2 Germany 81,276,000
4 United Kingdom 65,000,000
5 France 64,304,000
6 Italy 60,963,000
7 Spain 46,335,000
12 Netherlands 16,933,000
13 Belgium 11,259,000
15 Czech Republic 10,535,000
16 Portugal 10,311,000
17 Hungary 9,835,000
18 Sweden 9,794,000
21 Austria 8,608,000
22 Switzerland 8,265,000
25 Denmark 5,673,000
26 Finland 5,475,000
27 Slovakia 5,426,000
28 Norway 5,194,000
29 Ireland 4,630,000
My guess here is that at March 31, 2017 when the present quarter ends only the below governments will be and having purchased Scenesse. The U.K. Is just a beauracracy that probably uses delay and pricing as an excuse to save money on all approved drugs. Maybe the French but since there is no info, I leave them off.
If we take the ratio of EPP at the rate in Switzerland 8 million population a well documented 48 EPP patients and round it off below we can assume Germany 80 million population has a population ten times bigger so there is another 480 EPP patients.
The Netherlands 16 million population has about twice Swiss 8 million so I give them about 100 EPP patients.
The Austrian 8 million population is respective another 50 patients.
If we combine the populations of Norway, Finland and Denmark we get a total population about 16 million combined and that's another 50 EPP patients.
If we give Belgium and Czech and Sweden another rough about 180 EPP patients for there combined populations.
And the Italians seem to have a lower epidemics and seem always at about 120 EPP patients.
And 8 Americans.
That is 1,040 EPP patients that can potentially want Scenesse each two months this summer. With my assuming not all will want Scenesse, I think with the quarter covering 3 months than some patients will overlap a second Sceness each quarter.
Germany 81,276,000
Italy 60,963,000
Netherlands 16,933,000
Belgium 11,259,000
Czech Republic 10,535,000
Sweden 9,794,000
Austria 8,608,000
Switzerland 8,265,000
Denmark 5,673,000
Finland 5,475,000
Norway 5,194,000
The rest of Europe that can reimburse should get the present quarter Clinuvel is in might see a order for on the pharmacist's shelves i think an order for 1500 units of sale. Without considering France in equation yet.
I think Lachlan Hay has a still tough task in London trying to get Scenesse approved again, but the Germans just legitimatized the Scenesse drug, the therapeutic value, and the price.
Same for Italy. A big one off the checklist.
According to my notes when Intermune got reimbursement in Germany for Esbriet (September 2011) the mandatory rebate was 16%. I haven't researched to see if the figure has changed or not. Additionally, about a year later they set a price with Umbrella Association of German Sick-Funds (GKV-SV) good for 1 year or until costs to the healthcare system in Germany reach 50 million Euros in any 12-month period, at which time the price would be revisited, as required by the AMNOG law.
US Ambassador David Satterfield is treating Turkey like a colony, Ankara’s health minister Fahrettin Koca said, commenting on the escalating row over the skyrocketing debt Turkey owes to American drug companies.
“What the ambassador did is neither correct nor ethical. He is using manipulation at a time when we are holding talks with drug companies. He may be able to do such acts in colonies, but this is not such a country,” Koca told reporters on Friday, while visiting the Black Sea province of Samsun.
ALSO ON RT.COMTurkey announces live-fire drills in Eastern Mediterranean as Erdogan tells Trump Ankara not to blame for regional instabilityKoca was referring to the “extremely unfortunate” comments by the US envoy during a trade conference on Wednesday, when Satterfield warned that American pharmaceutical companies “will consider departing the Turkish market or will reduce exposure to Turkish market,” over the outstanding debt – which ballooned from $230 million last year to some $2.3 billion currently.
Turkish President Recep Tayyip Erdogan and Finance Minister Berat Albayrak assured US Commerce Secretary Wilbur Ross that prompt payments will be arranged when Ross raised the issue in 2019, Sutterfied said. Now, however, Turkey is asking US companies to accept significantly reduced repayments. This is unacceptable to Washington, he said.
Meanwhile, Turkish Foreign Minister Mevlut Cavusoglu lashed out at Speaker of the House Nancy Pelosi (D-California) earlier on Friday, criticizing her “blatant ignorance” and threatening that she will “learn to respect the Turkish people’s will.”
Cavusoglu’s angry tweet came after Pelosi sought to criticize US President Donald Trump as a wannabe dictator, arguing the US is a democracy – unlike North Korea, Turkey, Russia or Saudi Arabia.
“We do know who he admires. He admires [Russian President Vladimir] Putin, he admires Kim Jong Un, he admires Erdogan in Turkey," Pelosi told reporters.
The “colonial” row over medical debt and the Cavusoglu-Pelosi diplomatic flare-up are just the latest in the string of sparks between Ankara and Washington in recent years. The US has threatened Turkey with sanctions and kicked Ankara out of the F-35 stealth fighter consortium after the purchase of Russian S-400 air defense systems in July 2019.
Another round of sanctions threats came in October, after Turkey sent troops into areas of northern Syria held by the US-backed Kurdish militias. Ankara’s move also soured relations with another NATO ally, France, which has since repeatedly butted heads with Turkey over Libya and oil exploration in the Eastern Mediterranean.
More recently, Washington expressed “disappointment” in July, after Erdogan decided to convert Hagia Sophia into a mosque again. The Orthodox cathedral was built by the Byzantines and turned into a mosque after the Ottoman conquest of Constantinople (now Istanbul), but became a museum under Kemal Ataturk, the founder of the modern Turkish republic.
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