Continua Health Alliance Industry Statistics

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1 Continua Health Alliance Industry Statistics Health and Wellness statistics and insights Global statistics: Worldwide obesity has more than doubled since 1980 (WHO Fact Sheet, 2008) In 2008, 1.5 billion adults, 20 and older, were overweight. Of these over 200 million men and nearly 300 million women were obese. (WHO Fact Sheet, 2008) 65% of the world's population resides in countries where overweight and obesity kills more people than being underweight. (WHO Fact Sheet, 2008) Nearly 43 million children under the age of five were overweight in (WHO Fact Sheet, 2008) 60% to 85% of the world population in both developed and developing countries are not physically active enough to gain health benefits. (World Heart Federation Fact-Sheet, 2002.) Only 29% of people in EU countries engage in sufficient physical activity. (Sjostrom M, et al. Health-enhancing physical activity across European Union countries: the Eurobarometer study. Springer-Verlag 2006.) Every year, more than 2 million deaths worldwide are attributable to physical inactivity. (World Heart Federation Fact-Sheet, 2002.) There are more than 1 billion overweight adults worldwide and at least 300 million who are clinically obese. (WHO World Health Report, 2002) About 21% of coronary heart disease globally is attributable to body mass index (BMI) above 21kg/m2. (WHO World Health Report, 2002) About 22% of coronary heart disease globally is caused by physical inactivity. (WHO World Health Report, 2002) Up to 60% of all medication prescribed is taken incorrectly, or not at all. (National Council on Patient Information & Education)

2 U.S. statistics: About one-third of U.S adults (33.8%) are obese (National Health and Examination Survey 2010) Approximately 17% (or 12.5 million) of children and adolescents aged 2 19 years are obese (National Health and Examination Survey 2010 ) 37% of American adults report they are not physically active. Only 3 in 10 get the recommended amount of physical activity. 65% of American adults were overweight or obese (body mass index greater than or equal to 25) from 1999 to The problem affects all ages, racial and ethnic groups, and both genders. Nearly 60 million Americans are obese. More than 108 million adults are either obese or overweight. 16% of children and teens aged 6 to 19 were overweight from 1999 to 2002, three times as many as in About 20% of African American, Hispanic, and Native American children are overweight. Health risks associated with being overweight or obese include type 2 diabetes, high blood pressure, high cholesterol, asthma, coronary heart disease, stroke, gallbladder disease, osteoarthritis, sleep apnea, respiratory problems, and certain cancers. Type 2 diabetes, once called "adult onset" diabetes, high blood pressure, and high cholesterol, once thought to be age-related, are now diagnosed in children and teens. Managing chronic conditions statistics and insights Global statistics: 63% of all deaths are caused by chronic diseases Low- and middle-income countries are disproportionally affected: over 80% of cardiovascular disease deaths take place in low- and middle-income countries and occur almost equally in men and women. An estimated 17.3 million people died from cardiovascular diseases in 2008, representing 30% of all global deaths. Of these deaths, an estimated 7.3 million were due to coronary heart disease and 6.2 million were due to stroke. 860 million people worldwide have one or more chronic conditions. 600 million people worldwide have disabilities. 1.3 billion people worldwide smoke. 1 billion people worldwide are overweight.

3 Researchers associate obesity with more than 30 medical conditions. It affects the heart, lungs, muscles, and bones. Annual healthcare costs associated with obesity are approximately $100 billion. According to WHO estimates, 16.7 million people worldwide die of cardiovascular diseases each year (about one-third of all deaths globally). (Atlas of Heart Disease and Stroke, WHO, Sept. 2004) In Europe, cardiovascular disease causes more than 4.35 million deaths (49% of all deaths) each year. (European Cardiovascular Disease Statistics, 2005 edition, Dept. of Public Health, University of Oxford) According to the American Heart Organization, coronary heart disease accounted for 7.2M deaths globally in It is estimated that over 48 million adults in Europe (including Eastern Europe and Russia) aged years are living with diabetes an overall prevalence of 7.8%. (The International Diabetes Federation s Diabetes Atlas) 15 37% of the global adult population has hypertension. In those older than age 60, as many as one-half in some populations are hypertensive. (Integrated Management of Cardiovascular Risk. Report of a WHO Meeting, Geneva, July 2002) WHO estimates that 600 million people with hypertension are at risk of heart attack, stroke and cardiac failure. (Cardiovascular Diseases Prevention and Control. WHO CVD Strategy, ) In England 15.4 million people, including 60 percent of those over age 60, suffer from a long-term condition (LTC). LTCs account for 72 percent of all inpatient bed days, 65 percent of all outpatient appointments and 52 percent of all general doctor appointments. LTCs consume 69 percent of England s primary and acute care budget (NHS England). (F. Wang et al, 2004; B. Piniewski, 2006; L. Yen et al., 2006; D.W. Edington, 2008; C. Herman et al., 2006) Japan is becoming one of the fastest Aging Society countries. The aging rate is predicted to grow from 20% to 40%. Aging individuals account for more than 40% of health care costs and chronic diseases account for more than 30%. U.S. statistics: Prevalence 108 million in the U.S. have at least one chronic condition 75% of people over 65 have at least one chronic condition; 50% have at least two. Over 50 million suffer from high blood pressure which puts them at risk for stroke and heart disease. Obesity affects 1 in 3 U.S. adults.

4 More than half of people over 65 exhibit evidence of osteoarthritis a major cause of disability in this age group. Rapid growth % of population aged 20 and over with hypertension: % of population with diabetes: % of population that is overweight: % of population that is obese: % of population that maintains a healthy weight: Deaths due to chronic respiratory disease increased from 28% in 1989 to 43% in Limitations on activities due to chronic conditions in people over 65 have almost doubled since Cardiovascular and related diseases Over 80% of the world's deaths from CVDs occur in low- and middle-income countries.(world Health Organization) Heart disease and stroke will become the leading cause of both death and disability worldwide, with the number of fatalities projected to increase to more than 20 million a year by 2020 and to more than 24 million a year by (Atlas of Heart Disease and Stroke, WHO, Sept. 2004) By 2030, almost 23.6 million people will die from cardiovascular diseases, mainly from heart disease and stroke. These are projected to remain the single leading causes of death. (World Health Organization) By 2020, cardiovascular diseases, injury and mental illnesses will be responsible for about one-half of all deaths and one-half of all healthy life-years lost, worldwide. (Institute for International Health website, Between 2000 and 2030, the number of years of productive life lost to cardiovascular disease in will have increased by: o 20% in the US o 30% in Portugal.

5 o 64% in Brazil o 57% in China o 95% in India (A Race Against Time. The Challenge of Cardiovascular Disease in Developing Economies, 2004 Columbia University, New York.) Projections suggest that mortality due to coronary heart disease in all developing countries will increase by 120% for women and 137% for men. (Yusuf S, et al. Global burden of cardiovascular diseases: Part 1: general considerations, the epidemiologic transition, risk factors, and impact of urbanization. Circulation 2001; 104: ) Over the next two decades, it is predicted that deaths due to coronary heart disease and stroke in Latin America, the Middle East, and sub-saharan Africa will triple. By contrast, in more developed nations, the increase will range from 30% to 60%, largely due to aging populations. (Yusuf S, et al. Global burden of cardiovascular diseases: Part 1: general considerations, the epidemiologic transition, risk factors, and impact of urbanization. Circulation 2001; 104: ) Diabetes It is projected that the number of people with diabetes in developed countries will rise 42%, from 51 million in 1995 to 72 million in (King H, et al. Diabetes Care. 1998;21: ) The number of people in developing countries with diabetes will increase more than 2.5 times (170%), from 84 million in 1995 to 228 million in (Diet, Nutrition and the Prevention of Chronic Diseases. WHO, Geneva, 2003; King H, et al. Diabetes Care. 1998;21: ) An estimated 364 million people have type 2 diabetes globally. This figure is expected to double by 2025.World Health Organization (Integrated Management of Cardiovascular Risk. Report of a WHO Meeting, Geneva, July 2002) WHO projects that diabetes deaths will double between 2005 and Smoking-related conditions and mortality The number of smokers in the world, estimated at 1.3 billion, is projected to rise to 1.7 billion by 2025 if the global prevalence of tobacco use remains unchanged. (WHO World Health Report, 2003) By 2020, tobacco is expected to be the single greatest cause of death and disability worldwide, accounting for about 10 million deaths per year. (World No-Tobacco Day, WHO website, Jan. 2004) The impact of tobacco-related disease and death until recently has been a problem mainly for developed countries, but WHO now estimates that by 2020, 7 of every 10 tobacco-related deaths will be in the developing world. (Reducing Tobacco Use. MMWR. Vol. 49, No. RR-16, Dec. 22, 2000)

6 Obesity and the next generation Obesity among children has reached epidemic proportions. WHO estimates that about 22 million children worldwide under age 5 are overweight. In the United States in the last 30 years, the prevalence of overweight children ages 5-14 has increased from 15% to 32%. One of four U.S. children is overweight, while 11% are obese. In Beijing, 20% of school children are obese. 16% of Saudi schoolboys are considered obese. (World Heart Federation Fact-Sheet, 2002.) Living (Aging) independently statistics and insights Global statistics: There are 600 million people in the world over age 60. By 2025, there will be 1 billion. By 2050, the number will be 2 billion. Global trends: The aging of the global population will result in a dramatic increase in diseases such as cardiovascular disease, diabetes, Alzheimer s disease, cancer, COPD and musculoskeletal problems. At the same time, it will become increasingly difficult to provide adequate care to this growing population as the provider pool shrinks and funding is stretched tighter and tighter. The average age of people around the world is increasing. The number of chronic diseases per person is increasing. The number of healthcare providers is decreasing: according to the World Health Organization s World Health Report, 2006, there is a global shortage of 4.3 million doctors, midwives, nurses, and support workers. Audience insights: Family members there is an emerging desire among this audience to reduce the stress and increase the efficiency of caring for aging parents. Moreover, they want their parents to be able to live at home for as long as possible. Governments plagued by the burgeoning costs of providing healthcare to aging populations. Remote Health Three in 10 Americans said they would use their mobile phone to track and monitor their personal health, and 40% would be willing to pay for a remote monitoring device that sends health information directly to their doctor, according to a PricewaterhouseCoopers' Health Research Institute study. Among the study's finding are: Remote healthcare is supported by 56% of consumers, and 41% would prefer to have more of their care delivered via a mobile device.

7 Thirty-one percent of consumers said they would be willing to incorporate an application into their existing cell phone or smartphone to be able to track and monitor their personal health information. Physicians agree that patient compliance with doctor recommendations is a major obstacle to managing health outcomes, and 88% said they would like their patients to be able to track and/or monitor their health at home, particularly their weight, blood sugar levels, and vital signs. More than half -- 57% -- of physicians said they would like to use remote devices to monitor patients outside of the hospital. Physicians, however, want to see filtered information or exceptions in their patient's health, not all the data all the time. Too much information could actually slow down care, they said. PricewaterhouseCoopers' Health Research Institute estimates the annual consumer market for remote/mobile monitoring devices and services to be $7.7 billion to $43 billion, based on the range consumers said they would be willing to pay. There is increasing evidence to support the value of remote monitoring for patients with chronic diseases, including: 35-56% reduction in mortality; 47% reduction in risk of hospitalization; 6 days reduction in length of hospital admission and 65% reduction in office visits; 40-64% reduction in physician time for checks and 63% reduction in transport costs. (Cleland et al 2005; Lee R, Goldberg et al, 2003; Scalvini S et al., 2001; Elsner et al, 2006; Van Ginneken et al 2006) US could generate net savings of $197 billion dollars over 25 years through telehealthenabled monitoring of patients with CHF, diabetes, COPD, and chronic skin ulcers. (Litan, 2008) US Veterans Administration: over a four year period, more than 30,000 patients enrolled in the VA s remote monitoring program showed a 19.74% decrease in hospital admissions and 25.31% reduction in BDOC. (Darkins et al, 2008) The area of telehealth/home health monitoring is predicted to grow very rapidly, from a $3B market in 2009 in North America and Europe to an estimated $7.7B in (Data Monitor, 2007)

8 Telehealth Statistics Nearly 70% of consumers expressed some interest in using wireless devices to communicate with their physicians, according to a Consumer Electronics Association survey, with 36% of the sample saying such devices would be an ideal way of transmitting medical data.(consumer Electronics Association, 2011) A recent ABI Research report says the market for sports and fitness apps is expected to reach $400 million by 2016, across more than one billion annual health-related app downloads.(abi, 2011) 25% of the U.S. population who live in rural areas face every day. With only 10% of the country s doctors working there, CNN says, Virtually every rural area in America needs more primary care doctors and can t find them. (Wall Street Daily, 2011) The use of telemedicine devices can cut hospitalization and, in turn, costs by 72%. (Tufts Medical Center, 2011) The FCC National Broadband Plan has pinpointed telemedicine as a key costcutting measure: Electronic Health Records and Remote Monitoring technology could alone create over $700 billion in net savings over years. In January, The United States Department of Agriculture (USDA) awarded grants to 44 healthcare organizations for deploying or improving telemedicine to rural areas.