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. 2017 Aug 15;12(8):e0182742. doi: 10.1371/journal.pone.0182742

Table 1. Average ratio of new chemical entities (NCE) registration fees to billions of US dollars in gross domestic product (GDP) and total health expenditure, by region, with and without population weights.

Average Ratio: NCE fee / US$US-billions of GDP Population-weighted Average Ratio: NCE fee /US$US-billions of GDP Average Ratio: NCE fee / US-billions of total health expenditure Population-weighted Average Ratio: NCE fee / US-billions of total health expenditure
Africa 28.3 14.1 453.7 263.5
Arab States 12.1 6.4 189.5 112.0
Asia & Pacific 43.4 6.5 525.9 90.1
Commonwealth of Independent States 26.8 8.7 443.3 141.4
European Medicines Agency (EMA)* 18.6 18.6 199.6 199.6
Europe* 127.5 30.7 1,638.3 368.1
North America 126.6 116.7 1,159.6 883.9
South and Central America 7.9 12.1 115.7 160.2

* EMA figure represents the registration fee for EMA, divided by the entire population of member states. European region figures reflect the average of those countries for which national registration fees were available.