09-07-28++Abu+Dhabi+Statistics+2008+(Quarter+2+2009)_2

Health Statistics2009

Health Authority Abu DhabiReliable Excellence in Healthcare

www.haad.ae/statistics

Contents

OverviewVision 2Statistical highlights 3Public Health highlights 4Investor highlights 5Key indicators 6

PopulationPopulation by age, gender and nationality 8Population by region and nationality 9Population density 10Population growth 11

Vital StatisticsBirths and Deaths 12Births and Deaths time series 13Leading causes of death 14Leading causes of death, detail 15Injury deaths 16

Communicable diseases 17

Health status overview 18Health status by age and gender 19Diabetes Mellitus frequency 20

1

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.

New

EncountersEncounters by type, setting and nationality 22Encounters volume by diagnosis group 23Encounters value by diagnosis group 24Top Procedures by value and diagnosis group 25Top drugs by value and diagnosis group 26Blood bank donors and units 27

ProvidersProvider overview 29Labor productivity 30Health facility locations 31Hospitals 32Centers and Clinics 33Critical care bed capacity 34Bed occupancy 35Capacity gaps 36Demand projections 37Demand projections by diagnosis group 38Investor plan for additional bed capacity 39

Claims 41

Payers claims share 43

Financing members by insurer 45

Our Vision for the health system of the Emirate

The financial system should be flexible in order to manage for change over time and the degree of subsidy should be managed as efficiently as possible.

Population

ProviderPayerClaim

Financing Encounter

In the Emirate of Abu Dhabi, everyone has access to healthcare and freedom to choose their provider.

A system encompassing the full spectrum of health - protecting, promoting, sustaining and restoring services across the territory of the Emirate.

Providers are independent and predominantly private.

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.

An open system for all certified providers of health services delivers World-class quality care and outcomes in compliance with the highest international standards.

2

The health system finances itself through a mandatory health insurance for all AD residents.

Statistical highlights 2009

Population

ProviderPayerClaim

Financing Encounter

• 1.9m residents, 21% Nationals• Median age 19 for Nationals and

30 for Expatriates• 29’068 births and 2’988 deaths• Life expectancy 74.4 for men,

74.8 for women

• 11.5 million encounters – 2% inpatient (179’948)– 42% by Nationals– 43% by hospitals

• 5’142 physicians, 8’142 nurses and 5’630 allied health professionals in 1’077 licensed facilities: – 39 hospitals (3’621 beds)– 572 centers and clinics– 467 pharmacies and stores

33 licensed insurers compete for members

3

There are more insurance contracts (2.3m) than residents

• 9.1 Million claims processed• 98.8% of claims for outpatients

Public health highlights

4

• Population One in five residents are Nationals of whom two thirds are under 30 and half under 198. Expatriates are overwhelmingly male and of Asian origin and predominantly aged between 20 and 408,9. A significant share are employed in construction and accommodated in labour camps. The introduction of mandatory health insurance in 2007 provided all residents in Abu Dhabi access to high quality care. Residence status is generally contingent on being employed, so there are very few retirement age or unemployed expatriates. The population has been growing rapidly in previous years, with likely temporary decline in 2009.

• Birth Fertility rates – the main driver of growth for Nationals –have declined for over 30 years13,14. The UAE’s Total Fertility Rate has declined from 4.4 to 2.3 per woman between 1990 and 2007. Declining birth rates are attributed to urbanisation, delayed marriage, changing attitudes about family size, and increased education and work opportunities for women.

• Death Mortality rates have also declined steadily13 over the past yaers. Infant mortality is now comparable with other developed countries6 and the WHO recently reported a decrease in the under 5 mortality rate from 15 to 8 per 1’000 live births between 1990 and 2007 across the UAE. In 2009, the diseases of Circulatory System caused the highest number of deaths, accounting for 24% of all death cases registered in the Abu Dhabi Emirate. External Causes of morbidity and mortality and Neoplasms are the second and third highest causes of death15,16.

• Injuries Abu Dhabi has one of the highest rates of injuries resulting from Road traffic accidents. They account for 14% of all deaths and are the leading cause of death amongst young males16,17. Speeding fines, free provision of child seats, and traffic

safety education programs are some of the actions being taken by government agencies. Occupational injuries are covered directly by employers, not by health insurance.

• Communicable diseases Rates of childhood communicable diseases are very low23, due to immunization programs targeting children aged <5 years17. Expatriates are screened for communicable diseases before acquiring residence status17.

• Non-Communicable diseases The Emirate has high rates of chronic diseases related to life style such as obesity, diabetes, and cardiovascular diseases. Cardiovascular diseases already accounted for a quarter of deaths in 2009. Adult Nationals were screened for cardiovascular risk factors in 2008 as a condition for enrollment in Thiqa insurance. Early analysis of results of this screening show obesity rates of 33% for males and 38% for females and high proportions of people at risk of diabetes and hypertension among UAE nationals over 1519. Without major changes, these rates are set to increase further as the young population ages. Individuals thought to be at high risk of cardiovascular disease are being followed up.

• Cancer caused 14% of all deaths in the Emirate in 2008. Breast cancer is the dominant cancer in Abu Dhabi18. Late detection of breast cancer leads to significant increases in mortality. Female adult Nationals aged 40-69 are being screened for breast cancer as part of their Thiqa insurance renewal. Education and awareness campaigns have increased screening rates for all nationalities

• Respiratory infections are the most common non-life threatening condition in the Emirate, accounting for over 18% of all encounters across all healthcare facilities28. Respiratory infections impact workforce productivity and quality of life.

• Population The population is concentrated on or nearby Abu Dhabi island9,10. Areas of growth in the short to medium term are expected to be just off the island (Khalifa City A, Mohammed Bin Zayed City, the islands adjacent to Abu Dhabi island) and the oldest city Al Ain. At the end of 2009 there were 0.4m National Thiqa members, 0.9m government-subsidised Basic members and 0.9m Enhanced members50. Daman administers Thiqa, it has exclusivity for the Basic product and one third of the competitive Enhanced market. Daman has recently given up its direct billlingexclusivity with the public healthcare provider SEHA.

• Demand for health services in the Emirate stabilised in 2009 – with the exception of ER encounters – following significant increases in 2007 due to the introduction of mandatory health insurance for Expatriates and Thiqa for Nationals in 2008 27. Significant growth in demand for services relating to chronic diseases, e.g. diabetes, is expected, with larger volume increases in outpatient settings. It is, however, estimated that there will also be aggressive growth in inpatient services relating to both diabetes and cancer36.

• Supply Despite growth in the number of doctors available to residents, it is estimated that up to 5,000 additional doctors and 6,500 nurses will be required by 2019. If churn rates remain at their 2009 level, this will require some 1,600 doctors and almost 1,800 nurses to be recruited annually35. There are productivity reserves within existing facilities, with average physician productivity in most hospitals lower than the US average37.Demand for inpatient services may require up to 2’000 additional beds within ten years beyond the current 3,642 beds42. 54 hospitals with temporary licenses suggests there is likely to be significant future development and investment in this area. Regulatory price adjustment encouraged movement in the home care services market – Sama Abu Dhabi Home Health Care Centre was licensed in June 2009.

• Capacity gaps Although waiting times have eased somewhat overall gaps remain, particularly in pediatrics, orthopedics, ophthalmology and gynaecology41. Overall bed occupancy rates vary significantly by facility, but have not increased in aggregate. Bed occupancy in ICU, NICU and PICU was consistently above optimal level of 75% throughout 200939.

• Reimbursement HAAD sets prices for the Basic product uniformly, adapted from the US-Medicare structure. Providers negotiate prices with Payers for Enhanced plans, generally as a multiple of Basic product rates. Thiqa is reimbursed at the level of Daman’s most generous Enhanced plan. Price levels are weighted towards outpatient care. In line with this, demand growth has been in ER and outpatient services whilst inpatient service levels have remained relatively stable from 2007-09 accounting for <2% of all encounters22. DRGs, anticipated in 2010, will likely increase inpatient reimbursement.

• Provider market Government-subsidised SEHA facilities provided 89% of all critical care bed days, treated 58% of all inpatients (4% loss from 2008) and 36% of all outpatients (8% gain)27,38. The largest independent groups are Al Noor with 12% and NMC with 8% of the outpatient market, respectively. Off the island, health services are concentrated in larger facilities36,40. International providers have come to Abu Dhabi, generally on the basis of a management service agreement, such as the Cleveland Clinic for SKMC and Johns Hopkins for Tawam.

• Payer market Mandatory eClaims for virtually all from January 2010 (www.haad.ae/DataDictionary) created a market for eClaims software. Dimensions Healthcare and Greenrain have invested to offer free solutions. This helps mature a competitive payer market, which has seen the first full year of operation of dedicated health insurer, Green Crescent, and entry of 3 insurers, 3 TPAs and 6 brokers.

Investor highlights

5

Key indicators

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

81

82

82

75

77

76

77

77

74

74

USA

Germany

UK

Abu Dhabi

GCC

Life expectancy at birth (years), 2007

Male

Female

4

5

6

8

8

10

10

11

12

25

Germany

Abu Dhabi

UK

USA

UAE

Bahrain

Qatar

Kuwait

Oman

Saudi Arabia

Under - 5 mortality rate / 1'000 live birth,

1.4

1.7

1.7

1.8

2.3

2.3

2.6

2.6

2.7

3.4

Saudi Arabia

UAE

Oman

Kuwait

Abu Dhabi

UK

USA

Qatar

Bahrain

Germany

Physicians /1'000 population

3.0

3.5

3.7

3.7

4.2

6.0

6.1

8.0

9.4

12.8

Saudi Arabia

UAE

Kuwait

Oman

Abu Dhabi

Qatar

Bahrain

Germany

USA

UK

Nurses / 1'000 population

1.9

1.9

1.9

2

2.2

2.5

2.7

3.1

3.9

8.3

Abu Dhabi

Kuwait

UAE

Oman

Saudi Arabia

Qatar

Bahrain

USA

UK

Germany

Beds / 1'000 population

0.1

0.4

1

3.2

5

Germany

UK

USA

GCC

Abu Dhabi

Population growth, CAGR 1997-2007 Demographic indicators 2009

Population 1'915'903

Life expectancy at birth (2008), male 74.4

Life expectancy at birth (2008), female 74.8

General Fertility rate /1'000 female age 15-49 78

Crude birth rate / 1'000 population 15.2

Crude death rate / 1'000 population 1.6

Infant mortality rate / 1'000 live births 8.8

Neonatal mortality rate / 1'000 live births 4.8

Under – 5 mortality rate / 1'000 live births 11.5

Leading causes of death (rate / 100'000 population)

Cardiovascular diseases 37.9

Injuries and Poisoning 36.8

Cancer 20.8

Congenital anomalies 10.8

Diabetes mellitus 10.8

Health facilities, resources and services

Hospitals 39

Centers 365

Clinics 207

Pharmacies 405

Beds 3'621

Doctors 4'327

Nurses 8'142

Bed / 1000 population 1.9

Bed / 1000 population (adjusted) 3.0

Doctors / 1000 population 2.3

Nurse / 1000 population 4.2

Nurse / doctor 1.9

Population

ProvidersPayers Claims

Financing Encounters

7

Population by age, gender and nationality 2009

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

Age band National Expatriate

All Male Female Total Male Female Total

0-4 139'538 36'466 31'738 68'204 36'585 34'750 71'335

National 05-09 117'175 30'680 27'164 57'845 30'054 29'276 59'330

Expatriate 10-14 93'693 25'424 22'303 47'727 23'331 22'635 45'966

15-19 87'461 23'900 20'736 44'636 24'121 18'704 42'825

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

30-34 268'464 14'639 16'426 31'065 182'861 54'538 237'399

35-39 212'581 8'978 10'837 19'815 151'552 41'215 192'767

40-44 157'927 7'133 8'677 15'809 112'954 29'164 142'118

45-49 110'103 4'839 6'125 10'964 77'738 21'401 99'139

50-54 83'174 4'030 5'457 9'487 58'738 14'949 73'687

55-59 46'692 3'849 4'178 8'027 29'866 8'799 38'665

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

70-74 4'893 1'825 1'361 3'186 814 894 1'707

75-79 2'816 1'021 956 1'977 365 474 839

80-84 1'397 484 502 '986 167 244 411

85+ 1'619 664 662 1'327 116 175 292

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

0-4

05-09

10-14

15-19

20-24

25-29

30-34

35-39

40-44

45-49

50-54

55-59

60-64

65-69

70-74

75-79

80-84

85+

♂ Male♀ Female

Population by region and nationality 2009

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

Region National Expatriate Total

Abu Dhabi 208'612 1'113'850 1322'462

Al Ain 171'247 279'532 450'778

Western 26'938 115'725 142'663

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

51%

74%

42%

19%

7% 8%

National Expatriate

Abu Dhabi Al Ain Western

19%

38%

16%

81%

62%

84%

National Expatriate

Population density

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

Population growth, Scenarios

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

National Expatriate

Year Low High

2010 411'385 1'420'994 1'517'395

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

2012 422'688 1'526'123 1'807'892

2013 430'157 1'598'587 1'969'923

2014 438'796 1'659'437 2'143'503

2015 446'976 1'719'411 2'319'098

2016 454'790 1'778'507 2'496'722

2017 462'174 1'836'630 2'676'488

2018 469'102 1'893'706 2'858'403

2019 475'488 1'949'636 3'042'5010.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019

Po

pu

lati

on

(m

illi

on

s)

High

Low

Births and Deaths 2009

12

Total By Region Rates By Nationality and gender

Number % Number Per 1000 population National Expatriate NA

20

08

20

09

Nat

ion

al

Mal

es

Ab

u D

hab

i

East

ern

Wes

tern

Tota

l

Ab

u D

hab

i

East

ern

Wes

tern

Mal

e

Fem

ale

NA

Mal

e

Fem

ale

NA

Mal

e

Fem

ale

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 1Note 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

Births and deaths time series

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

Births

Deaths

13

0

10

20

30

40

50 National

Expatriate

Aggregate

0.0

1.0

2.0

3.0

4.0

19

85

19

86

19

87

19

88

19

89

19

90

19

91

19

92

19

93

19

94

19

95

19

96

19

97

19

98

19

99

20

00

20

01

20

02

20

03

20

04

20

05

20

06

20

07

20

08

20

09

Year Total National Rate Expatriate Rate % Nationals

1985 18'874 6'376 46.9 12'498 29.1 34%

1986 19'700 6'328 45.2 13'372 30.3 32%

1987 20'667 6'400 43.8 14'267 30.7 31%

1988 22'113 6'668 43.3 15'445 31.6 30%

1989 21'686 6'647 41.0 15'039 29.2 31%

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%

1994 21'505 8'060 39.1 13'445 20.2 37%

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%

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%

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%

2008 28'456 13'040 32.4 15'416 8.9 46%

2009 29'068 13,479 33.1 15,565 10.3 46%

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%

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%

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%

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%

2007 2'750 990 2.6 1'760 1.5 36%

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

2009 2,973 983 2.4 1'990 1.3 33%

Leading causes of death 2009

14Note: Causes of death classified according to WHO ICD-10

Source Death notification data - Emirate of Abu Dhabi, 2009, HAAD-Public Health and Policy

Causes 2009 2008 2007 2006 2005 2004 2003 2002 2001

Diseases of the circulatory system 726 697 506 378 424 413 624 778 622

External causes of morbidity and mortality 645 464

Injury, poisoning and certain

other consequences of external causes61 85

Neoplasms 399 360 370 315 294 298 276 289 252

Endocrine, nutritional and metabolic diseases 212 79 201 130 133 126 103 73 65

Congenital malformations, deformations and

chromosomal abnormalities208 120 177 131 156 146 152 199 190

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

614 600621 503 565 563 574

Injury, poisoning and certain

other consequences of external causes

2%

Endocrine, nutritional and

metabolic diseases7%

Congenital malformations,

deformations and chromosomal abnormalities

7%

Neoplasms13%

External causes of morbidity and

mortality22%

Diseases of the circulatory system

24%

Other causes25%

Leading causes of death 2009

15

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

National Expatriate NABy 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

diseases212 57 38 1 6 41 87 30 47 2 15 16 84

Congenital malformations, deformations

and chromosomal abnormalities208 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 causes61 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 period18 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 tissue2 2 1 1

Pregnancy, childbirth and the puerperium 1 1 1

Symptoms, signs and abnormal clinical and

laboratory findings, not elsewhere classified460 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

Injury deaths 2009

16Source 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

1 26 30 218 146 103 60 20 7 11

16 9

18

12

9

1

1

1

0.16

0.22

0.42

0.33

0.420.47

0.79

0.91

0.66

0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

0.8

0.9

1

0

50

100

150

200

NA 0-09 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+

Male

Female

Rate per 1000

Total National Total National Total National

Road Traffic Injury (RTI) 430 27% 422 28% 427 28%

Occupational Injury 82 4% 68 3% 66 5%

Home Injuries 57 23% 34 24% 10 20%

Suicide 51 0% 66 2% 39 3%

Occupational RTI 26 0% 8 13% 34 6%

Other Injuries 21 24% 12 25% 23 39%

Drowning 13 31% 13 38% 22 36%

2009 2008 2007

Road Traffic Injury (RTI)

63%

Occupational Injury12%

Home Injuiries

8%

Suicide8%

Occupational RTI4%

Other Injuiries

3%

Drowning2%

Total National Expatriate

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

Communicable diseases 2009

17

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

Scre

en

ed

Pre

ven

tab

le

Selected cardiovascular indicators overview

18

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 month2Preliminary 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 consumption3Extrapolation 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

Preliminary

Tota

l

Mal

e

Fem

ale

Ob

esit

y

Hyp

erte

nsi

on

Dia

bet

es

Hig

h li

pid

s

Smo

kin

g

Tota

l

Mal

e

Fem

ale

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%

National1 Correlation2 Expatriate3

Less More

likely likelyPeople who are obese are more likely to have high blood pressure, highl lipids and diabetes, but are as likely to be smokers as those who aren't obese

Selected cardiovascular indicators by age group and gender

19

Preliminary

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 month2Extrapolation 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

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%

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%

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%

2

1

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

Frequency of Diabetes Mellitus by age group

21%

0

10,000

20,000

30,000

40,000

50,000

60,000

70,000

80,000

0%

10%

20%

30%

40%

50%

60%

70%

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

% At risk of diabetes

Average

Population

Population

ProvidersPayers Claims

Financing Encounters

Encounters by type, setting and nationality 2009

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 Analysis22

Total Inpatient ER Outpatient

Hospital SEHA Hospital SEHA Hospital SEHA Center SEHA Clinic SEHA

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%

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

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

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

2009 2% 2% 16% -3% 9% -5%

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%

Outpatient

ER

Inpatient

Hospital

Center

Clinic

Expatriate

National

Setting Provider Nationality

Encounters by diagnosis group, % of volume

23Source 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

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

Encounters by diagnosis group, % of value

24Source 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

Total Outpatient Inpatient77.7% 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

Top drugs by value and diagnosis group,%

25

* 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

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

Top Procedures by value and diagnosis group, %

26

* 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

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

Blood Bank Donors and Units

27Source Abu Dhabi Blood Bank, Health Statistics Analysis

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

Population

ProvidersPayers Claims

Financing Encounters

28

Providers end 2009

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

Facilities Clinicians

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 365 15% 260 95 10 3'217 869 38% 530 26% 935 66% 7% 883 60%

Clinic 207 5% 134 68 5 276 104 4% 89 0% 71 28% 1% 12 8%

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%

Western 188 87% 26 73% 422 97% 18% 326 96%

Hospital4%

Center34%

Clinic19%

Pharmacy

37%

Store6%

Labour Indicators

30

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

Average Productivity

US Physicians

Abu Dhabi Physicians

Abu Dhabi Nurses

Nurses Doctors

Indicative

30 25 20 15 10 5 5 10 15 20

Obagi Specialized Hospital One Day Surgery

SKMC

Magrabi Specialized - Day Care Surgeries ENT

Tawam

Al Mafraq

N M C Specialty - LLC

Samaya Medical Center - SMC Day Care Surgery

Madinat Zayed

Cosmesurge Emarites - One Day Surgery

Al Raha

Al Ain

Almazroui - One Day Surgery

Specialized Medical Care

Al Noor - Airport Road

Emirates French

Al Corniche

Delma

N M C Specialty - LLC

Al Mirfa

Al Rahba

Al Noor - Al Ain

Al Reef Internaional

Al Noor

Al Wagan

Oasis

Life Line - LLC

Life Line Hospital - LLC Day Care Surgeries

National

Al Silla

Ghayathi

Al Salama

Emirates International

Al Ahalia

Dar Al Shifaa

Al Rewaise

Ghyathi

Al Sila

Madinat Zayed

Al Mirfa

Al NoorTawam

Specialized Medical Care

Emirates International

Al AinOasis

Al Wagan

Al Rahba

Al Mafraq

Liwa

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

Delma

Center

Clinic

HospitalH

PharmacyAl Corniche

Al SalamaNational

Maghrabi

Al Reef

SKMC

Al Mazroui

Obagi

Dar Al Shifa

Gulf Diagnostic Center

Emirates French

Al Noor

Life lineAl Ahalia

NMC

General Medical

Zayed MilitaryNew Al Noor

Health Facility locations

Hospitals

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

Draft

Activity, 000's Staff Beds Indicators Ambulances

Region Hospita l Inpa

tien

ts

%Ch

ange

ER %Ch

ange

Out

pati

ents

%Ch

ange

Tota

l

Den

tist

s

Phys

icia

ns

% C

onsu

ltan

ts

% S

peci

alis

t

% G

P

Nur

ses

Para

med

ics

Adm

inis

trat

ors

Bed

cap

acit

y

Crit

ical

bed

s

VIP

Roy

al

Bed

Occ

upan

cy

ALO

S

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

Eastern Tawam 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

Middle Al Mafraq 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 land 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

Eastern Al Ain 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 land Al Corniche 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

Middle Al Rahba 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

Western Madinat Zayed 4.6 -1% 32.2 -17% 94.8 -9% 455 11 86 1% 49% 50% 213 107 38 130 12 40% 4.2 6

Western Ghayathi 1.4 -5% 20.4 -28% 36.3 28% 123 2 19 58% 42% 49 26 27 34 38% 3.4 3

Western Al Mirfa .8 10% 18.8 3% 16.6 -26% 120 2 19 58% 42% 51 26 22 28 18% 2.4 3

Western Al Si l la .8 -5% 15.0 -15% 17.0 -14% 91 2 12 67% 33% 42 15 20 36 15% 2.6 3

Eastern Al Wagan .8 13% 3.5 26% 42.4 -6% 116 1 12 33% 67% 41 21 41 15 NA NA NA 0.0

Western Delma .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 land Zayed Mi l i tary NA NA NA 480 44 436 44% 19% 37% NA NA NA 328 35 18 1 40% NA NA

Eastern Al Ain Mi l i tary 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 land Al Noor 13.3 9% 649.6 15% 452 10 160 25% 50% 25% 198 84 85 11 3 48% 1.1 2

Eastern Oas is 10.1 0% 154.1 13% 412 50 28% 48% 24% 115 22 225 44 14 90% 1.4 9

Is land N M C Specia l ty - Llc 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

Eastern Al Noor -Al Ain 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 land Al Ahal ia 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 land Al Noor - Ai rport Road 6.0 129% 17.7 275.1 156% 310 8 102 24% 45% 31% 168 32 96 39 6 2 19% 1.1

Is land Al Sa lama 5.3 0% 12.3 0% 219.9 0% 118 4 49 20% 69% 10% 49 16 19 2 60% 0.8 6

Is land Li fe Line- Llc 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 land Dar Al Shi faa 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

Eastern Emirates International 2.1 17% 59.5 86.4 -31% 79 42 21% 52% 26% 18 9 10 25 7 6 35% 1.5 1

Is land Emirates 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 land Al Reef Internaional 1.7 41% 4.9 21.4 -9% 35 1 11 36% 55% 9% 7 5 11 2 1.5

Is land Gulf Diagnostic Center 1.5 2.9 364 6 76 34% 32% 34% 47 29 206 8 47% 0.9 1

Is land Al Raha 1.1 325% .2 41.2 191% 43 4 18 17% 61% 22% 9 4 8 15 4 2 16% 0.8 2

Eastern Specia l i zed Medica l Care .7 2% 65.1 88% 57 3 20 15% 70% 15% 11 4 19 23 2 1 3 8% 1.0 1

Eastern N M C Specia l ty - Llc .6 6.6 102.0 410% 152 3 49 8% 71% 20% 78 20 2 20 NA NA NA NA NA NA

Is land National .5 -16% .1 143.4 -18% 80 4 27 4% 63% 33% 37 7 5 20 10% 1.6 8

Middle Li fe Line Hospita l - Llc Day Care Surgeries 86.2 31 2 16 0% 56% 44% 7 6

Is land Cosmesurge Emari tes - One Day Surgery 48.4 548% 46 2 17 41% 59% 0% 18 6 3

Is land Almazroui - One Day Surgery 39.3 6% 29 3 12 25% 67% 8% 6 7 1

Is land Magrabi Specia l i zed - Day Care Surgeries ENT 23.3 110% 32 13 31% 62% 8% 16 2 1

Is land Samaya Medica l Center - SMC Day Care Surgery 10.7 10 4 50% 50% 0% 1 3 2

Is land Obagi Specia l i zed Hospita l One Day Surgery 3.0 17 1 5 NA NA NA 1 10

Western Al Rewaise NA NA NA 1 1 0% #### 0% NA NA NA NA NA NA NA

Eastern Al Hayat NA NA NA 1 1 NA NA NA NA NA NA NA NA NA NA NA NA NA

Centers & Clinics

Note Values in italics are extrapolations

Source Extrapolation and Facility submissions, Professionals licensing database

SEHA Other

33

Region Facility Encountes Ph

ysi

cia

ns

De

nti

sts

Nu

rse

s

AH

P

Total 2'196'942 309 170 639 527

Other 44'669 7 10 6

Island Al Bateen 81'721 10 29 19

Al Ettehad 56'535 4 16 15

Khalidiya Urgent Care Center 49'625 9 38 10

Al Madina City 44'320 1 9 10

Al Zafarana 40'093 12 1 12 8

Al Khaleej 39'530 15 1 15 9

Al Manhal 26'806 7 8 9

Al Mushrif 17'477 2 1 6 5

Al Rowda 4'541 2 4 15

Abu Dhabi City Dental Center 43'088 44 25 18

Al Zafra Dental Center 16'348 14 14 7

Middle Baniyas 188'506 34 2 34 22

Shahama 155'722 14 4 24 24

Khalifa A 105'114 17 8 39 34

BG 91'004 10 23 19

Samha 44'226 5 5 16 12

Al Nahda 41'162 5 2 7 6

Musaffah 35'816 2 17 4

Al Khatim 15'979 6 1 10 8

Airport 9'713 4 20 1

Al Mafraq Dental Center 81'658 27 8 36

Eastern Muweiji 188'753 9 6 13 13

Al Yahar 105'701 8 2 14 10

Mezyed 105'417 12 2 18 14

Neima 91'628 28 2 27 19

Al Jahili 87'991 24 2 31 14

Al Maqam 74'398 3 8 11

Niyadat 44'830 6 19 7

Hili 44'462 7 1 15 5

Al Qua'a 36'746 6 1 16 13

Zakher 23'590 7 11 5

Swaihan 18'918 5 1 15 7

Remah 16'693 5 1 14 5

Al Hayer 15'991 3 9 8

Showaib 5'874 3 7 1

Al Faqah 3'682 4 11 3

Tawam Dental Center 73'387 1 42 1 78

Western Liwa 17'556 8 18 17

Madinat Zayed Center 7'672 4 8

Region Facility Encounters Ph

ysi

cia

ns

De

nti

sts

Nu

rse

AH

P

Total 3'503'078 664 449 367 368

Other 2'032'400 320 352 155 240

Island American European Medical Center 89'415 13 1 21 8

Prince Specialized Medical Centre 76'939 16 4 10 7

Amrita Midical Centre 25'150 15 3 7 6

Advance Cure Diagnostic Centre 54'065 17 1 5 3

Ibn Al Nafis Medical Centre 49'906 13 1 4 6

Imperial College London Diabetes Centre 47'756 24 24 15

Taha Medical Centre 45'747 8 6 6 2

Abu Dhabi Knee And Sports Medicine Center 43'668 5 12 4

Al Rafa Medical Center 39'509 9 1 5 4

Al Hendawy Medical Centre 31'191 9 1 4 1

Etihad Airways Medical Center 22'876 4 9

Dr. Ahmed Hassan Fikri Medical Centre 27'033 9 1 2 1

Well Health Medical Center 24'953 6 3 1 2

Al Kamal Medicdal Poly Clinics 65 6 3 3

Al Hosn Medical Centre 9'080 6 4

Maher Medical Centre 20'794 5 3 2

American Crescent Health Care Centre 18'532 4 1 5

Middle East Specialized Medical Centre 20'794 5 1 2 2

Consultant Medical Centre 20'794 7 1 2

Al Reyada Medical Centre 18'715 6 1 1 1

Canadian Medical Center 18'715 2 2 2 3

Ultra Care Medical Center 18'715 3 3 3

Golden Sand Medical Centre 18'715 5 1 3

Al Rawdah German Medical Center 468 4 2 3

Nadia Medical Center 16'635 5 1 2

Well Care Medical Center 16'635 6 2

Gulf International Cancer Center 16'635 4 3 1

Medical Speciality Centre 16'635 5 2 1

Dar Alshifa Medical Center 16'635 3 1 4

Al Wahda Medical Centre 16'635 4 1 3

American Center For Psychiatry & Neurology 16'635 5 1 2

Dr.Munir Silwadi Dentall Centre 10'526 7 1 6

Merhi Dental & Orthodontic Center 27'033 7 6

Middle New National Medical Centre 138'252 19 1 14 7

Al Noor Hospital Clinics - Al Mussaffah 72'780 16 2 10 7

Al Musaffah Al Alhli Medical Centre 35'350 9 1 5 2

Top Care Medical Centre 33'876 7 5 2

Al Bustan Medical Center 27'033 6 4 2 1

Al Mafraq Medical Centre 18'715 4 2 1 2

Al Amal Medical Centre 18'715 6 1 1 1

Eastern Al Sultan Advanced Medical Poly Clinics 35'641 11 3 3 1

Morani Orthodontic Center & General Medical 27'033 5 8

Fine Care Specialized Medical Centre 20'794 2 5 1 2

Mubarak Midical Center 13'885 5 2 2 1

Sultan Medical Centre 18'715 4 4 1

Al Madar Medical Center 16'635 1 6 1

Cosmesurge & Emirates Polyclinic 16'635 3 5

Western Al- Noor Hospital Clinics - Madinat Zayed 39'509 8 1 3 7

Adma Operating Company Clinic 20'794 10

Alnoor Hospital Speciality Clinics 18'715 5 1 3

Grand Total ICU NICU SCBU Isolation CCU CICU

CCU/

Medical

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

Critical care bed capacity

34Source Operation Center as of 31st December 2009

Bed occupancy

35

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 shownOptimal occupancy is 85% for normal beds and 75% for critical care bedsSource HAAD Operation Center

0

20

40

60

80

Seha 2009 Average 2009

Private 2009 2008 Occupancy above optimal level

PICU

NICU

Jan Apr Jul Oct

CCU/Medical Stepdown

0%

25%

50%

75%

100%Normal Ward

0%

25%

50%

75%

100%ICU

Jan Apr Jul Oct

SCBU

CCU

CICU

0%

25%

50%

75%

100%

Jan Apr Jul Oct

Burns & Isolation Beds*

Capacity gaps

36

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 trainingSourceClinician & Expert Interviews, Licensing database, TPA analysis, Strategy analysis

As at 31 January 2010

How does capacity need to change?

Clearly more

Somewhat more

About right or somehwat fewer

Clearly fewer

Waiting timesLow

Intermediate

High

+ Longer than 2008

- Shorter than 2008

Demand projections

37

Notes Numbers have been rounded for clarity Assumptions

Outpatient weight is 1, Inpatient weight is 10ALOS is 5.81Bed Occupancy will increase by 2%Outpatient to staff ratio will remain at the 2009 rateChurn will remain at the rate of 16% for Doctors and 13% for Nurses

Source HAAD Demand Model, HAAD Licensing Database

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

As at 31 December 2009

Demand projections

38

Notes Inpatient encounters in thousands, Outpatient encounters in millionsCAGR Compound Annual Growth Rate 2009-2019Source HAAD Demand Model

As at 31 December 2009

0 10 20 30 40 50 60 70

1

2009 2019 Low 2019 High

CAGR CAGR

Low High Low High

2.0 4.2 0.0 0.0

2.1 5.6 0.0 3.3

3.3 6.0 6.2 8.8

2.7 5.4 3.8 6.3

2.7 5.5 3.6 6.2

3.8 6.3 7.6 10.1

3.9 6.6 6.8 9.4

3.0 6.2 6.1 9.1

7.2 9.9 7.8 10.4

3.5 6.2 6.4 9.0

3.6 6.2 6.5 9.0

0.8 5.4 3.8 8.3

2.3 5.3 5.3 8.2

1.7 4.4 6.5 9.1

5.5 8.2 10.9 13.6

1.8 5.2 6.0 9.3

0.4 3.6 0.5 3.4

3.2 6.2 3.3 6.1

1.6 4.6 1.8 4.6

1.3 5.0 6.6 10.3

3.4 7.0 5.5 9.0

3.1 5.9 6.1 8.9

29

27

18

16

15

11

11

11

4

6

4

5

4

5

2

3

3

2

2

2

1

1

Deliveries

Non-disease conditions

Digestive diseases

Maternal & Perinatal conditions

Respiratory infections

Cardiovascular diseases

Genitourinary diseases

Respiratory diseases

Cancer

Musculoskeletal diseases

Skin diseases

Infectious & parasitic diseases

Endocrine disorders

Sense organ diseases

Diabetes mellitus

Neuropsychiatric conditions

RTA

Other Injuries

Occupational Injuries

Oral conditions

Congenital anomalies

Nutritional deficiencies

Inpatients

.0

2.1

.5

.2

2.2

.4

.4

.5

.1

.7

.5

.3

.2

.5

.4

.1

.2

.0

.4

.7

.0

.1

Outpatients

Investor plans for additional bed capacity

39Source Preliminary licensed facilities, Licensing & Strategy analysis

As at 31 January 2010

Number of beds

Planned 4,280

Anticipated 2,701

Anticipated by 2011 1,782

Region

Planned

Beds

Completion

likelihood TypeTotal 3244Abu Dhabi - Near Island 3244

240 General200 General119 General

50 General25 General

7 Day Surgery400 General300 Specialized210 General120 General118 General100 General100 General

99 General30 General

180 General180 General150 General150 General150 General

50 General24 Rehabilitation12 Day Surgery

8 Day Surgery50 Rehabilitation

100 General72 Geriatric & Elderly

Region

Planned

Beds

Completion

likelihood TypeAbu Dhabi - Island 1036

364 General343 Specialized117 General100 General

12 Day Surgery10 Day Surgery78 Specialized12 Rehabilitation

Abu Dhabi - Not yet allocated/ 2115On or Near Island 360 Rehabilitation

280 Specialized250 General235 General150 General150 General150 General127 General100 Rehabilitation100 General

65 General65 General40 General28 Hospital15 Day Surgery

Al Ain 36151 General80 General80 General50 General50 General50 General

Western 1139 Day Surgery

54 General50 General

Population

ProvidersPayers Claims

Financing Encounters

40

Claims 2009

41

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

Indicative

■ Outpatient■ Inpatient

Claims Claims/Member

2009 2008 2009 2008

Inpatient 146'631 70'246 0.06 0.05

Basic 25'393 24'830 0.03 0.06

Enhanced 49'768 45'416 0.05 0.05

Thiqa 71'470 0.18

Outpatient 10'442'717 4'003'871 4.52 3.01

Basic 2'106'961 1'294'995 2.25 3.37

Enhanced 3'931'648 2'708'876 4.00 2.87

Thiqa 4'404'108 11.16

Total 10'589'348 4'074'117 4.58 3.07

Claims per member per year, normalised

43%

80%

286%

50%

89%

247%

Basic

Enhanced

Thiqa

Utilisation for Population (100%)

Population

ProvidersPayers Claims

Financing Encounters

42

Payer claims share 2009

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

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

Population

ProvidersPayers Claims

Financing Encounters

44

Members by insurer 2009

45

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

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