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Abstract
The aim of this chapter is to identify a pattern of international trade in medical products in the context of tackling the COVID-19 pandemic. Medical products are grouped according to classifications of the World Trade Organization into four categories: pharmaceuticals, medical equipment, medical consumables, and personal protective products. This study focuses on the international trade of pharmaceuticals, which represents over a half of the total value of medical product trade. The United States, Germany, and Switzerland are key players regarding exports of medical products; however, the leaders differ in exports of the four medical product groups. Switzerland holds a predominant position in exports of pharmaceuticals, the US leads in exports of both medical equipment and medical consumables, while China is the world’s top exporter of personal protective products, occupying the 7th place in total exports of medical products. The analysis of Revealed Comparative Advantage (RCA) indices showed that high trade values do not necessarily translate into specialization in trade. Switzerland and Ireland are the world’s leaders in terms of relative trade specialization in medical products, in particular they enjoy high comparative advantages in trade of pharmaceuticals. The US and China, although both have relative specialization in overall medical exports, do not reveal comparative advantages in trade of pharmaceuticals.
Abstract
This chapter compares risk factors for lung cancer and their significance for 27 countries in the European Union (EU). Drawing on data from a variety of sources, this study uses K-mean cluster analysis to investigate potentially modifiable risk factors for cancer including tobacco use, alcohol consumption, air pollution, socioeconomic status, and public expenditures on health care and their effects on lung cancer outcomes. Findings from this study show that the EU is not homogenous in terms of the effect of risk factors for lung cancer. Study results yielded four country groups, each representing different patterns in risk factors for lung cancer. The lowest rates of lung cancer mortality occur among southern European countries that includes: Italy, Spain, Portugal, Malta, and Romania. These countries present with a pattern of risk factors that include: relatively low alcohol consumption and low rates of smoking coupled with moderate population exposure to air pollutants. By contrast, another cluster of countries with the highest relative lung cancer rates includes Bulgaria, Cyprus, Greece, Croatia, Hungary and Poland. Here, rates of smoking and exposure to air pollutants are highest from among all the population groups analyzed, potentially lending a signal that these risk factors for lung cancer are most significant for this country group. Surprisingly, EU countries with the highest development levels and the highest ratio of health care spending relative to GDP, also present with a relatively high indicator of lung cancer mortality despite their relatively low rates of smoking and exposure to air pollutants. The heterogeneity among EU Member states regarding significant risk factors for lung cancer implies that cancer prevention policy needs to be tailored to individual patterns in risk factors for cancer.
Contributors are: Sayansk Da Silva, Joe Feinglass, Scott W. Hegerty, Joseph E. Hibdon, Jr, Arkadiusz Michał Kowalski, Małgorzata Stefania Lewandowska, Dawid Majcherek, Ewelina Nojszewska, Izabela Pruchnicka-Grabias, Agata Sielska and Julian Smółka.
Contributors are: Sayansk Da Silva, Joe Feinglass, Scott W. Hegerty, Joseph E. Hibdon, Jr, Arkadiusz Michał Kowalski, Małgorzata Stefania Lewandowska, Dawid Majcherek, Ewelina Nojszewska, Izabela Pruchnicka-Grabias, Agata Sielska and Julian Smółka.