Date:5/25/2010

. In the event such risks or uncertainties materialize, the Company's results could be materially adversely affected. The risks and uncertainties include, but are not limited to, risks associated with: the inherent uncertainty of research, development, approval, reimbursement, manufacturing and commercialization of the Company's Specialty Pharmaceutical and Human Genetic Therapies products (including, without limitation, velaglucerase alfa), as well as the ability to secure and integrate new products for commercialization and/or development; government regulation of the Company's products; the Company's ability to manufacture its products in sufficient quantities to meet demand; the impact of competitive therapies on the Company's products; the Company's ability to register, maintain and enforce patents and other intellectual property rights relating to its products; the Company's ability to obtain and maintain government and other third-party reimbursement for its products; and other risks and uncertainties detailed from time to time in the Company's filings with the Securities and Exchange Commission.

(+) For this survey, parents or guardians responded to survey items on behalf of 102,353 sample children (completion rate:  68.8 percent).  NSCH data were weighted to estimate national rates of ADHD diagnosis.  As a proxy for ADHD diagnosis, respondents were asked, "Has a doctor or health professional ever told you that [child] has ADD or ADHD?"  

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