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Operations and Business Environment - Fresenius Medical Care

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02. 1 Our Fiscal year<br />

56<br />

Cardiovascular disease is another main reason for the<br />

high mortality rate of people with kidney disease. A 30<br />

to 40 year old dialysis patient has the same cardiovascular<br />

mortality risk as an 80 to 85 year old with healthy kidneys.<br />

<strong>Fresenius</strong> <strong>Medical</strong> <strong>Care</strong> is conducting research to determine<br />

the cause for cardiovascular dysfunction <strong>and</strong> disease<br />

in dialysis patients. The result so far: the “cardioprotective<br />

dialysis” treatment concept. In cardioprotective dialysis,<br />

patients are treated using procedures <strong>and</strong> disposables<br />

known to have a favorable influence on the course or<br />

development of cardiovascular disease. Extensive interdisciplinary<br />

cooperation with various fields of medicine, for<br />

example via the cooperation with the RRI, is needed to<br />

tackle these issues <strong>and</strong> evaluate the results so far.<br />

Our research <strong>and</strong> development projects are generally<br />

carried out by our own staff <strong>and</strong> research departments.<br />

Only rarely do we engage external parties to<br />

do research <strong>and</strong> development work for us.<br />

Economic <strong>Environment</strong><br />

General Economic Development<br />

The global economy was generally marked by a positive<br />

development in 2006, although the dynamics weakened<br />

slightly in the second half of the year, particularly<br />

in the U.S. <strong>and</strong> Japan. Raw materials prices remained<br />

high in the year under review. Buoyed by political tension,<br />

crude oil prices rose in the summer to new record<br />

levels before falling again as the year progressed to<br />

$ 60 a barrel, roughly their level at the beginning of<br />

the year.<br />

The growth rates varied in the industrial countries, as<br />

the economies found themselves in different phases of<br />

the business cycle. While inflation accelerated in the<br />

U.S., it persisted at a low level in Europe. Accordingly,<br />

the year was characterized by an increasingly restrictive<br />

financial policy in the U.S. <strong>and</strong> a moderate financial<br />

policy in Europe to counter inflationary tendencies at<br />

an early stage. Wage increases in the industrialized<br />

countries were generally moderate.<br />

In their Fall Report, economists from the leading German<br />

research institutes expected a global economic growth<br />

of 3.7 % in 2006, a slightly higher rate than in the previous<br />

year.<br />

United States<br />

Economic growth in the U.S. slowed slightly in the<br />

course of 2006. The main reasons were lower private<br />

spending due to rising consumer prices <strong>and</strong> high<br />

energy prices, as well as the cooling of the real estate<br />

market <strong>and</strong> tighter monetary policy. The key interest<br />

rate was raised from 4.25 % to 5.25 % to counter<br />

inflationary tendencies, <strong>and</strong> therefore acting only<br />

cyclically neutral at best. The gross domestic product<br />

(GDP) climbed by 3.5 %.<br />

Europe<br />

Europe showed robust economic growth in 2006. The<br />

GDP in the euro countries grew by 2.6 %, a substantially<br />

higher rate than in the previous year. Growth was<br />

primarily driven by domestic dem<strong>and</strong>. The high utilization<br />

of production capacity, low interest rates <strong>and</strong> high<br />

company profits strengthened companies’ willingness<br />

to make investments. In addition, private spending increased<br />

as rising energy prices did not lead to significantly<br />

higher interest rates. Wage increases remained<br />

moderate.<br />

In their Fall Report, the leading German research institutes<br />

expected Germany to achieve strong economic<br />

growth of 2.3 % on account of exports as well as rising<br />

domestic dem<strong>and</strong>. Companies’ investments were<br />

boosted thanks to good utilization of capacities. The<br />

number of unemployed fell substantially by around<br />

600,000 to about four million at the end of 2006.<br />

Great Britain recovered from its weak economic phase<br />

in 2005, <strong>and</strong> its gross domestic product rose by 2.9 %.<br />

The gross domestic product of the young members of<br />

the European Union was above the average, at 5.6 %.<br />

Russia continued to achieve robust growth, driven by<br />

strong domestic dem<strong>and</strong> <strong>and</strong> increasing private spending.<br />

Russia’s GDP climbed by 6.5 %.<br />

<strong>Fresenius</strong> <strong>Medical</strong> <strong>Care</strong> 2006

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