT & Electronics Nanotechnology & Omics Natural resources Management ▪ Targeted therapies ▪ Biopharmaceuticals ▪ New antibiotics ▪ In-situ drug delivery ▪ Natural compounds Pharma ▪ Drugs for neglected ▪ Bioinformatics tools systems (sea, plants, ...) diseases ▪ Biomarkers ▪ Vaccines ▪ Citizen empowerment ▪ Ambient Assisted ▪ Nanobots ▪ P4 medicine ▪ Regenerative Living products ▪ Biomedical and ▪ New business Medtech & medicine ▪ Point-of-care molecular imaging models Diagnostics ▪ Companion products ▪ Minimally invasive ▪ New financing diagnostics ▪ Biomedical and surgery models biological imaging ▪ Nanoimplants ▪ Open innovation ▪ AAL services Healthcare & ▪ e-Health / ▪ Health/medical Wellbeing telemedicine tourism delivery ▪ Computer aided diagnostics
  • 26. www.healthportugal.com www.scienceportugal.com Luís Soares lsoares@healthportugal.com Rua Eng.º Frederico Ulrich, 2650 Moreira da Maia 4470-605 Maia PORTUGAL Tel: (+351) 220 968 183 info@healthportugal.com 26 26 www.healthportugal.com