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A DRAMATIC SHIFT IS UNDERWAY in terms of where the global pharmaceutical industry is turning for growth and profitability. The cause is all too familiar: While the so-called major markets—the US and Canada, Britain and Western Europe, and Japan—are expected to fuel 70 percent of global sales this year, their contribution to global growth is due to drop to a measly 16 percent. Eclipsing these once-dominant sales drivers are a group of seven emerging markets—Brazil, India, Turkey, Mexico, Russia, South Korea, and, of course, China. These new engines are forecast to generate a phenomenal 51 percent of 2009's global growth, albeit while adding only 11 percent to global sales.

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