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Market Review continued<br />

INCREASING DEMAND<br />

FOR HEALTHCARE<br />

Global healthcare demand is driven by<br />

five long-term demographic trends:<br />

• ageing of the global population<br />

• growth of the global population<br />

• increase in chronic disease<br />

• rising developing world incomes<br />

• new medical technologies and therapies<br />

All regions of the world, in both developed<br />

and developing economies, are experiencing<br />

population ageing together with rising<br />

prevalence of age-related chronic disease.<br />

These demographic factors combine<br />

to form a strong long-term driver for<br />

healthcare services and products in our<br />

Medical and Environmental & Analysis<br />

sectors. Continuous advances in medical<br />

technology and medical procedures also<br />

stimulate demand for new equipment.<br />

Driven by a global trend of declining fertility<br />

and rising longevity, the number of people<br />

aged over 65 is forecast to more than triple<br />

between 2010 and 2050. Life expectancy<br />

is expected to rise from 72.7 years in 2013<br />

to 73.7 years by 2018. As a result, over 10%<br />

of the world’s population will be over 65.<br />

The proportion in Western Europe will hit<br />

20% and in Japan 28%. In the USA, the<br />

world’s largest healthcare market, increasing<br />

life expectancy is predicted to double the<br />

number of over-65s by 2050.<br />

While about 9% of China’s current population<br />

are aged over 65, the proportion is projected<br />

to rise to around 12% in 2020. This will mean<br />

that healthcare services for the elderly will<br />

account for nearly 23% of China’s total<br />

healthcare budget.<br />

Although developed countries have the<br />

oldest population profiles, the large majority<br />

of older people and the fastest rates of<br />

population ageing are in developing<br />

countries, where the number of older people<br />

is forecast to rise over 250% by 2050.<br />

Fertility rates are falling globally causing the<br />

population growth rate to slow in almost<br />

every region except Africa. In 2015 the global<br />

population reached 7.3 billion, almost a<br />

tripling of the population in 1950. Despite<br />

the population growth rate falling, world<br />

population is projected to rise to 8.5 billion<br />

by 2030. Almost 40% of population growth<br />

during 2015 to 2030 is expected in Africa.<br />

Global healthcare spending – about 10% of<br />

global GDP – is forecast to grow faster than<br />

the global economy over the next decade<br />

at over 6% annually. The global healthcare<br />

market is still dominated by the developed<br />

world. Economies such as the USA, Europe,<br />

and Japan spend about 12% of GDP on<br />

healthcare whereas developing economies<br />

average about 6% of GDP. Advanced<br />

economies account for almost two thirds<br />

of the world’s healthcare expenditure with<br />

the USA alone responsible for 40% of the<br />

global spend.<br />

In addition to ageing, population growth<br />

and rising affluence are strong drivers of<br />

healthcare demand in the developing world.<br />

Healthcare spending in emerging nations<br />

is forecast to rise dramatically with annual<br />

growth estimates for India and China at<br />

over 15% and 12% respectively, boosted by<br />

national initiatives to improve accessibility<br />

and quality of healthcare.<br />

The incidence rates of cancer, heart disease,<br />

stroke, respiratory disease, diabetes and<br />

hypertension have risen sharply in the past<br />

decade, particularly in developing regions.<br />

These chronic diseases are the leading cause<br />

of mortality worldwide due to population<br />

ageing, more sedentary lifestyles, changing<br />

diets and rising obesity. <strong>Halma</strong>’s focus on<br />

ophthalmology and advanced blood pressure<br />

monitoring products directly relates to the<br />

diagnosis and treatment of these chronic<br />

and age-related diseases.<br />

10 <strong>Halma</strong> plc Annual Report and Accounts <strong>2016</strong>

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