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Health Statistics

2009
Health Authority Abu Dhabi
Reliable Excellence in Healthcare

www.haad.ae/statistics
Contents New

Overview Encounters
Vision 2 Encounters by type, setting and nationality 22
Statistical highlights 3 Encounters volume by diagnosis group 23
Public Health highlights 4 Encounters value by diagnosis group 24
Investor highlights 5 Top Procedures by value and diagnosis group 25
Key indicators 6 Top drugs by value and diagnosis group 26
Blood bank donors and units 27
Population
Population by age, gender and nationality 8 Providers
Population by region and nationality 9 Provider overview 29
Population density 10 Labor productivity 30
Population growth 11 Health facility locations 31
Hospitals 32
Vital Statistics Centers and Clinics 33
Births and Deaths 12 Critical care bed capacity 34
Births and Deaths time series 13 Bed occupancy 35
Leading causes of death 14 Capacity gaps 36
Leading causes of death, detail 15 Demand projections 37
Injury deaths 16 Demand projections by diagnosis group 38
Investor plan for additional bed capacity 39
Communicable diseases 17
Claims 41
Health status overview 18
Health status by age and gender 19 Payers claims share 43
Diabetes Mellitus frequency 20
Financing members by insurer 45

Note The data presented have been prepared to the best of our knowledge at time of release. Although effort has been invested to
creating consistency and coherence, this should be considered work in progress. Feedback on content and layout are welcome. 1
Our Vision for the health system of the Emirate
In the Emirate of Abu Dhabi, everyone
has access to healthcare and freedom
to choose their provider.
The health system
finances itself
through a A system encompassing the full
mandatory health Population spectrum of health - protecting,
insurance for all promoting, sustaining and restoring
AD residents. services across the territory of the
Emirate.

Financing Encounter Quality driven by ambitious


improvement targets set by the
regulatory authority of the Emirate
and reflected in the regularly
monitored and published key
performance indicators of the system.
Payer Provider
Claim Providers are independent and
predominantly private.

An open system for all certified


The financial system should be flexible in providers of health services delivers
order to manage for change over time World-class quality care and outcomes
and the degree of subsidy should be in compliance with the highest
managed as efficiently as possible. international standards.

2
Statistical highlights 2009
There are more • 1.9m residents, 21% Nationals
insurance • Median age 19 for Nationals and
contracts (2.3m) 30 for Expatriates
than residents • 29’068 births and 2’988 deaths
Population
• Life expectancy 74.4 for men,
74.8 for women

Financing Encounter • 11.5 million encounters


– 2% inpatient (179’948)
– 42% by Nationals
– 43% by hospitals

Payer Provider
• 5’142 physicians, 8’142 nurses
Claim and 5’630 allied health
professionals in 1’077 licensed
facilities:
– 39 hospitals (3’621 beds)
33 licensed insurers • 9.1 Million claims processed
– 572 centers and clinics
compete for members • 98.8% of claims for outpatients
– 467 pharmacies and stores

3
Public health highlights
• Population One in five residents are Nationals of whom two safety education programs are some of the actions being taken
thirds are under 30 and half under 198. Expatriates
are by government agencies. Occupational injuries are covered
overwhelmingly male and of Asian origin and predominantly directly by employers, not by health insurance.
aged between 20 and 408,9. A significant share are employed in • Communicable diseases Rates of childhood communicable
construction and accommodated in labour camps. The diseases are very low23, due to immunization programs targeting
introduction of mandatory health insurance in 2007 provided all children aged <5 years17. Expatriates are screened for
residents in Abu Dhabi access to high quality care. Residence
communicable diseases before acquiring residence status17.
status is generally contingent on being employed, so there are
very few retirement age or unemployed expatriates. The • Non-Communicable diseases The Emirate has high rates of
population has been growing rapidly in previous years, with likely chronic diseases related to life style such as obesity, diabetes,
temporary decline in 2009. and cardiovascular diseases. Cardiovascular diseases already
accounted for a quarter of deaths in 2009. Adult Nationals were
• Birth Fertility rates – the main driver of growth for Nationals – screened for cardiovascular risk factors in 2008 as a condition for
have declined for over 30 years13,14. The UAE’s Total Fertility Rate enrollment in Thiqa insurance. Early analysis of results of this
has declined from 4.4 to 2.3 per woman between 1990 and screening show obesity rates of 33% for males and 38% for
2007. Declining birth rates are attributed to urbanisation, females and high proportions of people at risk of diabetes and
delayed marriage, changing attitudes about family size, and hypertension among UAE nationals over 1519. Without major
increased education and work opportunities for women. changes, these rates are set to increase further as the young
• Death Mortality rates have also declined steadily13 over the past population ages. Individuals thought to be at high risk of
yaers. Infant mortality is now comparable with other developed cardiovascular disease are being followed up.
countries6 and the WHO recently reported a decrease in the • Cancer caused 14% of all deaths in the Emirate in 2008. Breast
under 5 mortality rate from 15 to 8 per 1’000 live births between cancer is the dominant cancer in Abu Dhabi18. Late detection of
1990 and 2007 across the UAE. In 2009, the diseases of breast cancer leads to significant increases in mortality. Female
Circulatory System caused the highest number of deaths, adult Nationals aged 40-69 are being screened for breast cancer
accounting for 24% of all death cases registered in the Abu Dhabi as part of their Thiqa insurance renewal. Education and
Emirate. External Causes of morbidity and mortality and
awareness campaigns have increased screening rates for all
Neoplasms are the second and third highest causes of death15,16. nationalities
• Injuries Abu Dhabi has one of the highest rates of injuries • Respiratory infections are the most common non-life threatening
resulting from Road traffic accidents. They account for 14% of all condition in the Emirate, accounting for over 18% of all
deaths and are the leading cause of death amongst young encounters across all healthcare facilities28. Respiratory
males16,17. Speeding fines, free provision of child seats, and traffic infections impact workforce productivity and quality of life.
4
Investor highlights
• Population The population is concentrated on or nearby Abu • Capacity gaps Although waiting times have eased somewhat
Dhabi island9,10. Areas of growth in the short to medium term are overall gaps remain, particularly in pediatrics, orthopedics,
expected to be just off the island (Khalifa City A, Mohammed Bin ophthalmology and gynaecology41. Overall bed occupancy rates
Zayed City, the islands adjacent to Abu Dhabi island) and the vary significantly by facility, but have not increased in aggregate.
oldest city Al Ain. At the end of 2009 there were 0.4m National Bed occupancy in ICU, NICU and PICU was consistently above
Thiqa members, 0.9m government-subsidised Basic members and optimal level of 75% throughout 200939.
0.9m Enhanced members50. Daman administers Thiqa, it has • Reimbursement HAAD sets prices for the Basic product uniformly,
exclusivity for the Basic product and one third of the competitive adapted from the US-Medicare structure. Providers negotiate
Enhanced market. Daman has recently given up its direct billling
prices with Payers for Enhanced plans, generally as a multiple of
exclusivity with the public healthcare provider SEHA. Basic product rates. Thiqa is reimbursed at the level of Daman’s
• Demand for health services in the Emirate stabilised in 2009 – with most generous Enhanced plan. Price levels are weighted towards
the exception of ER encounters – following significant increases in outpatient care. In line with this, demand growth has been in ER
2007 due to the introduction of mandatory health insurance for and outpatient services whilst inpatient service levels have
Expatriates and Thiqa for Nationals in 2008 27. Significant growth in remained relatively stable from 2007-09 accounting for <2% of all
demand for services relating to chronic diseases, e.g. diabetes, is encounters22. DRGs, anticipated in 2010, will likely increase
expected, with larger volume increases in outpatient settings. It is, inpatient reimbursement.
however, estimated that there will also be aggressive growth in • Provider market Government-subsidised SEHA facilities provided
inpatient services relating to both diabetes and cancer36. 89% of all critical care bed days, treated 58% of all inpatients (4%
• Supply Despite growth in the number of doctors available to loss from 2008) and 36% of all outpatients (8% gain)27,38. The
residents, it is estimated that up to 5,000 additional doctors and largest independent groups are Al Noor with 12% and NMC with
6,500 nurses will be required by 2019. If churn rates remain at 8% of the outpatient market, respectively. Off the island, health
their 2009 level, this will require some 1,600 doctors and almost services are concentrated in larger facilities36,40. International
1,800 nurses to be recruited annually35. There are productivity providers have come to Abu Dhabi, generally on the basis of a
reserves within existing facilities, with average physician management service agreement, such as the Cleveland Clinic for
productivity in most hospitals lower than the US average37. SKMC and Johns Hopkins for Tawam.
Demand for inpatient services may require up to 2’000 additional • Payer market Mandatory eClaims for virtually all from January
beds within ten years beyond the current 3,642 beds42. 54 2010 (www.haad.ae/DataDictionary) created a market for eClaims
hospitals with temporary licenses suggests there is likely to be
software. Dimensions Healthcare and Greenrain have invested to
significant future development and investment in this area. offer free solutions. This helps mature a competitive payer market,
Regulatory price adjustment encouraged movement in the home which has seen the first full year of operation of dedicated health
care services market – Sama Abu Dhabi Home Health Care Centre insurer, Green Crescent, and entry of 3 insurers, 3 TPAs and 6
was licensed in June 2009. brokers. 5
Key indicators
Population growth, CAGR 1997-2007 Life expectancy at birth (years), 2007 Demographic indicators 2009
74 Population 1'915'903
GCC
Abu Dhabi 5 77 Life expectancy at birth (2008), male 74.4
74 Life expectancy at birth (2008), female 74.8
Abu Dhabi
GCC 3.2 75
Male
General Fertility rate /1'000 female age 15-49 78
77
USA 1 UK Crude birth rate / 1'000 population 15.2
82 Female

77 Crude death rate / 1'000 population 1.6


UK 0.4 Germany
82 Infant mortality rate / 1'000 live births 8.8
76 Neonatal mortality rate / 1'000 live births 4.8
Germany 0.1 USA
81
Under – 5 mortality rate / 1'000 live births 11.5
Under - 5 mortality rate / 1'000 live birth, Beds / 1'000 population
Leading causes of death (rate / 100'000 population)
Saudi Arabia 25 Germany 8.3
Cardiovascular diseases 37.9
Oman 12 UK 3.9
USA 3.1 Injuries and Poisoning 36.8
Kuwait 11
Qatar 10
Bahrain 2.7 Cancer 20.8
Qatar 2.5
Bahrain 10 Congenital anomalies 10.8
Saudi Arabia 2.2
UAE 8 Diabetes mellitus 10.8
Oman 2
USA 8
UAE 1.9 Health facilities, resources and services
UK 6
Abu Dhabi 5
Kuwait 1.9 Hospitals 39
Abu Dhabi 1.9
Germany 4 Centers 365
Clinics 207
Physicians /1'000 population Nurses / 1'000 population
Pharmacies 405
Germany 3.4 UK 12.8
Bahrain 2.7 USA 9.4 Beds 3'621
Qatar 2.6 Germany 8.0 Doctors 4'327
USA 2.6 Bahrain 6.1 Nurses 8'142
UK 2.3 Qatar 6.0
Bed / 1000 population 1.9
Abu Dhabi 2.3 Abu Dhabi 4.2
Bed / 1000 population (adjusted) 3.0
Kuwait 1.8 Oman 3.7
Oman 1.7 Kuwait
Doctors / 1000 population 2.3
3.7
UAE 1.7 UAE 3.5 Nurse / 1000 population 4.2
Saudi Arabia 1.4 Saudi Arabia 3.0 Nurse / doctor 1.9

Notes Population assumptions were adjusted from the Department of Planning, based on health insurance data; Physicians ,nurses and beds statistics in WHO and other reports are reported
for different years ; Bed ratio calculations were adjusted, as the population in Abu Dhabi is young and is not expected to need to go to hospital as frequently as other, older population.
To enable a fair comparison the bed ratio was adjusted by mapping the population age structure of Abu Dhabi to that of Germany, using German resource consumption profiles
Sources WHO Statistical Information System/World Health Statistics 2009, Public health department, SCAD, and health facility submissions. 6
Population

Financing Encounters

Payers Claims Providers

7
Population by age, gender and nationality 2009

Age band National Expatriate


85+ All Male Female Total Male Female Total
80-84 0-4 139'538 36'466 31'738 68'204 36'585 34'750 71'335
75-79 ♀ Female ♂ Male National 05-09 117'175 30'680 27'164 57'845 30'054 29'276 59'330
70-74 Expatriate 10-14 93'693 25'424 22'303 47'727 23'331 22'635 45'966
65-69 15-19 87'461 23'900 20'736 44'636 24'121 18'704 42'825
60-64
20-24 228'274 19'243 19'232 38'475 150'766 39'033 189'799
25-29 333'633 17'866 19'613 37'479 230'903 65'252 296'155
55-59
30-34 268'464 14'639 16'426 31'065 182'861 54'538 237'399
50-54
35-39 212'581 8'978 10'837 19'815 151'552 41'215 192'767
45-49 40-44 157'927 7'133 8'677 15'809 112'954 29'164 142'118
40-44 45-49 110'103 4'839 6'125 10'964 77'738 21'401 99'139
35-39 50-54 83'174 4'030 5'457 9'487 58'738 14'949 73'687
30-34 55-59 46'692 3'849 4'178 8'027 29'866 8'799 38'665
25-29 60-64 18'191 2'828 2'581 5'409 8'784 3'999 12'783
65-69 8'272 2'352 2'029 4'381 2'188 1'703 3'891
20-24
70-74 4'893 1'825 1'361 3'186 814 894 1'707
15-19
75-79 2'816 1'021 956 1'977 365 474 839
10-14
80-84 1'397 484 502 '986 167 244 411
05-09 85+ 1'619 664 662 1'327 116 175 292
0-4 Total 1'915'903 206'221 200'576 406'797 1121'902 387'204 1'509'106

100,000 50,000 0 50,000 100,000 150,000 200,000 250,000

Note HAAD and SCAD are collaborating to align figures with official SCAD estimates; Estimates presented here differ and are for internal HAAD use only
Source SCAD population estimates for Nationals, additional HAAD assumptions and analysis based on raw insurance data 8
Population by region and nationality 2009
Region National Expatriate Total National Expatriate

Abu Dhabi 208'612 1'113'850 1322'462 16% 84%

Al Ain 171'247 279'532 450'778 38% 62%

Western 26'938 115'725 142'663 19% 81%

Total 406'797 1'509'106 1'915'903

7% 8%
19%
42%

74%
51%

National Expatriate
Abu Dhabi Al Ain Western
Note HAAD and SCAD are collaborating to align figures with official SCAD estimates; Estimates presented here differ and are for internal HAAD use only
Source SCAD population estimates for Nationals and Western region, additional HAAD assumptions and analysis based on raw insurance data 9
Population density

Source Department of Planning and Economy (2005 Census), Strategy Analysis 10


Population growth, Scenarios

3.5
High National Expatriate
3.0 Year Low High
Low
2010 411'385 1'420'994 1'517'395
Population (millions)

2.5 2011 416'407 1'442'329 1'657'394


2.0 2012 422'688 1'526'123 1'807'892
2013 430'157 1'598'587 1'969'923
1.5 2014 438'796 1'659'437 2'143'503
2015 446'976 1'719'411 2'319'098
1.0 2016 454'790 1'778'507 2'496'722
2017 462'174 1'836'630 2'676'488
0.5
2018 469'102 1'893'706 2'858'403
0.0 2019 475'488 1'949'636 3'042'501
2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019

Note HAAD and SCAD are collaborating to align figures with official SCAD estimates; Estimates presented here are for internal HAAD use only
Source SCAD population estimates; additional HAAD assumptions and analysis based on raw insurance data` 11
Births and Deaths 2009
Total By Region Rates By Nationality and gender
Number % Number Per 1000 population National Expatriate NA

Abu Dhabi

Abu Dhabi
Western

Western
National

Eastern

Eastern

Female

Female

Female
Males
2008

2009

Male

Male

Male
Total

NA

NA

NA
Live births 28'456 29'068 46% 51% 17'559 10'439 1'070 15.2 13.3 23.2 7.5 6'964 6'512 3 7'968 7'590 7 10 14
Deaths 2'949 2'988 33% 75% 1'836 953 199 1.6 1.4 2.1 1.4 617 366 1'606 383 1 10 5
Still births 185 182 35% 49% 95 77 10 6.3 5.4 7.4 9.3 29 34 1 61 54 3
Neonatal mortality 146 139 42% 65% 86 48 5 4.8 4.9 4.6 4.7 39 19 51 30
Infant mortality 248 256 41% 61% 179 69 8 8.8 10.2 6.6 7.5 58 47 94 54 3
Child mortality (1-4) 74 78 63% 58% 41 34 3 2.7 2.3 3.3 2.8 28 21 17 11 1

Death by age group


% % % % % %
0-6 days 100 93 25% 68% 58 31 4 3% 3% 3% 0% 23 13 40 17
7-27 days 46 46 35% 59% 28 17 1 2% 2% 2% 0% 16 6 11 13
28-364 days 102 117 16% 56% 93 21 3 4% 5% 2% 0% 19 28 43 24 3
1-4 74 78 36% 58% 41 34 3 3% 2% 4% 0% 28 21 17 11 1
5-9 31 30 27% 60% 7 18 5 1% 0% 2% 0% 8 10 10 2
10-14 29 31 26% 65% 16 12 3 1% 1% 1% 0% 8 2 12 9
15-19 62 57 61% 79% 30 16 11 2% 2% 2% 1% 35 6 10 6
20-24 157 158 23% 91% 99 48 11 5% 5% 5% 1% 37 2 106 12 1
25-29 188 228 10% 88% 141 64 23 8% 8% 7% 2% 22 5 178 22 1
30-34 170 179 8% 86% 123 38 18 6% 7% 4% 2% 15 7 138 18 1
35-39 185 199 5% 88% 139 46 14 7% 8% 5% 1% 10 9 164 13 2 1
40-44 208 243 9% 87% 155 68 20 8% 8% 7% 2% 23 15 188 16 1
45-49 225 184 14% 87% 111 52 21 6% 6% 5% 2% 26 6 133 18 1
50-54 257 235 9% 84% 139 76 20 8% 8% 8% 2% 21 16 177 21
55-59 231 209 17% 83% 123 78 8 7% 7% 8% 1% 35 12 138 23 1
60-64 181 143 21% 69% 93 48 2 5% 5% 5% 0% 30 23 68 22
65-69 167 161 34% 65% 95 62 4 5% 5% 7% 0% 55 36 49 21
70-74 129 165 41% 63% 100 60 5 6% 5% 6% 0% 67 34 37 27
75-79 123 132 38% 58% 65 63 4 4% 4% 7% 0% 50 36 26 20
80-84 107 100 27% 47% 58 38 4 3% 3% 4% 0% 27 26 20 26 1
85+ 168 198 31% 51% 122 61 15 7% 7% 6% 1% 61 54 40 41 2
NA 9 2 0% 50% 2 0% 0% 0% 0% 1 1
Note Rates = crude birth and death rates based on internal HAAD population estimates; HAAD and SCAD are collaborating to align with official SCAD data
Source Birth and Death notification data-Emirate of Abu Dhabi, 2009; provided by HAAD-Public Health and Policy Department; Health Statistics Analysis 12
Births and deaths time series
Births
50 National
Year
1985
Total
18'874
National
6'376
Rate Expatriate
46.9 12'498
Rate % Nationals
29.1 34%
32%
1986 19'700 6'328 45.2 13'372 30.3
Expatriate 1987 20'667 6'400 43.8 14'267 30.7 31%
Aggregate 1988 22'113 6'668 43.3 15'445 31.6 30%
1989 21'686 6'647 41.0 15'039 29.2 31%
40 1990 21'750 6'652 39.1 15'098 27.9 31%
1991 20'246 6'729 37.8 13'517 23.7 33%
1992 20'456 7'202 38.3 13'254 22.1 35%
1993 20'410 7'928 40.4 12'482 19.8 39%
37%
30 1994 21'505 8'060 39.1 13'445 20.2
1995 20'425 8'261 37.1 12'164 16.9 40%
1996 20'095 8'697 38.1 11'398 15.4 43%
1997 20'017 8'917 37.2 11'100 14.3 45%
1998 20'348 8'435 33.5 11'913 14.5 41%
20 1999 21'303 8'948 33.9 12'355 14.3 42%
2000 23'525 9'783 35.2 13'742 15.1 42%
2001 23'974 10'349 34.9 13'625 15.6 43%
2002 24'317 10'714 34.5 13'603 15.1 44%
10 2003 24'990 11'279 34.6 13'711 14.7 45%
2004 26'215 12'021 35.2 14'194 14.7 46%
2005 27'112 12'254 35.3 14'858 15.8 45%
2006 25'738 12'165 33.8 13'573 10.9 47%
2007 27'002 12'857 34.7 14'145 10.7 48%
0 2008 28'456 13'040 32.4 15'416 8.9 46%

Deaths
2009 29'068 13,479 33.1 15,565 10.3 46%
%
4.0 Year Total National Rate Expatriate Rate Nationals
1985 1'275 520 3.8 755 1.8 41%
1986 1'356 492 3.5 864 2.0 36%
1987 1'444 528 3.6 916 2.0 37%
1988 1'480 551 3.6 929 1.9 37%
1989 1'561 571 3.5 990 1.9 37%
3.0 1990 1'628 572 3.4 1'056 1.9 35%
1991 1'774 652 3.7 1'122 2.0 37%
1992 1'829 690 3.7 1'139 1.9 38%
1993 1'946 689 3.5 1'257 2.0 35%
1994 1'963 614 3.0 1'349 2.0 31%
1995 2'166 722 3.2 1'444 2.0 33%
2.0
1996 2'050 723 3.2 1'327 1.8 35%
1997 2'105 708 3.0 1'397 1.8 34%
1998 2'098 758 3.0 1'340 1.6 36%
1999 2'206 792 3.0 1'414 1.6 36%
2000 2'250 822 3.0 1'428 1.6 37%
1.0 2001 2'574 928 3.1 1'646 1.9 36%
2002 2'612 849 2.7 1'763 2.0 33%
2003 2'493 913 2.8 1'580 1.7 37%
2004 2'489 887 2.6 1'602 1.7 36%
2005 2'443 820 2.4 1'623 1.7 34%
2006 2'380 821 2.2 1'559 1.5 34%
0.0 2007 2'750 990 2.6 1'760 1.5 36%
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009

2008 2'949 981 2.4 1'947 1.1 33%


2009 2,973 983 2.4 1'990 1.3 33%
Note Rates based on internal HAAD population estimates; HAAD and SCAD are collaborating to align with official SCAD data
Source MOH statistical books, Preventive Medicine Department annual reports, Public Health and Policy; Health Statistics analysis 13
Leading causes of death 2009

Injury, poisoning
and certain Endocrine, Causes 2009 2008 2007 2006 2005 2004 2003 2002 2001
other nutritional and
consequences of metabolic diseases Diseases of the circulatory system 726 697 506 378 424 413 624 778 622
external causes 7%
2% Congenital
malformations, External causes of morbidity and mortality 645 464
deformations and 621 503 565 563 574 614 600
chromosomal Injury, poisoning and certain
abnormalities 61 85
other consequences of external causes
Other causes 7%
25%
Neoplasms 399 360 370 315 294 298 276 289 252

Endocrine, nutritional and metabolic diseases 212 79 201 130 133 126 103 73 65
Neoplasms
13%
Congenital malformations, deformations and
Diseases of the External causes of
208 120 177 131 156 146 152 199 190
chromosomal abnormalities
circulatory system morbidity and
24% mortality
22%
Other 737 1'144 867 993 874 943 763 664 845

Total 2'988 2'949 2'742 2'450 2'446 2'489 2'492 2'617 2'574

Note: Causes of death classified according to WHO ICD-10


Source Death notification data - Emirate of Abu Dhabi, 2009, HAAD-Public Health and Policy 14
Leading causes of death 2009
National Expatriate NA
By gender By age group By gender By age group By gender By age group
Causes of death Cases ♂ ♀ 0-15 15-30 30-45 45-60 60+ ♂ ♀ NA 0-15 15-30 30-45 45-60 60+ NA ♂ ♀ 0-15 15-30 30-45 45-60 60+

Total Death 2'988 616 367 61 48 36 49 261 1'606 383 1 527 1 66 120 224 223 10 5 146 2 1208 1 1

Diseases of the circulatory system 726 119 87 1 2 6 10 94 440 78 1 93 1 17 72 90 1 61 278

External causes of morbidity and mortality 645 114 23 11 26 8 5 8 463 40 79 13 65 72 30 5 6 317

Neoplasms 399 87 79 2 9 14 51 142 90 90 2 8 19 34 1 31 1 137


Endocrine, nutritional and metabolic
diseases
212 57 38 1 6 41 87 30 47 2 15 16 84
Congenital malformations, deformations
and chromosomal abnormalities
208 53 46 30 2 3 67 41 63 1 28 1 2 1 76 1 1

Diseases of the respiratory system 88 29 23 2 3 3 1 13 18 17 30 3 2 2 1 1 3 24


Injury, poisoning and certain other
consequences of external causes
61 13 4 1 8 2 3 2 39 5 1 3 6 10 11 2 12

Certain infectious and parasitic diseases 43 5 8 1 2 1 25 5 9 2 2 3 6 5 12

Diseases of the genitourinary system 38 13 6 1 1 1 8 11 8 8 2 2 4 11

Diseases of the digestive system 37 14 2 1 1 5 8 13 9 3 1 2 15

Diseases of the nervous system 33 8 4 1 1 3 17 4 7 1 1 19


Certain conditions originating in the
perinatal period
18 4 5 4 1 5 4 4 5 1 3

Mental and behavioural disorders 7 3 1 4 2 2 1 1


Diseases of the blood and blood-forming
organs and certain disorders involving the
5 1 1 1 1 3 1 2

Diseases of the skin and subcutaneous tissue 3 2 1 1 1 1


Diseases of the musculoskeletal system and
connective tissue
2 2 1 1

Pregnancy, childbirth and the puerperium 1 1 1


Symptoms, signs and abnormal clinical and
laboratory findings, not elsewhere classified
460 91 40 4 5 6 4 30 277 46 82 7 18 36 30 2 4 14 218

Causes of death not defined 2 1 1 1 1

Note Classification according to ICD 10; top three leading causes of death are highlighted as: First, Second and Third most frequent
Source HAAD Death notification data complemented by investigation into the causes of injury using medical records and police reports - Public Health and
Policy; Health Statistics Analysis 15
Injury deaths 2009
Home 2009 2008 2007
Occupational Injuiries
Injury 8%
12% Total National Total National Total National
Suicide
Road Traffic Injury (RTI) 430 27% 422 28% 427 28%
8% Occupational Injury 82 4% 68 3% 66 5%
Road Traffic
Injury (RTI) Home Injuries 57 23% 34 24% 10 20%
63% Occupational Suicide 51 0% 66 2% 39 3%
RTI
4% Occupational RTI 26 0% 8 13% 34 6%
Other Other Injuries 21 24% 12 25% 23 39%
Injuiries
3% Drowning 13 31% 13 38% 22 36%
Drowning 18 1
2%
0.91 0.9
200
0.79 0.8

12 0.7
0.66
150
0.6

9 0.5
0.47
100 0.42 0.42 Male
0.4
Female
0.33 Rate per 1000
1 0.3
0.22
50 16 0.2
9
0.16
1 0.1
1 26 30 218 146 103 60 20 7 1
0 0
NA 0-09 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+
Source HAAD Death notification data complemented by investigation into the causes of injury using medical records and police reports - Public Health and
Policy; Health Statistics Analysis 16
Communicable diseases 2009
Preventable

Total National Expatriate


Screened

Disease 0-14 15-34 35-54 55-64 65+ NA 0-14 15-34 35-54 55-64 65+
n Chickenpox 7'219 2'762 351 43 1 4 1'617 1'931 493 14 3
Malaria 1'393 1 3 1 1 63 827 448 45 4
n Seasonal Influenza 951 275 394 92 17 12 49 60 44 6 2
n n Viral Hepatitis B 518 1 101 22 7 7 16 3 201 131 27 2
Scabies 495 61 35 13 5 5 43 213 109 10 1
Viral Hepatitis C 479 22 21 7 8 51 5 111 205 37 12
Other Food Poisoning 309 32 28 4 1 32 146 60 5 1
Salmonella 205 13 5 2 2 18 110 54 1
n Mumps 200 60 18 5 62 38 17
n Pulmonary Tuberculosis 192 7 14 10 2 5 1 2 100 40 7 4
n Viral Hepatitis A 181 49 9 1 1 60 47 12 1 1
Scarlet Fever 175 81 4 85 5
n Syphilis 145 2 12 7 1 30 1 56 35 1
Typhoid Fever 133 9 6 1 23 74 18 2
Bacterial Dysentery 123 12 10 1 31 40 25 4
Extra Pulmonary Tuberculosis 79 4 7 3 1 1 46 16 1
Other STD 65 17 10 33 5
Bacillary Dysentery 52 24 4 1 3 11 8 1
n Rubella 48 4 1 2 5 33 3
Brucellosis 45 4 3 4 4 2 1 18 8 1
n Whooping Cough 40 28 12
Schistosomiasis 36 7 25 4
Giardia Lambia 36 5 1 2 6 16 6
n Measles 34 5 1 9 16 3
Viral Meningitis 33 11 2 12 6 2
Paratyphoid Fever 30 1 3 6 11 8 1
Gonorrhoea 27 11 3 1 1 7 4
Bacterial Meningitis 24 3 1 1 7 8 4
Other Viral Hepatitis 12 2 1 1 8
Acute Flaccid Paralysis 11 3 8
Acute Encephalitis 10 1 2 3 3 1
n Tetanus 3 2 1
Other 52 10 4 1 5 21 10 1
Note Preventable: Diseases preventable by vaccination, Screened: Adult expatriates are screened on application or renewal of residence visa
Source HAAD infectious diseases notification data - Public Health and Policy (full list of notifiable diseases can be found on www.haad.ae); Health Statistics
Analysis 17
Selected cardiovascular indicators overview Preliminary

National1 Correlation 2 Expatriate3

Hypertension

High lipids
Diabetes

Smoking
Obesity
Female

Female
Male

Male
Total

Total
Obesity 36% 33% 38% 20% 17% 31%
Hypertension 17% 24% 12% 35% 33% 41%
Diabetes 21% 22% 20% 18% 18% 17%
High lipids 36% 50% 26% 18% 19% 15%
Smoking 11% 24% 0.8% 24% 29% 6.6%
Less More People who are obese are more
likely likely likely to have high blood pressure,
highl lipids and diabetes, but are as
likely to be smokers as those who
aren't obese

Source 1Preliminary analysis of Weqaya sample of 112’301 UAE Nationals in the Emirate screened in 2008-9, Public Health and Policy; Definitions:
Obesity: body-mass index ≥ 30; Hypertension: systolic blood pressure ≥ 140 mm Hg or diastolic blood pressure > 90 mm Hg; High lipids: LDL >4.1 mmol/l or HDL <1
mmol/l; Diabetes: HbA1c ≥ 6.1%; Smoking: at least one cigarette per day, 1 cigar/pipe per week or one shisha per month
2Preliminary analysis of Weqaya sample1, Public Health and Policy; Indicators used in correlation analysis: Obesity: body-mass index; Hypertension: systolic blood

pressure; High lipids: LDL; Diabetes: HbA1c; Smoking: self-reported consumption


3Extrapolation based on a survey of 76,070 residents in the Emirate in 2005; Definitions: High lipids: self-reported history of high cholesterol and/or total serum

cholesterol >200 mg/dl; Hypertension: self-reported history of hypertension, and/or systolic blood pressure ≥ 140 mm Hg or diastolic blood pressure > 90 mm Hg;
Obesity: body-mass index > 30; Diabetes: self-reported diabetes or fasting glucose over 126 mg/dl; where only random glucose was available, diabetes status was
imputed using a logistic model; Smoking: self-reported smoking; UAE University and Health Statistics analysis
18
Selected cardiovascular indicators by age group and gender Preliminary

Female Male
Nationality Indicator 20-29 30-39 40-49 50-59 60-69 70-79 80+ 20-29 30-39 40-49 50-59 60-69 70-79 80+
National Obesity 25% 41% 57% 65% 55% 45% 37% 29% 37% 37% 36% 30% 25% 23%
High lipids 20% 26% 34% 37% 38% 36% 35% 44% 56% 57% 55% 49% 51% 50%
Hypertension 5% 8% 18% 34% 44% 50% 47% 18% 20% 28% 42% 47% 49% 46%
Diabetes 8% 14% 34% 57% 61% 59% 57% 8% 17% 34% 55% 64% 62% 50% 1

Smoking 1% 1% 1% 1% 1% 0% 0% 27% 27% 22% 17% 10% 7% 7%


Heart disease 0% 1% 3% 8% 11% 14% 13% 1% 1% 3% 7% 12% 14% 14%
Stroke 0% 1% 2% 4% 5% 6% 6% 1% 1% 1% 3% 5% 6% 6%

Physical exercise 25% 27% 25% 20% 13% 5% 6% 43% 40% 35% 33% 27% 19% 24%
Expatriate Obesity 21% 32% 42% 51% 49% 30% 67% 12% 18% 21% 23% 30% 21% 18%
High lipids 29% 37% 61% 66% 60% N/A N/A 16% 37% 48% 52% 52% 51% 50%
Hypertension 3% 9% 28% 45% 65% 61% 58% 9% 16% 30% 46% 58% 53% 33% 2

Diabetes 5% 13% 32% 46% 61% 44% 33% 5% 15% 35% 46% 53% 47% 33%
Smoking 6% 7% 9% 6% 5% 10% 0% 33% 29% 25% 21% 21% 14% 21%
Physical exercise 21% 23% 27% 29% 23% 9% 8% 32% 31% 34% 37% 36% 24% 36%

Source 1Preliminary analysis of Weqaya sample of 112’301 UAE Nationals in the Emirate screened in 2008-9, Public Health and Policy; Definitions:

Obesity: body-mass index ≥ 30; Hypertension: systolic blood pressure ≥ 140 mm Hg or diastolic blood pressure > 90 mm Hg; High lipids: LDL >4.1 mmol/l or HDL <1
mmol/l; Diabetes: HbA1c ≥ 6.1%; Smoking: at least one cigarette per day, 1 cigar/pipe per week or one shisha per month
2Extrapolation based on a survey of 76,070 residents in the Emirate in 2005; Definitions: High lipids: self-reported history of high cholesterol and/or total serum

cholesterol >200 mg/dl; Hypertension: self-reported history of hypertension, and/or systolic blood pressure ≥ 140 mm Hg or diastolic blood pressure > 90 mm Hg;
Obesity: body-mass index > 30; Diabetes: self-reported diabetes or fasting glucose over 126 mg/dl; where only random glucose was available, diabetes status was
imputed using a logistic model; Smoking: self-reported smoking; Physical exercise: self-reported physical exercise; UAE University and Health Statistics analysis 19
Frequency of Diabetes Mellitus by age group
% At risk of diabetes
Average
Population
70% 80,000

70,000
60%

60,000
50%

50,000
40%

40,000

30%
30,000

20% 21%
20,000

10%
10,000

0% 0
20-29 30-39 40-49 50-59 60-69 70-79 80+

Source 1Preliminary analysis of Weqaya sample of 112’301 UAE Nationals in the Emirate screened in 2008-9, Health Statistics
Risk of diabetes is defined as HbA1c ≥ 6.1% 20
Population

Financing Encounters

Payers Claims Providers


Encounters by type, setting and nationality 2009

Inpatient Total Inpatient ER Outpatient


Hospital SEHA Hospital SEHA Hospital SEHA Center SEHA Clinic SEHA
ER Clinic
2009 11'468'080 177'428 58% 829'533 71% 4'839'867 27% 4'401'259 48% 1'219'993 1%
National 4'794'421 67'529 71% 428'651 50% 1'347'497 50% 2'658'212 62% 292'533 1%
National Expatriate 6'673'658 109'899 51% 400'882 58% 3'492'370 19% 1'743'047 28% 927'460 1%
2008 11'201'503 174'587 712'598 4'999'387 4'026'446 1'288'484
Center
National 4'489'972 66'129 380'440 1'393'544 2'340'622 309'236
Expatriate 6'711'531 108'458 332'158 3'605'843 1'685'824 979'248
2007 9'178'046 173'331 637'650 4'104'126 3'152'309 1'110'630
Outpatient National 3'967'206 68'455 369'875 1'417'810 1'844'362 266'704
Expatriate 5'210'840 104'876 267'775 2'686'316 1'307'947 843'926
Growth
Expatriate 2009 2% 2% 16% -3% 9% -5%
Hospital National 7% 2% 13% -3% 14% -5%
Expatriate -1% 1% 21% -3% 3% -5%
2008 22% 1% 12% 22% 28% 16%
National 13% -3% 3% -2% 27% 16%
Expatriate 29% 3% 24% 34% 29% 16%
Setting Provider Nationality

Note 2009 data used, where available; otherwise 2008 data or extrapolations, estimates used. Inpatients include International patient care data;
growth rates indicative only.
Source Health Facility submissions ; Health Statistics Analysis
22
Encounters by diagnosis group, % of volume
Total Outpatient ER Inpatient
% of Total Encounters 100 94 4 2
Non-disease conditions 18.6 17.9 36.5 20.6
Respiratory infections 18.3 18.7 15.2 7.5
Musculoskeletal diseases 7.2 7.3 6.0 3.4
Digestive diseases 5.7 5.6 6.3 8.6
Oral conditions 5.4 5.7 1.2 1.3
Skin diseases 5.4 5.6 2.7 2.5
Cardiovascular diseases 5.3 5.3 2.8 6.8
Respiratory diseases 5.0 4.9 4.7 5.8
Sense organ diseases 4.9 5.1 2.5 2.7
Genitourinary diseases 4.8 4.8 3.2 6.0
Endocrine disorders 4.2 4.2 1.8 4.6
Diabetes mellitus 4.0 4.1 1.9 3.3
Infectious and parasitic diseases 3.7 3.7 2.8 3.8
Maternal and Perinatal conditions 2.8 2.4 4.9 15.0
Neuropsychiatric conditions 1.8 1.8 1.8 2.1
Nutritional deficiencies 1.5 1.6 0.4 1.4
Cancer 0.6 0.6 0.2 2.2
Injuries 0.5 0.3 4.8 1.2
Congenital anomalies 0.3 0.3 1.0
RTA 0.05 0.4 0.4

Source Health Statistics analysis based on a sample of 3,971,975 Encounters from data submissions in 2009; categorization based on WHO classification of
ICD diagnoses 23
Encounters by diagnosis group, % of value
Total Outpatient Inpatient
77.7% 22.3%
Break down Break down
Services Procedures Drugs Supplies Services Procedures Drugs Supplies
% of Total value 100 100 27.7 47.1 23.9 1.3 100 40.6 50.6 5.8 3.0
Non-disease conditions 18.7 18.5 4.7 10.8 2.7 19.3 7.4 10.5 0.8 0.5
Cardiovascular diseases 8.7 8.8 2.3 3.1 3.2 0.2 8.3 3.9 3.6 0.4 0.4
Respiratory infections 7.8 8.4 3.1 2.6 2.6 5.7 2.6 2.6 0.3
Endocrine disorders 6.4 6.6 1.4 2.8 2.3 5.8 1.8 3.0 0.5 0.6
Musculoskeletal diseases 6.3 6.4 1.7 3.0 1.6 5.9 2.8 2.8 0.2
Digestive diseases 6.2 5.8 1.7 2.5 1.6 7.5 3.5 3.5 0.4
Maternal and Perinatal conditions 6.2 4.7 2.2 2.3 0.2 11.4 4.1 7.0 0.2
Oral conditions 6.2 7.5 1.2 6.0 0.3 1.4 0.4 0.8
Genitourinary diseases 5.6 5.2 1.4 2.7 1.0 7.1 2.9 3.0 1.0
Diabetes mellitus 5.4 5.9 1.3 1.8 2.7 3.6 1.3 1.9 0.2
Respiratory diseases 4.6 4.2 1.3 1.5 1.4 6.2 2.3 3.3 0.3
Infectious and parasitic diseases 3.3 3.5 1.1 1.5 0.8 2.8 1.2 1.3 0.2
Skin diseases 3.2 3.6 1.2 1.4 1.0 2.2 0.9 1.1
Sense organ diseases 3.2 3.3 1.2 1.4 0.6 2.9 1.1 1.5
Neuropsychiatric conditions 2.7 2.7 0.7 1.1 0.8 2.8 1.4 1.1
Cancer 1.9 1.5 0.4 0.7 0.4 3.2 1.5 1.4 0.3
Nutritional deficiencies 1.8 2.0 0.4 1.1 0.5 1.1 0.4 0.6
Injuries 0.7 0.6 0.3 1.2 0.4 0.7
Congenital anomalies 0.7 0.5 0.3 1.4 0.6 0.7
RTA 0.2 0.4

Source Health Statistics analysis based on a sample of 3,971,975 encounters from data submissions in 2009; categorization based on WHO classification of
ICD diagnoses 24
Top drugs by value and diagnosis group,%
Diagnosis group Overall Top 5* 1st 2nd 3rd 4th 5th
Cardiovascular diseases 13.4 26.3 Lipitor Plavix Norvasc Crestor Cozaar

Non-disease conditions 12.1 14.1 Lipitor Augmentin Panadol Pantozol Rocephin

Diabetes mellitus 10.9 23.7 Lipitor Plavix Diamicron Mr Amaryl Crestor

Respiratory infections 10.6 20.9 Augmentin Panadol Rocephin Zinnat Otrivin

Endocrine disorders 9.4 27.9 Lipitor Crestor Plavix Januvia Norvasc

Musculoskeletal diseases 7.0 27.0 Humira Celebrex Lipitor Enbrel Omiz

Digestive diseases 7.0 23.9 Pantozol Nexium Omiz Lipitor Humira

Respiratory diseases 5.9 22.3 Singulair Seretide Diskus Symbicort Turbuhler Singulair Paediatric Augmentin

Skin diseases 4.3 23.2 Humira Enbrel Augmentin Remicade Roaccutane

Genitourinary diseases 3.8 19.2 Ciprobay Lipitor Tavanic Duphaston Omnic

Infectious and parasitic diseases 3.5 14.4 Pegasys Copegus Duphaston Ciprobay Baraclude

Neuropsychiatric conditions 3.5 20.8 Keppra Lipitor Avonex Seroquel Topamax

Sense organ diseases 2.5 15.5 Lipitor Augmentin Cosopt Emadine Zaditen

Nutritional deficiencies 2.0 21.1 Lipitor Humira Januvia Crestor Lantus Solostar

Oral conditions 1.4 20.7 Augmentin Lipitor Rocephin Humira Omiz

Cancer 1.0 29.7 Neupogen Neulastim Avastin Ambisome Eprex

Maternal and Perinatal conditions 1.0 19.0 Duphaston Panadol Clexane Rocephin Augmentin

Injuries 0.3 24.6 Perfalgan Augmentin Meronem Lipitor Tazocin

Congenital anomalies 0.2 16.6 Lipitor Tazocin Meronem Pulmozyme Perfalgan

RTA 0.1 47.4 Voltaren Neoprofen Adol Perfalgan Clexane


100
* Share of top 5 drugs within diagnosis group
Source Health Statistics analysis based on a sample of 3,971,975 Encounters from data submissions in 2009; categorization based on WHO classification
of ICD diagnoses 25
Top Procedures by value and diagnosis group, %
Diagnosis group Overall Top 5* 1st 2nd 3rd 4th 5th

Non-disease conditions 21.6 12.7 Complete CBC With Auto Diff WBC Vaginal Delivery Only OB US >/= 14 wks, Singl Fetus Echo Exam Of Heart Us Exam, Abdom, Complete

Maternal and Perinatal conditions 7.2 58.5 Vaginal Delivery Only C Delivery Only Vaginal Delivery Postpartum Care OB US >/= 14 wks, Singl Fetus C Delivery Only W/Postartum Care

Cardiovascular diseases 7.2 17.0 Echo Exam Of Heart Lipid Panel Glycosylated Hemoglobin Test Cath Placement, Angiography Left Heart Catheterization

Musculoskeletal diseases 7.0 16.7 MRI Lumbar Spine w/o Dye Knee Arthroscopy/Surgery MRI Joint Of lwr Extrem w/o Dye MRI Neck Spine w/o Dye Complete CBC With Auto Diff WBC

Digestive diseases 6.7 16.8 Ther/Proph/Diag Inj, iv Push US Exam, Abdom, Complete Upper GI Endoscopy, Biopsy Laparoscopic Cholecystectomy Complete CBC With Auto Diff WBC

Endocrine disorders 6.7 19.1 Gastroplasty w/o V-Band Lipid Panel Free Assay (Ft-3) Assay Of Serum Albumin Glycosylated Hemoglobin Test

Genitourinary diseases 6.5 16.2 US Exam, Pelvic, Complete Transvaginal US, Non-OB US Exam, Abdom, Complete US Exam Abdo Back Wall, Comp Complete CBC With Auto Diff WBC

Diabetes mellitus 6.0 24.9 Lipid Panel Glycosylated Hemoglobin Test Assay Of Serum Albumin Hepatic Function Panel Assay, Glucose, Blood Quant

Oral conditions 6.0 25.5 Installment For Treatment In Progress Crown, Porcelain/Ceranic/Polymer Glass + L Appliance,Maxillary + L Three Canals Two Surfaces

Respiratory infections 5.9 9.3 Complete CBC With Auto Diff WBC Nasal Endoscopy, dx Ther/Proph/Diag Inj, sc/im Airway Inhalation Treatment Chest X-Ray

Respiratory diseases 3.5 20.5 Repair Of Nasal Septum Remove Tonsils And Adenoids Nasal Endoscopy, dx CT Maxillofacial w/o Dye Airway Inhalation Treatment

Skin diseases 3.2 11.4 Complete CBC With Auto Diff WBC Ther/Proph/Diag Inj, iv Push Drainage Of Skin Abscess Drainage Of Skin Abscess Hepatic Function Panel

Sense organ diseases 3.0 16.9 Cataract Surg W/Iol, 1 Stage Remove Impacted Ear Wax Revision Of Cornea Drain External Ear Lesion Treatment Of Retinal Lesion

Infectious and parasitic diseases 3.0 14.6 Destruct B9 Lesion, 1-14 US Exam, Pelvic, Complete Complete CBC With Auto Diff WBC Transvaginal US, Non-OB US Exam, Abdom, Complete

Neuropsychiatric conditions 2.0 22.5 Medication Management Psytx, Off, 20-30 Min W/E&M MRI Brain w/o Dye Psytx, Hosp, 20-30 Min W/E&M Complete CBC With Auto Diff WBC

Nutritional deficiencies 2.0 19.9 Free Assay (Ft-3) Assay Of Parathormone Assay Of Serum Albumin Assay Of Vitamin D Lipid Panel

Cancer 1.5 17.0 Chemo, iv Infussion, 1 hr Total Hysterectomy Pet Image w/CT, Full Body Partial Removal Of Kidney THER/PROPH/DIAG IV INF, INIT

Injuries 0.5 20.3 Ther/Proph/Diag Inj, sc/im Repair Superficial Wound(S) Immunohistochemistry Dressing Change Not For Burn Hydration iv Infussion, Init

Congenital anomalies 0.5 12.4 Echo Exam Of Heart Echo Transthoracic Transcath iv Stent, Percut Complete CBC With Auto Diff WBC Pet Image w/CT, Full Body

RTA 0.1 43.5 Ther/Proph/Diag Inj, iv Push Ther/Prop/Diag Inj/Inf Proc Ther/Proph/Dg Iv Inf, Add-On Assay Of Serum Albumin Ther/Proph/Diag Inj, Sc/Im

100

* Share of top 5 procedures within diagnosis group


Note Procedures: CPT + Dental codes, Supplies: HCPCS codes
Source Health Statistics analysis based on a sample of 3,971,975 Encounters from data submissions in 2009; categorization based on WHO classification of ICD diagnoses 26
Blood Bank Donors and Units

Year 2006 2007 2008 2009


Donors 16'737 19'461 21'834 24'758
National 2'664 3'311 3'832 4'116
Expatriate 14'073 16'150 18'002 20'642

Units donated 17'129 19'849 22'379 24'758


O + 6'396 7'242 8'314 8'960
A + 4'548 5'263 5'840 1'430
B + 3'396 4'040 4'294 6'421
AB + 857 1'074 1'302 705
O - 953 1'101 1'346 5'130
A - 501 587 667 483
B - 381 426 501 1'493
AB - 97 116 115 136

Source Abu Dhabi Blood Bank, Health Statistics Analysis 27


Population

Financing Encounters

Payers Claims Providers

28
Providers end 2009

Hospital
4%
Store Facilities Clinicians
6% Total SEHA Abu Dhabi Eastern Western Total Physicians SEHA Dentists SEHA Nurses SEHA Male AHPs* SEHA
Total 1'077 11% 726 310 41 18'914 4'327 815 8'142 5'630
Hospital 39 32% 23 10 6 13'701 3'354 54% 196 32% 7'136 82% 14% 3'015 87%
Center Center 365 15% 260 95 10 3'217 869 38% 530 26% 935 66% 7% 883 60%
Pharmacy 34% Clinic 207 5% 134 68 5 276 104 4% 89 0% 71 28% 1% 12 8%
37% Pharmacy 405 9% 255 130 20 1'720 1'720 44%
Store 61 0% 54 7
Breakdown by region
Abu Dhabi 2'993 41% 575 19% 5'058 74% 12% 3'271 72%
Eastern 1'146 68% 214 25% 2'662 87% 10% 2'033 90%
Clinic
Western 188 87% 26 73% 422 97% 18% 326 96%
19%

Simplified Definitions
Hospital a healthcare facility that has patient beds
Center a healthcare facility that has multiple clinics
Clinic a health care facility that consists of only one clinic, staffed by at least one doctor
* Allied Health Professionals, including pharmacists
Source Health Facility Licensing database; Clinician Licensing database as of 31st December 2009 29
Labour Indicators Indicative

Nurses Doctors Average Productivity


Dar Al Shifaa US Physicians
Al Ahalia Abu Dhabi Physicians
Emirates International Abu Dhabi Nurses
Al Salama
Ghayathi
Al Silla
National
Life Line Hospital - LLC Day Care Surgeries
Life Line - LLC
Oasis
Al Wagan
Al Noor
Al Reef Internaional
Al Noor - Al Ain
Al Rahba
Al Mirfa
N M C Specialty - LLC
Delma
Al Corniche
Emirates French
Al Noor - Airport Road
Specialized Medical Care
Almazroui - One Day Surgery
Al Ain
Al Raha
Cosmesurge Emarites - One Day Surgery
Madinat Zayed
Samaya Medical Center - SMC Day Care Surgery
N M C Specialty - LLC
Al Mafraq
Tawam
Magrabi Specialized - Day Care Surgeries ENT
SKMC
Obagi Specialized Hospital One Day Surgery

30 25 20 15 10 5 5 10 15 20

Note Productivity defined as number of weighted encounters per day. An outpatient counts as one encounter; an ER counts as 3; and an inpatient counts as
average length of stay for each hospital plus 6. Data not available for all hospitals
Source Hospital data submissions 2009; HAAD licensing database; Operations Center data for 2009; Health Statistics analysis, Medical Group Management
Association Survey 30
Health Facility locations
H Hospital
General Medical Center
National Al Salama
Clinic
Al Corniche
Maghrabi Pharmacy
Emirates French
Al Noor Al Reef
Al Ahalia Al Mazroui
Life line Dar Al Shifa
NMC

SKMC Obagi

Gulf Diagnostic Center

Zayed Military
New Al Noor

Delma Al Rahba

Emirates International
Al Mafraq Al Ain
Al Noor
Oasis
Tawam
Al Sila Al Rewaise Specialized Medical Care
Al Mirfa

Ghyathi

Madinat Zayed
Al Wagan

Liwa

Source GPS survey; not all Center and Clinic locations shown 31
Hospitals Draft

Activity, 000's Staff Beds Indicators Ambulances

Administrators
% Consultants

Bed capacity

Critical beds
% Specialist
Outpatients

Paramedics

Occupancy
Physicians
Inpatients

%Change

%Change

%Change

Dentists

Nurses

Royal
% GP

ALOS
Total

Bed
VIP
ER
Regi on Hos pi ta l
Total 177.4 3% 829.5 16% 4'839.9 16% 18'540 196 3'354 22% 47% 32% 7'136 3'015 4'839 3'621 575 103 22 100
Seha 105.1 -1% 586.5 -8% 1'331.9 -3% 14'152 62 1'822 23% 41% 36% 5'846 2'615 3'807 2'439 425 55 14 54
Ea s tern Ta wa m 20.6 7% 103.6 4% 337.7 -7% 3270 5 413 28% 38% 34% 1'267 626 959 441 82 20 2 77% 6.0 8
Mi ddl e Al Ma fra q 18.0 -8% 89.8 -1% 182.9 -14% 1811 3 298 24% 45% 31% 824 334 352 364 54 8 2 74% 5.5 6
Is l a nd SKMC 16.1 -3% 91.4 -32% 209.7 7% 4208 28 533 33% 39% 28% 1'751 733 1'163 571 143 10 4 72% 9.4 13
Ea s tern Al Ai n 17.0 -12% 102.4 8% 179.3 -8% 2056 1 216 17% 37% 46% 770 528 541 395 54 6 2 65% 5.5 5
Is l a nd Al Corni che 16.4 -1% 28.8 -23% 140.1 3% 1098 2 106 15% 35% 50% 461 85 444 285 50 8 3 60% 3.8 2
Mi ddl e Al Ra hba 8.3 35% 69.5 14% 58.7 39% 746 3 95 9% 52% 39% 354 103 191 117 30 3 1 78% 4.0 4
Wes tern Ma di na t Za yed 4.6 -1% 32.2 -17% 94.8 -9% 455 11 86 1% 49% 50% 213 107 38 130 12 40% 4.2 6
Wes tern Gha ya thi 1.4 -5% 20.4 -28% 36.3 28% 123 2 19 58% 42% 49 26 27 34 38% 3.4 3
Wes tern Al Mi rfa .8 10% 18.8 3% 16.6 -26% 120 2 19 58% 42% 51 26 22 28 18% 2.4 3
Wes tern Al Si l l a .8 -5% 15.0 -15% 17.0 -14% 91 2 12 67% 33% 42 15 20 36 15% 2.6 3
Ea s tern Al Wa ga n .8 13% 3.5 26% 42.4 -6% 116 1 12 33% 67% 41 21 41 15 NA NA NA 0.0
Wes tern Del ma .4 -23% 11.0 9% 16.3 9% 58 2 13 62% 38% 23 11 9 23 16% 3.0 1
Military 480 44 436 388 35 18 1
Is l a nd Za yed Mi l i ta ry NA NA NA 480 44 436 44% 19% 37% NA NA NA 328 35 18 1 40% NA NA

Ea s tern Al Ai n Mi l i ta ry NA NA NA NA NA NA NA NA NA 60 NA NA NA NA NA NA

Other 72.3 10% 243.0 3'508.0 3908 90 1'096 18% 56% 25% 1'290 400 1'032 581 115 30 7 46
Is l a nd Al Noor 13.3 9% 649.6 15% 452 10 160 25% 50% 25% 198 84 85 11 3 48% 1.1 2
Ea s tern Oa s i s 10.1 0% 154.1 13% 412 50 28% 48% 24% 115 22 225 44 14 90% 1.4 9
Is l a nd N M C Speci a l ty - Ll c 8.0 -34% 3.3 50% 525.8 -36% 810 21 145 5% 72% 23% 237 59 348 87 7 4 76% 3.0 1
Ea s tern Al Noor -Al Ai n 6.5 26% 29.5 275.7 -16% 228 4 93 23% 42% 35% 87 33 11 47 8 1 48% 1.3 1
Is l a nd Al Aha l i a 6.4 28% 50.7 23% 375.1 2% 187 5 84 4% 70% 26% 53 15 30 40 8 57% 1.3 4
Is l a nd Al Noor - Ai rport Roa d 6.0 129% 17.7 275.1 156% 310 8 102 24% 45% 31% 168 32 96 39 6 2 19% 1.1
Is l a nd Al Sa l a ma 5.3 0% 12.3 0% 219.9 0% 118 4 49 20% 69% 10% 49 16 19 2 60% 0.8 6
Is l a nd Li fe Li ne- Ll c 3.4 169% 22.9 192.3 59% 188 5 56 9% 63% 29% 81 21 25 25 7 2 51% 1.4 2
Is l a nd Da r Al Shi fa a 2.8 -30% 32.4 46% 121.9 2% 86 2 28 18% 57% 25% 35 9 12 17 2 3 1 32% 0.7 7
Ea s tern Emi ra tes Interna ti ona l 2.1 17% 59.5 86.4 -31% 79 42 21% 52% 26% 18 9 10 25 7 6 35% 1.5 1
Is l a nd Emi ra tes French 2.2 -15% 48.4 -34% 140 1 18 33% 44% 22% 11 7 103 10 2 2 1 31% 0.5 1
Is l a nd Al Reef Interna i ona l 1.7 41% 4.9 21.4 -9% 35 1 11 36% 55% 9% 7 5 11 2 1.5
Is l a nd Gul f Di a gnos ti c Center 1.5 2.9 364 6 76 34% 32% 34% 47 29 206 8 47% 0.9 1
Is l a nd Al Ra ha 1.1 325% .2 41.2 191% 43 4 18 17% 61% 22% 9 4 8 15 4 2 16% 0.8 2
Ea s tern Speci a l i zed Medi ca l Ca re .7 2% 65.1 88% 57 3 20 15% 70% 15% 11 4 19 23 2 1 3 8% 1.0 1
Ea s tern N M C Speci a l ty - Ll c .6 6.6 102.0 410% 152 3 49 8% 71% 20% 78 20 2 20 NA NA NA NA NA NA

Is l a nd Na ti ona l .5 -16% .1 143.4 -18% 80 4 27 4% 63% 33% 37 7 5 20 10% 1.6 8


Mi ddl e Li fe Li ne Hos pi ta l - Ll c Da y Ca re Surgeri es 86.2 31 2 16 0% 56% 44% 7 6
Is l a nd Cos mes urge Ema ri tes - One Da y Surgery 48.4 548% 46 2 17 41% 59% 0% 18 6 3
Is l a nd Al ma zroui - One Da y Surgery 39.3 6% 29 3 12 25% 67% 8% 6 7 1
Is l a nd Ma gra bi Speci a l i zed - Da y Ca re Surgeri es ENT 23.3 110% 32 13 31% 62% 8% 16 2 1
Is l a nd Sa ma ya Medi ca l Center - SMC Da y Ca re Surgery 10.7 10 4 50% 50% 0% 1 3 2
Is l a nd Oba gi Speci a l i zed Hos pi ta l One Da y Surgery 3.0 17 1 5 NA NA NA 1 10
Wes tern Al Rewa i s e NA NA NA 1 1 0% #### 0% NA NA NA NA NA NA NA

Ea s tern Al Ha ya t NA NA NA 1 1 NA NA NA NA NA NA NA NA NA NA NA NA NA

Notes * Total Operational beds include 88 and 125 beds for SKMC Rehabilitation Center and Behavioral Science Pavilion as of 31st December 09,
Staff as of December 09, Activities : SEHA and other hospitals 09 except Al Salama 08, Al Hayat, Al Rewaise, Zayed Military Hospital
Source Hospital submissions, Operation Center, Clinician Licensing Database 32
Centers & Clinics
SEHA Other

Physicians
Physicians

Dentists
Dentists

Nurse
Nurses

AHP
Region Facility Encounters

AHP
Region Facility Encountes Total 3'503'078 664 449 367 368
Total 2'196'942 309 170 639 527 Other 2'032'400 320 352 155 240
Other 44'669 7 10 6 Island American European Medical Center 89'415 13 1 21 8
Prince Specialized Medical Centre 76'939 16 4 10 7
Island Al Bateen 81'721 10 29 19
Amrita Midical Centre 25'150 15 3 7 6
Al Ettehad 56'535 4 16 15 Advance Cure Diagnostic Centre 54'065 17 1 5 3
Khalidiya Urgent Care Center 49'625 9 38 10 Ibn Al Nafis Medical Centre 49'906 13 1 4 6
Al Madina City 44'320 1 9 10 Imperial College London Diabetes Centre 47'756 24 24 15
Al Zafarana 40'093 12 1 12 8 Taha Medical Centre 45'747 8 6 6 2
Abu Dhabi Knee And Sports Medicine Center 43'668 5 12 4
Al Khaleej 39'530 15 1 15 9
Al Rafa Medical Center 39'509 9 1 5 4
Al Manhal 26'806 7 8 9 Al Hendawy Medical Centre 31'191 9 1 4 1
Al Mushrif 17'477 2 1 6 5 Etihad Airways Medical Center 22'876 4 9
Al Rowda 4'541 2 4 15 Dr. Ahmed Hassan Fikri Medical Centre 27'033 9 1 2 1
Abu Dhabi City Dental Center 43'088 44 25 18 Well Health Medical Center 24'953 6 3 1 2
Al Kamal Medicdal Poly Clinics 65 6 3 3
Al Zafra Dental Center 16'348 14 14 7
Al Hosn Medical Centre 9'080 6 4
Middle Baniyas 188'506 34 2 34 22 Maher Medical Centre 20'794 5 3 2
Shahama 155'722 14 4 24 24 American Crescent Health Care Centre 18'532 4 1 5
Khalifa A 105'114 17 8 39 34 Middle East Specialized Medical Centre 20'794 5 1 2 2
BG 91'004 10 23 19 Consultant Medical Centre 20'794 7 1 2
Al Reyada Medical Centre 18'715 6 1 1 1
Samha 44'226 5 5 16 12
Canadian Medical Center 18'715 2 2 2 3
Al Nahda 41'162 5 2 7 6 Ultra Care Medical Center 18'715 3 3 3
Musaffah 35'816 2 17 4 Golden Sand Medical Centre 18'715 5 1 3
Al Khatim 15'979 6 1 10 8 Al Rawdah German Medical Center 468 4 2 3
Airport 9'713 4 20 1 Nadia Medical Center 16'635 5 1 2
Well Care Medical Center 16'635 6 2
Al Mafraq Dental Center 81'658 27 8 36
Gulf International Cancer Center 16'635 4 3 1
Eastern Muweiji 188'753 9 6 13 13
Medical Speciality Centre 16'635 5 2 1
Al Yahar 105'701 8 2 14 10 Dar Alshifa Medical Center 16'635 3 1 4
Mezyed 105'417 12 2 18 14 Al Wahda Medical Centre 16'635 4 1 3
Neima 91'628 28 2 27 19 American Center For Psychiatry & Neurology 16'635 5 1 2
Al Jahili 87'991 24 2 31 14 Dr.Munir Silwadi Dentall Centre 10'526 7 1 6
Merhi Dental & Orthodontic Center 27'033 7 6
Al Maqam 74'398 3 8 11
Middle New National Medical Centre 138'252 19 1 14 7
Niyadat 44'830 6 19 7 Al Noor Hospital Clinics - Al Mussaffah 72'780 16 2 10 7
Hili 44'462 7 1 15 5 Al Musaffah Al Alhli Medical Centre 35'350 9 1 5 2
Al Qua'a 36'746 6 1 16 13 Top Care Medical Centre 33'876 7 5 2
Zakher 23'590 7 11 5 Al Bustan Medical Center 27'033 6 4 2 1
Al Mafraq Medical Centre 18'715 4 2 1 2
Swaihan 18'918 5 1 15 7
Al Amal Medical Centre 18'715 6 1 1 1
Remah 16'693 5 1 14 5 Eastern Al Sultan Advanced Medical Poly Clinics 35'641 11 3 3 1
Al Hayer 15'991 3 9 8 Morani Orthodontic Center & General Medical 27'033 5 8
Showaib 5'874 3 7 1 Fine Care Specialized Medical Centre 20'794 2 5 1 2
Al Faqah 3'682 4 11 3 Mubarak Midical Center 13'885 5 2 2 1
Sultan Medical Centre 18'715 4 4 1
Tawam Dental Center 73'387 1 42 1 78
Al Madar Medical Center 16'635 1 6 1
Western Liwa 17'556 8 18 17 Cosmesurge & Emirates Polyclinic 16'635 3 5
Madinat Zayed Center 7'672 4 8 Western Al- Noor Hospital Clinics - Madinat Zayed 39'509 8 1 3 7
Adma Operating Company Clinic 20'794 10
Note Values in italics are extrapolations Alnoor Hospital Speciality Clinics 18'715 5 1 3
Source Extrapolation and Facility submissions, Professionals licensing database 33
Critical care bed capacity
CCU/
Medical
Grand Total ICU NICU SCBU Isolation CCU CICU Stepdown PICU Burns Other
Total 575 141 107 66 54 43 31 27 17 10 79
Seha 425 88 100 30 54 31 24 10 17 10 61
SKMC 143 29 22 10 10 10 11 51
Tawam 82 20 20 10 8 8 6 10
Mafraq 54 16 14 14 10
Al Ain 54 11 6 16 12 9
Corniche 50 50
Al Rahba 30 8 10 12
Madinat Zayed 12 4 4 4
Zayed Military Hospital 35 8 12 3 12
Other 115 45 7 36 4 5 18
Al Noor (Airport Road) 39 10 15 14
Oasis 14 10 4
Al Noor 11 4 4 3
Ahalia 8 6 2
Al Noor Alain 8 3 2
Emirates International 7 6 1
Lifeline 7 4 3
New Medical Center 7 5 2
Al Raha 4 2 2
Franco Emirates 2 1 1
Specialised Medical Care 2 2
Al Reef 2 2
Al Salama 2 2
Dar Al Shifaa 2 2

Source Operation Center as of 31st December 2009 34


40

Bed occupancy 20
Seha 2009
Private 2009
Average 2009
2008 Occupancy above optimal level
0

Normal Ward CICU NICU


100%
75%
50%
25%
0%
ICU CCU PICU
100%
75%
50%
25%
0%
Burns & Isolation Beds* CCU/Medical Stepdown SCBU
100%
75%
50%
25%
0%
Jan Apr Jul Oct Jan Apr Jul Oct Jan Apr Jul Oct
Notes*Burns & Isolation Beds are all Seha. Isolation Beds are show in green.
For the duration of 2008 there was 0% Occupancy in PICU Private which is not shown
Optimal occupancy is 85% for normal beds and 75% for critical care beds
Source HAAD Operation Center 35
Capacity gaps As at 31 January 2010

How does capacity need to change?


Clearly more
Somewhat more
About right or somehwat fewer
Clearly fewer
Waiting times
Low
Intermediate
High
+ Longer than 2008
- Shorter than 2008

Notes Physician numbers as at 8 December 2009. Numbers do not include physicians with specialties unrelated to categories shown
*Significant additional supply is anticipated in the future **Family medicine requirement is for Physicians with appropriate postgraduate training
SourceClinician & Expert Interviews, Licensing database, TPA analysis, Strategy analysis 36
Demand projections As at 31 December 2009

Additional capacity needs over 10 years


Current 2019 CAGR Absolute Annualised
2009 Low High Low High Low High Low High
Outpatients (m) 10 16 22 4.7 7.5 6 11 .5 .8
Inpatients (000's) 180 237 312 2.8 5.7 57 132 5 10 Including churn
Beds 3,500 4,600 6,000 2.5 5.4 1,000 2,400 90 190 Low High
Doctors 5,300 8,200 10,700 4.4 7.3 2,900 5,400 230 390 1,300 1,700
Nurses 6,900 10,600 13,900 4.4 7.3 3,700 7,000 300 500 1,400 1,900

Notes Numbers have been rounded for clarity


Assumptions
Outpatient weight is 1, Inpatient weight is 10
ALOS is 5.81
Bed Occupancy will increase by 2%
Outpatient to staff ratio will remain at the 2009 rate
Churn will remain at the rate of 16% for Doctors and 13% for Nurses
Source HAAD Demand Model, HAAD Licensing Database 37
1

Demand projections As at 31 December 2009

0 10 20 30 40 50 60
2009 2019 Low 2019 High
Inpatients CAGR Outpatients CAGR
Low High Low High
Deliveries 29 2.0 4.2 .0 0.0 0.0
Non-disease conditions 27 2.1 5.6 2.1 0.0 3.3
Digestive diseases 18 3.3 6.0 .5 6.2 8.8
Maternal & Perinatal conditions 16 2.7 5.4 .2 3.8 6.3
Respiratory infections 15 2.7 5.5 2.2 3.6 6.2
Cardiovascular diseases 11 3.8 6.3 .4 7.6 10.1
Genitourinary diseases 11 3.9 6.6 .4 6.8 9.4
Respiratory diseases 11 3.0 6.2 .5 6.1 9.1
Cancer 4 7.2 9.9 .1 7.8 10.4
Musculoskeletal diseases 6 3.5 6.2 .7 6.4 9.0
Skin diseases 4 3.6 6.2 .5 6.5 9.0
Infectious & parasitic diseases 5 0.8 5.4 .3 3.8 8.3
Endocrine disorders 4 2.3 5.3 .2 5.3 8.2
Sense organ diseases 5 1.7 4.4 .5 6.5 9.1
Diabetes mellitus 2 5.5 8.2 .4 10.9 13.6
Neuropsychiatric conditions 3 1.8 5.2 .1 6.0 9.3
RTA 3 0.4 3.6 .2 0.5 3.4
Other Injuries 2 3.2 6.2 .0 3.3 6.1
Occupational Injuries 2 1.6 4.6 .4 1.8 4.6
Oral conditions 2 1.3 5.0 .7 6.6 10.3
Congenital anomalies 1 3.4 7.0 .0 5.5 9.0
Nutritional deficiencies 1 3.1 5.9 .1 6.1 8.9

Notes Inpatient encounters in thousands, Outpatient encounters in millions


CAGR Compound Annual Growth Rate 2009-2019
Source HAAD Demand Model 38
Investor plans for additional bed capacity As at 31 January 2010

Number of beds Planned Completion Planned Completion


Planned 4,280 Region Beds likelihood Type Region Beds likelihood Type
Anticipated 2,701 Total 3244 Abu Dhabi - Island 1036
Anticipated by 2011 1,782 Abu Dhabi - Near Island 3244 364 General
240 General 343 Specialized
200 General 117 General
119 General 100 General
50 General 12 Day Surgery
25 General 10 Day Surgery
7 Day Surgery 78 Specialized
400 General 12 Rehabilitation
300 Specialized Abu Dhabi - Not yet allocated/ 2115
210 General On or Near Island 360 Rehabilitation
120 General 280 Specialized
118 General 250 General
100 General 235 General
100 General 150 General
99 General 150 General
30 General 150 General
180 General 127 General
180 General 100 Rehabilitation
150 General 100 General
150 General 65 General
150 General 65 General
50 General 40 General
24 Rehabilitation 28 Hospital
12 Day Surgery 15 Day Surgery
8 Day Surgery Al Ain 361
50 Rehabilitation 51 General
100 General 80 General
72 Geriatric & Elderly 80 General
50 General
50 General
50 General
Western 113
9 Day Surgery
54 General
50 General
Source Preliminary licensed facilities, Licensing & Strategy analysis 39
Population

Financing Encounters

Payers Claims Providers

40
Claims 2009 Indicative

Claims per member per year, normalised ■ Outpatient


■ Inpatient

Claims Claims/Member
247% 2009 2008 2009 2008
Thiqa
Inpatient 146'631 70'246 0.06 0.05
286%
Basic 25'393 24'830 0.03 0.06
Enhanced 49'768 45'416 0.05 0.05
89%
Enhanced Thiqa 71'470 0.18
80% Outpatient 10'442'717 4'003'871 4.52 3.01
Basic 2'106'961 1'294'995 2.25 3.37
50% Enhanced 3'931'648 2'708'876 4.00 2.87
Basic Thiqa 4'404'108 11.16
43% Utilisation for
Population (100%) Total 10'589'348 4'074'117 4.58 3.07

Note Average utilisation for population is set to 100% to allow comparison across inpatient and outpatient claims
Source Payer submissions; Summary data not available from Arabian Scandinavian, AXA, Qatar, Al Hilal Takaful, Methaq Takaful, Sharjah Insurance
41
Population

Financing Encounters

Payers Claims Providers

42
Payer claims share 2009 Indicative

Market share 2009


Total 10'589'348
Daman Basic 2'132'354
Thiqa 4'475'578
Total Enhanced 100% 3'981'416
Daman 42% 1'656'879
Oman 20% 806'221
ArabOrient 9% 366'736
Al Sagr 8% 323'149
ALICO 3% 124'824
Al Wathba 2% 89'700
Al Buhaira 2% 84'053
Al Khazna 2% 79'801
Al Ain Ahlia 2% 72'831
EIC 2% 69'999
Green Crescent 2% 67'127
Takaful 1% 49'146
ADNIC 1% 42'914
RAK 1% 40'102
Al Dhafra 1% 31'453
Alliance 0% 18'245
United 0% 16'439
AXA 0% 14,450
Al Fujairah 0% 7'145
Lebanese 0% 6'404
Dubai 0% 3'641
NGI 0% 2'590
Aman 0% 1'841
Arabia 0% 1'369
NoorTakaful 0% 1'366
Royal and Sun Alliance 0% 1'297
Al Salama 0% 1'017
Saudi Arabian 0% 677
Note Presented data is subject to corrections; Market share calculation applies to Enhanced products only
Source Payer submissions; Summary data not available from Arabian Scandinavian, Qatar, Al Hilal Takaful, Methaq Takaful, Sharjah Insurance 43
Population

Financing Encounters

Payers Claims Providers

44
Members by insurer 2009 Indicative

Payer Market Share 2009 2008 Change


Total 2'312'568 2'256'260 56'308
Thiqa 394'618 383'795 10'823
Daman basic 936'207 944'344 -8'137
Total Enhanced 100% 981'743 928'121 53'622
Daman Enhanced 31% 301'447 304'649 -3'202
Oman 21% 205'690 155'735 49'955
Al Khazna 14% 137'648 90'229 47'419
ADNIC 9% 90'190 97'058 -6'868
Al Buhaira 5% 51'215 25'083 26'132
Al Wathba 4% 41'583 41'583
Al Sagr 3% 27'661 94'758 -67'097
Al Ain Ahlia 2% 23'857 4'707 19'150
Green Crescent 2% 21'341 21'341
Takaful 2% 16'222 12'721 3'501
EIC 2% 15'167 26'517 -11'350
RAK 1% 11'368 8'827 2'541
Qatar 1% 9'332 10'381 -1'049
Al Hilal Takaful 1% 5'003 5'003
United 0% 3'645 1'887 1'758
Lebanese 0% 3'596 1'437 2'159
AXA 0% 3'537 3'044 493
Dubai 0% 2'486 2'486
Saudi Arabian 0% 2'445 469 1'976
Salama 0% 1'726 926 800
ArabOrient 0% 1'524 24'337 -22'813
ALICO 0% 1'030 6'431 -5'401
Al Dhafra 0% 957 14'087 -13'130
Alliance 0% 881 40'960 -40'079
Royal and Sun Alliance 0% 781 9 772
NGI 0% 627 792 -165
Arabia 0% 443 49 394
Aman 0% 258 916 -658
NoorTakaful 0% 47 47
Al Fujairah 0% 36 2'112 -2'076
Arabian Scandinavian 0% 4'489 -4'489
Note 2008 number of members do not exclude in-year cancellations except for Daman; Market share calculation applies to Enhanced products only
Source Payer submissions; Data not available from Methaq Takaful, Sharjah Insurance
45

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