This Kalorama Information report – Clinical Nutrition – focuses on three primary segments of essential medical nutrition:

• Infant Nutrition: (Milk-based, Soy-based, Special Needs such as Chronic Reflux or Gastrointestinal Discomfort)
• Enteral Nutrition (Standard and Fiber-containing Elemental and Semi-elemental, Specialized for Chronically Ill Patients)
• Parenteral Nutrition

For each category, the report provides revenue data and forecasts for the most important segmentations. The report includes incidence of conditions which often require enteral or parenteral feeding, birth rates, over 65 population, and overall global population. Information is presented as a worldwide overview, with special emphasis on the U.S., Europe, and other key markets. The market segments provide an overview, description of products on the market, new developments, market estimates and forecasts, and competitive analysis of leading providers. The report also includes current issues and trends affecting the industry.

Coverage of Issues and Trends in Clinical Nutrition

There are several issues and trends that are impacting the clinical nutrition market, including:

• Wound Care Applications
• Reimbursement of Nutrition Products
• Food Programs
• Nutrition and Education
• DHA and ANA Additives
• Counterfeit Infant Formulas
• Recalled Infant Formulas
• Acquisition, Mergers and Alliances
• Technology Applications

A Growing Market with Thriving Competition

Competition in the clinical nutrition market is dominated by a handful of companies, ranging from global nutritional manufacturers to leading pharmaceutical companies. The majority of competitive participation is in developed regions such as the United States, Western Europe, and Japan. However, many companies are expanding into less developed regions, intensifying competition in less tapped markets. China, for example, is among the expanding competitive regions as companies continue to break into the growing demand for clinical nutrition in new world markets. Companies highlighted in this study include:

• Abbott Laboratories
• Baxter International
• B. Braun
• Danone
• Fresenius Kabi
• Mead Johnson
• Nestle
• PBM Products
• Wyeth

The information for this report was gathered using both primary and secondary research including comprehensive research of secondary sources such as company literature, databases, investment reports, and medical and business journals. Telephone interviews and email correspondence were the primary method of gathering information.

For the purpose of this study, Kalorama Information conducted interviews with more than 80 key industry officials, consultants, health care providers, and government personnel. These sources were the primary basis in gathering information specifically relating to revenue and market share data presented in this report. Specific interviews with nutrition company representatives included marketing directors, division managers, and product representatives. All market data pertains to the world market at the manufacturers’ level.

The base year for data was 2008. Historical data was provided for the years 2006 and 2007, with forecast data provided for 2009 through 2013. Compound annual growth rates (CAGRs) are provided for the 2006-2008, 2008-2013 and 2006-2013 periods for each industry segment covered. Competitive analysis is provided for the year 2008. The forecasted market analysis for 2009-2013 was based on demographic trends, new developments, and global expansion.

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Lithium is the lightest metal and widely applied in the sectors such as battery, ceramics, glass, aluminum, lubricant and refrigerating agent, as well as the nuclear and photoelectric, and the lithium carbonate is the basic material for the production of lithium metal.

China is one of the countries with the largest lithium reserves in the world. China’s proven lithium reserves (convert into pure lithium) have reached 3.35 million tons, ranking the 3rd place in the world in terms of salt lake brine lithium reserves , and the fourth place in terms of lithium ore resources. And China’s prospective reserves of lithium resource are more substantial.

The same as the year of 2007, in the world, the sectors consumed the most of lithium carbonate in 2008 were battery, lubricant, ceramics and glass, with a proportion of 27%, 12%, 9% and 8% respectively, while the proportion in 2007 was 25%, 12%, 10% and 8% respectively. The lithium carbonate consumption by the battery sector has further increased, while the consumption was a bit down by the traditional sectors like ceramics.

By the end of 2008, the global lithium carbonate demand was 95,400 tons, up 2.9% year on year, and the CAGR for global lithium carbonate demand in the past ten years was over 7%. Chile, China and Argentina were the top three countries in terms of lithium carbonate production capacity, and they were together satisfied 94% of global lithium carbonate demand. Especially the China, its global market share increased to 26% in 2007 from 21% in 2006, but the figure declined to 24% in 2008 as a result of natural disasters.

China’s demand for lithium carbonate has also grown rapidly. Starting from 2008, China entered a releasing period of lithium carbonate productions. It is expected that China’s lithium carbonate output will reach 45,000 tons and its designed production capacity will surpass 60,000 tons by 2010.

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