UNITED STATES

SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549



FORM N-PX



ANNUAL REPORT OF PROXY VOTING RECORD OF REGISTERED MANAGEMENT INVESTMENT COMPANY



Investment Company Act file number 811-21702 Name of Fund: BlackRock Health

Sciences Trust (BME) Fund Address: 100 Bellevue Parkway, Wilmington, DE 19809



Name and address of agent for service: Donald C. Burke, Chief Executive

Officer, BlackRock Health Sciences Trust, 800 Scudders Mill Road, Plainsboro,

NJ, 08536. Mailing address: P.O. Box 9011, Princeton, NJ, 08543-9011



Registrant's telephone number, including area code: (800) 882-0052, Option 4

Date of fiscal year end: 10/31 Date of reporting period: 07/01/2007 --

06/30/2008 Item 1 -- Proxy Voting Record -- Attached hereto.



Pursuant to the requirements of the Investment Company Act of 1940, the

registrant has duly caused this report to be signed on its behalf by the

undersigned, thereunto duly authorized.



BlackRock Health Sciences Trust



By: /s/ Donald C. Burke

Donald C. Burke

Chief Executive Officer of BlackRock Health Sciences Trust



Date: August 25, 2008



******************************* FORM N-Px REPORT *******************************

ICA File Number: 811-21702
Reporting Period: 07/01/2007 - 06/30/2008
BlackRock Health Sciences Trust









======================= BLACKROCK HEALTH SCIENCES TRUST ========================


ABBOTT LABORATORIES

Ticker:       ABT            Security ID:  002824100
Meeting Date: APR 25, 2008   Meeting Type: Annual
Record Date:  FEB 26, 2008

#     Proposal                                  Mgt Rec   Vote Cast  Sponsor
1.1   Elect Director R.S. Austin                For       For        Management
1.2   Elect Director W.M. Daley                 For       For        Management
1.3   Elect Director W.J. Farrell               For       For        Management
1.4   Elect Director H.L. Fuller                For       For        Management
1.5   Elect Director W.A. Osborn                For       For        Management
1.6   Elect Director D.A.L. Owen                For       For        Management
1.7   Elect Director B. Powell, Jr.             For       For        Management
1.8   Elect Director W.A. Reynolds              For       For        Management
1.9   Elect Director R.S. Roberts               For       For        Management
1.10  Elect Director S.C. Scott, III            For       For        Management
1.11  Elect Director W.D. Smithburg             For       For        Management
1.12  Elect Director G.F. Tilton                For       For        Management
1.13  Elect Director M.D. White                 For       For        Management
2     Ratify Auditors                           For       For        Management
3     Amend Human Rights Policy to Address      Against   Against    Shareholder
      Access to Medicines
4     Advisory Vote to Ratify Named Executive   Against   For        Shareholder
      Officers' Compensation


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AETNA INC.

Ticker:       AET            Security ID:  00817Y108
Meeting Date: MAY 30, 2008   Meeting Type: Annual
Record Date:  MAR 28, 2008

#     Proposal                                  Mgt Rec   Vote Cast  Sponsor
1.1   Elect Director Frank M. Clark             For       For        Management
1.2   Elect Director Betsy Z. Cohen             For       For        Management
1.3   Elect Director Molly J. Coye              For       For        Management
1.4   Elect Director Roger N. Farah             For       For        Management
1.5   Elect Director Barbara Hackman Franklin   For       For        Management
1.6   Elect Director Jeffrey E. Garten          For       For        Management
1.7   Elect Director Earl G. Graves             For       For        Management
1.8   Elect Director Gerald Greenwald           For       For        Management
1.9   Elect Director Ellen M. Hancock           For       For        Management
1.10  Elect Director Edward J. Ludwig           For       For        Management
1.11  Elect Director Joseph P. Newhouse         For       For        Management
1.12  Elect Director Ronald A. Williams         For       For        Management
2     Ratify Auditors                           For       For        Management
3     Provide for Cumulative Voting             Against   For        Shareholder
4     Require Director Nominee Qualifications   Against   Against    Shareholder


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ALCON INC.

Ticker:       ACL            Security ID:  H01301102
Meeting Date: MAY 6, 2008    Meeting Type: Annual
Record Date:  MAR 20, 2008

#     Proposal                                  Mgt Rec   Vote Cast  Sponsor
1     APPROVAL OF THE 2007 ANNUAL REPORT AND    For       For        Management
      ACCOUNTS OF ALCON, INC. AND THE 2007
      CONSOLIDATED FINANCIAL STATEMENTS OF
      ALCON, INC. AND SUBSIDIARIES
2     APPROPRIATION OF AVAILABLE EARNINGS AND   For       For        Management
      PROPOSED DIVIDEND TO SHAREHOLDERS FOR THE
      FINANCIAL YEAR 2007
3     DISCHARGE OF THE MEMBERS OF THE BOARD OF  For       For        Management
      DIRECTORS FOR THE FINANCIAL YEAR 2007
4     ELECTION OF KPMG KLYNVELD PEAT MARWICK    For       For        Management
      GOERDELER SA, ZURICH, AS GROUP AND PARENT
      COMPANY AUDITORS
5     ELECTION OF OBT AG, ZURICH, AS SPECIAL    For       For        Management
      AUDITORS
6     ELECTION TO THE BOARD OF DIRECTORS: PAUL  For       For        Management
      BULCKE
7     ELECTION TO THE BOARD OF DIRECTORS:       For       For        Management
      THOMAS G. PLASKETT
8     ELECTION TO THE BOARD OF DIRECTORS: PAUL  For       For        Management
      POLMAN
9     ELECTION TO THE BOARD OF DIRECTORS: CARY  For       For        Management
      R. RAYMENT
10    ELECTION TO THE BOARD OF DIRECTORS: James For       For        Management
      Singh
11    ELECTION TO THE BOARD OF DIRECTORS: Dr.   For       For        Management
      Daniel Vasella
12    APPROVAL OF SHARE CANCELLATION            For       For        Management


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ALEXION PHARMACEUTICALS, INC.

Ticker:       ALXN           Security ID:  015351109
Meeting Date: MAY 9, 2008    Meeting Type: Annual
Record Date:  MAR 24, 2008

#     Proposal                                  Mgt Rec   Vote Cast  Sponsor
1.1   Elect  Director Leonard Bell              For       For        Management
1.2   Elect  Director David W. Keiser           For       For        Management
1.3   Elect  Director Max Link                  For       For        Management
1.4   Elect  Director Joseph A. Madri           For       For        Management
1.5   Elect  Director Larry L. Mathis           For       For        Management
1.6   Elect  Director R. Douglas Norby          For       For        Management
1.7   Elect  Director Alvin S. Parven           For       For        Management
1.8   Elect  Director Ruedi E. Waeger           For       For        Management
2     Amend Omnibus Stock Plan                  For       For        Management
3     Ratify Auditors                           For       For        Management


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AMGEN, INC.

Ticker:       AMGN           Security ID:  031162100
Meeting Date: MAY 7, 2008    Meeting Type: Annual
Record Date:  MAR 10, 2008

#     Proposal                                  Mgt Rec   Vote Cast  Sponsor
1     Elect Director David Baltimore            For       For        Management
2     Elect Director Frank J. Biondi, Jr.       For       For        Management
3     Elect Director Jerry D. Choate            For       For        Management
4     Elect Director Vance D. Coffman           For       For        Management
5     Elect Director Frederick W. Gluck         For       For        Management
6     Elect Director Frank C. Herringer         For       For        Management
7     Elect Director Gilbert S. Omenn           For       For        Management
8     Elect Director Judith C. Pelham           For       For        Management
9     Elect Director J. Paul Reason             For       For        Management
10    Elect Director Leonard D. Schaeffer       For       For        Management
11    Elect Director Kevin W. Sharer            For       For        Management
12    Ratify Auditors                           For       For        Management
13    Reduce Supermajority Vote Requirement     Against   For        Shareholder
14    Report on Animal Welfare Act Violations   Against   Against    Shareholder


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APPLERA CORP

Ticker:       ABI            Security ID:  038020202
Meeting Date: OCT 18, 2007   Meeting Type: Annual
Record Date:  AUG 31, 2007

#     Proposal                                  Mgt Rec   Vote Cast  Sponsor
1.1   Elect Director Richard H. Ayers           For       For        Management
1.2   Elect Director Jean-Luc Belingard         For       For        Management
1.3   Elect Director Robert H. Hayes            For       For        Management
1.4   Elect Director Arnold J. Levine           For       For        Management
1.5   Elect Director William H. Longfield       For       For        Management
1.6   Elect Director Elaine R. Mardis           For       For        Management
1.7   Elect Director Theodore E. Martin         For       For        Management
1.8   Elect Director Carolyn W. Slayman         For       For        Management
1.9   Elect Director James R. Tobin             For       For        Management
1.10  Elect Director Tony L. White              For       For        Management
2     Ratify Auditors                           For       For        Management
3     Amend Qualified Employee Stock Purchase   For       For        Management
      Plan


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ARYX THERAPEUTICS INC

Ticker:       ARYX           Security ID:  043387109
Meeting Date: MAY 28, 2008   Meeting Type: Annual
Record Date:  APR 15, 2008

#     Proposal                                  Mgt Rec   Vote Cast  Sponsor
1.1   Elect Director Robert Adelman, M.D.       For       For        Management
1.2   Elect Director Peter G. Milner, M.D.      For       For        Management
1.3   Elect Director Nicholas Simon             For       For        Management
2     Ratify Auditors                           For       For        Management


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AUXILIUM PHARMACEUTICALS, INC.

Ticker:       AUXL           Security ID:  05334D107
Meeting Date: JUN 12, 2008   Meeting Type: Annual
Record Date:  APR 16, 2008

#     Proposal                                  Mgt Rec   Vote Cast  Sponsor
1.1   Elect Director Rolf A. Classon            For       For        Management
1.2   Elect Director Al Altomari                For       For        Management
1.3   Elect Director Armando Anido              For       For        Management
1.4   Elect Director Edwin A. Bescherer, Jr.    For       For        Management
1.5   Elect Director P.O. Chambon, M.D., Ph.D.  For       For        Management
1.6   Elect Director Oliver S. Fetzer, Ph.D.    For       For        Management
1.7   Elect Director Renato Fuchs, Ph.D.        For       For        Management
1.8   Elect Director Dennis Langer, M.D. J.D.   For       For        Management
1.9   Elect Director Dennis J. Purcell          For       Withhold   Management
2     Ratify Auditors                           For       For        Management


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BAXTER INTERNATIONAL INC.

Ticker:       BAX            Security ID:  071813109
Meeting Date: MAY 6, 2008    Meeting Type: Annual
Record Date:  MAR 7, 2008

#     Proposal                                  Mgt Rec   Vote Cast  Sponsor
1     Elect Director Wayne T. Hockmeyer         For       For        Management
2     Elect Director Joseph B. Martin           For       For        Management
3     Elect Director Robert L. Parkinson        For       For        Management
4     Elect Director Thomas T. Stallkamp        For       For        Management
5     Elect Director Albert P.L. Stroucken      For       For        Management
6     Ratify Auditors                           For       For        Management


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BECTON, DICKINSON AND COMPANY

Ticker:       BDX            Security ID:  075887109
Meeting Date: JAN 29, 2008   Meeting Type: Annual
Record Date:  DEC 7, 2007

#     Proposal                                  Mgt Rec   Vote Cast  Sponsor
1.1   Elect Director Basil L. Anderson          For       For        Management
1.2   Elect Director Marshall O. Larsen         For       For        Management
1.3   Elect Director Gary A. Mecklenburg        For       For        Management
1.4   Elect Director Cathy E. Minehan           For       For        Management
1.5   Elect Director Alfred Sommer              For       For        Management
2     Ratify Auditors                           For       For        Management
3     Declassify the Board of Directors         Against   For        Shareholder
4     Provide for Cumulative Voting             Against   Against    Shareholder
5     Report on Product Safety                  Against   Against    Shareholder


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BIOMARIN PHARMACEUTICAL INC.

Ticker:       BMRN           Security ID:  09061G101
Meeting Date: MAY 22, 2008   Meeting Type: Annual
Record Date:  MAR 25, 2008

#     Proposal                                  Mgt Rec   Vote Cast  Sponsor
1.1   Elect Director Jean-Jacques Bienaime      For       For        Management
1.2   Elect Director Michael Grey               For       For        Management
1.3   Elect Director Elaine J. Heron            For       For        Management
1.4   Elect Director Joseph Klein, III          For       For        Management
1.5   Elect Director Pierre Lapalme             For       For        Management
1.6   Elect Director V. Bryan Lawlis            For       For        Management
1.7   Elect Director Alan Lewis                 For       For        Management
1.8   Elect Director Richard A. Meier           For       For        Management
2     Ratify Auditors                           For       For        Management


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BRISTOL-MYERS SQUIBB CO.

Ticker:       BMY            Security ID:  110122108
Meeting Date: MAY 6, 2008    Meeting Type: Annual
Record Date:  MAR 10, 2008

#     Proposal                                  Mgt Rec   Vote Cast  Sponsor
1     Elect Director Lewis B. Campbell          For       For        Management
2     Elect Director James M. Cornelius         For       For        Management
3     Elect Director Louis J. Freeh             For       For        Management
4     Elect Director Laurie H. Glimcher         For       For        Management
5     Elect Director Michael Grobstein          For       For        Management
6     Elect Director Leif Johansson             For       For        Management
7     Elect Director Alan J. Lacey              For       For        Management
8     Elect Director Vicki L. Sato              For       For        Management
9     Elect Director Togo D. West, Jr.          For       For        Management
10    Elect Director R. Sanders Williams        For       For        Management
11    Ratify Auditors                           For       For        Management
12    Increase Disclosure of Executive          Against   For        Shareholder
      Compensation


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C. R. BARD, INC.

Ticker:       BCR            Security ID:  067383109
Meeting Date: APR 16, 2008   Meeting Type: Annual
Record Date:  FEB 25, 2008

#     Proposal                                  Mgt Rec   Vote Cast  Sponsor
1.1   Elect Director T. Kevin Dunnigan          For       For        Management
1.2   Elect Director Gail K. Naughton           For       For        Management
1.3   Elect Director John H. Weiland            For       For        Management
2     Amend Omnibus Stock Plan                  For       For        Management
3     Amend Qualified Employee Stock Purchase   For       For        Management
      Plan
4     Ratify Auditors                           For       For        Management
5     Require Majority Vote for Non-Contested   For       For        Management
      Election


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CELGENE CORP.

Ticker:       CELG           Security ID:  151020104
Meeting Date: JUN 18, 2008   Meeting Type: Annual
Record Date:  APR 22, 2008

#     Proposal                                  Mgt Rec   Vote Cast  Sponsor
1.1   Elect Director Sol J. Barer               For       For        Management
1.2   Elect Director Robert J. Hugin            For       For        Management
1.3   Elect Director Michael D. Casey           For       For        Management
1.4   Elect Director Rodman L. Drake            For       For        Management
1.5   Elect Director A. Hull Hayes, Jr.         For       Withhold   Management
1.6   Elect Director Gilla Kaplan               For       For        Management
1.7   Elect Director James J. Loughlin          For       For        Management
1.8   Elect Director Ernest Mario               For       For        Management
1.9   Elect Director Walter L. Robb             For       For        Management
2     Ratify Auditors                           For       For        Management
3     Amend Omnibus Stock Plan                  For       For        Management


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CEPHEID

Ticker:       CPHD           Security ID:  15670R107
Meeting Date: APR 24, 2008   Meeting Type: Annual
Record Date:  FEB 29, 2008

#     Proposal                                  Mgt Rec   Vote Cast  Sponsor
1.1   Elect Director Robert J. Easton           For       For        Management
1.2   Elect Director Mitchell D. Mroz           For       For        Management
1.3   Elect Director Hollings C. Renton         For       For        Management
2     Amend Omnibus Stock Plan                  For       For        Management
3     Ratify Auditors                           For       For        Management


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CHARLES RIVER LABORATORIES INTERNATIONAL, INC.

Ticker:       CRL            Security ID:  159864107
Meeting Date: MAY 8, 2008    Meeting Type: Annual
Record Date:  MAR 20, 2008

#     Proposal                                  Mgt Rec   Vote Cast  Sponsor
1.1   Elect  Director James C. Foster           For       For        Management
1.2   Elect  Director Nancy T. Chang            For       For        Management
1.3   Elect  Director Stephen D. Chubb          For       For        Management
1.4   Elect  Director George E. Massaro         For       For        Management
1.5   Elect  Director George M. Milne, Jr.      For       For        Management
1.6   Elect  Director C. Richard Reese          For       For        Management
1.7   Elect  Director Douglas E. Rogers         For       For        Management
1.8   Elect  Director Samuel O. Thier           For       For        Management
1.9   Elect  Director William H. Waltrip        For       For        Management
2     Ratify Auditors                           For       For        Management


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COVANCE INC.

Ticker:       CVD            Security ID:  222816100
Meeting Date: MAY 8, 2008    Meeting Type: Annual
Record Date:  MAR 18, 2008

#     Proposal                                  Mgt Rec   Vote Cast  Sponsor
1.1   Elect Director Kathleen G. Bang           For       For        Management
1.2   Elect Director Gary E. Costley, Ph.D.     For       For        Management
2     Approve Non-Employee Director Stock       For       For        Management
      Option Plan
3     Ratify Auditors                           For       For        Management


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CVS CAREMARK CORP

Ticker:       CVS            Security ID:  126650100
Meeting Date: MAY 7, 2008    Meeting Type: Annual
Record Date:  MAR 12, 2008

#     Proposal                                  Mgt Rec   Vote Cast  Sponsor
1     Elect Director Edwin M. Banks             For       For        Management
2     Elect Director C. David Brown II          For       For        Management
3     Elect Director David W. Dorman            For       For        Management
4     Elect Director Kristen E. Gibney Williams For       For        Management
5     Elect Director Marian L. Heard            For       For        Management
6     Elect Director William H. Joyce           For       For        Management
7     Elect Director Jean-Pierre Million        For       For        Management
8     Elect Director Terrence Murray            For       For        Management
9     Elect Director C.A. Lance Piccolo         For       For        Management
10    Elect Director Sheli Z. Rosenberg         For       For        Management
11    Elect Director Thomas M. Ryan             For       For        Management
12    Elect Director Richard J. Swift           For       For        Management
13    Ratify Auditors                           For       For        Management
14    Amend Articles/Bylaws/Charter -- Call     Against   For        Shareholder
      Special Meetings
15    Adopt Anti Gross-up Policy                Against   For        Shareholder
16    Report on Political Contributions         Against   Against    Shareholder


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CYBERONICS, INC.

Ticker:       CYBX           Security ID:  23251P102
Meeting Date: SEP 27, 2007   Meeting Type: Annual
Record Date:  AUG 1, 2007

#     Proposal                                  Mgt Rec   Vote Cast  Sponsor
1.1   Elect  Director Guy C. Jackson            For       For        Management
1.2   Elect  Director Daniel J. Moore           For       For        Management
1.3   Elect  Director Hugh M. Morrison          For       For        Management
1.4   Elect  Director Alfred J. Novak           For       For        Management
1.5   Elect  Director Alan Olsen                For       For        Management
1.6   Elect  Director A.L. Rosenthal, Ph.D.     For       For        Management
1.7   Elect  Director Jeffrey E. Schwarz        For       For        Management
1.8   Elect  Director M.J. Strauss, Md, Mph.    For       For        Management
1.9   Elect  Director Reese S. Terry, Jr.       For       For        Management
2     Ratify Auditors                           For       For        Management


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EPIX PHARMACEUTICALS INC

Ticker:       EPIX           Security ID:  26881Q309
Meeting Date: MAY 19, 2008   Meeting Type: Annual
Record Date:  MAR 25, 2008

#     Proposal                                  Mgt Rec   Vote Cast  Sponsor
1.1   Elect Director Frederick Frank            For       For        Management
1.2   Elect Director Gregory D. Phelps          For       For        Management
1.3   Elect Director Ian F. Smith, Cpa          For       For        Management
2     Approve Omnibus Stock Plan                For       For        Management
3     Ratify Auditors                           For       For        Management


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FIDELITY FUNDS

Ticker:       FDIXX          Security ID:  316175876
Meeting Date: APR 16, 2008   Meeting Type: Special
Record Date:  FEB 19, 2008

#     Proposal                                  Mgt Rec   Vote Cast  Sponsor
1.1   Elect Director James C. Curvey            For       For        Management
1.2   Elect Director Albert R. Gamper, Jr.      For       For        Management
1.3   Elect Director George H. Heilmeier        For       For        Management
1.4   Elect Director Arthur E. Johnson          For       For        Management
1.5   Elect Director Edward C. Johnson 3d       For       For        Management
1.6   Elect Director James H. Keyes             For       For        Management
1.7   Elect Director Marie L. Knowles           For       For        Management
1.8   Elect Director Kenneth L. Wolfe           For       For        Management


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GILEAD SCIENCES, INC.

Ticker:       GILD           Security ID:  375558103
Meeting Date: MAY 8, 2008    Meeting Type: Annual
Record Date:  MAR 19, 2008

#     Proposal                                  Mgt Rec   Vote Cast  Sponsor
1.1   Elect Director Paul Berg                  For       For        Management
1.2   Elect Director John F. Cogan              For       For        Management
1.3   Elect Director Etienne F. Davignon        For       For        Management
1.4   Elect Director James M. Denny             For       For        Management
1.5   Elect Director Carla A. Hills             For       For        Management
1.6   Elect Director John W. Madigan            For       For        Management
1.7   Elect Director John C. Martin             For       For        Management
1.8   Elect Director Gordon E. Moore            For       For        Management
1.9   Elect Director Nicholas Moore             For       For        Management
1.10  Elect Director Gayle E. Wilson            For       For        Management
2     Ratify Auditors                           For       For        Management
3     Amend Omnibus Stock Plan                  For       For        Management
4     Increase Authorized Common Stock          For       For        Management


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HALOZYME THERAPEUTICS, INC.

Ticker:       HALO           Security ID:  40637H109
Meeting Date: NOV 14, 2007   Meeting Type: Special
Record Date:  SEP 25, 2007

#     Proposal                                  Mgt Rec   Vote Cast  Sponsor
1     Change State of Incorporation [from       For       For        Management
      Nevada to Delaware]


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HALOZYME THERAPEUTICS, INC.

Ticker:       HALO           Security ID:  40637H109
Meeting Date: MAY 8, 2008    Meeting Type: Annual
Record Date:  MAR 31, 2008

#     Proposal                                  Mgt Rec   Vote Cast  Sponsor
1.1   Elect Director Kathryn E. Falberg         For       For        Management
1.2   Elect Director Kenneth J. Kelley          For       For        Management
1.3   Elect Director Jonathan E. Lim            For       For        Management
2     Approve Non-Employee Director Restricted  For       For        Management
      Stock Plan
3     Approve Omnibus Stock Plan                For       For        Management
4     Ratify Auditors                           For       For        Management


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IMCLONE SYSTEMS INC.

Ticker:       IMCL           Security ID:  45245W109
Meeting Date: AUG 2, 2007    Meeting Type: Annual
Record Date:  JUL 6, 2007

#     Proposal                                  Mgt Rec   Vote Cast  Sponsor
1.1   Elect Director Andrew R. J. Bonfield      For       For        Management
1.2   Elect Director Alexander J. Denner        For       Withhold   Management
1.3   Elect Director Thomas F. Deuel            For       For        Management
1.4   Elect Director Jules Haimovitz            For       For        Management
1.5   Elect Director Carl C. Icahn              For       For        Management
1.6   Elect Director Peter S. Liebert           For       For        Management
1.7   Elect Director Richard C. Mulligan        For       For        Management
1.8   Elect Director David Sidransky            For       For        Management
1.9   Elect Director Charles Woler              For       For        Management
2     Ratify Auditors                           For       For        Management


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INTERMUNE, INC.

Ticker:       ITMN           Security ID:  45884X103
Meeting Date: MAY 13, 2008   Meeting Type: Annual
Record Date:  MAR 17, 2008

#     Proposal                                  Mgt Rec   Vote Cast  Sponsor
1.1   Elect Director Louis Drapeau              For       For        Management
1.2   Elect Director James I. Healy, Md, Phd    For       For        Management
2     Ratify Auditors                           For       For        Management


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JOHNSON & JOHNSON

Ticker:       JNJ            Security ID:  478160104
Meeting Date: APR 24, 2008   Meeting Type: Annual
Record Date:  FEB 26, 2008

#     Proposal                                  Mgt Rec   Vote Cast  Sponsor
1.1   Elect Director Mary Sue Coleman           For       For        Management
1.2   Elect Director James G. Cullen            For       For        Management
1.3   Elect Director Michael M.E. Johns         For       Withhold   Management
1.4   Elect Director Arnold G. Langbo           For       Withhold   Management
1.5   Elect Director Susan L. Lindquist         For       For        Management
1.6   Elect Director Leo F. Mullin              For       For        Management
1.7   Elect Director Wiliam D. Perez            For       Withhold   Management
1.8   Elect Director Christine A. Poon          For       For        Management
1.9   Elect Director Charles Prince             For       Withhold   Management
1.10  Elect Director Steven S. Reinemund        For       For        Management
1.11  Elect Director David Satcher              For       For        Management
1.12  Elect Director William C. Weldon          For       For        Management
2     Ratify Auditors                           For       For        Management
3     Advisory Vote to Ratify Named Executive   Against   For        Shareholder
      Officers' Compensation


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KOSAN BIOSCIENCES INC.

Ticker:       KOSN           Security ID:  50064W107
Meeting Date: MAY 22, 2008   Meeting Type: Annual
Record Date:  MAR 31, 2008

#     Proposal                                  Mgt Rec   Vote Cast  Sponsor
1.1   Elect Director Bruce A. Chabner           For       Withhold   Management
1.2   Elect Director Peter Davis                For       For        Management
1.3   Elect Director C.T. Walsh                 For       For        Management
2     Ratify Auditors                           For       For        Management


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KYPHON INC

Ticker:       KYPH           Security ID:  501577100
Meeting Date: OCT 16, 2007   Meeting Type: Special
Record Date:  AUG 31, 2007

#     Proposal                                  Mgt Rec   Vote Cast  Sponsor
1     Approve Merger Agreement                  For       For        Management
2     Adjourn Meeting                           For       For        Management


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MANOR CARE, INC.

Ticker:       HCR            Security ID:  564055101
Meeting Date: OCT 17, 2007   Meeting Type: Special
Record Date:  SEP 10, 2007

#     Proposal                                  Mgt Rec   Vote Cast  Sponsor
1     Approve Merger Agreement                  For       For        Management
2     Adjourn Meeting                           For       For        Management


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MEDCO HEALTH SOLUTIONS, INC.

Ticker:       MHS            Security ID:  58405U102
Meeting Date: MAY 22, 2008   Meeting Type: Annual
Record Date:  MAR 26, 2008

#     Proposal                                  Mgt Rec   Vote Cast  Sponsor
1     Elect Director John L. Cassis             For       For        Management
2     Elect Director Michael Goldstein          For       For        Management
3     Elect Director Blenda J. Wilson           For       For        Management
4     Ratify Auditors                           For       For        Management
5     Increase Authorized Common Stock          For       For        Management
6     Limit Executive Compensation              Against   Against    Shareholder


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MEDTRONIC, INC.

Ticker:       MDT            Security ID:  585055106
Meeting Date: AUG 23, 2007   Meeting Type: Annual
Record Date:  JUN 25, 2007

#     Proposal                                  Mgt Rec   Vote Cast  Sponsor
1.1   Elect  Director David L. Calhoun          For       For        Management
1.2   Elect  Director Arthur D. Collins, Jr.    For       For        Management
1.3   Elect  Director James T. Lenehan          For       For        Management
1.4   Elect  Director Kendall J. Powell         For       For        Management
2     Ratify Auditors                           For       For        Management
3     Declassify the Board of Directors         For       For        Management


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MERCK & CO., INC.

Ticker:       MRK            Security ID:  589331107
Meeting Date: APR 22, 2008   Meeting Type: Annual
Record Date:  FEB 25, 2008

#     Proposal                                  Mgt Rec   Vote Cast  Sponsor
1     Elect Director Richard T. Clark           For       For        Management
2     Elect Director Johnnetta B. Cole, Ph.D.   For       For        Management
3     Elect Director Thomas H. Glocer           For       For        Management
4     Elect Director Steven F. Goldstone        For       For        Management
5     Elect Director William B. Harrison, Jr.   For       For        Management
6     Elect Director Harry R. Jacobson, M.D.    For       For        Management
7     Elect Director William N. Kelley, M.D.    For       For        Management
8     Elect Director Rochelle B. Lazarus        For       For        Management
9     Elect Director Thomas E. Shenk, Ph.D.     For       For        Management
10    Elect Director Anne M. Tatlock            For       For        Management
11    Elect Director Samuel O. Thier, M.D.      For       For        Management
12    Elect Director Wendell P. Weeks           For       For        Management
13    Elect Director Peter C. Wendell           For       For        Management
14    Ratify Auditors                           For       For        Management
15    Limit Executive Compensation              Against   Against    Shareholder
16    Advisory Vote to Ratify Named Executive   Against   For        Shareholder
      Officers' Compensation
17    Amend Articles/Bylaws/Charter -- Call     Against   For        Shareholder
      Special Meetings
18    Adopt a bylaw to Require an Independent   Against   For        Shareholder
      Lead Director


--------------------------------------------------------------------------------

MILLIPORE CORP.

Ticker:       MIL            Security ID:  601073109
Meeting Date: MAY 8, 2008    Meeting Type: Annual
Record Date:  MAR 10, 2008

#     Proposal                                  Mgt Rec   Vote Cast  Sponsor
1.1   Elect Director Melvin D. Booth            For       For        Management
1.2   Elect Director Maureen A. Hendricks       For       For        Management
1.3   Elect Director Martin D. Madaus           For       For        Management
2     Ratify Auditors                           For       For        Management
3     Approve Omnibus Stock Plan                For       For        Management


--------------------------------------------------------------------------------

MWI VETERINARY SUPPLY, INC.

Ticker:       MWIV           Security ID:  55402X105
Meeting Date: FEB 6, 2008    Meeting Type: Annual
Record Date:  DEC 14, 2007

#     Proposal                                  Mgt Rec   Vote Cast  Sponsor
1.1   Elect Director Keith E. Alessi            For       For        Management
1.2   Elect Director Bruce C. Bruckmann         For       For        Management
1.3   Elect Director James F. Cleary            For       For        Management
1.4   Elect Director John F. McNamara           For       For        Management
1.5   Elect Director A. Craig Olson             For       For        Management
1.6   Elect Director Robert N. Rebholtz, Jr.    For       For        Management
1.7   Elect Director William J. Robison         For       For        Management
2     Ratify Auditors                           For       For        Management
3     Approve Qualified Employee Stock Purchase For       For        Management
      Plan


--------------------------------------------------------------------------------

MYRIAD GENETICS, INC.

Ticker:       MYGN           Security ID:  62855J104
Meeting Date: NOV 15, 2007   Meeting Type: Annual
Record Date:  SEP 28, 2007

#     Proposal                                  Mgt Rec   Vote Cast  Sponsor
1.1   Elect Director Peter D. Meldrum           For       For        Management
1.2   Elect Director Mark H. Skolnick, Ph.D.    For       For        Management
1.3   Elect Director Linda S. Wilson, Ph.D.     For       For        Management
2     Amend Stock Option Plan                   For       For        Management
3     Ratify Auditors                           For       For        Management


--------------------------------------------------------------------------------

NANOSPHERE INC

Ticker:       NSPH           Security ID:  63009F105
Meeting Date: MAY 29, 2008   Meeting Type: Annual
Record Date:  APR 18, 2008

#     Proposal                                  Mgt Rec   Vote Cast  Sponsor
1.1   Elect Director William P. Moffitt III     For       For        Management
1.2   Elect Director Mark Slezak                For       For        Management
1.3   Elect Director Jeffrey R. Crisan          For       Withhold   Management
1.4   Elect Director Andre De Bruin             For       For        Management
1.5   Elect Director Chad A. Mirkin, Ph.D.      For       For        Management
1.6   Elect Director James J. Nahirny           For       Withhold   Management
1.7   Elect Director Sheli Z. Rosenberg         For       For        Management
2     Ratify Auditors                           For       For        Management


--------------------------------------------------------------------------------

NOVARTIS AG

Ticker:       NVS            Security ID:  66987V109
Meeting Date: FEB 26, 2008   Meeting Type: Annual
Record Date:  JAN 29, 2008

#     Proposal                                  Mgt Rec   Vote Cast  Sponsor
1     APPROVAL OF THE ANNUAL REPORT, THE        For       For        Management
      REMUNERATION REPORT, THE FINANCIAL
      STATEMENTS AND THE CONSOLIDATED FINANCIAL
      STATEMENTS
2     DISCHARGE FROM LIABILITY OF THE MEMBERS   For       For        Management
      OF THE BOARD OF DIRECTORS AND THE
      EXECUTIVE COMMITTEE
3     APPROPRIATION OF AVAILABLE EARNINGS OF    For       For        Management
      NOVARTIS AG AS PER BALANCE SHEET AND
      DECLARATION OF DIVIDEND
4     REDUCTION OF SHARE CAPITAL                For       For        Management
5     FURTHER SHARE REPURCHASE PROGRAM          For       For        Management
6     AMENDMENT TO THE ARTICLES OF              For       For        Management
      INCORPORATION-SPECIAL QUORUM
7     AMENDMENT TO THE ARTICLES OF              For       For        Management
      INCORPORATION-CONTRIBUTIONS IN KIND
8     RE-ELECTION OF PETER BURCKHARDT M.D. FOR  For       For        Management
      A ONE-YEAR TERM
9     RE-ELECTION OF ULRICH LEHNER PH.D  FOR A  For       For        Management
      ONE-YEAR TERM
10    RE-ELECTION OF ALEXANDRE F. JETZER FOR A  For       For        Management
      THREE-YEAR TERM
11    RE-ELECTION OF PIERRE LANDOLT FOR A       For       For        Management
      THREE-YEAR TERM
12    ELECTION OF ANN FUDGE FOR A THREE-YEAR    For       For        Management
      TERM
13    RATIFY AUDITORS                           For       For        Management
14    TRANSACT OTHER BUSINESS (VOTING)          For       Against    Management


--------------------------------------------------------------------------------

ONYX PHARMACEUTICALS, INC.

Ticker:       ONXX           Security ID:  683399109
Meeting Date: MAY 14, 2008   Meeting Type: Annual
Record Date:  MAR 17, 2008

#     Proposal                                  Mgt Rec   Vote Cast  Sponsor
1.1   Elect Director Magnus Lundberg            For       For        Management
1.2   Elect Director N. Anthony Coles           For       For        Management
2     Amend Omnibus Stock Plan                  For       For        Management
3     Ratify Auditors                           For       For        Management


--------------------------------------------------------------------------------

OWENS & MINOR, INC.

Ticker:       OMI            Security ID:  690732102
Meeting Date: APR 25, 2008   Meeting Type: Annual
Record Date:  MAR 4, 2008

#     Proposal                                  Mgt Rec   Vote Cast  Sponsor
1.1   Elect  Director G. Gilmer Minor, III      For       For        Management
1.2   Elect  Director J. Alfred Broaddus, Jr.   For       For        Management
1.3   Elect  Director Eddie N. Moore, Jr.       For       For        Management
1.4   Elect  Director Peter S. Redding          For       For        Management
1.5   Elect  Director Robert C. Sledd           For       For        Management
1.6   Elect  Director Craig R. Smith            For       For        Management
2     Declassify the Board of Directors         For       For        Management
3     Eliminate Class of Preferred Stock        For       For        Management
4     Ratify Auditors                           For       For        Management


--------------------------------------------------------------------------------

PEDIATRIX MEDICAL GROUP, INC.

Ticker:       PDX            Security ID:  705324101
Meeting Date: NOV 1, 2007    Meeting Type: Annual
Record Date:  SEP 12, 2007

#     Proposal                                  Mgt Rec   Vote Cast  Sponsor
1.1   Elect Director Cesar L. Alvarez           For       Withhold   Management
1.2   Elect Director Waldemar A. Carlo, M.D.    For       Withhold   Management
1.3   Elect Director Michael B. Fernandez       For       Withhold   Management
1.4   Elect Director Roger K. Freeman, M.D.     For       Withhold   Management
1.5   Elect Director Paul G. Gabos              For       Withhold   Management
1.6   Elect Director P.J. Goldschmidt, M.D.     For       Withhold   Management
1.7   Elect Director Roger J. Medel, M.D.       For       Withhold   Management
1.8   Elect Director Manuel Kadre               For       For        Management
1.9   Elect Director Enrique J. Sosa, Ph.D.     For       Withhold   Management


--------------------------------------------------------------------------------

PFIZER INC.

Ticker:       PFE            Security ID:  717081103
Meeting Date: APR 24, 2008   Meeting Type: Annual
Record Date:  FEB 28, 2008

#     Proposal                                  Mgt Rec   Vote Cast  Sponsor
1     Elect Director Dennis A. Ausiello         For       For        Management
2     Elect Director Michael S. Brown           For       For        Management
3     Elect Director M. Anthony Burns           For       For        Management
4     Elect Director Robert N. Burt             For       For        Management
5     Elect Director W. Don Cornwell            For       For        Management
6     Elect Director William H. Gray, III       For       For        Management
7     Elect Director Constance J. Horner        For       For        Management
8     Elect Director William R. Howell          For       For        Management
9     Elect Director James M. Kilts             For       For        Management
10    Elect Director Jeffrey B. Kindler         For       For        Management
11    Elect Director George A. Lorch            For       For        Management
12    Elect Director Dana G. Mead               For       For        Management
13    Elect Director Suzanne Nora Johnson       For       For        Management
14    Elect Director William C. Steere, Jr.     For       For        Management
15    Ratify Auditors                           For       For        Management
16    Prohibit Executive Stock-Based Awards     Against   Against    Shareholder
17    Require Independent Board Chairman        Against   Against    Shareholder


--------------------------------------------------------------------------------

PHARMION CORP

Ticker:       PHRM           Security ID:  71715B409
Meeting Date: MAR 6, 2008    Meeting Type: Special
Record Date:  FEB 4, 2008

#     Proposal                                  Mgt Rec   Vote Cast  Sponsor
1     Approve Merger Agreement                  For       For        Management
2     Adjourn Meeting                           For       For        Management


--------------------------------------------------------------------------------

PONIARD PHARMACEUTICALS INC.

Ticker:       PARD           Security ID:  732449301
Meeting Date: JUN 24, 2008   Meeting Type: Annual
Record Date:  APR 25, 2008

#     Proposal                                  Mgt Rec   Vote Cast  Sponsor
1.1   Elect Director Gerald McMahon             For       For        Management
1.2   Elect Director Robert S. Basso            For       For        Management
1.3   Elect Director Frederick B. Craves        For       For        Management
1.4   Elect Director E. Rolland Dickson         For       For        Management
1.5   Elect Director Carl S. Goldfischer        For       For        Management
1.6   Elect Director Robert M. Littauer         For       For        Management
1.7   Elect Director Ronald A. Martell          For       For        Management
1.8   Elect Director Nicholas J. Simon III      For       For        Management
1.9   Elect Director David R. Stevens           For       For        Management
2     Ratify Auditors                           For       For        Management


--------------------------------------------------------------------------------

PRA INTERNATIONAL INC

Ticker:       PRAI           Security ID:  69353C101
Meeting Date: DEC 12, 2007   Meeting Type: Special
Record Date:  NOV 9, 2007

#     Proposal                                  Mgt Rec   Vote Cast  Sponsor
1     Approve Merger Agreement                  For       For        Management
2     Adjourn Meeting                           For       For        Management


--------------------------------------------------------------------------------

RIGEL PHARMACEUTICALS, INC

Ticker:       RIGL           Security ID:  766559603
Meeting Date: MAY 29, 2008   Meeting Type: Annual
Record Date:  APR 1, 2008

#     Proposal                                  Mgt Rec   Vote Cast  Sponsor
1.1   Elect Director Walter H. Moos, Ph.D.      For       For        Management
1.2   Elect Director Hollings C. Renton         For       For        Management
1.3   Elect Director Stephen A. Sherwin, M.D.   For       For        Management
2     Amend Omnibus Stock Plan                  For       For        Management
3     Amend Non-Employee Director Stock Option  For       For        Management
      Plan
4     Ratify Auditors                           For       For        Management


--------------------------------------------------------------------------------

SENORX, INC.

Ticker:       SENO           Security ID:  81724W104
Meeting Date: JUN 5, 2008    Meeting Type: Annual
Record Date:  APR 14, 2008

#     Proposal                                  Mgt Rec   Vote Cast  Sponsor
1.1   Elect Director Vickie L. Capps            For       For        Management
2     Ratify Auditors                           For       For        Management


--------------------------------------------------------------------------------

ST. JUDE MEDICAL, INC.

Ticker:       STJ            Security ID:  790849103
Meeting Date: MAY 9, 2008    Meeting Type: Annual
Record Date:  MAR 12, 2008

#     Proposal                                  Mgt Rec   Vote Cast  Sponsor
1.1   Elect Director Richard R. Devenuti        For       For        Management
1.2   Elect Director Stuart M. Essig            For       For        Management
1.3   Elect Director Thomas H. Garrett III      For       For        Management
1.4   Elect Director Wendy L. Yarno             For       For        Management
2     Amend Omnibus Stock Plan                  For       For        Management
3     Adopt Majority Voting for Uncontested     For       For        Management
      Election of Directors
4     Ratify Auditors                           For       For        Management


--------------------------------------------------------------------------------

STRYKER CORP.

Ticker:       SYK            Security ID:  863667101
Meeting Date: APR 23, 2008   Meeting Type: Annual
Record Date:  FEB 29, 2008

#     Proposal                                  Mgt Rec   Vote Cast  Sponsor
1.1   Elect Director John W. Brown              For       For        Management
1.2   Elect Director Howard E. Cox, Jr.         For       For        Management
1.3   Elect Director Donald M. Engelman         For       For        Management
1.4   Elect Director Jerome H. Grossman         For       For        Management
1.5   Elect Director Louise L. Francesconi      For       For        Management
1.6   Elect Director Stephen P. MacMillan       For       For        Management
1.7   Elect Director William U. Parfet          For       For        Management
1.8   Elect Director Ronda E. Stryker           For       For        Management
2     Ratify Auditors                           For       For        Management
3     Approve Qualified Employee Stock Purchase For       For        Management
      Plan


--------------------------------------------------------------------------------

TEVA PHARMACEUTICAL INDUSTRIES LTD.

Ticker:       TEVA           Security ID:  881624209
Meeting Date: JUN 29, 2008   Meeting Type: Annual
Record Date:  MAY 22, 2008

#     Proposal                                  Mgt Rec   Vote Cast  Sponsor
1     Accept Financial Statements and Statutory For       For        Management
      Reports
2     Approve Final Dividend of NIS 1.60 Per    For       For        Management
      Share
3     Elect Eli Hurvitz as Director             For       For        Management
4     Elect Ruth Cheshin as Director            For       For        Management
5     Elect Harold Snyder as Director           For       For        Management
6     Elect Joseph (Yosi) Nitzani as Director   For       For        Management
7     Elect Ory Slonim as Director              For       For        Management
8     Appoint Leora (Rubin) Meridor as External For       For        Management
      Director
9     Approve Director/Officer Liability and    For       For        Management
      Indemnification Insurance
10    Approve Remuneration of Directors         For       For        Management
11    Approve Employee Stock Purchase Plan      For       For        Management
12    Approve Kesselman & Kesselman as Auditors For       For        Management
      and Authorize Board to Fix Their
      Remuneration


--------------------------------------------------------------------------------

TONGJITANG CHINESE MEDICINES CO.

Ticker:       TCM            Security ID:  89025E103
Meeting Date: OCT 24, 2007   Meeting Type: Annual
Record Date:  SEP 17, 2007

#     Proposal                                  Mgt Rec   Vote Cast  Sponsor
1     RESOLUTIONS AS SET OUT IN PARAGRAPH 1 OF  For       Against    Management
      THE NOTICE OF ANNUAL GENERAL MEETING.


--------------------------------------------------------------------------------

UNITED THERAPEUTICS CORP.

Ticker:       UTHR           Security ID:  91307C102
Meeting Date: MAY 29, 2008   Meeting Type: Annual
Record Date:  MAR 7, 2008

#     Proposal                                  Mgt Rec   Vote Cast  Sponsor
1.1   Elect Director Raymond Dwek               For       For        Management
1.2   Elect Director Roger Jeffs                For       For        Management
1.3   Elect Director Christopher Patusky        For       For        Management
2     Approve Omnibus Stock Plan                For       Against    Management
3     Ratify Auditors                           For       For        Management


--------------------------------------------------------------------------------

VARIAN MEDICAL SYSTEMS INC

Ticker:       VAR            Security ID:  92220P105
Meeting Date: FEB 14, 2008   Meeting Type: Annual
Record Date:  DEC 17, 2007

#     Proposal                                  Mgt Rec   Vote Cast  Sponsor
1.1   Elect Director Susan L. Bostrom           For       For        Management
1.2   Elect Director Steven A. Leibel           For       For        Management
1.3   Elect Director Richard M. Levy            For       For        Management
2     Amend Omnibus Stock Plan                  For       For        Management
3     Ratify Auditors                           For       For        Management


--------------------------------------------------------------------------------

VARIAN, INC.

Ticker:       VARI           Security ID:  922206107
Meeting Date: JAN 31, 2008   Meeting Type: Annual
Record Date:  DEC 10, 2007

#     Proposal                                  Mgt Rec   Vote Cast  Sponsor
1.1   Elect  Director Garry W. Rogerson         For       For        Management
1.2   Elect  Director Elizabeth E. Tallett      For       For        Management
2     Ratify Auditors                           For       For        Management
3     Amend Omnibus Stock Plan                  For       For        Management


--------------------------------------------------------------------------------

WATERS CORPORATION

Ticker:       WAT            Security ID:  941848103
Meeting Date: MAY 14, 2008   Meeting Type: Annual
Record Date:  MAR 20, 2008

#     Proposal                                  Mgt Rec   Vote Cast  Sponsor
1.1   Elect Director Joshua Bekenstein          For       For        Management
1.2   Elect Director Michael J. Berendt         For       For        Management
1.3   Elect Director Douglas A. Berthiaume      For       For        Management
1.4   Elect Director Edward Conard              For       For        Management
1.5   Elect Director Laurie H. Glimcher         For       For        Management
1.6   Elect Director Christopher A. Kuebler     For       For        Management
1.7   Elect Director William J. Miller          For       For        Management
1.8   Elect Director JoAnn A. Reed              For       For        Management
1.9   Elect Director Thomas P. Salice           For       For        Management
2     Ratify Auditors                           For       For        Management


--------------------------------------------------------------------------------

WYETH

Ticker:       WYE            Security ID:  983024100
Meeting Date: APR 24, 2008   Meeting Type: Annual
Record Date:  MAR 3, 2008

#     Proposal                                  Mgt Rec   Vote Cast  Sponsor
1     Elect Director Robert M. Amen             For       For        Management
2     Elect Director Michael J. Critelli        For       For        Management
3     Elect Director Robert Essner              For       For        Management
4     Elect Director John D. Feerick            For       For        Management
5     Elect Director Frances D. Fergusson       For       For        Management
6     Elect Director Victor F. Ganzi            For       For        Management
7     Elect Director Robert Langer              For       For        Management
8     Elect Director John P. Mascotte           For       For        Management
9     Elect Director Raymond J. McGuire         For       For        Management
10    Elect Director Mary Lake Polan            For       For        Management
11    Elect Director Bernard Poussot            For       For        Management
12    Elect Director Gary L. Rogers             For       For        Management
13    Elect Director John R. Torell III         For       For        Management
14    Ratify Auditors                           For       For        Management
15    Amend Omnibus Stock Plan                  For       For        Management
16    Amend Non-Employee Director Restricted    For       For        Management
      Stock Plan
17    Report on Political Contributions         Against   For        Shareholder
18    Claw-back of Payments under Restatements  Against   Against    Shareholder

========== END NPX REPORT