April 2011

 

   

 

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Pharma, Biotech & Medical Device  

Greetings!

Welcome to BioMarketing Insight's monthly newsletter. This newsletter summarizes the short and long-term affect of Japan's Tohoku earthquake and tsunami catastrophe on the pharma, biotech and medical device industries.

Each month will summarize one relevant trend in-depth. Please see News Link on the right for more industry information. 

 

Feel free to email me if you have any questions, comments, or suggestions.

 

Sincerely,

Regina Au

Principal, Strategic Marketing Consultant

BioMarketing Insight

Tohoku Disaster in Japan Overview

The 9.0 Tohoku earthquake and tsunami disasters resulted in a devastating toll on hundreds of thousands of lives, loss of property, and loss of employment. This disaster coupled with the ongoing nuclear threat is putting people's health at risk, destroying the food and water in the area which is creating food and water shortages.

This devastation is far greater than the 6.0 Kobe earthquake in 1995. The Japanese government reported that the Tohoku earthquake and tsunami is estimated to cost 16 trillion to 25 trillion yen ($198 billion to $308 billion), about double the cost of the Kobe quake and about four times the cost of Hurricane Katrina at $81 billion.


These estimates do not take into account the continuing radiation threat at the Fukusima plant affecting the food and water, the shut down of many manufacturing plants due to power outages (from nuclear power plants being knocked out and reactors damaged), and local and foreign offices closing due to damage or fear of further radiation exposure.  


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In This Issue
Tohoku Disaster in Japan Overview
The Short-Term Affect of Tohoku on the Pharma, Biotech and Medical Device Industry
The Long-Term Affect of Tohoku on the Pharma, Biotech and Medical Device Industry
Closing Thoughts
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The Short-Term Affect of Tohoku on the Pharma, Biotech and Medical Device Industry
Pharma/Biotech

The Agence France-Presse from Osaka reported that hundreds of thousands of people were left homeless. As of this writing, there were 12,750 confirmed deaths, 14,716 officially listed as still missing despite the odds and 4,380 injured.

This devastation has an enormous negative impact on all industries since Japan is the third largest global market after the US and the EU and is both a major manufacturer of products and a global parts supplier. For both Japanese and global pharma and biotech companies, the destruction of the seven perfectures or towns (Iwate, Miyagi, and Fukushima, Hokkaido, Aomori, Ibaraki, and Chiba) translates to immediate and future loss of revenue from all hospitals, pharmacies, physicians offices, clinics that once existed in this highly industrialized area.

Medications and medical supplies needed to treat the injured and homeless will put a heavy burden on the surrounding towns and the government. Antibiotics and other medications will be in great demand to treat the injured and symptoms caused by unsanitary living conditions for the hundreds of thousands who are homeless. Reiko Kage, Associate Professor, Political Science; University of Tokyo stated that the Tohoku area has a larger population of elderly people compared to the Kobe area which compounds the health and welfare of these people.

Also, the electricity capacity of Tokyo Electric Power Co. will fall short of demand at least through the summer, due to the two Fukushima nuclear power plants being knocked out, some reactors damaged beyond repair and damage to some of the Tohoku Thermo-power stations.

The power outages are causing plant shutdowns and affecting cities as far as Tokyo where major manufacturing plants are located. Pharma and biotech companies that buy their active pharmaceutical ingredients (API) from Japan will experience a shortage or back orders on raw materials.

Depending on the shortage or length of time for back orders, this can result in immediate loss of revenue, higher cost of manufacturing drugs finding alternate suppliers, and/ or permanent loss of revenue if medications are switched to another brand due to back orders. Specific examples:

 

1) Daiichi Sankyo, one of the largest Japanese pharma company has a plant that has suspended production of active pharmaceutical ingredients that include pravastatin and olmesartan. Gradual production may be resumed by the end of April.

 

2) It was reported that Asaka Pharmaceuticals which manufacturers 98% of the domestic supply of levothyroxine sodium, a hypothyroid drug has halted production and only has enough product to supply the people of Japan for a month. There are about 300,000 people in Japan who are taking this medicine and stoppage of this medication poses an imminent health risk to these people. Asaka has resumed partial production and is prepared to import levothyroxine sodium.

 

3) Chugai Pharmaceutical manufactures Rivotril, an antiepileptic drug used to treat panic disorders, and Madopar, used for Parkinson's disease were also halted


Should Japan have an extremely hot summer, the demand for electricity will increase further to the current deficit of electricity. The young and the elderly will be at risk for heat stroke and other complications driving the usage of drugs and medical supplies up adding further burden in cost to the government.

Medical Device

Japan is the third largest global medical device market at approximately $25 billion behind the U.S. and European Union markets according to Pacific Bridge Medical, a Bethesda, Md.-based Asian regulatory firm.

The affect on the device industry is worse than the pharma/biotech industry for three reasons: 1) loss of revenue due to shortage or back orders of components since Japan is the world's largest manufacturer of chips and drives for the majority of devices and they are either shut down or at partial capacity 2) immediate loss of revenue from hospitals, pharmacies, MD offices that were destroyed and 3) loss in revenue from devices that are used in elective procedures being put on hold at area hospitals until all the injured and homeless health issues are resolved. Analyst Derrick Sung, from Bernstein reported to Reuters. "We would expect hip, knee and ICD implants for primary prevention to be more affected."

The device companies can expect to see a drop in sales for the rest of the year proportional to the percentage of sales from the affected prefectures and the immediate surrounding areas unless it is for critical care. Companies may also experience backorders if they can't get components from Japan in manufacturing devices.

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The Long-Term Affect of Tohoku on the Pharma, Biotech and Medical Device Industry

It will take approximately ten years, if the Kobe earthquake recovery of 1995 is any indicator on how long it will take for Japan to completely rebuild.  After 3 years, the Kobe economy had recovered 75% to 90% of its pre-event capacity, but it took 10 years to completely rebuilt the infrastructure, commercial buildings and housing.

However, the Kobe earthquake did not involve a tsunami or a nuclear reactor threat and therefore will probably take at least 5 years for the economy to recover and more than 10 years to completely rebuild. This area was highly industrialized and accounted for about 6 per cent of Japan's economy. Sendai, the area's biggest port, which was destroyed, is the major port for exports.

The nuclear power plant problem and the continuing power outage will be key factors for how quickly Japan will recover. Tokyo Electric and Tohoku Electric supply electricity to businesses that account for almost 50% of overall Japanese output and almost 45% of manufacturing output according to Nomura.

"The analysts estimated that a 10% shortfall in electric power capacity could dent recurring profit by 4.7%, or 1.4 trillion yen ($17 billion), in the Japanese business year beginning in April for corporations in the Nomura 400 company index."

Pharma/Biotech

Before the earthquake and tsunami, large Japanese pharmaceutical companies were actively acquiring US and international pharmaceutical companies. Daiichi Sankyo acquired Plexxikon, a Berkeley, CA biotech company and Ranboxy Laboratories, an Indian generic company. Last year Astella Pharma acquired OSI Pharmaeuticals for $4 billion and last month bought out Maxygen in a JV for $76 million.

Bankers predicted that Japanese pharma companies will be more aggressive in international M&A. While this could be beneficial to US companies that are looking for an infusion of cash for R&D or an exit for VCs, it is predicted that deals would be small until they consolidate.

It hasn't been determined how much of a negative monetary impact the Tohoku earthquake will have on the Japanese pharmaceutical industry. Both Daiichi Sankyo and Astella Pharma have manufacturing plants and R&D facilities (Astella) suspended due to damage. They both have donated 100 million yen to the Japanese Red Cross and possible donations of medical supplies and pharmaceutical products from Daiichi and Astella respectively.

Depending on how long the power outage last and the recovery of the economy, Japanese pharmaceutical companies may not be a major player in global M&A activities or maintain the status of being the third largest global market. In this scenario, this will attract large pharma companies to acquire local Japanese companies as an entry to the Japanese market and help the local economy.

Medical Device

Prior to the earthquake, the Japanese market was a significant growth opportunities for only a handful of US companies. In 2010, Abbott reported in regulatory filing more than $2 billion in sales with a growth of 60 percent in the past three years in Japan. Yet Japanese sales accounted for only about 5 percent of total sales for Abbott, Medtronic, and Johnson & Johnson. Boston Scientific had 13 percent, St Jude had 11 percent, Stryker had 10 percent, and Zimmer Holding Inc. had 9 percent of total revenue from Japan.

Device manufactures can expect a temporary decline in sales from Japan possibly for the next 5 years or until the economy recovers to pre-event disaster. Growth will have to come from other global markets and plans to penetrate other markets need to be accelerated.

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Closing Thoughts 
Since we are truly living in a global economy, whatever happens to Japan, the third largest global economy, has a major domino affect on the rest of the world's economies.

The world news reported that the Japanese government admitted that their economy was in peril emphasizing the magnitude of this devastation for a country that prides itself on being self sufficient.

The Japanese government will need donations of medications and medical supplies and price reduction on medications and supplies during the immediate crisis. Their immediate focus is on getting their nuclear reactors under control and rebuilding the affected prefectures from this disaster.

It is beneficial for the major global economies and major global companies to aide in the recovery of Japan. The sooner Japan recovers, the faster all global economies will benefit from their recovery.   Donations are pouring in from the US and nuclear experts are working with the Japanese people to solve their most pressing nuclear problems.

The nuclear reactors need to be fixed. If not, there will not only be a global economic problem but a global health problem too.

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