Size of the
Market:
Perhaps the best "third
party" information that we would recommend regarding the size and
demographic profile of the Osteoporosis market can be found on the
website of the World Health Organization (WHO) (http://www.who.int).
Secondarily, we would recommend one website link of the Canadian
Osteoporosis Society (www.cma.ca/disease/osteo_pl/).
On the WHO website you will
be able to access a press release issued by the WHO in October 1999.
To summarize, this press release notes that "the number of hip fractures
worldwide due to osteoporosis is expected to rise three-fold by
the middle of the next century, from 1.7 million in 1990 to 6.3
million by 2050… Demographic changes over the next 50 years will
lead to unprecedented increases in the number of the elderly in
Asia…Annual direct medical costs to treat 2.3 million osteoporosis
fractures in Europe and in the U.S.A come up to US$ 27,000 million….
WHO's recommendations to the general public include…a balanced diet
providing intake of at least 800-1500 mg per day in children and
adults…" At your request, we can forward a copy of this press release
to your attention under separate cover.
In addition, the WHO website
has provided statistical data pertaining to the aging population
in Japan. According to their statistics, in 1999, 22.6% of the population
was in the 60+ years age category. This is a significant increase
over the 17.4% of the population noted in 1990.
The Canadian Osteoporosis
website link will provide you with a copy of the "Consensus statements
from the Scientific Advisory Board of the Osteoporosis Society of
Canada: Prevention and management of Osteoporosis". It is critical
to recognize that the source of the information is the Canadian
Medical Association. This information is important as it clearly
outlines why osteoporosis is a condition of women. It also recommends
prevention and or treatment strategies that provide the rationale
for why the calcium/magnesium/vitamin D supplementation market continues
to expand. In addition, these recommendations and the clinical research
outline some of the current problems associated with leading "brands"
of cal/mag preparations. Again, at your request we can forward a
copy of this information to your attention under separate cover.
We believe that after reviewing
this information buyers will clearly understand the current size
of the market, and, given the current demographic trends pertaining
to the aging population, they will see what the future holds.
At this time, we have no
specific data pertaining to the Cal/Mag market in Japan. However,
based on a 1999 report on the Pharmaceutical Industry in Canada
by IMS (a Dunn & Bradstreet Company) we do know that for the prevention
and or treatment of Osteoporosis in Canada, physicians recommend
or prescribe a calcium/magnesium supplement no less than 2 million
times per year. This corresponds to a 4-year average compound growth
rate of 13%. With a government mandate of a shift from prescription
to over-the-counter purchases, especially regarding the prevention
of osteoporosis, we anticipate that the overall calcium/magnesium
market is very healthy in Canada.
This premise has been recently
substantiated in an AC Nielsen report that included data pertaining
to the grocery sales of nutritional supplements in Canada. In the
52 weeks ended June 17,2000, the sales of calcium/magnesium supplements
in the grocery retail channel exceeded $6.4 million CDN, a dollar
and physical volume increase of over 30%.
Data compiled and reported
in Natural Foods Merchandizer Magazine indicates that the grocery
retail channel is the least productive channel for the sale of vitamin/mineral
supplements in terms of volume and percent growth.
Under separate cover, we
will forward this information to your attention.
Leading
Calcium/Magnesium Brands:
At this time, data is only
available for the largest Mass-Market retail channel in Canada,
the pharmacy market. Brands and "generic versions" that contain
primarily Calcium Carbonate are the products that are currently
most recommended by physicians and pharmacists. This is regardless
of the fact that Calcium Carbonate has such a poor absorption profile
and the fact that patient acceptance of these formulations is poor.
However, at this time brand options are limited. These brands include:
Caltrate, Calsan, Gramcal and Os-cal.
What is responsible
for the market growth?
The primary vehicle driving
market growth is consumer/patient awareness and education pertaining
to the prevention of Osteoporosis. This is a mandate that is heavily
funded by governments, insurance companies and pharmaceutical houses
as well as established patient and medical advocacy groups and associations
(e.g. Osteoporosis Societies (regional, national and international),
Canadian Medical Association, WHO, etc.)
