National Health and Wellness Survey. The Global Health and Wellness Report

Transcription

1 National Health and Wellness Survey The Global Health and Wellness Report

2 Introduction

3 National Health and Wellness Survey 2 Table of Contents About Kantar Health... 3 The National Health and Wellness Survey... 4 Countries Included in NHWS... 6 Therapeutic Areas Covered by NHWS... 6 Data by Country Country Comparisons... 9 Brazil China France Germany Italy Japan Russia Spain United Kingdom United States Appendix Introduction

4 National Health and Wellness Survey Introduction 3 About Kantar Health Kantar Health is a leading global healthcare consulting firm and trusted advisor to many of the world s leading pharmaceutical, biotech and medical device and diagnostic companies. It combines evidencebased research capabilities with deep scientific, therapeutic and clinical knowledge, commercial development know-how, and brand and marketing expertise to help clients evaluate opportunities, launch products and maintain brand and market leadership. Kantar Health deeply understands the influence of patients, payers and physicians, especially as they relate to the performance and payment of medicines and the delivery of healthcare services. Our advisory services, built on a solid foundation of market research and data, span three areas critical to bringing new medicines and pharmaceutical products to market commercial development, clinical strategies and marketing effectiveness. Kantar Health operates in more than 40 countries and employs more than 600 healthcare industry specialists and practitioners, including a high number of medical doctors, epidemiologists, PhDs, PharmDs and pharmacists, and biologists, biochemists and biophysicists. We work across the product lifecycle, from preclinical development to launch, and are experts at bringing multiple stakeholders together to advance the commercialization of pharmaceutical products. Our team acts as catalysts to successful decision making in the life sciences industry, helping our clients prioritize their product development and portfolio activities, differentiate their brands and drive product success post-launch. If you would like us to act as catalysts for you, contact us at Introduction

5 National Health and Wellness Survey Introduction 4 The National Health and Wellness Survey Kantar Health s National Health and Wellness Survey (NHWS) is the largest global self-reported general population survey in the healthcare industry, with annual survey responses dating back to 1998 in the US, 2000 in Europe, 2008 in Asia and 2011 in Latin America. Since 2011, NHWS has included patients in Brazil and Russia, continuing to increase its presence in the emerging markets. NHWS provides disease-specific measures that help healthcare clients size market opportunities, measure direct and indirect costs, gain insight into disease-specific segments to optimize the value proposition and inform brand strategies. The strength of NHWS lies in its breadth NHWS provides unsurpassed breadth and depth of rigorous patient-reported data, with national projections to deliver prevalence information in more than 165 conditions in 10 countries, including emerging markets. NHWS includes information for patients who are diagnosed, undiagnosed yet symptomatic, untreated and for patients treated with prescription and/or over-the-counter medications. Access has its benefits NHWS provides access to data-mined patient information delivered through custom analysis and includes a First View Report covering: Epidemiology of the condition Patient diagnosis and treatment choices Demographic and health profile of sufferers Patient compliance and satisfaction Utilization of healthcare resources Patient attitudes and approaches to healthcare Patient-reported outcomes Condition-specific questions NHWS keeps on giving. Opportunities to extend the benefits of NHWS Re-contact patients from NHWS with proprietary research Through SELECT, the NHWS team works in partnership with clients to develop proprietary research questions that are unique to their business needs. The questions are fielded to specific patient segments within the NHWS population. The combination of NHWS with proprietary questions becomes a powerful tool to address clients specific business challenges. Conduct multivariate analyses on the dataset The expert scientific team for NHWS is experienced in applying an array of multivariate techniques on both NHWS and SELECT information through our SOLVE offering. Whether it s identifying the key predictors of brand choice, evaluating burden of illness or quantifying cost of illness, SOLVE delivers sophisticated analyses and insights targeted to the unique business issues of individual clients. Introduction

6 National Health and Wellness Survey Introduction 5 Publish using IRB-approved NHWS NHWS and SELECT studies have been used in hundreds of publications, including manuscripts, posters and podium presentations. NHWS and our custom publication services provide a unique opportunity for developing publications, even when the abstract deadline is only weeks away. New patient-centered platform facilitates deep insight NHWS is facilitated through our new Patient-Centered Research Program (PaCeR), which utilizes a systematic approach of collecting patient data to create valuable information. It serves as the basis of our epidemiological, uninsured patient and syndicated studies, as well as PainMPact, offering a wide range of analysis to meet client s specific needs. Introduction

7 National Health and Wellness Survey Introduction 6 Countries Included in NHWS J Brazil J China J France J Germany J Italy J Japan J Russia J Spain J United Kingdom J United States Therapeutic Areas Covered by NHWS J Acne J Alcoholism J Allergies J Food J Nasal J Hay Fever J Skin J Anemia J Angina J Ankylosing Spondylitis J Antibiotic-Associated Colitis (C. Diff) J Anxiety J Generalized Anxiety Disorder J Obsessive Compulsive Disorder J Panic Disorder J Phobias J Post-Traumatic Stress Disorder J Social Anxiety Disorder J Arrhythmia J Arthritis J Osteoarthritis J Psoriatic Arthritis J Rheumatoid Arthritis J Asthma J Atherosclerosis J Atopic Dermatitis J Atrial Fibrillation J Attention Deficit Disorder/Attention Deficit Hyperactivity Disorder J Benign Prostatic Hyperplasia (BPH) J Bipolar Disorder J Cancer J Breast J Cervical J Cancer (cont.) J Colorectal J Leukemia J Lymphoma J Melanoma J Metastatic Solid Tumor J Non-Small Cell Lung J Ovarian J Prostate J Small Cell Lung J Skin J Uterine J Other J Cataracts J Chronic Bronchitis J Chronic Constipation J Chronic Hives J Chronic Kidney Disease J Chronic Liver Disease J Chronic Obstructive Pulmonary Disease (COPD) J Cirrhosis J Community-Acquired Pneumonia (CAP) J Congestive Heart Failure J Connective Tissue Disease J Crohn s Disease J Cystic Fibrosis J Deep Vein Thrombosis J Dementia J Depression J Dermatitis J Diabetes J Type 1 J Type 2 J Pre-Diabetic Introduction

8 National Health and Wellness Survey Introduction 7 J Diarrhea (Frequent) J Diverticulitis J Dry Eye J Eczema J Emphysema J Epilepsy J Erectile Dysfunction J Fibromyalgia J Fungal infections of the skin (Athlete s Foot) J Gastroesophageal Reflux Disease (GERD J Genital Herpes J Genital Warts J Gingivitis J Glaucoma J Gout J Headache J Heart Attack J Heart Murmur J Heartburn J Hemiplegia J Hemophilia A J Hemophilia B J Hepatitis A J Hepatitis B J Hepatitis C J Herpes Zoster/Shingles J High Blood Pressure (Hypertension) J High Cholesterol J HIV/AIDS J Hospital-Acquired Pneumonia (HAP) J Idiopathic Thrombocytopenic Purpura (ITP) J Intermittent Claudication J Irritable Bowel Syndrome J Left Ventricular Hypertrophy J Lupus J Macular Degeneration (Wet or Dry) J Migraine J Mini-Stroke/Transient Ischemic Attack (TIA) J Moderate or Severe Renal Disease J Multiple Sclerosis J Muscular Dystrophy J Obesity J Osteopenia/Osteoporosis J Overactive Bladder (Dry or Wet) J Paget s Disease J Pain J Arthritis J Back J Bladder J Broken Bones J Cancer J Carpal Tunnel Syndrome J Dental J Diabetic Neuropathic Pain J Fibromyalgia J Headache J Herpes Zoster/Shingles J Joint J Lower Back J Lumbar Radiculopathy J Migraine J Menstrual J Migraine J Neck J Neuropathic J Pelvic J Phantom Limb J Plantar Fasciitis J Post-Herpetic Neuralgia J Ruptured/Herniated Disc J Sciatica J Shoulder Pain/Shoulder Stiffness J Spinal Disc J Sprain/Strains J Surgery/Medical Procedure J Tendonitis J Parkinson s Disease J Peripheral Arterial Disease J Peripheral Vascular Disease J Psoriasis J Pulmonary Embolism J Restless Legs Syndrome J Rhinitis J Rosacea Introduction

9 National Health and Wellness Survey Introduction 8 J Schizophrenia J Sjögren s Syndrome J Skin Ulcers/Cellulitis J Sleep Disorders J Circadian Rhythm Sleep Disorder J Insomnia J Narcolepsy J Parasomnia J Sleep Apnea/Sleep-Disordered Breathing J Sleep Difficulties J Smoking Cessation J Stress Urinary Incontinence J Stroke J Surgery J Thrombocytopenia J Thyroid Condition J Tuberculosis J Ulcerative Colitis J Ulcers (Active/Peptic Stomach or Duodenal) J Unstable Angina J Urinary Tract Infection J Vaccines J Antibiotics J Growth Hormone J Hepatitis (A, B, A/B) J Vaccines (cont.) J Human Papillomavirus (HPV) J Mumps, Measles, Rubella (MMR) J Meningococcal J Pneumococcal J Prostate Cancer J Seasonal Influenza J Shingles J Tetanus, Diphtheria, Pertussis J Tuberculosis J Varicella J Weight Loss J Women s Health J Contraceptives J Endometriosis J Fertility Treatments J Fibroids J Heavy Menstrual Bleeding J Hot Flashes J Menopause J PMDD/PMS J Pregnancy J Sexual Dysfunction J Yeast Infection J Caregivers (Caring for an Adult Relative/Child) Introduction

10 Country Comparisons

11 National Health and Wellness Survey Country Comparisons Autoimmune Conditions 10 Autoimmune Conditions Autoimmune conditions include the adult population suffering from Ankylosing Spondylitis, Connective Tissue Disease, Idiopathic Thrombocytopenia Purpura (ITP), Inflammatory Bowel Disease (Crohn s Disease or Ulcerative Colitis), ITP, Lupus, Psoriasis, Psoriatic Arthritis, Rheumatoid Arthritis and Sjögren s Syndrome. % of adult population with Autoimmune conditions Geography Brazil China 5EU Japan Russia U.S. Self-Reported (% total population) 3% 10% 9% 2% 7% 7% Male 37% 57% 44% 53% 46% 44% Female 63% 43% 56% 47% 54% 56% Diagnosed (% total population) 3% 8% 9% 2% 5% 7% Male 35% 57% 44% 53% 44% 43% Female 65% 43% 56% 47% 56% 57% 140,086,000* 444,643,000** 258,576,000* 106,460,000* 87,171,000* 233,806,000* Total adult populations: Brazil: 140,806,000 5EU: 258,576,000 Japan: 106,460,000 U.S.: 233,806,000 Total urban adult populations: China: 444,643,000 Russia: 87,171,000 Medication usage Geography % of sufferers Brazil China 5EU Japan Russia U.S. Prescription only 25% 16% 42% 42% 22% 38% OTC only* 16% 27% 11% 9% 24% 18% Prescription and OTC 20% 39% 8% 5% 26% 16% No product 39% 19% 39% 44% 28% 27% *Any product used to treat condition other than prescription medication. Autoimmune Conditions

12 National Health and Wellness Survey Country Comparisons Autoimmune Conditions 11 Lifestyle Geography % of sufferers Brazil China 5EU Japan Russia U.S. Exercise* 55% 69% 57% 48% 56% 59% Smoke 23% 31% 29% 23% 39% 24% Drink alcohol 50% 79% 76% 73% 75% 64% Obese (BMI 30) 26% 8% 23% 3% 21% 39% *At least one day per month of vigorous exercise lasting 20 minutes or more. Quality of life Brazil China 5EU Japan Russia U.S. Physical summary score Mental summary score Work productivity and activity impairment Geography Brazil China 5EU Japan Russia U.S. Work Productivity Loss: % overall work impairment due to health (Base: Employed Full-time) Activity Impairment: % activity impairment due to health Sufferers are self-reported. Autoimmune Conditions

13 National Health and Wellness Survey Country Comparisons Cancer Conditions 12 Cancer Conditions Cancer conditions include the adult population suffering from Breast Cancer, Cervical Cancer, Colorectal Cancer, Leukemia, Lymphoma, Metastatic Solid Tumor, Non-Small Cell Lung Cancer, Prostate Cancer, Small-Cell Lung Cancer, Uterine Cancer and Other Cancer. % of adult population with Cancer conditions Geography % of sufferers Brazil China 5EU Japan Russia U.S. Self-Reported (% total population) 2% 2% 6% 4% 4% 8% Male 44% 51% 40% 45% 32% 43% Female 56% 49% 60% 55% 68% 57% Diagnosed (% total population) 2% 1% 6% 4% 3% 8% Male 43% 48% 40% 46% 29% 43% Female 57% 52% 60% 54% 71% 57% Total adult populations: Brazil: 140,806,000 5EU: 258,576,000 Japan: 106,460,000 U.S.: 233,806,000 Total urban adult populations: China: 444,643,000 Russia: 87,171,000 Medication usage Geography % of sufferers Brazil China 5EU Japan Russia U.S. Using prescription 26% 35% 24% 20% 21% 15% Not using prescription 74% 65% 76% 80% 79% 85% *Any product used to treat condition other than prescription medication. Cancer Conditions

14 National Health and Wellness Survey Country Comparisons Cancer Conditions 13 Lifestyle Geography % of sufferers Brazil China 5EU Japan Russia U.S. Exercise* 53% 63% 52% 51% 53% 57% Smoke 24% 37% 24% 16% 29% 16% Drink alcohol 46% 73% 76% 67% 73% 64% Obese (BMI 30) 18% 7% 21% 2% 22% 33% *At least one day per month of vigorous exercise lasting 20 minutes or more. Quality of life Brazil China 5EU Japan Russia U.S. Physical summary score Mental summary score Work productivity and activity impairment Geography Brazil China 5EU Japan Russia U.S. Work Productivity Loss: % overall work impairment due to health (Base: Employed Full-time) Activity Impairment: % activity impairment due to health Sufferers are self-reported. Cancer Conditions

15 National Health and Wellness Survey Country Comparisons Cardiovascular Conditions 14 Cardiovascular Conditions Cardiovascular conditions include the adult population suffering from Angina Pectoris, Arrhythmia, Atherosclerosis, Atrial Fibrillation, Congestive Heart Failure (CHF), Deep Vein Thrombosis, Deep Vein Thrombosis (DVT), Heart Attack, Heart Murmur, High Cholesterol, Hypertension, Left Ventricular Hypertrophy (LVH), Peripheral Arterial Disease (PAD), Peripheral Vascular Disease (PVD), Pulmonary Embolism, Stroke or Mini-Stroke/Transient Ischemia and Unstable Angina. % of adult population with Cardiovascular conditions Geography Brazil China 5EU Japan Russia U.S. Self-Reported (% total population) 32% 29% 39% 22% 43% 45% Male 44% 52% 50% 55% 41% 50% Female 56% 48% 50% 45% 59% 50% Diagnosed (% total population) 29% 26% 37% 21% 37% 43% Male 43% 52% 50% 55% 40% 50% Female 57% 48% 50% 45% 60% 50% Total adult populations: Brazil: 140,806,000 5EU: 258,576,000 Japan: 106,460,000 U.S.: 233,806,000 Total urban adult populations: China: 444,643,000 Russia: 87,171,000 Medication usage Geography % of sufferers Brazil China 5EU Japan Russia U.S. Prescription only 34% 32% 53% 69% 33% 48% OTC only* 17% 12% 5% 2% 12% 6% Prescription and OTC 18% 35% 9% 4% 28% 24% No product 32% 22% 33% 25% 27% 22% *Any product used to treat condition other than prescription medication. Cardiovascular Conditions

16 National Health and Wellness Survey Country Comparisons Cardiovascular Conditions 15 Lifestyle Geography % of sufferers Brazil China 5EU Japan Russia U.S. Exercise* 50% 61% 56% 52% 52% 60% Smoke 20% 24% 25% 18% 31% 19% Drink alcohol 49% 67% 77% 70% 73% 63% Obese (BMI 30) 26% 9% 25% 4% 28% 41% *At least one day per month of vigorous exercise lasting 20 minutes or more. Quality of life Brazil China 5EU Japan Russia U.S. Physical summary score Mental summary score Work productivity and activity impairment Geography Brazil China 5EU Japan Russia U.S. Work Productivity Loss: % overall work impairment due to health (Base: Employed Full-time) Activity Impairment: % activity impairment due to health Sufferers are self-reported. Cardiovascular Conditions

17 National Health and Wellness Survey Country Comparisons Gastrointestinal Conditions 16 Gastrointestinal Conditions Gastrointestinal conditions include the adult population suffering from Chronic Constipation, Diarrhea, Diverticulitis, Gastroesophageal Reflux Disease (GERD), Heartburn and Irritable Bowel Syndrome (IBS). % of adult population with Gastrointestinal conditions Geography Brazil China 5EU Japan Russia U.S. Self-Reported (% total population) 25% 16% 33% 16% 37% 35% Male 44% 51% 43% 41% 44% 46% Female 56% 49% 57% 59% 56% 54% Diagnosed (% total population) 17% 11% 22% 7% 12% 21% Male 42% 54% 40% 42% 39% 42% Female 58% 46% 60% 58% 61% 58% Total adult populations: Brazil: 140,806,000 5EU: 258,576,000 Japan: 106,460,000 U.S.: 233,806,000 Total urban adult populations: China: 444,643,000 Russia: 87,171,000 Medication usage Geography % of sufferers Brazil China 5EU Japan Russia U.S. Prescription only 15% 18% 28% 18% 26% 19% OTC only* 39% 27% 25% 25% 24% 40% Prescription and OTC 15% 24% 10% 8% 24% 12% No product 31% 31% 38% 48% 26% 29% *Any product used to treat condition other than prescription medication. Gastrointestinal Conditions

18 National Health and Wellness Survey Country Comparisons Gastrointestinal Conditions 17 Lifestyle Geography % of sufferers Brazil China 5EU Japan Russia U.S. Exercise* 54% 62% 58% 44% 54% 63% Smoke 20% 25% 27% 22% 37% 23% Drink alcohol 56% 75% 78% 70% 79% 67% Obese (BMI 30) 23% 9% 21% 3% 22% 38% *At least one day per month of vigorous exercise lasting 20 minutes or more. Quality of life Brazil China 5EU Japan Russia U.S. Physical summary score Mental summary score Work productivity and activity impairment Geography Brazil China 5EU Japan Russia U.S. Work Productivity Loss: % overall work impairment due to health (Base: Employed Full-time) Activity Impairment: % activity impairment due to health Sufferers are self-reported. Gastrointestinal Conditions

19 National Health and Wellness Survey Country Comparisons Infectious Diseases 18 Infectious Diseases Infectious Diseases include the adult population suffering from AIDS, C. Difficile, Community-Acquired Pneumonia (CAP), Genital Herpes, Genital Warts, Hospital-Acquired Pneumonia (HAP), Hepatitis A, Hepatitis B, Hepatitis C, HIV, Tuberculosis and Yeast Infection. % of adult population with Infectious Diseases Geography Brazil China 5EU Japan Russia U.S. Self-Reported (% total population) 8% 9% 9% 4% 17% 9% Male 53% 54% 39% 48% 43% 33% Female 47% 46% 61% 53% 57% 67% Diagnosed (% total population) 6% 8% 8% 3% 12% 8% Male 53% 53% 39% 47% 47% 35% Female 47% 47% 61% 53% 53% 65% Total adult populations: Brazil: 140,806,000 5EU: 258,576,000 Japan: 106,460,000 U.S.: 233,806,000 Total urban adult populations: China: 444,643,000 Russia: 87,171,000 Medication usage Geography % of sufferers Brazil China 5EU Japan Russia U.S. Using prescription 21% 40% 24% 17% 18% 25% Not using prescription 79% 60% 76% 83% 82% 75% *Any product used to treat condition other than prescription medication. Infectious Diseases

20 National Health and Wellness Survey Country Comparisons Infectious Diseases 19 Lifestyle Geography % of sufferers Brazil China 5EU Japan Russia U.S. Exercise* 58% 63% 61% 49% 53% 63% Smoke 25% 27% 30% 22% 38% 26% Drink alcohol 59% 75% 78% 69% 80% 67% Obese (BMI 30) 17% 7% 18% 3% 22% 35% *At least one day per month of vigorous exercise lasting 20 minutes or more. Quality of life Brazil China 5EU Japan Russia U.S. Physical summary score Mental summary score Work productivity and activity impairment Geography Brazil China 5EU Japan Russia U.S. Work Productivity Loss: % overall work impairment due to health (Base: Employed Full-time) Activity Impairment: % activity impairment due to health Sufferers are self-reported. Infectious Diseases

21 National Health and Wellness Survey Country Comparisons Metabolic Conditions 20 Metabolic Conditions Metabolic conditions include the adult population suffering from High Cholesterol, Hypertension, Obesity, Thyroid Condition, Type 1 Diabetes and Type 2 Diabetes. % of adult population with Metabolic conditions Geography Brazil China 5EU Japan Russia U.S. Self-Reported (% total population) 36% 29% 43% 23% 43% 57% Male 43% 53% 48% 55% 38% 48% Female 57% 47% 52% 45% 62% 52% Diagnosed (% total population) 26% 23% 35% 20% 31% 43% Male 42% 53% 48% 54% 36% 49% Female 58% 47% 52% 46% 64% 51% Total adult populations: Brazil: 140,806,000 5EU: 258,576,000 Japan: 106,460,000 U.S.: 233,806,000 Total urban adult populations: China: 444,643,000 Russia: 87,171,000 Medication usage Geography % of sufferers Brazil China 5EU Japan Russia U.S. Prescription only 30% 30% 54% 69% 31% 42% OTC only* 12% 9% 3% 2% 10% 4% Prescription and OTC 16% 32% 7% 4% 22% 19% No product 42% 30% 37% 24% 37% 35% *Any product used to treat condition other than prescription medication. Metabolic Conditions

22 National Health and Wellness Survey Country Comparisons Metabolic Conditions 21 Lifestyle Geography % of sufferers Brazil China 5EU Japan Russia U.S. Exercise* 50% 60% 55% 51% 51% 61% Smoke 17% 23% 24% 19% 29% 18% Drink alcohol 48% 65% 76% 69% 72% 63% Obese (BMI 30) 48% 25% 40% 11% 44% 55% *At least one day per month of vigorous exercise lasting 20 minutes or more. Quality of life Brazil China 5EU Japan Russia U.S. Physical summary score Mental summary score Work productivity and activity impairment Geography Brazil China 5EU Japan Russia U.S. Work Productivity Loss: % overall work impairment due to health (Base: Employed Full-time) Activity Impairment: % activity impairment due to health Sufferers are self-reported. Metabolic Conditions

23 National Health and Wellness Survey Country Comparisons Musculoskeletal Conditions 22 Musculoskeletal Conditions Musculoskeletal conditions include the adult population suffering from Gout, Muscular Dystrophy, Osteoarthritis, Osteopenia, Osteoporosis and Paget s Disease. % of adult population with Musculoskeletal conditions Geography Brazil China 5EU Japan Russia U.S. Self-Reported (% total population) 6% 16% 14% 7% 15% 20% Male 36% 45% 36% 46% 34% 39% Female 64% 55% 64% 54% 66% 61% Diagnosed (% total population) 6% 14% 14% 7% 13% 19% Male 34% 44% 36% 45% 33% 38% Female 66% 56% 64% 55% 67% 62% Total adult populations: Brazil: 140,806,000 5EU: 258,576,000 Japan: 106,460,000 U.S.: 233,806,000 Total urban adult populations: China: 444,643,000 Russia: 87,171,000 Medication usage Geography % of sufferers Brazil China 5EU Japan Russia U.S. Prescription only 19% 10% 30% 38% 26% 21% OTC only* 17% 30% 16% 13% 24% 40% Prescription and OTC 31% 49% 23% 17% 32% 20% No product 32% 11% 32% 33% 17% 19% *Any product used to treat condition other than prescription medication. Musculoskeletal Conditions

24 National Health and Wellness Survey Country Comparisons Musculoskeletal Conditions 23 Lifestyle Geography % of sufferers Brazil China 5EU Japan Russia U.S. Exercise* 48% 65% 53% 52% 54% 55% Smoke 21% 24% 22% 18% 30% 18% Drink alcohol 47% 69% 73% 71% 67% 61% Obese (BMI 30) 28% 9% 25% 4% 29% 41% *At least one day per month of vigorous exercise lasting 20 minutes or more. Quality of life Brazil China 5EU Japan Russia U.S. Physical summary score Mental summary score Work productivity and activity impairment Geography Brazil China 5EU Japan Russia U.S. Work Productivity Loss: % overall work impairment due to health (Base: Employed Full-time) Activity Impairment: % activity impairment due to health Sufferers are self-reported. Musculoskeletal Conditions

25 National Health and Wellness Survey Country Comparisons Neurological Conditions 24 Neurological Conditions Neurological conditions include the adult population suffering from Epilepsy, Hemiplegia, Migraine, Multiple Sclerosis, Parkinson s Disease and Restless Legs Syndrome (RLS). % of adult population with Neurological conditions Geography Brazil China 5EU Japan Russia U.S. Self-Reported (% total population) 22% 16% 21% 9% 17% 18% Male 35% 46% 36% 32% 29% 36% Female 65% 54% 64% 68% 71% 64% Diagnosed (% total population) 14% 11% 14% 5% 6% 12% Male 29% 47% 34% 31% 27% 33% Female 71% 53% 66% 69% 73% 67% Total adult populations: Brazil: 140,806,000 5EU: 258,576,000 Japan: 106,460,000 U.S.: 233,806,000 Total urban adult populations: China: 444,643,000 Russia: 87,171,000 Medication usage Geography % of sufferers Brazil China 5EU Japan Russia U.S. Prescription only 20% 11% 31% 14% 30% 25% OTC only* 34% 32% 30% 43% 16% 35% Prescription and OTC 15% 24% 8% 6% 12% 11% No product 32% 33% 31% 37% 42% 29% *Any product used to treat condition other than prescription medication. Neurological Conditions

26 National Health and Wellness Survey Country Comparisons Neurological Conditions 25 Lifestyle Geography % of sufferers Brazil China 5EU Japan Russia U.S. Exercise* 57% 65% 59% 41% 56% 63% Smoke 19% 25% 28% 23% 35% 24% Drink alcohol 51% 76% 75% 67% 77% 66% Obese (BMI 30) 21% 9% 19% 3% 22% 36% *At least one day per month of vigorous exercise lasting 20 minutes or more. Quality of life Brazil China 5EU Japan Russia U.S. Physical summary score Mental summary score Work productivity and activity impairment Geography Brazil China 5EU Japan Russia U.S. Work Productivity Loss: % overall work impairment due to health (Base: Employed Full-time) Activity Impairment: % activity impairment due to health Sufferers are self-reported. Neurological Conditions

27 National Health and Wellness Survey Country Comparisons Ophthalmic Conditions 26 Ophthalmic Conditions Ophthalmic conditions include the adult population suffering from Cataracts, Dry Eye, Glaucoma and Macular Degeneration. % of adult population with Ophthalmic conditions Geography Brazil China 5EU Japan Russia U.S. Self-Reported (% total population) 6% 8% 10% 13% 11% 16% Male 42% 53% 39% 40% 35% 40% Female 58% 47% 61% 60% 65% 60% Diagnosed (% total population) 4% 6% 9% 11% 5% 13% Male 39% 52% 38% 39% 34% 38% Female 61% 48% 62% 61% 66% 62% Total adult populations: Brazil: 140,806,000 5EU: 258,576,000 Japan: 106,460,000 U.S.: 233,806,000 Total urban adult populations: China: 444,643,000 Russia: 87,171,000 Medication usage Geography % of sufferers Brazil China 5EU Japan Russia U.S. Prescription only 36% 17% 31% 37% 34% 19% OTC only* 16% 31% 18% 15% 18% 28% Prescription and OTC 12% 27% 7% 6% 20% 8% No product 36% 26% 44% 42% 28% 45% *Any product used to treat condition other than prescription medication. Ophthalmic Conditions

28 National Health and Wellness Survey Country Comparisons Ophthalmic Conditions 27 Lifestyle Geography % of sufferers Brazil China 5EU Japan Russia U.S. Exercise* 61% 65% 59% 51% 61% 58% Smoke 19% 26% 22% 16% 29% 16% Drink alcohol 54% 77% 77% 69% 75% 61% Obese (BMI 30) 17% 8% 22% 2% 16% 35% *At least one day per month of vigorous exercise lasting 20 minutes or more. Quality of life Brazil China 5EU Japan Russia U.S. Physical summary score Mental summary score Work productivity and activity impairment Geography Brazil China 5EU Japan Russia U.S. Work Productivity Loss: % overall work impairment due to health (Base: Employed Full-time) Activity Impairment: % activity impairment due to health Sufferers are self-reported. Ophthalmic Conditions

29 National Health and Wellness Survey Country Comparisons Pain Conditions 28 Pain Conditions Pain conditions include the adult population suffering from Arthritis, Back Problems, Bladder Pain, Broken Bones, Cancer, Carpal Tunnel Syndrome, Dental Pain, Diabetic Neuropathic Pain, Fibromyalgia, Headache, Herpes Zoster/Shingles, Hip/Pelvic Pain, Joint Pain, Lower Back Pain, Menstrual Cycle, Migraine, Neck Pain, Neuropathic Pain, Phantom Limb Pain, Pinched Nerve in Lower Back, Plantar Fasciitis, Post-Herpetic Neuralgia, Shoulder Pain or Stiffness, Spinal Disk, Sprains or Strains, Surgery or Other Medical Procedure, Tendonitis and Other Pain. % of adult population with Pain conditions Geography Brazil China 5EU Japan Russia U.S. Self-Reported (% total population) 25% 15% 31% 15% 27% 38% Male 44% 54% 42% 46% 38% 47% Female 56% 46% 58% 54% 62% 53% Diagnosed (% total population) 20% 10% 26% 9% 12% 29% Male 43% 55% 41% 43% 36% 44% Female 57% 45% 59% 57% 64% 56% Total adult populations: Brazil: 140,806,000 5EU: 258,576,000 Japan: 106,460,000 U.S.: 233,806,000 Total urban adult populations: China: 444,643,000 Russia: 87,171,000 Medication usage Geography % of sufferers Brazil China 5EU Japan Russia U.S. Prescription only 23% 12% 31% 17% 37% 19% OTC only* 33% 34% 29% 27% 13% 47% Prescription and OTC 15% 20% 10% 4% 15% 15% No product 30% 34% 29% 51% 36% 20% *Any product used to treat condition other than prescription medication. Pain Conditions

30 National Health and Wellness Survey Country Comparisons Pain Conditions 29 Lifestyle Geography % of sufferers Brazil China 5EU Japan Russia U.S. Exercise* 50% 62% 56% 44% 56% 60% Smoke 20% 25% 28% 23% 36% 23% Drink alcohol 54% 76% 77% 71% 77% 64% Obese (BMI 30) 23% 8% 23% 4% 19% 39% *At least one day per month of vigorous exercise lasting 20 minutes or more. Quality of life Brazil China 5EU Japan Russia U.S. Physical summary score Mental summary score Work productivity and activity impairment Geography Brazil China 5EU Japan Russia U.S. Work Productivity Loss: % overall work impairment due to health (Base: Employed Full-time) Activity Impairment: % activity impairment due to health Sufferers are self-reported. Pain Conditions

31 National Health and Wellness Survey Country Comparisons Psychiatric Conditions 30 Psychiatric Conditions Psychiatric conditions include the adult population suffering from Anxiety, Attention Deficit/Hyperactivity Disorder (ADHD), Bipolar Disorder, Depression, Generalized Anxiety Disorder (GAD), Obsessive Compulsive Disorder (OCD), Phobias, Post Traumatic Stress Disorder (PTSD), Schizophrenia and Social Anxiety Disorder (SAD). % of adult population with Psychiatric conditions Geography Brazil China 5EU Japan Russia U.S. Self-Reported (% total population) 33% 13% 25% 5% 28% 32% Male 40% 55% 39% 47% 37% 44% Female 60% 45% 61% 53% 63% 56% Diagnosed (% total population) 20% 7% 18% 5% 5% 23% Male 35% 56% 37% 47% 41% 42% Female 65% 44% 63% 53% 59% 58% Total adult populations: Brazil: 140,806,000 5EU: 258,576,000 Japan: 106,460,000 U.S.: 233,806,000 Total urban adult populations: China: 444,643,000 Russia: 87,171,000 Medication usage Geography % of sufferers Brazil China 5EU Japan Russia U.S. Prescription only 17% 6% 31% 62% 9% 40% OTC only* 29% 36% 15% 4% 42% 9% Prescription and OTC 12% 18% 7% 7% 16% 5% No product 42% 39% 47% 26% 33% 46% *Any product used to treat condition other than prescription medication. Psychiatric Conditions

32 National Health and Wellness Survey Country Comparisons Psychiatric Conditions 31 Lifestyle Geography % of sufferers Brazil China 5EU Japan Russia U.S. Exercise* 55% 67% 57% 42% 56% 64% Smoke 22% 29% 32% 27% 38% 26% Drink alcohol 57% 83% 75% 67% 80% 68% Obese (BMI 30) 22% 9% 21% 7% 15% 36% *At least one day per month of vigorous exercise lasting 20 minutes or more. Quality of life Brazil China 5EU Japan Russia U.S. Physical summary score Mental summary score Work productivity and activity impairment Geography Brazil China 5EU Japan Russia U.S. Work Productivity Loss: % overall work impairment due to health (Base: Employed Full-time) Activity Impairment: % activity impairment due to health Sufferers are self-reported. Psychiatric Conditions

33 National Health and Wellness Survey Country Comparisons Respiratory Conditions 32 Respiratory Conditions Respiratory conditions include the adult population suffering from Asthma, Chronic Bronchitis, Chronic Obstructive Pulmonary Disease (COPD), Cystic Fibrosis, Emphysema, Hay Fever and Nasal Allergies. % of adult population with Respiratory conditions Geography Brazil China 5EU Japan Russia U.S. Self-Reported (% total population) 26% 14% 24% 25% 23% 31% Male 41% 58% 47% 47% 38% 42% Female 59% 42% 53% 53% 62% 58% Diagnosed (% total population) 23% 12% 21% 19% 15% 26% Male 39% 58% 45% 46% 34% 41% Female 61% 42% 55% 54% 66% 59% Total adult populations: Brazil: 140,806,000 5EU: 258,576,000 Japan: 106,460,000 U.S.: 233,806,000 Total urban adult populations: China: 444,643,000 Russia: 87,171,000 Medication usage Geography % of sufferers Brazil China 5EU Japan Russia U.S. Prescription only 17% 14% 37% 18% 20% 26% OTC only* 39% 33% 23% 33% 24% 39% Prescription and OTC 19% 39% 15% 7% 26% 19% No product 25% 15% 25% 42% 30% 17% *Any product used to treat condition other than prescription medication. Respiratory Conditions

34 National Health and Wellness Survey Country Comparisons Respiratory Conditions 33 Lifestyle Geography % of sufferers Brazil China 5EU Japan Russia U.S. Exercise* 59% 63% 61% 47% 56% 65% Smoke 19% 27% 26% 17% 35% 21% Drink alcohol 56% 78% 79% 73% 78% 66% Obese (BMI 30) 20% 8% 19% 3% 21% 36% *At least one day per month of vigorous exercise lasting 20 minutes or more. Quality of life Brazil China 5EU Japan Russia U.S. Physical summary score Mental summary score Work productivity and activity impairment Geography Brazil China 5EU Japan Russia U.S. Work Productivity Loss: % overall work impairment due to health (Base: Employed Full-time) Activity Impairment: % activity impairment due to health Sufferers are self-reported. Respiratory Conditions

35 National Health and Wellness Survey Country Comparisons Urologic Conditions 34 Urologic Conditions Urologic conditions include the adult population suffering from Benign Prostatic Hyperplasia (BPH), Erectile Dysfunction, Overactive Bladder (OAB), Premature Ejaculation, Stress Urinary Incontinence (SUI) and Urinary Tract Infection. % of adult population with Urologic conditions Geography Brazil China 5EU Japan Russia U.S. Self-Reported (% total population) 24% 26% 31% 22% 23% 30% Male 81% 90% 69% 91% 66% 66% Female 19% 10% 31% 9% 34% 34% Diagnosed (% total population) 3% 6% 12% 3% 4% 14% Male 42% 67% 48% 74% 52% 50% Female 58% 33% 52% 26% 48% 50% Total adult populations: Brazil: 140,806,000 5EU: 258,576,000 Japan: 106,460,000 U.S.: 233,806,000 Total urban adult populations: China: 444,643,000 Russia: 87,171,000 Medication usage Geography % of sufferers Brazil China 5EU Japan Russia U.S. Prescription only 4% 7% 14% 9% 6% 18% OTC only* 15% 18% 3% 1% 15% 4% Prescription and OTC 3% 7% 2% 1% 4% 2% No product 79% 68% 81% 89% 76% 76% *Any product used to treat condition other than prescription medication. Urologic Conditions

36 National Health and Wellness Survey Country Comparisons Urologic Conditions 35 Lifestyle Geography % of sufferers Brazil China 5EU Japan Russia U.S. Exercise* 57% 62% 58% 49% 51% 61% Smoke 20% 35% 27% 27% 39% 22% Drink alcohol 60% 83% 80% 79% 80% 67% Obese (BMI 30) 21% 7% 22% 4% 24% 37% *At least one day per month of vigorous exercise lasting 20 minutes or more. Quality of life Brazil China 5EU Japan Russia U.S. Physical summary score Mental summary score Work productivity and activity impairment Geography Brazil China 5EU Japan Russia U.S. Work Productivity Loss: % overall work impairment due to health (Base: Employed Full-time) Activity Impairment: % activity impairment due to health Sufferers are self-reported. Urologic Conditions

37 Brazil

38 National Health and Wellness Survey Brazil 37 Population profile Brazil has the largest population in South America (198.7 million people); however, it also has the second-lowest birth rate and population growth rate in South America (female mean fertility 1.8 sons). About 85% of Brazil s population lives in urban centers. Brazil has an aging population. It is estimated that by 2020 close to 30 million people will be older than 60. Life expectancy and causes of death Brazil s life expectancy is 74. Cardiovascular disease is the leading cause of death and disability among both men and women in Brazil. Predictions for the next two decades include near tripling of ischemic heart disease (IHD) and stroke mortality. Cancer is the second leading cause of death. Brazil s government has cited deaths caused by external factors, such as transportation, violence and suicide, as a critical health problem. Death caused by external factors is the leading cause of mortality for males between the ages of 5 and 49. Healthcare system The Ministry of Health is the coordinator of the country s overall health policy. The Public Healthcare System (SUS) in theory offers full coverage for every citizen, but the coverage is severely limited due to budgetary restrictions. Public hospitals and primary care services are free of charge. There is a large variation in healthcare in public sector, with some high-quality, world-class hospitals and many low-quality hospitals around the country. In addition to the public sector, there is a large and wide private health network in Brazil, which complements the services provided by the government. Around 25% to 30% of Brazilians have private health insurance due to the low quality of services provided by the government. It comprises about 50 million people, and the number of people with health insurance grows approximately 5% each year. Reimbursement policies Private insurance fully reimburses hospitals. Some health insurances (covering about 20% of the insured) partially reimburse for drug prescriptions. Brazil

39 National Health and Wellness Survey Brazil 38 General statistics Gross national income per capita (Intl $ 1, 2009): 11,630 Life expectancy at birth male/female (years): 70/77 Total expenditure on health per capita (Intl $, 2006): 1,109 Total expenditure on health as % of GDP (2006): 9.3% Internet penetration: Total population: 51.6% Lifestyle statistics 3 Total % of adult population that: 18.0% 56.6% 49.3% 17.4% Smokes Exercises 2 Drinks Alcohol Is Obese (BMI 30) Demographics Total population: 198,656,000 Area size: 8,504,535 km 2 Doctors (per 10,000 population): 15.1 Hospital beds (per 10,000 population): 23 Rank City % Population 1 San Paulo 5.0% 2 Rio de Janeiro 3.0% Salvador 1.3% 4 Fortaleza 1.2% 5 Belo Horizonte 1.2% The international $ is a currency unit that is calculated using purchasing power parities (PPP), which are rates of currency conversion constructed to account for differences in price level between countries. 2 At least one day per month of vigorous exercise lasting 20 minutes or more. 3 Adult population: 140,086,000 Brazil

40 National Health and Wellness Survey Brazil Autoimmune Conditions 39 Autoimmune Conditions Autoimmune conditions include the adult population suffering from Ankylosing Spondylitis, Connective Tissue Disease, Idiopathic Thrombocytopenia Purpura (ITP), Inflammatory Bowel Disease (Crohn s Disease or Ulcerative Colitis), Lupus, Psoriasis, Psoriatic Arthritis, Rheumatoid Arthritis and Sjögren s Syndrome. % of adult population with Autoimmune conditions in Brazil Self-Reported (% total population) 3% 3% 3% 5% 6% 1% Male 37% 37% 46% 36% 29% 32% Female 63% 63% 54% 64% 71% 68% Diagnosed (% total population) 3% 2% 3% 4% 6% 1% Male 35% 34% 43% 35% 30% 31% Female 65% 66% 57% 65% 70% 69% Total adult population: 140,086,000 Medication usage Prescription only 25% 20% 35% 22% 21% 69% OTC only* 16% 12% 18% 26% 11% 4% Prescription and OTC 20% 18% 13% 12% 44% 14% No product 39% 50% 34% 40% 23% 13% *Functional foods, popular medicine, herbal products and medications purchased without a physician prescription. Attitudes 11% of sufferers prefer to treat themselves with an over-the-counter medication than to depend on a doctor to give them a prescription medication. 55% of sufferers are willing to make any lifestyle changes necessary to avoid having to take a prescription medication. Autoimmune Conditions

41 National Health and Wellness Survey Brazil Autoimmune Conditions 40 Lifestyle Exercise* 55% 68% 58% 44% 49% 14% Smoke 23% 18% 21% 27% 30% 10% Drink alcohol 50% 58% 56% 51% 34% 23% Obese (BMI 30) 26% 18% 35% 44% 13% 13% *At least one day per month of vigorous exercise lasting 20 minutes or more. Quality of life Total Population Age Age Age Age Age 65 + Physical summary score Mental summary score Work productivity and activity impairment Work Productivity Loss: % overall work impairment due to health (Base: Employed Full-time) Activity Impairment: % activity impairment due to health Sufferers are self-reported. Autoimmune Conditions

42 National Health and Wellness Survey Brazil Cancer Conditions 41 Cancer Conditions Cancer conditions include the adult population suffering from Breast Cancer, Cervical Cancer, Colorectal Cancer, Leukemia, Lymphoma, Metastatic Solid Tumor, Non-Small Cell Lung Cancer, Prostate Cancer, Skin Cancer, Small- Cell Lung Cancer, Uterine Cancer and Other Cancer. % of adult population with Cancer conditions in Brazil Self-Reported (% total population) 2% 1% 2% 2% 3% 3% Male 44% 61% 29% 26% 39% 58% Female 56% 39% 71% 74% 61% 42% Diagnosed (% total population) 2% 1% 2% 2% 3% 3% Male 43% 59% 28% 27% 37% 61% Female 57% 41% 72% 73% 63% 39% Total adult population: 140,086,000 Medication usage Using prescription 26% 26% 16% 20% 17% 54% Not using prescription 74% 74% 84% 80% 83% 46% Functional foods, popular medicine, herbal products and medications purchased without a physician prescription were not captured for Cancer. Attitudes 10% of sufferers prefer to treat themselves with an over-the-counter medication than to depend on a doctor to give them a prescription medication. 52% of sufferers are willing to make any lifestyle changes necessary to avoid having to take a prescription medication. Cancer Conditions

43 National Health and Wellness Survey Brazil Cancer Conditions 42 Lifestyle Exercise* 53% 71% 58% 50% 49% 24% Smoke 24% 21% 31% 16% 40% 15% Drink alcohol 46% 59% 42% 54% 42% 22% Obese (BMI 30) 18% 13% 24% 18% 29% 6% *At least one day per month of vigorous exercise lasting 20 minutes or more. Quality of life Total Population Age Age Age Age Age 65 + Physical summary score Mental summary score Work productivity and activity impairment Work Productivity Loss: % overall work impairment due to health (Base: Employed Full-time) Activity Impairment: % activity impairment due to health Sufferers are self-reported. Cancer Conditions

44 National Health and Wellness Survey Brazil Cardiovascular Conditions 43 Cardiovascular Conditions Cardiovascular conditions include the adult population suffering from Angina Pectoris, Arrhythmia, Atherosclerosis, Atrial Fibrillation, Congestive Heart Failure (CHF), Deep Vein Thrombosis (DVT), Heart Attack, High Cholesterol, Hypertension, Left Ventricular Hypertrophy (LVH), Peripheral Arterial Disease (PAD), Peripheral Vascular Disease (PVD), Pulmonary Arterial Hypertension (PAH), Pulmonary Embolism, Stroke or Mini-Stroke/Transient Ischemia and Unstable Angina. % of adult population with Cardiovascular conditions in Brazil Self-Reported (% total population) 32% 23% 33% 40% 49% 42% Male 44% 40% 44% 48% 49% 36% Female 56% 60% 56% 52% 51% 64% Diagnosed (% total population) 29% 17% 29% 37% 48% 41% Male 43% 39% 44% 46% 49% 35% Female 57% 61% 56% 54% 51% 65% Total adult population: 140,086,000 Medication usage Prescription only 34% 14% 27% 34% 49% 71% OTC only* 17% 23% 23% 16% 11% 3% Prescription and OTC 18% 10% 17% 26% 24% 18% No product 32% 54% 34% 25% 16% 8% *Functional foods, popular medicine, herbal products and medications purchased without a physician prescription. Attitudes 14% of sufferers prefer to treat themselves with an over-the-counter medication than to depend on a doctor to give them a prescription medication. 55% of sufferers are willing to make any lifestyle changes necessary to avoid having to take a prescription medication. Cardiovascular Conditions

45 National Health and Wellness Survey Brazil Cardiovascular Conditions 44 Lifestyle Exercise* 50% 65% 55% 45% 41% 28% Smoke 20% 15% 18% 29% 27% 11% Drink alcohol 49% 58% 54% 49% 52% 20% Obese (BMI 30) 26% 22% 34% 30% 24% 18% *At least one day per month of vigorous exercise lasting 20 minutes or more. Quality of life Total Population Age Age Age Age Age 65 + Physical summary score Mental summary score Work productivity and activity impairment Work Productivity Loss: % overall work impairment due to health (Base: Employed Full-time) Activity Impairment: % activity impairment due to health Sufferers are self-reported. Cardiovascular Conditions

46 National Health and Wellness Survey Brazil Gastrointestinal Conditions 45 Gastrointestinal Conditions Gastrointestinal conditions include the adult population suffering from Chronic Constipation, Diarrhea, Diverticulitis, Gastroesophageal Reflux Disease (GERD), Heartburn and Irritable Bowel Syndrome (IBS). % of adult population with Gastrointestinal conditions in Brazil Self-Reported (% total population) 25% 27% 27% 28% 24% 6% Male 44% 43% 48% 44% 44% 39% Female 56% 57% 52% 56% 56% 61% Diagnosed (% total population) 17% 18% 18% 19% 17% 4% Male 42% 41% 44% 44% 44% 43% Female 58% 59% 56% 56% 56% 57% Total adult population: 140,086,000 Medication usage Prescription only 15% 15% 12% 17% 22% 18% OTC only* 39% 36% 44% 41% 39% 34% Prescription and OTC 15% 15% 14% 15% 16% 12% No product 31% 34% 30% 27% 24% 36% *Functional foods, popular medicine, herbal products and medications purchased without a physician prescription. Attitudes 13% of sufferers prefer to treat themselves with an over-the-counter medication than to depend on a doctor to give them a prescription medication. 56% of sufferers are willing to make any lifestyle changes necessary to avoid having to take a prescription medication. Gastrointestinal Conditions

47 National Health and Wellness Survey Brazil Gastrointestinal Conditions 46 Lifestyle Exercise* 54% 63% 54% 41% 44% 24% Smoke 20% 14% 19% 33% 29% 16% Drink alcohol 56% 58% 56% 57% 46% 35% Obese (BMI 30) 23% 17% 30% 27% 27% 15% *At least one day per month of vigorous exercise lasting 20 minutes or more. Quality of life Total Population Age Age Age Age Age 65 + Physical summary score Mental summary score Work productivity and activity impairment Work Productivity Loss: % overall work impairment due to health (Base: Employed Full-time) Activity Impairment: % activity impairment due to health Sufferers are self-reported. Gastrointestinal Conditions

48 National Health and Wellness Survey Brazil Infectious Diseases 47 Infectious Diseases Infectious Diseases include the adult population suffering from AIDS, C. Difficile, Community-Acquired Pneumonia (CAP), Genital Herpes, Genital Warts, Hospital-Acquired Pneumonia (HAP), Hepatitis A, Hepatitis B, Hepatitis C, HIV and Tuberculosis. % of adult population with Infectious Diseases in Brazil Self-Reported (% total population) 8% 7% 9% 8% 10% 2% Male 53% 49% 53% 62% 49% 70% Female 47% 51% 47% 38% 51% 30% Diagnosed (% total population) 6% 6% 7% 7% 8% 2% Male 53% 46% 49% 64% 59% 71% Female 47% 54% 51% 36% 41% 29% Total adult population: 140,086,000 Medication usage Using prescription 21% 20% 23% 24% 12% 29% Not using prescription 79% 80% 77% 76% 88% 71% Functional foods, popular medicine, herbal products and medications purchased without a physician prescription were not captured for Infectious Diseases. Attitudes 11% of sufferers prefer to treat themselves with an over-the-counter medication than to depend on a doctor to give them a prescription medication. 55% of sufferers are willing to make any lifestyle changes necessary to avoid having to take a prescription medication. Infectious Diseases

49 National Health and Wellness Survey Brazil Infectious Diseases 48 Lifestyle Exercise* 58% 68% 65% 46% 40% 24% Smoke 25% 18% 20% 40% 39% 17% Drink alcohol 59% 60% 58% 70% 49% 13% Obese (BMI 30) 17% 11% 29% 22% 10% 5% *At least one day per month of vigorous exercise lasting 20 minutes or more. Quality of life Total Population Age Age Age Age Age 65 + Physical summary score Mental summary score Work productivity and activity impairment Work Productivity Loss: % overall work impairment due to health (Base: Employed Full-time) Activity Impairment: % activity impairment due to health Sufferers are self-reported. Infectious Diseases