PRESENCE OF ORGANIC MATTER CONTACT TIME... 13

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1 CHAPTER ONE: INTRODUCTION... 1 STUDY OBJECTIVES... 1 REASONS FOR DOING THIS STUDY... 1 INTENDED AUDIENCE... 2 SCOPE OF THE STUDY... 2 METHODOLOGY... 2 INFORMATION SOURCES... 2 ABOUT THE AUTHOR... 2 RELATED BCC REPORTS... 3 BCC ONLINE SERVICES... 3 DISCLAIMER... 4 CHAPTER TWO: EXECUTIVE SUMMARY... 5 EXECUTIVE SUMMARY... 5 SUMMARY TABLE WORLDWIDE REVENUE OF ANTISEPTICS AND DISINFECTANTS, THROUGH 2016 ($ MILLIONS)... 6 SUMMARY FIGURE WORLDWIDE REVENUE OF ANTISEPTICS AND DISINFECTANTS, ($ MILLIONS)... 6 CHAPTER THREE: OVERVIEW... 7 DEFINITIONS... 7 MECHANISM OF ACTION OF ANTISEPTICS AND DISINFECTANTS... 8 ACTION ON MEMBRANE... 8 DENATURATION OF CELLULAR PROTEINS... 8 INACTIVATION OF KEY ENZYMES... 9 ALKYLATION OF AMINO-GROUP... 9 DAMAGE TO NUCLEIC ACIDS... 9 SELECTION CRITERIA FOR DISINFECTANT... 9 SPEED OF ACTION EFFICACY HEALTH AND SAFETY ECOLOGICAL PROFILE MATERIAL COMPATIBILITY FACTORS AFFECTING THE ACTIVITY OF DISINFECTANTS LENGTH OF TIME AGE CONCENTRATION AND POTENCY TEMPERATURE PH LEVELS HARDNESS OF WATER MICROBIAL RESISTANCE FACTORS THAT AFFECT THE ACTIVITY OF ANTISEPTICS CONCENTRATION... 12

2 PRESENCE OF ORGANIC MATTER CONTACT TIME CHAPTER FOUR: CLASSIFICATION BIGUANIDES AND AMIDINES POLYHEXANIDE CHLORHEXIDINE PHENOL AND DERIVATIVES PHENOL HEXACHLOROPHENE TRICLOSAN CHLOROXYLENOL PENTACHLOROPHENOL QUATERNARY AMMONIUM COMPOUNDS BENZALKONIUM CHLORIDE BENZETHONIUM CHLORIDE CETRIMONIUM COMPOUNDS CETYLPYRIDINIUM IODINE PRODUCTS POVIDONE IODINE TINCTURE OF IODINE SILVER COMPOUNDS OXIDIZING AGENTS SODIUM HYPOCHLORITE CALCIUM HYPOCHLORITE CHLORAMINES TABLE 1 MONOCHLORAMINES VS. CHLORINE DISINFECTANT CHLORINE DIOXIDE HYDROGEN PEROXIDE ALDEHYDES FORMALDEHYDE GLUTARALDEHYDE ALCOHOLS OTHER ANTISEPTICS AND DISINFECTANTS HYDROXYQUINOLINE DEQUALINIUM CHLOROQUINALDOL OXYQUINOLINE GLYCOLIC ACID OTHER CLASSIFICATION OF ANTISEPTICS AND DISINFECTANTS LOW-LEVEL DISINFECTANTS INTERMEDIATE-LEVEL DISINFECTANTS HIGH-LEVEL DISINFECTANTS... 28

3 CHAPTER FIVE: REGULATORY ASPECTS REGULATORY ASPECTS NEW ANTISEPTICS AND DISINFECTANT APPROVALS TABLE 2 APPROVED DISINFECTANTS AND ANTISEPTICS, TABLE 2 (CONTINUED) TABLE 2 (CONTINUED) TABLE 2 (CONTINUED) TABLE 3 NUMBER OF NEW PRODUCT APPROVALS IN EACH YEAR, FIGURE 1 NUMBER OF NEW PRODUCT APPROVALS, CHAPTER SIX: INDUSTRY STRUCTURE MANUFACTURERS/ SUPPLIERS OF ANTISEPTICS AND DISINFECTANTS BIGUANIDES AND AMIDINES TABLE 4 LEADING MANUFACTURERS/SUPPLIERS OF BIGUANIDES AND AMIDINES TABLE 5 LEADING MANUFACTURERS/SUPPLIERS OF PHENOL AND DERIVATIVES TABLE 5 (CONTINUED) TABLE 6 LEADING MANUFACTURERS/SUPPLIERS OF IODINE AND IODOPHORS TABLE 7 LEADING MANUFACTURERS/SUPPLIERS OF QUATERNARY AMMONIUM PRODUCTS TABLE 7 (CONTINUED) TABLE 8 LEADING MANUFACTURERS/SUPPLIERS OF SILVER PRODUCTS TABLE 9 LEADING MANUFACTURERS/SUPPLIERS OF ALDEHYDE-BASED PRODUCTS TABLE 10 LEADING MANUFACTURERS/SUPPLIERS OF ALCOHOL- BASED PRODUCTS TABLE 10 (CONTINUED) TABLE 11 LEADING MANUFACTURERS/SUPPLIERS OF OXIDIZING AGENTS TABLE 11 (CONTINUED) TABLE 12 LEADING MANUFACTURERS/SUPPLIERS OF OTHERS CATEGORY AS ANTISEPTICS AND DISINFECTANTS TABLE 12 (CONTINUED) MARKET SHARES OF INDUSTRY LEADERS OF ANTISEPTICS AND DISINFECTANTS BIGUANIDES AND AMIDINES TABLE 13 WORLDWIDE MARKET SHARES OF MANUFACTURERS/SUPPLIERS OF BIGUANIDES AND AMIDINES, 2010 (%)... 44

4 FIGURE 2 WORLDWIDE MARKET SHARES OF MANUFACTURERS/SUPPLIERS OF BIGUANIDES AND AMIDINES, 2010 (%) PHENOL AND DERIVATIVES TABLE 14 WORLDWIDE MARKET SHARES OF MANUFACTURERS/SUPPLIERS OF PHENOL AND DERIVATIVES, 2010 (%) FIGURE 3 WORLDWIDE MARKET SHARES OF MANUFACTURERS/SUPPLIERS OF PHENOL AND DERIVATIVES, 2010 (%) IODINE PRODUCTS TABLE 15 WORLDWIDE MARKET SHARES OF MANUFACTURERS/SUPPLIERS OF IODINE PRODUCTS, 2010 (%) FIGURE 4 WORLDWIDE MARKET SHARES OF MANUFACTURERS/SUPPLIERS OF IODINE PRODUCTS, 2010 (%) QUARTERNARY AMMONIUM COMPOUNDS TABLE 16 WORLDWIDE MARKET SHARES OF MANUFACTURERS/ SUPPLIERS OF QUARTERNARY AMMONIUM COMPOUNDS, 2010 (%) FIGURE 5 WORLDWIDE MARKET SHARES OF MANUFACTURERS/SUPPLIERS OF QUARTERNARY AMMONIUM COMPOUNDS, 2010 (%) SILVER PRODUCTS TABLE 17 WORLDWIDE MARKET SHARES OF MANUFACTURERS/SUPPLIERS OF SILVER PRODUCTS, 2010 (%) FIGURE 6 WORLDWIDE MARKET SHARES OF MANUFACTURERS/SUPPLIERS OF SILVER PRODUCTS, 2010 (%) ALDEHYDES TABLE 18 WORLDWIDE MARKET SHARES OF MANUFACTURERS/SUPPLIERS OF ALDEHYDE-BASED PRODUCTS, 2010 (%) FIGURE 7 WORLDWIDE MARKET SHARES OF MANUFACTURERS/SUPPLIERS OF ALDEHYDE-BASED PRODUCTS, 2010 (%) ALCOHOLS TABLE 19 WORLDWIDE MARKET SHARES OF MANUFACTURERS/SUPPLIERS OF ALCOHOL-BASED PRODUCTS, 2010 (%) FIGURE 8 WORLDWIDE MARKET SHARES OF MANUFACTURERS/SUPPLIERS OF ALCOHOL-BASED PRODUCTS, 2010 (%) OXIDIZING AGENTS... 52

5 TABLE 20 WORLDWIDE MARKET SHARES OF MANUFACTURERS/SUPPLIERS OF OXIDIZING AGENTS, 2010 (%) FIGURE 9 WORLDWIDE MARKET SHARES OF MANUFACTURERS/SUPPLIERS OF OXIDIZING AGENTS, 2010 (%) OTHERS TABLE 21 WORLDWIDE MARKET SHARES OF MANUFACTURERS/SUPPLIERS OF OTHERS CATEGORY OF ANTISEPTICS AND DISINFECTANTS, 2010 (%) FIGURE 10 WORLDWIDE MARKET SHARES OF MANUFACTURERS/SUPPLIERS OF OTHERS CATEGORY OF ANTISEPTICS AND DISINFECTANTS, 2010 (%) CHAPTER SEVEN: NEW DEVELOPMENTS TABLE 22 NEW DEVELOPMENTS, 2008 TO MARCH TABLE 22 (CONTINUED) SOME OTHER DEVELOPMENTS IN RESEARCH INSTITUTES CHAPTER EIGHT: MARKET ANALYSIS Market Revenue TABLE 23 WORLDWIDE MARKET ANTISEPTICS AND DISINFECTANTS, 2009 TO 2016 ($ MILLIONS) FIGURE 11 WORLDWIDE MARKET FOR ANTISEPTICS AND DISINFECTANTS, ($ MILLIONS) BIGUANIDES AND AMIDINES Market Overview Market Revenue TABLE 24 WORLDWIDE MARKET FOR BIGUANIDES AND AMIDINES BY REGION, THROUGH 2016 ($ MILLIONS) FIGURE 12 WORLDWIDE MARKET FOR BIGUANIDES AND AMIDINES BY REGION, THROUGH 2016 ($ MILLIONS) PHENOL AND DERIVATIVES Market Overview Market Revenue TABLE 25 WORLDWIDE MARKET FOR PHENOL AND DERIVATIVES BY REGION, THROUGH 2016 ($ MILLIONS) FIGURE 13 WORLDWIDE MARKET FOR PHENOL AND DERIVATIVES BY REGION, ($ MILLIONS) IODINE PRODUCTS MARKET OVERVIEW MARKET REVENUE TABLE 26 WORLDWIDE MARKET FOR IODINE PRODUCTS BY REGION, THROUGH 2016 ($ MILLIONS)... 65

6 FIGURE 14 WORLDWIDE MARKET FOR IODINE PRODUCTS BY REGION, ($ MILLIONS) QUATERNARY AMMONIUM COMPOUNDS MARKET OVERVIEW MARKET REVENUE TABLE 27 WORLDWIDE MARKET FOR QUATERNARY AMMONIUM PRODUCTS BY REGION, THROUGH 2016 ($ MILLIONS) FIGURE 15 WORLDWIDE MARKET FOR QUATERNARY AMMONIUM PRODUCTS BY REGION, ($ MILLIONS) SILVER PRODUCTS MARKET OVERVIEW MARKET REVENUE TABLE 28 WORLDWIDE MARKET FOR SILVER PRODUCTS BY REGION, THROUGH 2016 ($ MILLIONS) FIGURE 16 WORLDWIDE MARKET FOR SILVER PRODUCTS BY REGION, ($ MILLIONS) ALDEHYDE PRODUCTS MARKET OVERVIEW MARKET REVENUE TABLE 29 WORLDWIDE MARKET FOR ALDEHYDE-BASED PRODUCTS BY REGION, THROUGH 2016 ($ MILLIONS) FIGURE 17 WORLDWIDE MARKET FOR ALDEHYDE-BASED PRODUCTS BY REGION, ($ MILLIONS) ALCOHOLS MARKET OVERVIEW MARKET REVENUE TABLE 30 WORLDWIDE MARKET FOR ALCOHOL-BASED PRODUCTS BY REGION, THROUGH 2016 ($ MILLIONS) FIGURE 18 WORLDWIDE MARKET FOR ALCOHOL-BASED PRODUCTS BY REGION, ($ MILLIONS) OXIDIZING AGENTS MARKET OVERVIEW MARKET REVENUE TABLE 31 WORLDWIDE MARKET FOR OXIDIZING AGENTS BY REGION, THROUGH 2016 ($ MILLIONS) FIGURE 19 WORLDWIDE MARKET FOR OXIDIZING AGENTS BY REGION, ($ MILLIONS) OTHERS MARKET OVERVIEW MARKET REVENUE TABLE 32 WORLDWIDE MARKET FOR OTHERS CATEGORY OF ANTISEPTICS AND DISINFECTANTS BY REGION, THROUGH 2016 ($ MILLIONS)... 79

7 FIGURE 20 WORLDWIDE MARKET FOR OTHERS CATEGORY OF ANTISEPTICS AND DISINFECTANTS BY REGION, ($ MILLIONS) MARKET SHARES OF ANTISEPTICS AND DISINFECTANTS, BY REGION TABLE 33 WORLDWIDE ANTISEPTICS AND DISINFECTANT MARKET SHARES BY REGION, 2010 (%) FIGURE 21 WORLDWIDE ANTISEPTICS AND DISINFECTANT MARKET SHARES BY REGION, 2010 (%) CHAPTER NINE: MARKET BY END USERS TABLE 34 GLOBAL MARKET FOR ANTISEPTICS AND DISINFECTANTS BY END USERS, THROUGH 2016 ($ MILLIONS) FIGURE 22 GLOBAL MARKET FOR ANTISEPTICS AND DISINFECTANTS BY END USERS, ($ MILLIONS) DOMESTIC ANTISEPTICS AND DISINFECTANTS MARKET REVENUE TABLE 35 GLOBAL SALES OF DOMESTIC ANTISEPTICS AND DISINFECTANTS, THROUGH 2016 ($ MILLIONS) FIGURE 23 GLOBAL SALES OF DOMESTIC ANTISEPTICS AND DISINFECTANTS, ($ MILLIONS) Global Share TABLE 36 GLOBAL SHARE OF REGIONS IN DOMESTIC ANTISEPTICS AND DISINFECTANTS IN 2010 (%) FIGURE 24 GLOBAL SHARE OF REGIONS IN DOMESTIC ANTISEPTICS AND DISINFECTANTS IN 2010 (%) INSTITUTIONAL ANTISEPTICS AND DISINFECTANTS MARKET REVENUE TABLE 37 GLOBAL SALES OF INSTITUTIONAL ANTISEPTICS AND DISINFECTANTS, THROUGH 2016 ($ MILLIONS) FIGURE 25 GLOBAL SALES OF INSTITUTIONAL ANTISEPTICS AND DISINFECTANTS, THROUGH 2016 ($ MILLIONS) HEALTH CARE USAGE MARKET REVENUE TABLE 38 GLOBAL SALES OF HEALTH CARE ANTISEPTICS AND DISINFECTANTS, THROUGH 2016 ($ MILLIONS) FIGURE 26 GLOBAL SALES OF HEALTH CARE ANTISEPTICS AND DISINFECTANTS, ($ MILLIONS) GLOBAL SHARE TABLE 39 GLOBAL SHARE FOR HEALTH CARE ANTISEPTICS AND DISINFECTANTS IN 2010 (%) FIGURE 27 GLOBAL SHARE OF HEALTH CARE ANTISEPTICS AND DISINFECTANTS IN 2010 (%) INDUSTRIAL AND COMMERCIAL USE MARKET REVENUE... 90

8 TABLE 40 GLOBAL MARKET FOR ANTISEPTICS AND DISINFECTANTS USED IN INDUSTRIES AND COMMERCIAL PLACES, THROUGH 2016 ($ MILLIONS) FIGURE 28 GLOBAL MARKET FOR ANTISEPTICS AND DISINFECTANTS USED IN INDUSTRIES AND COMMERCIAL PLACES, ($ MILLIONS) GLOBAL SHARE TABLE 41 GLOBAL SHARE FOR INDUSTRIAL AND COMMERCIAL ANTISEPTICS AND DISINFECTANTS, IN 2010 (%) FIGURE 29 GLOBAL SHARE FOR INDUSTRIAL AND COMMERCIAL ANTISEPTICS AND DISINFECTANTS, IN 2010 (%) MARKET SHARE OF APPLICATIONS TABLE 42 SHARE OF ANTISEPTICS AND DISINFECTANTS BY END USERS, IN 2010 (%) FIGURE 30 SHARE OF ANTISEPTICS AND DISINFECTANTS BY END USERS, IN 2010 (%) CHAPTER TEN: PATENT ANALYSIS PATENTS BY YEAR TABLE 43 NUMBER OF SIGNIFICANT PATENTS BY YEAR, (NUMBER/%) FIGURE 31 NUMBER OF SIGNIFICANT PATENTS BY YEAR, FIGURE 32 NUMBER OF PATENTS BY YEAR, (%) PATENTS BY TYPE TABLE 44 NUMBER OF PATENTS BY TYPE, FIGURE 33 PATENTS BY TYPE, (%) FIGURE 33 (CONTINUED) PATENTS BY COMPANY TABLE 45 NUMBER OF U.S. PATENTS BY COMPANY FOR ANTISEPTICS AND DISINFECTANTS, FIGURE 34 NUMBER OF U.S. PATENTS BY COMPANY FOR ANTISEPTICS AND DISINFECTANTS, PATENTS BY COUNTRY TABLE 46 NUMBER OF U.S. PATENTS BY COUNTRY, FIGURE 35 NUMBER OF U.S. PATENTS BY COUNTRY, PATENTS BY ASSIGNEE TYPE TABLE 47 PATENTS BY ASSIGNEE TYPE FOR ANTISEPTICS AND DISINFECTANTS, FIGURE 36 PATENTS BY ASSIGNEE TYPE FOR ANTISEPTICS AND DISINFECTANTS, CHAPTER ELEVEN: STRATEGIES AND PROSPECTS FACTORS AFFECTING THE MARKET OF ANTISEPTICS AND DISINFECTANTS

9 GROWING AWARENESS INVOLVEMENT OF MEDIA SHARP RISE IN INFECTIONS SWINE FLU OUTBREAK GLOBAL INITIATIVES DEMAND OF APPLICATION-SPECIFIC PRODUCTS COMPETITION AND DEMAND MANUFACTURER S STRATEGIES MERGERS AND ACQISITIONS MERGERS AND ACQISITIONS (CONTINUED) CHAPTER TWELVE: COMPANY PROFILES ABC COMPOUNDING COMPANY ACTAVIS AGION TECHNOLOGIES ALDA PHARMACEUTICAL CORPORATION AMERICAN BIOTECH LABS AMREP INC APLICARE INC BIO-CIDE INTERNATIONAL INC BIOTECH MEDICS INC CANTEL MEDICAL CORPORATION CARDINAL HEALTH CAREFUSION CORPORATION CCP INDUSTRIES CLOROX COMPANY (THE) COLGATE PALMOLIVE DALEY INTERNATIONAL LTD DIAL PROFESSIONAL SERIES DIVERSEY INC DOW MICROBIAL CONTROL DUPONT DURABAN ECOLAB INC GOJO INDUSTRIES JOHNSON & JOHNSON M COMPANY MEDICAL CHEMICAL CORP MELROSE CHEMICAL LTD METREX RESEARCH CORPORATION PALMERO HEALTHCARE PROCTER AND GAMBLE COMPANY PROFESSIONAL DISPOSABLES INTERNATIONAL PURE BIOSCIENCES RECKITT BENCKISER

10 SAFETEC OF AMERICA SINOFRESH HEALTHCARE INC SPORICIDIN INTERNATIONAL STEPAN COMPANY STERILEX CORPORATION STERIS CORPORATION VERIDIEN CORPORATION VIROX TECHNOLOGIES XTTRIUM LABORATORIES CHAPTER THIRTEEN: APPENDIX I ABBREVIATIONS/ DEFINITIONS

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