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Disease & Epidemiology Intelligence

Disease Burden by Geography

Demand-side intelligence: where the patients actually are.

Country-level disease burden, prevalence trends and unmet-need analysis — for therapy area prioritization, launch sequencing and access strategy.

Decision angle

"Where does the unmet disease burden create real, payable demand?"

TL;DR

Disease burden ≠ pharma opportunity. The right view layers prevalence, diagnosis rates, treatment access and reimbursement to expose where demand is real and payable.

Disease burden is the foundation of every pharma TA strategy — and the most commonly misused dataset. Headline prevalence numbers without diagnosis, access and reimbursement context lead teams into markets that are large on paper and tiny in reality.

Convert burden into payable demand

Prevalence × diagnosed × treated × reimbursed × on-label is the only number that should drive a TA bet. Each multiplier compresses the apparent market — and exposes which geographies are worth prioritizing.

Build a live, country-level view

Decision teams stop using one-time epi reports and instead operate a live demand engine that updates as guidelines, formulary decisions and HTA outcomes change.

Key insights

What we’re seeing in the data.

01

Diagnosis gap is the hidden barrier

High prevalence with low diagnosis rates compresses real opportunity by 30–60%.

02

NCDs dominate growth

Cardio, oncology, diabetes and CKD drive 70%+ of incremental burden through 2035.

03

Emerging markets shift the geo mix

India, China, Brazil and Indonesia gain share of global burden but cap pricing — model both.

04

Climate-linked disease shifts patterns

Vector-borne and respiratory disease distributions are moving — durable for 10–20 year forecasts.

70%+
NCD share of global burden
WHO
<50%
Avg diagnosis rate (NCDs)
Estimated
4
EM countries driving growth
IND/CHN/BRA/IDN
2035
Forecast horizon
GBD
Decision framework

How to think about it.

  1. 01

    Start from prevalence data

    GBD, WHO and country-specific epi datasets.

  2. 02

    Layer diagnosis rate

    Diagnosed prevalence is the real addressable cohort.

  3. 03

    Apply treatment-access filter

    Treated rate from claims, registries and HCP audits.

  4. 04

    Score reimbursement reality

    Public formulary inclusion, HTA outcomes and out-of-pocket dynamics.

  5. 05

    Express as payable demand

    Treated × reimbursed × on-label = the number that drives strategy.

Considerations

What separates a good answer from a defensible one.

Data heterogeneity

Epi sources disagree — triangulate at least three.

Subnational variation

Provincial / state level often matters more than country average.

Population aging

Aging shifts disease mix toward chronic — model demographic curves.

Comorbidity overlap

Cardio-renal-metabolic overlaps inflate single-disease counts.

Sources & tools

Where the signal comes from.

IHME GBD WHO Global Health Observatory IQVIA disease epi datasets Country health-ministry registries Open claims & EHR data
FAQ

Common questions.

How often should this view refresh?

Prevalence yearly; diagnosis and treated rates quarterly with claims; reimbursement live.

How do you handle data conflicts?

Always show ranges across sources with clear assumptions, not single point estimates.

Want this answered on your data?

We build decision systems on top of analyses like this — so the next question takes minutes, not weeks.

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