u s stoma-ostomy care market

U S Stoma-Ostomy Care Market - Industry Trends and Forecast to 2029

  • Published Date: 2022-11-22
  • Report ID: 144395
  • Pages: 200
  • Format: prudent report format


Short Description
U.S. Stoma/Ostomy Care Market, By End User Setting (At Home Care, Hospitals, Nursing Homes, Old Age Care Settings), Point of Sale (Pharmacies, Mail Order Companies, Medical Surgical Supply Houses, E-Pharmacy) Industry Trends and Forecast to 2029
Market Definition:
Ostomy or stoma is a surgery to create an opening (stoma) from an area inside the body to the outside. It treats certain diseases of the digestive or urinary systems. It can be permanent when an organ must be removed. It can be temporary when the organ needs time to heal. The increase in the geriatric population and rise in prevalence of bowel and bladder cancer may accelerate the growth of the market. The adaptation of advanced technologies in the industry has been stimulated market growth. Consequently, the growing demand for stoma/ostomy care in health care is likely to drive the market growth in the projected period.
Market Segmentation:
The U.S. stoma/ostomy care market is categorized into two notable segments based on end user setting and point of sale.

On the basis of end user setting, the U.S. stoma/ostomy care market is segmented into at home care, hospitals, nursing homes, old age care settings

On the basis of point of sale, the U.S. stoma/ostomy care market is segmented into pharmacies, mail order companies, medical surgical supply houses, and E-pharmacy


Market Players

The key market players for the U.S. stoma/ostomy care market are listed below:

Hollister Incorporated
ConvaTec Inc.
Coloplast Corp
B. Braun Melsungen AG
11 Health and Technologies, Inc.
3M
Cymed Micro Skin
Nu-Hope Laboratories, Inc.
Smith+Nephew
ALCARE Co., Ltd.
Marlen Manufacturing & Development Company.
Flexicare (Group) Limited
Schena Ostomy Technologies, Inc.
PERMA-TYPE COMPANY, INC.
Torbot Group, Inc.
Triad Medical, LLC
Safe n' Simple.
Tytex A/S
North American Latex Corporation.
Genesis Plastics Welding
Austin Medical Products, Inc.
Trio Ostomy USA and among others.


TABLE OF CONTENTS
1 INTRODUCTION 22
1.1 OBJECTIVES OF THE STUDY 22
1.2 MARKET DEFINITION 22
1.3 OVERVIEW OF U.S. STOMA/OSTOMY CARE MARKET 22
1.4 LIMITATIONS 24
1.5 MARKETS COVERED 24
2 MARKET SEGMENTATION 31
2.1 MARKETS COVERED 31
2.2 GEOGRAPHICAL SCOPE 32
2.3 YEARS CONSIDERED FOR THE STUDY 32
2.4 CURRENCY AND PRICING 32
2.5 DBMR TRIPOD DATA VALIDATION MODEL 33
2.6 MULTIVARIATE MODELLING 36
2.7 END USER SETTING LIFELINE CURVE 36
2.8 PRIMARY INTERVIEWS WITH KEY OPINION LEADERS 37
2.9 DBMR MARKET POSITION GRID 38
2.10 MARKET APPLICATION COVERAGE GRID 39
2.11 VENDOR SHARE ANALYSIS 40
2.12 SECONDARY SOURCES 41
2.13 ASSUMPTIONS 41
3 EXECUTIVE SUMMARY 42
4 PREMIUM INSIGHTS 44
4.1 INDUSTRY INSIGHTS 45
4.1.1 IMPACT OF GERIATRIC POPULATION IN THE U.S. 45
4.1.2 IMPACT OF COVID-19 ON DEMAND AND SUPPLY GAP 45
4.1.3 TECHNOLOGY ASSESSMENT: GAP ANALYSIS 46
4.1.4 GO-TO-MARKET STRATEGIES BY KEY PLAYERS 46
4.1.5 HEALTH OUTCOME AND IMPACT OF BED SHORTAGES IN COVID ERA 47
5 REIMBURSEMENT AND COVERAGE 48
6 REGULATORY FRAMEWORK 51
6.1 REGULATIONS IN THE U.S. STOMA/OSTOMY CARE MARKET 51
6.2 CLASSIFICATION 52

7 EPIDEMIOLOGY AND HEOR ANALYSIS 53
7.1 TOTAL NUMBER OF SURGERIES 53
7.2 PATIENT COMPLICATION STOMA CARE BY HEALTH OUTCOMES 54
7.2.1 POOR STOMA SITING 55
7.2.2 ISCHEMIA 55
7.2.3 RETRACTION 56
7.2.4 PARASTOMAL HERNIA (P.H.) 57
7.2.5 PROLAPSE 57
7.2.6 SKIN IRRITATION 58
7.2.7 HIGH OUTPUT 58
7.3 DISEASE PREVALENCE LEADING TO OSTOMY 59
7.3.1 BLADDER CANCER 59
7.3.2 COLORECTAL CANCER 59
7.3.3 INFLAMMATORY BOWEL DISEASE 59
8 MARKET OVERVIEW 61
8.1 DRIVERS 63
8.1.1 RISING PREVALENCE OF BLADDER CANCER, BOWEL CANCER, INFLAMMATORY BOWEL DISEASES 63
8.1.2 FAVORABLE REIMBURSEMENT POLICIES FOR OSTOMY CARE PRODUCTS 63
8.1.3 GROWING GERIATRIC POPULATION 64
8.1.4 TECHNOLOGICAL ADVANCEMENTS IN OSTOMY DEVICES AND PRODUCTS 64
8.2 RESTRAINTS 65
8.2.1 SIDE EFFECTS AND RESTRICTIONS ASSOCIATED WITH OSTOMY 65
8.2.2 HIGH COST OF OSTOMY SUPPLIES 66
8.2.3 UNMET MEDICAL NEEDS 66
8.3 OPPORTUNITIES 67
8.3.1 INCREASING AWARENESS ABOUT DIAGNOSIS AND TREATMENT OF THE DISEASE 67
8.3.3 SURGE IN HEALTHCARE EXPENDITURE 68
8.3.4 AESTHETIC MAKEOVER OF OSTOMY CARE BAGS TO BOOST GROWTH 68
8.4 CHALLENGES 69
8.4.1 OSTOMY SELF CARE PROBLEMS 69
8.4.2 UNFAVORABLE PSYCHOLOGICAL AND EMOTIONAL IMPACT OF OSTOMY/STOMA 69
9 IMPACT OF COVID-19 ON THE U.S. STOMA/OSTOMY CARE MARKET 70
9.1 IMPACT ON PRICE 70
9.2 IMPACT ON DEMAND 70
9.3 IMPACT ON SUPPLY CHAIN 71
9.4 STRATEGIC DECISIONS BY MANUFACTURERS 71
9.5 CONCLUSION 72
10 U.S. STOMA/OSTOMY CARE MARKET, BY END USER SETTING 73
10.1 OVERVIEW 74
10.2 AT HOME CARE 78
10.2.1 PRODUCTS 78
10.2.1.1 OSTOMY DRAINAGE BAGS/POUCHES 79
10.2.1.1.1 COLOSTOMY DRAINAGE BAGS/POUCHES 79
10.2.1.1.1.1 TWO-PIECE SYSTEM 80
10.2.1.1.1.2 DISPOSABLE 80
10.2.1.1.1.3 REUSABLE 80
10.2.1.1.1.4 ONE-PIECE SYSTEM 81
10.2.1.1.1.5 DISPOSABLE 81
10.2.1.1.2 ILEOSTOMY DRAINAGE BAGS 82
10.2.1.1.2.1 TWO-PIECE SYSTEM 82
10.2.1.1.2.2 DISPOSABLE 83
10.2.1.1.2.3 REUSABLE 83
10.2.1.1.2.4 ONE-PIECE SYSTEM 84
10.2.1.1.2.5 DISPOSABLE 84
10.2.1.1.3 UROSTOMY DRAINAGE BAGS 85
10.2.1.1.3.1 TWO-PIECE SYSTEM 85
10.2.1.1.3.2 DISPOSABLE 85
10.2.1.1.3.3 REUSABLE 85
10.2.1.1.3.4 ONE-PIECE SYSTEM 86
10.2.1.1.3.5 DISPOSABLE 87
10.2.1.2 IRRIGATION PRODUCTS 87
10.2.2 ACCESSORIES 88
10.2.2.1 SKIN BARRIERS/ CARE PRODUCTS 89
10.2.2.1.1 BY WEAR 89
10.2.2.1.1.1 EXTENDED WEAR 90
10.2.2.1.1.2 STANDARD WEAR 90
10.2.2.1.2 BY FORM 90
10.2.2.1.2.1 LIQUID 90
10.2.2.1.2.2 WIPES 90
10.2.2.1.2.3 POWDER 90
10.2.2.1.3 BY TYPE 90
10.2.2.1.3.1 RINGS 91
10.2.2.1.3.2 PASTE 91
10.2.2.1.3.3 STRIPS 91
10.2.2.1.4 BY PRODUCT TYPE 91
10.2.2.1.4.1 ONE-PIECE ADHESIVE SYSTEMS 91
10.2.2.1.4.2 TWO-PIECE ADHESIVE SKIN SYSTEMS 91

10.2.2.1.5 BY TYPES OF BASES 92
10.2.2.1.5.1 FLAT BASE 92
10.2.2.1.5.2 CONVEX BASE 92
10.2.2.1.5.3 BOTH 92
10.2.2.2 ADHESIVE REMOVERS 92
10.2.2.3 RINGS & STRIPS 92
10.2.2.4 POWDER & PASTE 92
10.2.2.5 DEODRANTS 92
10.2.2.6 TAPES 92
10.2.2.7 BELTS 93
10.2.2.8 CLEANSERS 93
10.2.2.9 STOMA CAPS 93
10.2.2.10 CONVEX INSERTS 93
10.2.2.11 CREAMS 93
10.2.2.12 LUBRICATION 93
10.2.2.13 OTHERS 93
10.3 HOSPITALS 93
10.3.1 PRODUCTS 94
10.3.1.1 OSTOMY DRAINAGE BAGS/POUCHES 95
10.3.1.1.1 COLOSTOMY DRAINAGE BAGS/POUCHES 95
10.3.1.1.1.1 TWO-PIECE SYSTEM 96
10.3.1.1.1.2 DISPOSABLE 96
10.3.1.1.1.3 REUSABLE 97
10.3.1.1.1.4 ONE-PIECE SYSTEM 97
10.3.1.1.1.5 DISPOSABLE 97
10.3.1.1.2 ILEOSTOMY DRAINAGE BAGS 97
10.3.1.1.2.1 TWO-PIECE SYSTEM 98
10.3.1.1.2.2 DISPOSABLE 99
10.3.1.1.2.3 REUSABLE 99
10.3.1.1.2.4 ONE-PIECE SYSTEM 99
10.3.1.1.2.5 DISPOSABLE 100
10.3.1.1.3 UROSTOMY DRAINAGE BAGS 100
10.3.1.1.3.1 TWO-PIECE SYSTEM 100
10.3.1.1.3.2 DISPOSABLE 101
10.3.1.1.3.3 REUSABLE 101
10.3.1.1.3.4 ONE-PIECE SYSTEM 101
10.3.1.1.3.5 DISPOSABLE 102
10.3.1.2 IRRIGATION PRODUCTS 102

10.3.2 ACCESSORIES 102
10.3.2.1 SKIN BARRIERS/ CARE PRODUCTS 104
10.3.2.1.1 BY WEAR 104
10.3.2.1.1.1 EXTENDED WEAR 104
10.3.2.1.1.2 STANDARD WEAR 104
10.3.2.1.2 BY FORM 104
10.3.2.1.2.1 LIQUID 105
10.3.2.1.2.2 WIPES 105
10.3.2.1.2.3 POWDER 105
10.3.2.1.3 BY TYPE 105
10.3.2.1.3.1 RINGS 105
10.3.2.1.3.2 PASTE 105
10.3.2.1.3.3 STRIPS 106
10.3.2.1.4 BY PRODUCT TYPE 106
10.3.2.1.4.1 ONE-PIECE ADHESIVE SYSTEMS 106
10.3.2.1.4.2 TWO-PIECE ADHESIVE SYSTEMS 106
10.3.2.1.5 BY TYPE OF BASES 106
10.3.2.1.5.1 FLAT BASE 107
10.3.2.1.5.2 CONVEX BASE 107
10.3.2.1.5.3 BOTH 107
10.3.2.2 ADHESIVE REMOVERS 107
10.3.2.3 RINGS & STRIPS 107
10.3.2.4 POWDER & PASTE 107
10.3.2.5 DEODORANTS 107
10.3.2.6 TAPES 107
10.3.2.7 BELTS 107
10.3.2.8 CLEANSERS 107
10.3.2.9 STOMA CAPS 107
10.3.2.10 CONVEX INSERTS 108
10.3.2.11 CREAMS 108
10.3.2.12 LUBRICATION 108
10.3.2.13 OTHERS 108
10.4 NURSING HOMES 108
10.4.1 PRODUCTS 109
10.4.1.1 OSTOMY DRAINAGE BAGS/POUCHES 109
10.4.1.1.1 COLOSTOMY DRAINAGE BAGS/POUCHES 109
10.4.1.1.1.1 TWO-PIECE SYSTEM 110
10.4.1.1.1.2 DISPOSABLE 111
10.4.1.1.1.3 REUSABLE 111
10.4.1.1.1.4 ONE-PIECE SYSTEM 111
10.4.1.1.1.5 DISPOSABLE 112
10.4.1.1.2 ILEOSTOMY DRAINAGE BAGS 112
10.4.1.1.2.1 TWO-PIECE SYSTEM 112
10.4.1.1.2.2 DISPOSABLE 113
10.4.1.1.2.3 REUSABLE 113
10.4.1.1.2.4 ONE-PIECE SYSTEM 113
10.4.1.1.2.5 DISPOSABLE 114
10.4.1.1.3 UROSTOMY DRAINAGE BAGS 114
10.4.1.1.3.1 TWO-PIECE SYSTEM 114
10.4.1.1.3.2 DISPOSABLE 115
10.4.1.1.3.3 REUSABLE 115
10.4.1.1.3.4 ONE-PIECE SYSTEM 115
10.4.1.1.3.5 DISPOSABLE 116
10.4.1.2 IRRIGATION PRODUCTS 116
10.4.2 ACCESSORIES 117
10.4.2.1 SKIN BARRIERS/ CARE PRODUCTS 118
10.4.2.1.1 BY WEAR 118
10.4.2.1.1.1 EXTENDED WEAR 119
10.4.2.1.1.2 STANDARD WEAR 119
10.4.2.1.2 BY WFORM 119
10.4.2.1.2.1 LIQUID 119
10.4.2.1.2.2 WIPES 119
10.4.2.1.2.3 POWDER 119
10.4.2.1.3 BY TYPE 119
10.4.2.1.3.1 RINGS 120
10.4.2.1.3.2 PASTE 120
10.4.2.1.3.3 STRIPS 120
10.4.2.1.4 BY PRODUCT TYPE 120
10.4.2.1.4.1 ONE-PIECE ADHESIVE SYSTEMS 120
10.4.2.1.4.2 TWO-PIECE ADHESIVE SYSTEMS 121
10.4.2.1.5 BY TYPE OF BASES 121
10.4.2.1.5.1 FLAT BASE 121
10.4.2.1.5.2 CONVEX BASE 121
10.4.2.1.5.3 BOTH 121
10.4.2.2 ADHESIVE REMOVERS 121
10.4.2.3 RINGS & STRIPS 121
10.4.2.4 POWDER & PASTE 122
10.4.2.5 DEODORANTS 122
10.4.2.6 TAPES 122
10.4.2.7 BELTS 122
10.4.2.8 CLEANSERS 122
10.4.2.9 STOMA CAPS 122
10.4.2.10 CONVEX INSERTS 122
10.4.2.11 CREAMS 122
10.4.2.12 LUBRICATION 122
10.4.2.13 OTHERS 122
10.5 OLD AGE CARE 123
10.5.1 PRODUCTS 123
10.5.1.1 OSTOMY DRAINAGE BAGS/POUCHES 124
10.5.1.1.1 COLOSTOMY DRAINAGE BAGS/POUCHES 124
10.5.1.1.1.1 TWO-PIECE SYSTEM 125
10.5.1.1.1.2 DISPOSABLE 126
10.5.1.1.1.3 REUSABLE 126
10.5.1.1.1.4 ONE-PIECE SYSTEM 126
10.5.1.1.1.5 DISPOSABLE 127
10.5.1.1.2 ILEOSTOMY DRAINAGE BAGS 127
10.5.1.1.2.1 TWO-PIECE SYSTEM 128
10.5.1.1.2.2 DISPOSABLE 128
10.5.1.1.2.3 REUSABLE 128
10.5.1.1.2.4 ONE-PIECE SYSTEM 129
10.5.1.1.2.5 DISPOSABLE 129
10.5.1.1.3 UROSTOMY DRAINAGE BAGS 129
10.5.1.1.3.1 TWO-PIECE SYSTEM 130
10.5.1.1.3.2 DISPOSABLE 131
10.5.1.1.3.3 REUSABLE 131
10.5.1.1.3.4 ONE-PIECE SYSTEM 131
10.5.1.1.3.5 DISPOSABLE 131
10.5.1.2 IRRIGATION PRODUCTS 132
10.5.2 ACCESSORIES 132
10.5.2.1 SKIN BARRIERS/ CARE PRODUCTS 134
10.5.2.1.1 BY WEAR 134
10.5.2.1.1.1 EXTENDED WEAR 135
10.5.2.1.1.2 STANDARD WEAR 135
10.5.2.1.2 BY FORM 135
10.5.2.1.2.1 LIQUID 135
10.5.2.1.2.2 WIPES 135
10.5.2.1.2.3 POWDER 135
10.5.2.1.3 BY TYPE 135
10.5.2.1.3.1 RINGS 136
10.5.2.1.3.2 PASTE 136
10.5.2.1.3.3 STRIPS 136

10.5.2.1.4 BY PRODUCT TYPE 136
10.5.2.1.4.1 ONE-PIECE ADHESIVE SYSTEMS 136
10.5.2.1.4.2 TWO-PIECE ADHESIVE SYSTEMS 137
10.5.2.1.5 BY TYPE OF BASES 137
10.5.2.1.5.1 FLAT BASE 137
10.5.2.1.5.2 CONVEX BASE 137
10.5.2.1.5.3 BOTH 137
10.5.2.2 ADHESIVE REMOVERS 137
10.5.2.3 RINGS & STRIPS 137
10.5.2.4 POWDER & PASTE 138
10.5.2.5 DEODORANTS 138
10.5.2.6 TAPES 138
10.5.2.7 BELTS 138
10.5.2.8 CLEANSERS 138
10.5.2.9 STOMA CAPS 138
10.5.2.10 CONVEX INSERTS 138
10.5.2.11 CREAMS 138
10.5.2.12 LUBRICATION 138
10.5.2.13 OTHERS 138
11 U.S. STOMA/OSTOMY CARE MARKET, BY POINT OF SALE 139
11.1 OVERVIEW 140
11.2 PHARMACIES 143
11.3 MEDICAL SURGICAL SUPPLY HOUSES 143
11.4 MAIL ORDER COMPANIES 144
11.5 E-PHARMACY 144
12 U.S. STOMA/OSTOMY CARE MARKET: COMPANY LANDSCAPE 145
12.1 COMPANY SHARE ANALYSIS: U.S. 145
13 SWOT ANALYSIS 146
14 COMPANY PROFILE 147
14.1 COLOPLAST CORP 147
14.1.1 COMPANY SNAPSHOT 147
14.1.2 REVENUE ANALYSIS 147
14.1.3 PRODUCT PORTFOLIO 148
14.1.4 RECENT DEVELOPMENT 150
14.1.4.1 PRODUCT LAUNCH 150

14.2 CONVATEC INC. 151
14.2.1 COMPANY SNAPSHOT 151
14.2.2 REVENUE ANALYSIS 151
14.2.3 PRODUCT PORTFOLIO 152
14.2.4 RECENT DEVELOPMENT 153
14.2.4.1 AGREEMENT 153
14.3 B. BRAUN MELSUNGEN AG 155
14.3.1 COMPANY SNAPSHOT 155
14.3.2 REVENUE ANALYSIS 155
14.3.3 PRODUCT PORTFOLIO 156
14.3.4 RECENT DEVELOPMENTS 160
14.3.5 PRODUCT LAUNCH 160
14.4 SMITH+NEPHEW 161
14.4.1 COMPANY SNAPSHOT 161
14.4.2 REVENUE ANALYSIS 161
14.4.3 PRODUCT PORTFOLIO 162
14.4.4 RECENT DEVELOPMENT 162
14.5 HOLLISTER INCORPORATED 163
14.5.1 COMPANY SNAPSHOT 163
14.5.2 PRODUCT PORTFOLIO 163
14.5.3 RECENT DEVELOPMENTS 164
14.5.3.1 AGREEMENT 164
14.5.3.2 EXPANSION 164
14.6 ALCARE CO., LTD. 165
14.6.1 COMPANY SNAPSHOT 165
14.6.2 PRODUCT PORTFOLIO 165
14.6.3 RECENT DEVELOPMENT 165
14.7 AUSTIN MEDICAL PRODUCTS, INC. 167
14.7.1 COMPANY SNAPSHOT 167
14.7.2 PRODUCT PORTFOLIO 167
14.7.3 RECENT DEVELOPMENTS 167
14.8 CYMED MICRO SKIN 168
14.8.1 COMPANY SNAPSHOT 168
14.8.2 PRODUCT PORTFOLIO 168
14.8.3 RECENT DEVELOPMENT 169
14.9 FLEXICARE (GROUP) LIMITED 170
14.9.1 COMPANY SNAPSHOT 170
14.9.2 PRODUCT PORTFOLIO 170
14.9.3 RECENT DEVELOPMENTS 171
14.9.3.1 PRODUCT LAUNCH 171
14.10 GENESIS PLASTICS WELDING 172
14.10.1 COMPANY SNAPSHOT 172
14.10.2 PRODUCT PORTFOLIO 172
14.10.3 RECENT DEVELOPMENTS 172
14.11 11 HEALTH AND TECHNOLOGIES, INC. 173
14.11.1 COMPANY SNAPSHOT 173
14.11.2 PRODUCT PORTFOLIO 173
14.11.3 RECENT DEVELOPMENT 173
14.11.3.1 PRODUCT LAUNCH 173
14.12 MARLEN MANUFACTURING & DEVELOPMENT COMPANY. 174
14.12.1 COMPANY SNAPSHOT 174
14.12.2 PRODUCT PORTFOLIO 174
14.12.3 RECENT DEVELOPMENT 175
14.13 3M 176
14.13.1 COMPANY SNAPSHOT 176
14.13.2 REVENUE ANALYSIS 176
14.13.3 PRODUCT PORTFOLIO 177
14.13.4 RECENT DEVELOPMENT 177
14.13.4.1 PRODUCT LAUNCH 177
14.14 NORTH AMERICAN LATEX CORPORATION. 178
14.14.1 COMPANY SNAPSHOT 178
14.14.2 PRODUCT PORTFOLIO 178
14.14.3 RECENT DEVELOPMENT 178
14.15 NU-HOPE LABORATORIES, INC. 179
14.15.1 COMPANY SNAPSHOT 179
14.15.2 PRODUCT PORTFOLIO 179
14.15.3 RECENT DEVELOPMENT 180
14.16 PERMA-TYPE COMPANY, INC. 181
14.16.1 COMPANY SNAPSHOT 181
14.16.2 PRODUCT PORTFOLIO 181
14.16.3 RECENT DEVELOPMENT 181
14.17 SAFE N' SIMPLE. 182
14.17.1 COMPANY SNAPSHOT 182
14.17.2 PRODUCT PORTFOLIO 182
14.17.3 RECENT DEVELOPMENT 183
14.18 SCHENA OSTOMY TECHNOLOGIES, INC. 184
14.18.1 COMPANY SNAPSHOT 184
14.18.2 PRODUCT PORTFOLIO 184
14.18.3 RECENT DEVELOPMENT 184

14.19 TORBOT GROUP, INC. 186
14.19.1 COMPANY SNAPSHOT 186
14.19.2 PRODUCT PORTFOLIO 186
14.19.3 RECENT DEVELOPMENT 191
14.20 TRIAD MEDICAL, LLC. 192
14.20.1 COMPANY SNAPSHOT 192
14.20.2 PRODUCT PORTFOLIO 192
14.20.3 RECENT DEVELOPMENT 192
14.21 TRIO OSTOMY USA. 193
14.21.1 COMPANY SNAPSHOT 193
14.21.2 PRODUCT PORTFOLIO 193
14.21.3 RECENT DEVELOPMENTS 193
14.22 TYTEX A/S 194
14.22.1 COMPANY SNAPSHOT 194
14.22.2 PRODUCT PORTFOLIO 194
14.22.3 RECENT DEVELOPMENTS 195
15 QUESTIONNAIRE 196
16 RELATED REPORTS 198
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