Widening waistlines spell opportunity – Nikkei Asian Review

SINGAPORE – With “Western-style” ailments such as obesity and diabetes on the increase in Asia, health-related businesses are ramping up their efforts to keep those diseases at bay. Asia’s spending on health care has been soaring. By 2017, the region’s expenditure will reach $2.1 trillion, 24% of the global total, according to a report by The Economist Intelligence Unit. “As incomes rise, education levels also improve, creating much greater awareness of health issues,” the report said. But as Asians earn more, they are becoming not only better educated but also more susceptible to so-called “lifestyle” diseases — afflictions the World Health Organization classes as “noncommunicable” and “chronic.” Chronic maladies such as heart disease and diabetes are the No. 1 killers in Southeast Asia, accounting for 62% of all deaths, according to the WHO. Growing Asian affluence and the spread of fast-food chains have led to increasingly unhealthy eating habits, as foods high in fat, salt and sugar are consumed in greater amounts. This, in turn, has caused a spike in conditions previously more common in Western countries. Malaysia-based IHH Healthcare is among the hospital operators responding to the region’s growing medical needs. “Rapid growth, rapid rise in affluence and the development of the middle income group, these are all very favorable factors for the health care industry,” said Tan See Leng, IHH’s managing director and CEO, speaking at the FT-Nikkei Asia300 Forum in Hong Kong on April 25.

As incomes rise, so does the prevalence of diabetes – Nikkei Asian Review

SINGAPORE – After enduring two terms in prison in military-ruled Myanmar, Bo Kyi might have been forgiven for thinking he had overcome the worst life could throw at him. But in February, a decade and a half after he was released from jail, his doctor gave him some grim news: a diagnosis of Type 2 diabetes. Not for the first time, the outspoken activist faced some life-changing decisions, perhaps the most significant since the day nearly three decades ago when he joined thousands of other students protesting against army rule in what was then Burma. “I changed my lifestyle since I found out,” Bo Kyi said, explaining that he has cut out beer, cigarettes and sugary food. He said the grinding neglect typical of life as a political prisoner in Myanmar did not cause his diabetes. But with poor hygiene and malnutrition common in Myanmar jails, the best Bo Kyi could say was that he is “not sure” how seven years behind bars has affected his health. The World Health Organization lists diabetes as one of the four main types of noncommunicable diseases, alongside cardiovascular diseases, such as heart attack and stroke, chronic respiratory diseases, such as asthma, and cancers. Worldwide, there were 415 million adults living with diabetes in 2015, according to the latest estimates published by the International Diabetes Federation. The IDF expects that number to hit 642 million by 2040.

Taking stock of China’s slowdown – Nikkei Asian Review

HO CHI MINH CITY/SINGAPORE — The 10 member countries of the Association of Southeast Asian Nations collectively do more business with China than with any other country, with bilateral trade between the two sides growing by an annual 8.3% in 2014 to $480 billion, according to Chinese government figures. But since mid-2015, slowing Chinese growth and a weaker yuan have fueled fears in Southeast Asia that the region has become too dependent on China’s vast markets. China has allowed the yuan to fall by 5% against the dollar, signaling that it may opt for a devaluation to make its exports more competitive. Manu Bhaskaran, chief executive of Centennial Asia Advisors, an economic advisory company, believes that a further weakening of the yuan could trigger competitive devaluations across Asia. “What is the knock-on effect on other currencies? Probably down,” Bhaskaran told the Nikkei Asian Review.

Myanmar emigrants in Singapore eye their homeland – Nikkei Asian Review

SINGAPORE — It was no more than a glance, but Aye Aye Win’s respectful mid-sentence nod toward her 83-year-old father said as much as anything else about why she wants to remain in Singapore after three decades in the city-state, away from her family in Myanmar. The old man, Maung Htay, had been in Singapore “for a few weeks” to get medical treatment that Aye Aye Win said was out of his reach at home — a legacy of decades of meager health spending by Myanmar’s long-ruling military junta She runs a small shop in Peninsula Plaza, a vibrant commercial complex that is the center of Myanmar life in Singapore. Women, their cheeks painted with cream-colored thanaka — a Myanmar cosmetic made from tree bark — perch on high stools behind shop counters selling cellphones. Other shops selling longyi — a Myanmar version of the sarong — sit alongside restaurants dishing up Myanmar staples such as tea-leaf salad and mohinga, a popular curried fish and noodle soup. “I plan to stay here, though I know a lot of people who are going back,” said Aye Aye Win

China slowdown a worry for Southeast Asia – Nikkei Asian Review

SINGAPORE — While China’s economy continues to grow much faster than those of Japan and most Western countries, according to official figures, the country’s mix of slowing imports, wobbly stock markets and a weakening currency is a growing concern for Southeast Asian countries that have grown increasingly dependent on trade with Asia’s largest economy. China’s official 7% annual rate of growth in gross domestic product in 2015 is the lowest in a quarter century, down from the 7.4% posted in 2014. It leaves Southeast Asian countries vulnerable to slowing Chinese growth, six years after Beijing signed a landmark trade agreement with the 10-country Association of Southeast Asian Nations. As China’s economy expanded to become the world’s second biggest, trade between Southeast Asia and China grew, as the latter sought raw materials for massive infrastructure and city building. However, since riding out the 2008 financial crisis that brought several Western economies close to ruin, China has slowly tried to shift the basis of economic growth from investment to domestic consumption. As a result, China’s demand for commodities has declined. Jia Qingguo, Dean of International Studies at Peking University, said that “the Chinese economy and the Southeast Asian economies are integrated, and the slowdown in the Chinese economy will affect Southeast Asia in a negative way.”

With IS losing ground, Indonesia fears attacks by returning fighters – Nikkei Asian Review

SINGAPORE — The Indonesian government remains concerned about the threat posed by the self-described Islamic State, despite the group’s recent territorial losses in Iraq and Syria including the ceding of the key city of Ramadi to the Iraqi army in late December. “Indonesia is very vulnerable,” said Dewi Fortuna Anwar, an adviser to Indonesian Vice President Jusuf Kalla, airing Jakarta’s fears that Indonesian members of IS could return home to carry out terrorist attacks. “We are exploring the role played by religious leaders to develop counter narratives,” Anwar said, discussing the ideological appeal of the extremist group to hundreds of Indonesians thought to have traveled to Iraq and Syria in recent years. Anwar was speaking in Singapore at a regional forum organized by the Institute of Southeast Asian Studies.