OVERVIEW:
The sleeping giant of Over the Counter and Direct to Consumer diagnostics is set to create a broad new diagnostic industry. New technologies create rapid test solutions for the home market.
Genetic testing led the way. Now Infectious disease testing is moving directly to the consumer. New sampling technology, rapid and multiplex tests have changed the picture on how and where testing is done. And the pandemic has proven the need for self testing. This report explores the DTC outlook. Find out where the action is and the learn about the players.
Exciting technical developments hold the promise of a dynamic, growing and evolving world market that holds the promise of diagnostics taking the lead in infectious disease eradication. Even newer diagnostics are now coming into play.
The report has hundreds of pages of information including a complete list and analysis of Current United States Medicare Fee Payment Schedules to help sharpen your pricing.
The report includes detailed breakouts for 15 Countries and 4 Regions. A detailed breakout for any country in the world is available to purchasers of the report.
All report data is available in Excel format on request.
Make investment decisions and valuations with confidence using the latest data.
ABOUT THE LEAD AUTHOR:
Mr. Greg Powell, B.SC., M.B.A is the President of Howe Sound Research. He is an experienced business and clinical professional. He is co-author of the paper "The Radioimmunoassay of Angiotensinogen by Antibody Trapping." He has worked in laboratory testing and management for over 20 years. Mr. Powell's education includes:
- B.Sc. (Chemistry) University of BC
- M.B.A. (Finance and Policy) University of BC
- Market Research Seminar - Burke Institute
- Finance for Senior Executives - Harvard Business School
Table of Contents
1 Market Guides
- 1.1 Situation Analysis
- 1.2 Guide for Executives and Marketing Staff
- 1.3 Guide for Investment Analysts and Management Consultants
2 Introduction and Market Definition
- 2.1 What is OTC and DTC Testing?
- 2.2 OTC/DTC Testing - the quiet revolution in diagnostics
- 2.3 Self vs. Send - who knew?
- 2.4 Market Definition
- 2.4.1 Retail vs. Wholesale
- 2.4.2 OTC, DTC, HxV and HSG
- 2.4.3 Currency
- 2.4.4 Years
- 2.5 Methodology
- 2.5.1 Methodology
- 2.5.2 Sources
- 2.5.3 Authors
- 2.6 Perspective: Healthcare and the IVD Industry
- 2.6.1 Spending on Diagnostics
- 2.6.2 Important Role of Insurance for Diagnostics
3 The Infectious Diseases - Guide to the Pathogens
- 3.1 Infections - The Big Picture
- 3.2 The Pathogens
- 3.2.1 Bacteria
- 3.2.2 Fungi and Protozoa
- 3.2.3 Viruses
- 3.2.4 Prions
- 3.2.5 Symptoms and Syndromes
- 3.2.6 Bacterial or viral
- 3.2.7 Typical Viral Symptoms
- 3.2.8 Typical Bacterial Symptoms
- 3.3 Disease
- 3.4 Transmission
- 3.5 Infectious Disease Diagnostics
- 3.5.1 Microbial culture
- 3.5.2 Microscopy
- 3.5.3 Biochemical tests
- 3.5.4 PCR-based diagnostics
- 3.5.5 Metagenomic sequencing
- 3.6 Defining Infections
- 3.7 Syndromic Infection
4 Industry Overview
- 4.1 Industry Participants
- 4.1.1 IVD Supplier
- 4.1.2 Independent lab specialized/esoteric
- 4.1.3 Independent lab national/regional
- 4.1.4 Independent lab analytical
- 4.1.5 Public National/regional lab
- 4.1.6 Hospital lab
- 4.1.7 Physician lab
- 4.1.8 Pharmacies
- 4.1.9 Audit body
- 4.2 The Clinical Laboratory Market Segments
- 4.2.1 Traditional Market Segmentation
- 4.2.2 Laboratory Focus and Segmentation
- 4.2.3 Segmenting the OTC/DTC Market
- 4.3 Industry Structure
- 4.3.1 Hospital Testing Share
- 4.3.2 Economies of Scale
- 4.3.3 Hospital vs. Central Lab
- 4.3.4 Physician Office Lab's
- 4.3.4.1 The Problem with POLS
- 4.3.5 Physician's and OCT/DTC
- 4.3.6 Pharmacies and OCT/DTC
- 4.3.6.1 The Diagnostic Plight of Pharmacies - Trying to do good
- 4.3.6.2 The Theranos Legacy
5 Market Trends
- 5.1 Factors Driving Growth
- 5.1.1 Privacy and Anonymity
- 5.1.2 The Internet Effect
- 5.1.3 Rapid Result
- 5.1.4 The Wellness Movement
- 5.1.5 The COVID-19 Impact
- 5.2 Factors Limiting Growth
- 5.2.1 Trust Factor
- 5.2.2 Infectious Disease is Declining But....
- 5.2.3 Wellness Hurts
- 5.2.4 Economic Growth improves Living Standards
- 5.3 Diagnostic Technology Development
- 5.3.1 The Multiplex Paradigm Shift
- 5.3.2 NAT vs. Lateral Flow
- 5.3.3 The Unusual Role of GPS
- 5.3.4 Self and Send Competition
- 5.3.5 The Relationship to DTC Genetic
- 5.3.6 The Relationship to TeleHealth
- 5.3.7 Sample Collection - Who Knew?
6 OTC/DTC Infectious Disease Testing Recent Developments
- 6.1 Recent Developments - Importance and How to Use This Section
- 6.1.1 Importance of These Developments
- 6.1.2 How to Use This Section
- 6.2 Silicon Valley Building Online Wellness Market
- 6.3 Simple HealthKit partners with Amazon
- 6.4 The future of at-home molecular testing
- 6.5 OTC Self-Tests, Tempered by Lack of Reimbursement
- 6.6 LetsGetChecked Gets FDA STD Test Approval
- 6.7 DiagMetrics Developing Breath Assays
- 6.8 Co-Diagnostics Awarded $2.3M for TB, HPV Tests
- 6.9 POC Developers Nuclein and Minute Molecular Dx Merge
- 6.10 ReadyGo Dx to Make MDx Testing a 'Snap'
- 6.11 Altratech Enters POC Space Supplanting PCR
- 6.12 FDA Authorizes First OTC Home Test for both Influenza and COVID-19
- 6.13 Pharmacies Poised to Capture At-Home Diagnostics Category
- 6.14 How Labcorp, Abbott, BD, Siemens plan to expand home testing market
- 6.15 Morgan Health Invests in LetsGetChecked
- 6.16 New US$ 1 price for HIV self-tests
- 6.17 Startup Detect to Roll Out Next-Gen Molecular Instrument
- 6.18 Diagnostics for the Real World Third-Generation POC Platform
- 6.19 Labcorp Partnering With Getlabs for Home Collection
- 6.20 Salignostics Closes Funding Round
- 6.21 Cue Health Targets DTC Market in 2022
- 6.22 Grip Molecular Developing Home Respiratory Panel
- 6.23 Mainz Biomed Developing Home ColoAlert Assay
- 6.24 MFB Fertility Closes Series A Financing Round
- 6.25 Continued Demand for SARS-CoV-2 Rapid Tests
- 6.26 Rapid Covid-19 Test Results Risk Going Uncounted
- 6.27 FDA Grants EUAs for Direct-to-Consumer Coronavirus Kit
- 6.28 Researchers Develop 15-Minute PCR System
- 6.29 Stanford Developing Low-Cost, At-Home, COVID-19 Saliva Test
- 6.30 Lucira Health Files for $115M IPO
- 6.31 Spectrum Solutions Gets CE Mark for Saliva Collection Devices
- 6.32 Sherlock Biosciences Receives Gates Foundation Grant for COVID-19 Self-Test
- 6.33 LabCorp Receives EUA for OTC COVID-19 Test Home Collection Kit
- 6.34 FemtoDx Launches Rapid At-Home Test Development for COVID-19
- 6.35 FDA approves first at-home coronavirus test
- 6.36 Free Home HIV Tests Detect More Infections
- 6.37 Biohacking trend supports self testing.
- 6.38 PerkinElmer and EverlyWell to Expand U.S. At-Home Health Test Market
- 6.39 Mylan, Atomo Diagnostics Get WHO Prequalification Approval for HIV Self-Test
- 6.40 OraSure Technologies, Inc. Announces Two Acquisitions
- 6.41 Nigerian Govt Approves Alere HIV Self-Test Kit
- 6.42 Boots launches UTI test and treat service across 37 branches
- 6.43 Scanwell Health moves beyond home UTI testing
- 6.44 Healthy.io raises $18 million for at-home urinalysis tests
- 6.45 LetsGetChecked collects $30M more for at-home health testing
- 6.46 TestCard, a $4 Urine Test Read by Smartphone
- 6.47 Digital Health Startup EverlyWell Raises $50M
- 6.48 Thriva adds test-at-home kits for female hormone and cortisol stress
- 6.49 Tasso scores $6.1M for patch-based home blood testing
- 6.50 DBS Systems HEMAXIS receives CE/IVD mark
- 6.51 Abbott HbA1c point-of-care test reliably diagnoses diabetes
7 Profiles of Key Diagnostic Testing Companies
- 7.1 1DropDiagnostics
- 7.2 Abbott Laboratories
- 7.3 Accel Diagnostics
- 7.4 Ador Diagnostics
- 7.5 ADT Biotech
- 7.6 Akonni Biosystems
- 7.7 AlphaBiolabs
- 7.8 Alveo Technologies
- 7.9 Applied BioCode
- 7.10 Atomo Diagnostics
- 7.11 Aureum Diagnostics
- 7.12 Aus Diagnostics
- 7.13 Becton, Dickinson and Company
- 7.14 Binx Health
- 7.15 Biocartis
- 7.16 BioFire Diagnostics (bioMerieux)
- 7.17 bioMerieux Diagnostics
- 7.18 Bio-Rad Laboratories, Inc
- 7.19 Bosch Healthcare Solutions GmbH
- 7.20 Cepheid (Danaher)
- 7.21 Cue Health
- 7.22 Curetis (OpGen)
- 7.23 DBS Systems
- 7.24 Detect
- 7.25 Diagenode Diagnostics (Hologic)
- 7.26 Diasorin S.p.A.
- 7.27 Domus Diagnostics
- 7.28 Ellume
- 7.29 Everywell
- 7.30 Getlabs
- 7.31 Grip Molecular Technologies
- 7.32 Healthy.io
- 7.33 Hologic
- 7.34 Inflammatix
- 7.35 Invetech
- 7.36 J&J Innovative Medicine
- 7.37 Karius
- 7.38 Laboratory Corporation of America
- 7.39 Letsgetchecked
- 7.40 LightDeck Diagnostics
- 7.41 Lucira Health (Pfizer)
- 7.42 LumiraDx
- 7.43 Meep
- 7.44 MFB Fertility
- 7.45 myLabBox
- 7.46 Nanomix
- 7.47 OraSure Technologies
- 7.48 Oxford Nanopore Technologies
- 7.49 Panagene
- 7.50 Prenetics
- 7.51 Primerdesign (Novacyt)
- 7.52 Prominex
- 7.53 Qiagen
- 7.54 QuantuMDx
- 7.55 Quest Diagnostics
- 7.56 QuidelOrtho
- 7.57 Randox Toxicology
- 7.58 R-Biopharm AG
- 7.59 Response Biomedical
- 7.60 Roche Diagnostics
- 7.61 Salignostics
- 7.62 SD Biosensor
- 7.63 Seegene
- 7.64 Sekisui Diagnostics
- 7.65 Siemens Healthineers
- 7.66 T2 Biosystems
- 7.67 TestCard
- 7.68 Thermo Fisher Scientific
- 7.69 Thriva
- 7.70 Visby Medical
- 7.71 XCR Diagnostics
- 7.72 YourBio Health
8 Global Market Size
- 8.1 OTC/DTC ID Global Market Size by Country
- 8.1.1 OTC/DTC ID Global Market Size by Country Table
- 8.1.2 OTC/DTC ID Global Market Size by Country Chart
- 8.2 OTC/DTC ID Global Market Size by Syndrome
- 8.2.1 OTC/DTC ID Global Market Size by Syndrome Table
- 8.2.2 OTC/DTC ID Global Market Size by Syndrome Share by Year
- 8.2.3 OTC/DTC ID Global Market Size by Syndrome Base vs Final
- 8.2.4 OTC/DTC ID Global Market Size by Syndrome Base Year
- 8.2.5 OTC/DTC ID Global Market Size by Syndrome Final Year
- 8.2.6 OTC/DTC ID Global Market Size by Syndrome Segment Growth
- 8.3 OTC/DTC ID Global Market Size by Channel
- 8.3.1 OTC/DTC ID Global Market Size by Channel Table
- 8.3.2 OTC/DTC ID Global Market Size by Channel Share by Year
- 8.3.3 OTC/DTC ID Global Market Size by Channel Base vs Final
- 8.3.4 OTC/DTC ID Global Market Size by Channel Base Year
- 8.3.5 OTC/DTC ID Global Market Size by Channel Final Year
- 8.3.6 OTC/DTC ID Global Market Size by Channel Segment Growth
9 Global Market by Syndrome
- 9.1 Respiratory Market
- 9.1.1 Respiratory Market by Country Table
- 9.1.2 Respiratory Market Chart
- 9.2 STD Market
- 9.2.1 STD Market by Country Table
- 9.2.2 STD Market Chart
- 9.3 UTI Market
- 9.3.1 UTI Market by Country Table
- 9.3.2 UTI Market Chart
- 9.4 HxV Market
- 9.4.1 HxV Market by Country Table
- 9.4.2 HxV Market by Chart
- 9.5 Other Market
- 9.5.1 Other Market by Country Table
- 9.5.2 Other Market Chart
10 Global Market by Channel
- 10.1 OTC Market
- 10.1.1 OTC Market by Country Table
- 10.1.2 OTC Market Chart
- 10.2 DTC Market
- 10.2.1 DTC Market by Country Table
- 10.2.2 DTC Market Chart
- 10.3 HSG Market
- 10.3.1 HSG Market by Country Table
- 10.3.2 HSG Market Chart
11 Appendices
- 11.1 Growth of Approved IVD Test Menu
- 11.2 Growth of Approved Average IVD Test Fee
- 11.3 The Most Used IVD Assays
- 11.4 The Highest Grossing Assays
- 11.5 Laboratory Fees Schedule