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 811-06683

                      Morgan Stanley Health Sciences Trust
               (Exact name of registrant as specified in charter)


                                                      
                522 Fifth Avenue, New York, New York        10036
              (Address of principal executive offices)   (Zip code)


                           Stefanie V. Chang Yu, Esq.
                                Managing Director
                     Morgan Stanley Investment Advisors Inc.
                                522 Fifth Avenue
                            New York, New York 10036
                     (Name and address of agent for service)

Registrant's telephone number, including area code: 800-869-6397

Date of fiscal year end: 7/31

Date of reporting period: 7/1/08 - 6/30/09

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

ICA File Number: 811-06683
Reporting Period: 07/01/2008 - 06/30/2009
Morgan Stanley Health Sciences Trust









===================== MORGAN STANLEY HEALTH SCIENCES TRUST =====================


ABBOTT LABORATORIES

Ticker:       ABT            Security ID:  002824100
Meeting Date: APR 24, 2009   Meeting Type: Annual
Record Date:  FEB 25, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director R.J. Alpern              For       For          Management
1.2   Elect Director R.S. Austin              For       For          Management
1.3   Elect Director W.M. Daley               For       For          Management
1.4   Elect Director W.J. Farrell             For       For          Management
1.5   Elect Director H.L. Fuller              For       For          Management
1.6   Elect Director W.A. Osborn              For       For          Management
1.7   Elect Director D.A.L. Owen              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     Approve Omnibus Stock Plan              For       For          Management
3     Approve Nonqualified Employee Stock     For       For          Management
      Purchase Plan
4     Ratify Auditors                         For       For          Management
5     Report on Animal Testing                Against   Against      Shareholder
6     Adopt Principles for Health Care Reform Against   Against      Shareholder
7     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 29, 2009   Meeting Type: Annual
Record Date:  MAR 27, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Director Frank M. Clark           For       For          Management
2     Elect Director Betsy Z. Cohen           For       For          Management
3     Elect Director Molly J. Coye, M.D.      For       For          Management
4     Elect Director Roger N. Farah           For       For          Management
5     Elect Director Barbara Hackman Franklin For       For          Management
6     Elect Director Jeffrey E. Garten        For       For          Management
7     Elect Director Earl G. Graves           For       For          Management
8     Elect Director Gerald Greenwald         For       For          Management
9     Elect Director Ellen M. Hancock         For       For          Management
10    Elect Director Richard J. Harrington    For       For          Management
11    Elect Director Edward J. Ludwig         For       For          Management
12    Elect Director Joseph P. Newhouse       For       For          Management
13    Elect Director Ronald A. Williams       For       For          Management
14    Ratify Auditors                         For       For          Management
15    Provide for Cumulative Voting           Against   Against      Shareholder
16    Adopt a Policy to Elect a Retired       Against   Against      Shareholder
      Management Employee


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ALLERGAN, INC.

Ticker:       AGN            Security ID:  018490102
Meeting Date: APR 30, 2009   Meeting Type: Annual
Record Date:  MAR 10, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Herbert W. Boyer         For       For          Management
1.2   Elect Director Robert A. Ingram         For       For          Management
1.3   Elect Director David E.I. Pyott         For       For          Management
1.4   Elect Director Russell T. Ray           For       For          Management
2     Ratify Auditors                         For       For          Management
3     Report on Animal Testing                Against   Against      Shareholder


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AMERISOURCEBERGEN CORP

Ticker:       ABC            Security ID:  03073E105
Meeting Date: FEB 19, 2009   Meeting Type: Annual
Record Date:  DEC 22, 2008

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Director Richard C. Gozon         For       For          Management
2     Elect Director Michael J. Long          For       For          Management
3     Elect Director J. Lawrence Wilson       For       For          Management
4     Ratify Auditors                         For       For          Management
5     Amend Omnibus Stock Plan                For       For          Management
6     Submit Shareholder Rights Plan (Poison  Against   For          Shareholder
      Pill) to Shareholder Vote


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AMGEN, INC.

Ticker:       AMGN           Security ID:  031162100
Meeting Date: MAY 6, 2009    Meeting Type: Annual
Record Date:  MAR 9, 2009

#     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 Francois de Carbonnel    For       For          Management
4     Elect Director Jerry D. Choate          For       For          Management
5     Elect Director Vance D. Coffman         For       For          Management
6     Elect Director Frederick W. Gluck       For       For          Management
7     Elect Director Frank C. Herringer       For       For          Management
8     Elect Director Gilbert S. Omenn         For       For          Management
9     Elect Director Judith C. Pelham         For       For          Management
10    Elect Director J. Paul Reason           For       For          Management
11    Elect Director Leonard D. Schaeffer     For       For          Management
12    Elect Director Kevin W. Sharer          For       For          Management
13    Ratify Auditors                         For       For          Management
14    Approve Omnibus Stock Plan              For       For          Management
15    Reduce Supermajority Vote Requirement   For       For          Management
16    Amend Articles/Bylaws/Charter -- Call   Against   For          Shareholder
      Special Meetings
17    Reincorporate in Another State [from    Against   Against      Shareholder
      Delaware to North Dakota ]


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ASTELLAS PHARMA INC. (FRMLY. YAMANOUCHI PHARMACEUTICAL CO. LTD.)

Ticker:       4503           Security ID:  J03393105
Meeting Date: JUN 23, 2009   Meeting Type: Annual
Record Date:  MAR 31, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Approve Allocation of Income, with a    For       For          Management
      Final Dividend of JPY 60
2     Amend Articles To Reflect               For       For          Management
      Digitalization of Share Certificates
3.1   Elect Director                          For       For          Management
3.2   Elect Director                          For       For          Management
3.3   Elect Director                          For       For          Management
3.4   Elect Director                          For       For          Management
3.5   Elect Director                          For       For          Management
4     Approve Annual Bonus Payment to         For       For          Management
      Directors
5     Approve Deep Discount Stock Option Plan For       For          Management


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AUXILIUM PHARMACEUTICALS, INC.

Ticker:       AUXL           Security ID:  05334D107
Meeting Date: JUN 10, 2009   Meeting Type: Annual
Record Date:  APR 16, 2009

#     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             For       For          Management
1.6   Elect Director Oliver S. Fetzer         For       For          Management
1.7   Elect Director Renato Fuchs             For       For          Management
1.8   Elect Director Dennis Langer            For       For          Management
1.9   Elect Director William T. McKee         For       For          Management
2     Amend Omnibus Stock Plan                For       For          Management
3     Ratify Auditors                         For       For          Management


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BAXTER INTERNATIONAL INC.

Ticker:       BAX            Security ID:  071813109
Meeting Date: MAY 5, 2009    Meeting Type: Annual
Record Date:  MAR 9, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Walter E. Boomer         For       For          Management
1.2   Elect Director James R. Gavin III       For       For          Management
1.3   Elect Director Peter S. Hellman         For       For          Management
1.4   Elect Director K. J. Storm              For       For          Management
2     Ratify Auditors                         For       For          Management
3     Report on Animal Testing                Against   Against      Shareholder


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BAYER AG

Ticker:       BAYZF          Security ID:  D07112119
Meeting Date: MAY 12, 2009   Meeting Type: Annual
Record Date:  APR 21, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Receive Financial Statements and        For       For          Management
      Statutory Reports; Approve Allocation
      of Income and Dividends of EUR 1.40 per
      Share for Fiscal 2008
2     Approve Discharge of Management Board   For       For          Management
      for Fiscal 2008
3     Approve Discharge of Supervisory Board  For       For          Management
      for Fiscal 2008
4     Authorize Share Repurchase Program and  For       For          Management
      Reissuance or Cancellation of
      Repurchased Shares
5     Approve Conversion of Bearer Shares     For       For          Management
      into Registered Shares
6     Amend Articles Re: Allow Electronic     For       For          Management
      Distribution of Company Communications
7     Ratify PricewaterhouseCoopers AG as     For       For          Management
      Auditors for Fiscal 2009


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BECTON, DICKINSON AND COMPANY

Ticker:       BDX            Security ID:  075887109
Meeting Date: FEB 3, 2009    Meeting Type: Annual
Record Date:  DEC 12, 2008

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Claire M. Fraser-Liggett For       For          Management
1.2   Elect Director Edward J. Ludwig         For       For          Management
1.3   Elect Director Willard J. Overlock, Jr. For       For          Management
1.4   Elect Director Bertram L. Scott         For       For          Management
2     Ratify Auditors                         For       For          Management
3     Declassify the Board of Directors       For       For          Management
4     Amend Omnibus Stock Plan                For       For          Management
5     Amend Omnibus Stock Plan                For       For          Management
6     Amend Bylaws -- Call Special Meetings   Against   For          Shareholder
7     Provide for Cumulative Voting           Against   Against      Shareholder


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BIOGEN IDEC INC.

Ticker:       BIIB           Security ID:  09062X103
Meeting Date: JUN 3, 2009    Meeting Type: Proxy Contest
Record Date:  APR 6, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
      Management Proxy (White Card)
1.1   Elect Director Lawrence C. Best         For       None         Management
1.2   Elect Director Alan B. Glassberg        For       None         Management
1.3   Elect Director Robert W. Pangia         For       None         Management
1.4   Elect Director William D. Young         For       None         Management
2     Ratify Auditors                         For       None         Management
3     Adopt Majority Voting for Uncontested   For       None         Management
      Election of Directors
4     Fix Size of Board at 13 and Remove the  Against   None         Shareholder
      Board's Ability to Change the Size of
      the Board
5     Reincorporate in Another State [North   Against   None         Shareholder
      Dakota]

#     Proposal                                Diss Rec  Vote Cast    Sponsor
      Dissident Proxy (Gold Card)
1.1   Elect Director Alexander J. Denner      For       For          Shareholder
1.2   Elect Director Richard C. Mulligan      For       For          Shareholder
1.3   Elect Director Thomas F. Deuel          For       Withhold     Shareholder
1.4   Elect Director David Sidransky          For       Withhold     Shareholder
2     Fix Size of Board at 13 and Remove the  For       For          Shareholder
      Board's Ability to Change the Size of
      the Board
3     Reincorporate in Another State [North   For       Against      Shareholder
      Dakota]
4     Ratify Auditors                         For       For          Management
5     Adopt Majority Voting for Uncontested   For       For          Management
      Election of Directors


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BIOVAIL CORPORATION

Ticker:       BVF            Security ID:  09067J109
Meeting Date: MAY 28, 2009   Meeting Type: Proxy Contest
Record Date:  APR 20, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Douglas J.P. Squires     For       Did Not Vote Management
1.2   Elect Director J. Spencer Lanthier      For       Did Not Vote Management
1.3   Elect Director Serge Gouin              For       Did Not Vote Management
1.4   Elect Director David H. Laidley         For       Did Not Vote Management
1.5   Elect Director Mark Parrish             For       Did Not Vote Management
1.6   Elect Director Laurence E. Paul         For       Did Not Vote Management
1.7   Elect Director Robert N. Power          For       Did Not Vote Management
1.8   Elect Director Lloyd M. Segal           For       Did Not Vote Management
1.9   Elect Director Louis R. Tull            For       Did Not Vote Management
1.10  Elect Director Michael R. Van Every     For       Did Not Vote Management
1.11  Elect Director William M. Wells         For       Did Not Vote Management
2     Approve Ernst & Young LLP as Auditors   For       Did Not Vote Management
      and Authorize Board to Fix Their
      Remuneration
3     Amend Bylaw                             For       Did Not Vote Management
4     Amend 2007 Equity Compensation Plan     For       Did Not Vote Management
5     SP 1: Include a Majority Vote Policy    Against   Did Not Vote Shareholder
      for Election of Directors in By-Law 1
6     SP 2: Amend By-Law 1 to Prohibit        Against   Did Not Vote Shareholder
      Director and Officer Indemnification
7     SP 3: Amend Existing Director and       Against   Did Not Vote Shareholder
      Officer Indemnification Agreements
8     SP 4: Amend By-Law 1 to Include         Against   Did Not Vote Shareholder
      Provision Regarding Proxy Solicitation
      Costs
9     SP 5: Amend By-Law 1 to Provide for     Against   Did Not Vote Shareholder
      Individual Director Elections vs a
      Single Slate Election
10    SP 6: Amend Articles to Require         Against   Did Not Vote Shareholder
      Shareholder Approval for Any Dilutive
      Transactions
11    SP 7: Amend Board Committee Charter     Against   Did Not Vote Shareholder
      Regarding the Company's Governance
      Practices
12    SP 8: Amend Employee Agreements         Against   Did Not Vote Shareholder
      Regarding Termination Payments
1.1   Elect Director Paul G. Haggis           For       Did Not Vote Shareholder
1.2   Elect Director Frank Potter             For       Did Not Vote Shareholder
1.3   Management Nominee - Douglas J.P.       For       Did Not Vote Shareholder
      Squires
1.4   Management Nominee - William M. Wells   For       Did Not Vote Shareholder
1.5   Management Nominee -  J. Spencer        For       Did Not Vote Shareholder
      Lanthier
1.6   Management Nominee -  David H. Laidley  For       Did Not Vote Shareholder
1.7   Management Nominee -  Mark Parrish      For       Did Not Vote Shareholder
1.8   Management Nominee -  Louis R. Tull     For       Did Not Vote Shareholder
1.9   Management Nominee -  Robert N. Power   For       Did Not Vote Shareholder
1.10  Management Nominee -  Lloyd M. Segal    For       Did Not Vote Shareholder
1.11  Management Nominee -  Serge Gouin       For       Did Not Vote Shareholder
1.12  Management Nominee -  Laurence E. Paul  For       Did Not Vote Shareholder
1.13  Management Nominee -  Michael R. Van    For       Did Not Vote Shareholder
      Every
2     Approve Ernst & Young LLP as Auditors   For       Did Not Vote Management
      and Authorize Board to Fix Their
      Remuneration
3     Amend Bylaw                             For       Did Not Vote Management
4     Amend 2007 Equity Compensation Plan     For       Did Not Vote Management
5     SP 1: Include a Majority Vote Policy    None      Did Not Vote Shareholder
      for Election of Directors in By-Law 1
6     SP 2: Amend By-Law 1 to Prohibit        None      Did Not Vote Shareholder
      Director and Officer Indemnification
7     SP 3: Amend Existing Director and       None      Did Not Vote Shareholder
      Officer Indemnification Agreements
8     SP 4: Amend By-Law 1 to Include         None      Did Not Vote Shareholder
      Provision Regarding Proxy Solicitation
      Costs
9     SP 5: Amend By-Law 1 to Provide for     None      Did Not Vote Shareholder
      Individual Director Elections vs a
      Single Slate Election
10    SP 6: Amend Articles to Require         None      Did Not Vote Shareholder
      Shareholder Approval for Any Dilutive
      Transactions
11    SP 7: Amend Board Committee Charter     None      Did Not Vote Shareholder
      Regarding the Company's Governance
      Practices
12    SP 8: Amend Employee Agreements         None      Did Not Vote Shareholder
      Regarding Termination Payments


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BOSTON SCIENTIFIC CORP.

Ticker:       BSX            Security ID:  101137107
Meeting Date: MAY 5, 2009    Meeting Type: Annual
Record Date:  MAR 6, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Director John E. Abele            For       For          Management
2     Elect Director Ursula M. Burns          For       Against      Management
3     Elect Director Marye Anne Fox           For       Against      Management
4     Elect Director Ray J. Groves            For       For          Management
5     Elect Director Kristina M. Johnson      For       Against      Management
6     Elect Director Ernest Mario             For       For          Management
7     Elect Director N.J. Nicholas, Jr.       For       Against      Management
8     Elect Director Pete M. Nicholas         For       Against      Management
9     Elect Director John E. Pepper           For       Against      Management
10    Elect Director Uwe E. Reinhardt         For       For          Management
11    Elect Director Warren B. Rudman         For       For          Management
12    Elect Director John E. Sununu           For       For          Management
13    Elect Director James R. Tobin           For       For          Management
14    Ratify Auditors                         For       For          Management
15    Other Business                          For       Against      Management


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BRISTOL-MYERS SQUIBB CO.

Ticker:       BMY            Security ID:  110122108
Meeting Date: MAY 5, 2009    Meeting Type: Annual
Record Date:  MAR 12, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Director L. Andreotti             For       For          Management
2     Elect Director L. B. Campbell           For       For          Management
3     Elect Director J. M. Cornelius          For       For          Management
4     Elect Director L. J. Freeh              For       For          Management
5     Elect Director L. H. Glimcher           For       For          Management
6     Elect Director M. Grobstein             For       For          Management
7     Elect Director L. Johansson             For       For          Management
8     Elect Director A. J. Lacy               For       For          Management
9     Elect Director V. L. Sato               For       For          Management
10    Elect Director T. D. West, Jr.          For       For          Management
11    Elect Director R. S. Williams           For       For          Management
12    Ratify Auditors                         For       For          Management
13    Increase Disclosure of Executive        Against   Against      Shareholder
      Compensation
14    Reduce Supermajority Vote Requirement   Against   Against      Shareholder
15    Amend Articles/Bylaws/Charter -- Call   Against   For          Shareholder
      Special Meetings
16    Advisory Vote to Ratify Named Executive Against   For          Shareholder
      Officers' Compensation


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C. R. BARD, INC.

Ticker:       BCR            Security ID:  067383109
Meeting Date: APR 15, 2009   Meeting Type: Annual
Record Date:  FEB 23, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Marc C. Breslawsky       For       For          Management
1.2   Elect Director Herbert L. Henkel        For       For          Management
1.3   Elect Director Tommy G. Thompson        For       For          Management
1.4   Elect Director Timothy M. Ring          For       For          Management
2     Amend Executive Incentive Bonus Plan    For       For          Management
3     Amend Omnibus Stock Plan                For       For          Management
4     Ratify Auditors                         For       For          Management


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CARDINAL HEALTH, INC.

Ticker:       CAH            Security ID:  14149Y108
Meeting Date: NOV 5, 2008    Meeting Type: Annual
Record Date:  SEP 8, 2008

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Colleen F. Arnold        For       For          Management
1.2   Elect Director R. Kerry Clark           For       For          Management
1.3   Elect Director Calvin Darden            For       For          Management
1.4   Elect Director John F. Finn             For       For          Management
1.5   Elect Director Philip L. Francis        For       For          Management
1.6   Elect Director Gregory B. Kenny         For       For          Management
1.7   Elect Director J. Michael Losh          For       Withhold     Management
1.8   Elect Director John B. McCoy            For       For          Management
1.9   Elect Director Richard C. Notebaert     For       Withhold     Management
1.10  Elect Director Michael D. O'Halleran    For       For          Management
1.11  Elect Director David W. Raisbeck        For       For          Management
1.12  Elect Director Jean G. Spaulding        For       For          Management
2     Ratify Auditors                         For       For          Management
3     Adopt Majority Voting for Uncontested   For       For          Management
      Election of Directors
4     Eliminate Cumulative Voting             For       For          Management
5     Require Advance Notice for Shareholder  For       For          Management
      Proposals/Nominations
6     Amend Articles of Incorporation to      For       For          Management
      State that Common Shares Have No Stated
      Capital
7     Amend Omnibus Stock Plan                For       For          Management
8     Amend Qualified Employee Stock Purchase For       For          Management
      Plan
9     Performance-Based and/or Time-Based     Against   For          Shareholder
      Equity Awards


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CARDINAL HEALTH, INC.

Ticker:       CAH            Security ID:  14149Y108
Meeting Date: JUN 23, 2009   Meeting Type: Special
Record Date:  MAY 15, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Approve Stock Option Exchange Program   For       For          Management


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CELGENE CORP.

Ticker:       CELG           Security ID:  151020104
Meeting Date: JUN 17, 2009   Meeting Type: Annual
Record Date:  APR 21, 2009

#     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       For          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
4     Require a Majority Vote for the         Against   For          Shareholder
      Election of Directors


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CENTENE CORP.

Ticker:       CNC            Security ID:  15135B101
Meeting Date: APR 28, 2009   Meeting Type: Annual
Record Date:  FEB 27, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Robert K. Ditmore        For       For          Management
1.2   Elect Director Frederick H. Eppinger    For       For          Management
1.3   Elect Director David L. Steward         For       For          Management
2     Ratify Auditors                         For       For          Management


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CEPHALON, INC.

Ticker:       CEPH           Security ID:  156708109
Meeting Date: MAY 12, 2009   Meeting Type: Annual
Record Date:  MAR 17, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Frank Baldino, Jr.,      For       For          Management
      Ph.D.
1.2   Elect Director William P. Egan          For       For          Management
1.3   Elect Director Martyn D. Greenacre      For       For          Management
1.4   Elect Director Vaughn M. Kailian        For       For          Management
1.5   Elect Director Kevin E. Moley           For       For          Management
1.6   Elect Director Charles A. Sanders, M.D. For       For          Management
1.7   Elect Director Gail R. Wilensky, Ph.D.  For       For          Management
1.8   Elect Director Dennis L. Winger         For       For          Management
2     Amend Stock Option Plan                 For       For          Management
3     Ratify Auditors                         For       For          Management


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CIGNA CORP.

Ticker:       CI             Security ID:  125509109
Meeting Date: APR 22, 2009   Meeting Type: Annual
Record Date:  FEB 27, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director H. Edward Hanway         For       For          Management
1.2   Elect Director John M. Partridge        For       For          Management
1.3   Elect Director James E. Rogers          For       For          Management
1.4   Elect Director Eric C. Wiseman          For       For          Management
2     Ratify Auditors                         For       For          Management


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COVENTRY HEALTH CARE INC.

Ticker:       CVH            Security ID:  222862104
Meeting Date: MAY 21, 2009   Meeting Type: Annual
Record Date:  MAR 23, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Daniel N. Mendelson      For       For          Management
1.2   Elect Director Rodman W. Moorhead       For       Against      Management
1.3   Elect Director Timothy T. Weglicki      For       Against      Management
2     Amend Omnibus Stock Plan                For       For          Management
3     Amend Omnibus Stock Plan                For       For          Management
4     Ratify Auditors                         For       For          Management


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COVIDIEN LTD.

Ticker:       COV            Security ID:  G2552X108
Meeting Date: MAR 18, 2009   Meeting Type: Annual
Record Date:  JAN 6, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Craig Arnold as Director          For       For          Management
1b    Elect Robert H. Brust as Director       For       For          Management
1c    Elect John M. Connors, Jr. as Director  For       For          Management
1d    Elect Christopher J. Coughlin as        For       For          Management
      Director
1e    Elect Timothy M. Donahue as Director    For       For          Management
1f    Elect Kathy J. Herbert as Director      For       For          Management
1g    Elect Randall J. Hogan, III  as         For       For          Management
      Director
1h    Elect Richard J. Meelia as Director     For       For          Management
1i    Elect Dennis H. Reilley as Director     For       For          Management
1j    Elect Tadataka Yamada as Director       For       For          Management
1k    Elect Joseph A. Zaccagnino as Director  For       For          Management
2     Approve Amended and Restated 2007 Stock For       For          Management
      and Incentive Plan
3     Approve Auditors and Authorize Board to For       For          Management
      Fix Their Remuneration


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

COVIDIEN LTD.

Ticker:       COV            Security ID:  G2552X108
Meeting Date: MAY 28, 2009   Meeting Type: Court
Record Date:  APR 17, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Approve Reincorporation from Bermuda to For       For          Management
      Ireland through Scheme of Arrangement
2     Approve the Creation of Distributable   For       For          Management
      Reserves of Covidien plc
3     Adjourn Meeting                         For       For          Management


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

DAIICHI SANKYO CO. LTD.

Ticker:       4568           Security ID:  J11257102
Meeting Date: JUN 26, 2009   Meeting Type: Annual
Record Date:  MAR 31, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Approve Allocation of Income, with a    For       For          Management
      Final Dividend of JPY 40
2     Amend Articles To Reflect               For       For          Management
      Digitalization of Share Certificates
3.1   Elect Director                          For       For          Management
3.2   Elect Director                          For       For          Management
3.3   Elect Director                          For       For          Management
3.4   Elect Director                          For       For          Management
3.5   Elect Director                          For       For          Management
3.6   Elect Director                          For       For          Management
3.7   Elect Director                          For       Against      Management
3.8   Elect Director                          For       For          Management
3.9   Elect Director                          For       For          Management
3.10  Elect Director                          For       For          Management


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

DAVITA INC.

Ticker:       DVA            Security ID:  23918K108
Meeting Date: JUN 15, 2009   Meeting Type: Annual
Record Date:  APR 20, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Charles G. Berg          For       For          Management
1.2   Elect Director Willard W. Brittain, Jr. For       For          Management
1.3   Elect Director Paul J. Diaz             For       For          Management
1.4   Elect Director Peter T. Grauer          For       For          Management
1.5   Elect Director John M. Nehra            For       For          Management
1.6   Elect Director William L. Roper         For       For          Management
1.7   Elect Director Kent J. Thiry            For       For          Management
1.8   Elect Director Roger J. Valine          For       For          Management
1.9   Elect Director Richard C. Vaughan       For       For          Management
2     Amend Executive Incentive Bonus Plan    For       For          Management
3     Ratify Auditors                         For       For          Management


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

ELI LILLY AND CO.

Ticker:       LLY            Security ID:  532457108
Meeting Date: APR 20, 2009   Meeting Type: Annual
Record Date:  FEB 13, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Martin S. Feldstein      For       Withhold     Management
1.2   Elect Director J. Erik Fyrwald          For       For          Management
1.3   Elect Director Ellen R. Marram          For       Withhold     Management
1.4   Elect Director Douglas R. Oberhelman    For       For          Management
2     Ratify Auditors                         For       For          Management
3     Declassify the Board of Directors       For       For          Management
4     Amend Executive Incentive Bonus Plan    For       For          Management
5     Reduce Supermajority Vote Requirement   Against   For          Shareholder
6     Amend Vote Requirements to Amend        Against   For          Shareholder
      Articles/Bylaws/Charter
7     Advisory Vote to Ratify Named Executive Against   For          Shareholder
      Officers' Compensation


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

ENDO PHARMACEUTICALS HOLDINGS INC.

Ticker:       ENDP           Security ID:  29264F205
Meeting Date: MAY 27, 2009   Meeting Type: Annual
Record Date:  APR 15, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director John J. Delucca          For       For          Management
1.2   Elect Director David P. Holveck         For       For          Management
1.3   Elect Director Nancy J Hutson           For       For          Management
1.4   Elect Director Michael Hyatt            For       For          Management
1.5   Elect Director Roger H. Kimmel          For       For          Management
1.6   Elect Director C.A. Meanwell            For       Withhold     Management
1.7   Elect Director William P. Montague      For       For          Management
1.8   Elect Director Joseph C. Scodari        For       For          Management
1.9   Elect Director William F. Spengler      For       For          Management
2     Amend Omnibus Stock Plan                For       For          Management
3     Ratify Auditors                         For       For          Management


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

EXPRESS SCRIPTS, INC.

Ticker:       ESRX           Security ID:  302182100
Meeting Date: MAY 27, 2009   Meeting Type: Annual
Record Date:  MAR 31, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Gary G. Benanav          For       For          Management
1.2   Elect Director Frank J. Borelli         For       For          Management
1.3   Elect Director Maura C. Breen           For       For          Management
1.4   Elect Director Nicholas J. LaHowchic    For       For          Management
1.5   Elect Director Thomas P. Mac Mahon      For       For          Management
1.6   Elect Director Frank Mergenthaler       For       For          Management
1.7   Elect Director Woodrow A Myers, Jr, MD  For       For          Management
1.8   Elect Director John O. Parker, Jr.      For       For          Management
1.9   Elect Director George Paz               For       For          Management
1.10  Elect Director Samuel K. Skinner        For       For          Management
1.11  Elect Director Seymour Sternberg        For       For          Management
1.12  Elect Director Barrett A. Toan          For       For          Management
2     Ratify Auditors                         For       For          Management


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

FOREST LABORATORIES, INC.

Ticker:       FRX            Security ID:  345838106
Meeting Date: AUG 11, 2008   Meeting Type: Annual
Record Date:  JUN 19, 2008

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Howard Solomon           For       For          Management
1.2   Elect Director L.S. Olanoff             For       For          Management
1.3   Elect Director Nesli Basgoz             For       For          Management
1.4   Elect Director William J. Candee, III   For       For          Management
1.5   Elect Director George S. Cohan          For       For          Management
1.6   Elect Director Dan L. Goldwasser        For       For          Management
1.7   Elect Director Kenneth E. Goodman       For       For          Management
1.8   Elect Director Lester B. Salans         For       For          Management
2     Amend Articles of Incorporation         For       For          Management
3     Ratify Auditors                         For       For          Management


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

GENMAB AS

Ticker:                      Security ID:  K3967W102
Meeting Date: APR 15, 2009   Meeting Type: Annual
Record Date:  MAR 24, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Receive Report of Board                 None      None         Management
2     Approve Financial Statements and        For       For          Management
      Statutory Report; Approve Discharge of
      Directors
3     Approve Treatment of Net Loss           For       For          Management
4     Reelect Hans Munch-Jensen as Director   For       For          Management
5     Ratify PricewaterhouseCoopers           For       Against      Management
      Statsutoriseret Revisionsaktieselskab
      A/S as Auditor
6a    Amend Articles Re: Remove Warrant       For       For          Management
      Program Schedule B from Articles
6b    Amend Articles Re: Change Adress of     For       For          Management
      Company's Share Registrar
6c    Amend Articles Re: Change Name of Stock For       For          Management
      Exchange to "NASDAQ OMX Copenhagen"
7     Other Business (Non-Voting)             None      None         Management


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

GENZYME CORP.

Ticker:       GENZ           Security ID:  372917104
Meeting Date: MAY 21, 2009   Meeting Type: Annual
Record Date:  MAR 31, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Director Douglas A. Berthiaume    For       For          Management
2     Elect Director Gail K. Boudreaux        For       For          Management
3     Elect Director Robert J. Carpenter      For       For          Management
4     Elect Director Charles L. Cooney        For       For          Management
5     Elect Director Victor J. Dzau           For       For          Management
6     Elect Director Connie Mack III          For       For          Management
7     Elect Director Richard F. Syron         For       For          Management
8     Elect Director Henri A. Termeer         For       For          Management
9     Amend Omnibus Stock Plan                For       For          Management
10    Approve Qualified Employee Stock        For       For          Management
      Purchase Plan
11    Ratify Auditors                         For       For          Management


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

GETINGE AB

Ticker:       GETIB          Security ID:  W3443C107
Meeting Date: NOV 14, 2008   Meeting Type: Special
Record Date:  NOV 7, 2008

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Open Meeting                            None      None         Management
2     Elect Chairman of Meeting               For       For          Management
3     Prepare and Approve List of             For       For          Management
      Shareholders
4     Approve Agenda of Meeting               For       For          Management
5     Designate Inspector(s)of Minutes of     For       For          Management
      Meeting
6     Acknowledge Proper Convening of Meeting For       For          Management
7     Approve Creation of SEK 2 Billion Pool  For       Against      Management
      with Preemptive Rights
8     Close Meeting                           None      None         Management


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

GILEAD SCIENCES, INC.

Ticker:       GILD           Security ID:  375558103
Meeting Date: MAY 6, 2009    Meeting Type: Annual
Record Date:  MAR 9, 2009

#     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 G. Moore        For       For          Management
1.10  Elect Director Richard J. Whitley       For       For          Management
1.11  Elect Director Gayle E. Wilson          For       For          Management
2     Ratify Auditors                         For       For          Management
3     Amend Omnibus Stock Plan                For       For          Management


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

GLAXOSMITHKLINE PLC

Ticker:       GLAXF          Security ID:  G3910J112
Meeting Date: MAY 20, 2009   Meeting Type: Annual
Record Date:

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Accept Financial Statements and         For       For          Management
      Statutory Reports
2     Approve Remuneration Report             For       For          Management
3     Elect James Murdoch as Director         For       For          Management
4     Re-elect Larry Culp as Director         For       For          Management
5     Re-elect Sir Crispin Davis as Director  For       For          Management
6     Re-elect Dr Moncef Slaoui as Director   For       For          Management
7     Re-elect Tom de Swaan as Director       For       For          Management
8     Reappoint PricewaterhouseCoopers LLP as For       For          Management
      Auditors of the Company
9     Authorise the Audit Committee to Fix    For       For          Management
      Remuneration of Auditors
10    Authorise the Company and its           For       For          Management
      Subsidiaries to Make EU Political
      Donations to Political Organisations
      Other than Political Parties up to GBP
      50,000 and to Incur EU Political
      Expenditure up to GBP 50,000
11    Authorise Issue of Equity with          For       For          Management
      Pre-emptive Rights Under a General
      Authority up to GBP 432,359,137 and an
      Additional Amount Pursuant to a Rights
      Issue of up to GBP 864,692,333 After
      Deducting Any Securities Issued Under
      the General Authority
12    Authorise Issue of Equity or            For       For          Management
      Equity-Linked Securities without
      Pre-emptive Rights up to Aggregate
      Nominal Amount of GBP 64,854,519
13    Authorise 518,836,153 Ordinary Shares   For       For          Management
      for Market Purchase
14    Approve the Exemption from Statement of For       For          Management
      the Name of the Senior Statutory
      Auditor in Published Copies of the
      Auditor's Reports
15    Approve That a General Meeting of the   For       Against      Management
      Company Other Than an Annual General
      Meeting May Be Called on Not Less Than
      14 Clear Days' Notice
16    Approve GlaxoSmithKline 2009            For       For          Management
      Performance Share Plan
17    Approve GlaxoSmithKline 2009 Share      For       For          Management
      Option Plan
18    Approve GlaxoSmithKline 2009 Deferred   For       For          Management
      Annual Bonus Plan


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

HOSPIRA, INC.

Ticker:       HSP            Security ID:  441060100
Meeting Date: MAY 14, 2009   Meeting Type: Annual
Record Date:  MAR 18, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Christopher B. Begley    For       For          Management
1.2   Elect Director  Barbara L. Bowles       For       For          Management
1.3   Elect Director Roger W. Hale            For       For          Management
1.4   Elect Director John C. Staley           For       For          Management
1.5   Elect Director Heino von Prondzynski    For       For          Management
2     Ratify Auditors                         For       For          Management
3     Amend Omnibus Stock Plan                For       For          Management


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

HUMANA INC.

Ticker:       HUM            Security ID:  444859102
Meeting Date: APR 23, 2009   Meeting Type: Annual
Record Date:  FEB 23, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director David A. Jones, Jr.      For       For          Management
1.2   Elect Director Frank A. D'Amelio        For       For          Management
1.3   Elect Director W. Roy Dunbar            For       For          Management
1.4   Elect Director Kurt J. Hilzinger        For       For          Management
1.5   Elect Director Michael B. McCallister   For       For          Management
1.6   Elect Director William J. McDonald      For       For          Management
1.7   Elect Director William E. Mitchell      For       For          Management
1.8   Elect Director James J. O'Brien         For       For          Management
1.9   Elect Director Marissa T. Peterson      For       For          Management
1.10  Elect Director W. Ann Reynolds          For       For          Management
2     Ratify Auditors                         For       For          Management


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

IMS HEALTH INC.

Ticker:       RX             Security ID:  449934108
Meeting Date: MAY 1, 2009    Meeting Type: Annual
Record Date:  MAR 6, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Director H. Eugene Lockhart       For       For          Management
2     Elect Director Bradley T. Sheares       For       For          Management
3     Ratify Auditors                         For       For          Management
4     Reduce Supermajority Vote Requirement   For       For          Management


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

ISIS PHARMACEUTICALS, INC.

Ticker:       ISIS           Security ID:  464330109
Meeting Date: JUN 2, 2009    Meeting Type: Annual
Record Date:  APR 6, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Richard D. DiMarchi      For       For          Management
1.2   Elect Director Frederick T. Muto        For       For          Management
2     Amend Qualified Employee Stock Purchase For       For          Management
      Plan
3     Ratify Auditors                         For       For          Management


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

JOHNSON & JOHNSON

Ticker:       JNJ            Security ID:  478160104
Meeting Date: APR 23, 2009   Meeting Type: Annual
Record Date:  FEB 24, 2009

#     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       For          Management
1.4   Elect Director Arnold G. Langbo         For       For          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       For          Management
1.8   Elect Director Charles Prince           For       Against      Management
1.9   Elect Director David Satcher            For       For          Management
1.10  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


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

KING PHARMACEUTICALS INC.

Ticker:       KG             Security ID:  495582108
Meeting Date: JUN 4, 2009    Meeting Type: Annual
Record Date:  MAR 30, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director R. Charles Moyer         For       For          Management
1.2   Elect Director D. Gregory Rooker        For       For          Management
1.3   Elect Director Ted G. Wood              For       For          Management
1.4   Elect Director E.W. Deavenport, Jr.     For       For          Management
1.5   Elect Director Elizabeth M. Greetham    For       For          Management
2     Ratify Auditors                         For       For          Management
3     Require a Majority Vote for the         Against   For          Shareholder
      Election of Directors


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

LIFE TECHNOLOGIES CORP

Ticker:       LIFE           Security ID:  53217V109
Meeting Date: APR 30, 2009   Meeting Type: Annual
Record Date:  FEB 27, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Donald W. Grimm          For       For          Management
1.2   Elect Director Gregory T. Lucier        For       For          Management
1.3   Elect Director Per A. Peterson, Ph. D.  For       For          Management
1.4   Elect Director William S. Shanahan      For       For          Management
1.5   Elect Director Arnold J. Levine, Ph. D. For       For          Management
2     Ratify Auditors                         For       For          Management
3     Amend Qualified Employee Stock Purchase For       For          Management
      Plan
4     Approve Qualified Employee Stock        For       For          Management
      Purchase Plan
5     Approve Omnibus Stock Plan              For       For          Management


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

LINCARE HOLDINGS, INC.

Ticker:       LNCR           Security ID:  532791100
Meeting Date: MAY 11, 2009   Meeting Type: Annual
Record Date:  MAR 16, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director John P. Byrnes           For       For          Management
1.2   Elect Director Stuart H. Altman, Ph.D.  For       Withhold     Management
1.3   Elect Director Chester B. Black         For       Withhold     Management
1.4   Elect Director Frank D. Byrne, M.D.     For       For          Management
1.5   Elect Director William F. Miller, III   For       Withhold     Management
2     Approve Qualified Employee Stock        For       For          Management
      Purchase Plan
3     Ratify Auditors                         For       For          Management


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

MAGELLAN HEALTH SERVICES, INC.

Ticker:       MGLN           Security ID:  559079207
Meeting Date: MAY 19, 2009   Meeting Type: Annual
Record Date:  MAR 31, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Rene Lerer               For       For          Management
1.2   Elect Director Nancy L. Johnson         For       For          Management
1.3   Elect Director Eran Broshy              For       For          Management
2     Ratify Auditors                         For       For          Management


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

MEDCO HEALTH SOLUTIONS, INC.

Ticker:       MHS            Security ID:  58405U102
Meeting Date: MAY 21, 2009   Meeting Type: Annual
Record Date:  MAR 26, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Director Charles M. Lillis, Ph.D. For       For          Management
2     Elect Director William L. Roper, M.D.   For       For          Management
3     Elect Director David D. Stevens         For       For          Management
4     Ratify Auditors                         For       For          Management
5     Approve Executive Incentive Bonus Plan  For       For          Management


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

MEDTRONIC, INC.

Ticker:       MDT            Security ID:  585055106
Meeting Date: AUG 21, 2008   Meeting Type: Annual
Record Date:  JUN 23, 2008

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Victor J. Dzau           For       For          Management
1.2   Elect Director William A. Hawkins       For       For          Management
1.3   Elect Director Shirley A. Jackson       For       For          Management
1.4   Elect Director Denise M. O'Leary        For       For          Management
1.5   Elect Director Jean-Pierre Rosso        For       For          Management
1.6   Elect Director Jack W. Schuler          For       For          Management
2     Ratify Auditors                         For       For          Management
3     Approve Omnibus Stock Plan              For       For          Management


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

MERCK & CO., INC.

Ticker:       MRK            Security ID:  589331107
Meeting Date: APR 28, 2009   Meeting Type: Annual
Record Date:  FEB 27, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Director  Leslie A. Brun          For       For          Management
2     Elect Director Thomas R. Cech           For       For          Management
3     Elect Director Richard T. Clark         For       For          Management
4     Elect Director Thomas H. Glocer         For       For          Management
5     Elect Director Steven F. Goldstone      For       For          Management
6     Elect Director William B. Harrison, Jr. For       For          Management
7     Elect Director Harry R. Jacobson        For       For          Management
8     Elect Director William N. Kelley        For       For          Management
9     Elect Director  Rochelle B. Lazarus     For       For          Management
10    Elect Director Carlos E. Represas       For       For          Management
11    Elect Director Thomas E. Shenk          For       For          Management
12    Elect Director  Anne M. Tatlock         For       For          Management
13    Elect Director Samuel O. Thier          For       For          Management
14    Elect Director Wendell P. Weeks         For       For          Management
15    Elect Director  Peter C. Wendell        For       For          Management
16    Ratify Auditors                         For       For          Management
17    Fix Number of Directors                 For       For          Management
18    Amend Bylaws-- Call Special Meetings    Against   For          Shareholder
19    Require Independent Lead Director       Against   Against      Shareholder
20    Advisory Vote to Ratify Named Executive Against   For          Shareholder
      Officers' Compensation


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

MERCK KGAA

Ticker:       MRK            Security ID:  D5357W103
Meeting Date: APR 3, 2009    Meeting Type: Annual
Record Date:  MAR 13, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Receive Financial Statements and        None      None         Management
      Statutory Reports for Fiscal 2008
      (Non-Voting)
2     Accept Financial Statements and         For       For          Management
      Statutory Reports for Fiscal 2008
3     Approve Allocation of Income and        For       For          Management
      Dividends of EUR 1.50 per Share
4     Approve Discharge of Management Board   For       For          Management
      for Fiscal 2008
5     Approve Discharge of Supervisory Board  For       For          Management
      for Fiscal 2008
6     Ratify KPMG AG as Auditors for Fiscal   For       For          Management
      2009
7     Approve Affiliation Agreements with     For       For          Management
      Subsidiary Litec-LLL GmbH
8.1   Elect Wolfgang Buechele to the          For       For          Management
      Supervisory Board
8.2   Elect Hans-Juergen Leuchs to the        For       For          Management
      Supervisory Board
9     Allow Electronic Distribution of        For       For          Management
      Company Communications
10    Amend Articles Re: Participation of     For       For          Management
      Merck KGaA on Profit/Loss of E. Merck
11    Approve Creation of EUR 57 Million Pool For       For          Management
      of Capital without Preemptive Rights


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

MIRACA HOLDINGS INC (FORMERLY FUJIREBIO)

Ticker:       4544           Security ID:  J4352B101
Meeting Date: JUN 23, 2009   Meeting Type: Annual
Record Date:  MAR 31, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Amend Articles To Reflect               For       For          Management
      Digitalization of Share Certificates
2.1   Elect Director                          For       For          Management
2.2   Elect Director                          For       For          Management
2.3   Elect Director                          For       For          Management
2.4   Elect Director                          For       For          Management
2.5   Elect Director                          For       For          Management
2.6   Elect Director                          For       For          Management
2.7   Elect Director                          For       For          Management
2.8   Elect Director                          For       For          Management
2.9   Elect Director                          For       For          Management
3     Approve Stock Option Plan               For       For          Management


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

ONO PHARMACEUTICAL CO. LTD.

Ticker:       4528           Security ID:  J61546115
Meeting Date: JUN 26, 2009   Meeting Type: Annual
Record Date:  MAR 31, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Approve Allocation of Income, with a    For       For          Management
      Final Dividend of JPY 90
2     Amend Articles To Reflect               For       For          Management
      Digitalization of Share Certificates -
      Reduce Directors' Term
3.1   Elect Director                          For       For          Management
3.2   Elect Director                          For       For          Management
3.3   Elect Director                          For       For          Management
3.4   Elect Director                          For       For          Management
3.5   Elect Director                          For       For          Management
3.6   Elect Director                          For       For          Management
3.7   Elect Director                          For       For          Management
3.8   Elect Director                          For       For          Management
3.9   Elect Director                          For       For          Management
3.10  Elect Director                          For       For          Management
3.11  Elect Director                          For       For          Management
4     Approve Annual Bonus Payment to         For       For          Management
      Directors and Statutory Auditors


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

PATTERSON COMPANIES INC.

Ticker:       PDCO           Security ID:  703395103
Meeting Date: SEP 8, 2008    Meeting Type: Annual
Record Date:  JUL 11, 2008

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Ronald E. Ezerski        For       For          Management
1.2   Elect Director Andre B. Lacy            For       For          Management
2     Approve Profit Sharing Plan             For       For          Management
3     Ratify Auditors                         For       For          Management


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

PERKINELMER, INC.

Ticker:       PKI            Security ID:  714046109
Meeting Date: APR 28, 2009   Meeting Type: Annual
Record Date:  MAR 2, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Director Robert F. Friel          For       For          Management
2     Elect Director Nicholas A. Lopardo      For       For          Management
3     Elect Director Alexis P. Michas         For       For          Management
4     Elect Director James C. Mullen          For       For          Management
5     Elect Director Vicki L. Sato            For       For          Management
6     Elect Director Gabriel Schmergel        For       For          Management
7     Elect Director Kenton J. Sicchitano     For       For          Management
8     Elect Director Patrick J. Sullivan      For       For          Management
9     Elect Director G. Robert Tod            For       For          Management
10    Ratify Auditors                         For       For          Management
11    Approve Omnibus Stock Plan              For       For          Management


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

PFIZER INC.

Ticker:       PFE            Security ID:  717081103
Meeting Date: APR 23, 2009   Meeting Type: Annual
Record Date:  FEB 24, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Dennis A. Ausiello       For       For          Management
1.2   Elect Director Michael S. Brown         For       For          Management
1.3   Elect Director M. Anthony Burns         For       For          Management
1.4   Elect Director Robert N. Burt           For       For          Management
1.5   Elect Director W. Don Cornwell          For       For          Management
1.6   Elect Director William H. Gray, III     For       For          Management
1.7   Elect Director Constance J. Horner      For       For          Management
1.8   Elect Director James M. Kilts           For       For          Management
1.9   Elect Director Jeffrey B. Kindler       For       For          Management
1.10  Elect Director George A. Lorch          For       For          Management
1.11  Elect Director Dana G. Mead             For       For          Management
1.12  Elect Director Suzanne Nora Johnson     For       For          Management
1.13  Elect Director Stephen W. Sanger        For       For          Management
1.14  Elect Director William C. Steere, Jr.   For       Against      Management
2     Ratify Auditors                         For       For          Management
3     Amend Omnibus Stock Plan                For       For          Management
4     Limit/Prohibit Executive Stock-Based    Against   Against      Shareholder
      Awards
5     Advisory Vote to Ratify Named Executive Against   For          Shareholder
      Officers' Compensation
6     Provide for Cumulative Voting           Against   Against      Shareholder
7     Amend Bylaws -- Call Special Meetings   Against   For          Shareholder


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

PHARMACEUTICAL PRODUCT DEVELOPMENT, INC.

Ticker:       PPDI           Security ID:  717124101
Meeting Date: MAY 20, 2009   Meeting Type: Annual
Record Date:  MAR 20, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Stuart Bondurant, M.D.   For       For          Management
1.2   Elect Director Fredric N. Eshelman,     For       For          Management
      Pharm.D.
1.3   Elect Director Frederick Frank          For       For          Management
1.4   Elect Director General David L. Grange  For       For          Management
1.5   Elect Director Catherine M. Klema       For       For          Management
1.6   Elect Director   Terry Magnuson, Ph.D.  For       For          Management
1.7   Elect Director Ernest Mario, Ph.D.      For       For          Management
1.8   Elect Director John A. McNeill, Jr.     For       For          Management
2     Amend Omnibus Stock Plan                For       For          Management
3     Ratify Auditors                         For       For          Management
4     Other Business                          For       Against      Management


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

QIAGEN N.V.

Ticker:       QGEN           Security ID:  N72482107
Meeting Date: JUN 24, 2009   Meeting Type: Annual
Record Date:  MAY 11, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Open Meeting                            None      None         Management
2     Receive Report of Management Board      None      None         Management
      (Non-Voting)
3     Receive Report of Supervisory Board     None      None         Management
      (Non-Voting)
4     Approve Financial Statements and        For       For          Management
      Statutory Reports
5     Receive Explanation on Company's        None      None         Management
      Reserves and Dividend Policy
6     Approve Discharge of Management Board   For       For          Management
7     Approve Discharge of Supervisory Board  For       For          Management
8a    Reelect Detlev Riesner to Supervisory   For       For          Management
      Board
8b    Reelect Werner Brandt to Supervisory    For       For          Management
      Board
8c    Reelect Metin Colpan to Supervisory     For       For          Management
      Board
8d    Reelect Erik Hornnaess to Supervisory   For       For          Management
      Board
8e    Reelect Manfred Karobath to Supervisory For       For          Management
      Board
8f    Reelect Heino von Prondzynski to        For       For          Management
      Supervisory Board
9a    Reelect Peer Schatz to Executive Board  For       For          Management
9b    Reelect Roland Sackers to Executive     For       For          Management
      Board
9c    Reelect Joachim Schorr to Executive     For       For          Management
      Board
9d    Reelect Bernd Uder to Executive Board   For       For          Management
10    Ratify Ernst & Young as Auditors        For       For          Management
11    Authorize Repurchase of Up to 10        For       For          Management
      Percent of Issued Share Capital
12    Allow Questions                         None      None         Management
13    Close Meeting                           None      None         Management


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

QUEST DIAGNOSTICS INCORPORATED

Ticker:       DGX            Security ID:  74834L100
Meeting Date: MAY 14, 2009   Meeting Type: Annual
Record Date:  MAR 16, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Jenne K. Britell         For       For          Management
1.2   Elect Director Gail R. Wilensky         For       For          Management
1.3   Elect Director John B. Ziegler          For       For          Management
2     Amend Omnibus Stock Plan                For       For          Management
3     Amend Non-Employee Director Omnibus     For       Against      Management
      Stock Plan
4     Ratify Auditors                         For       For          Management


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

REGENERON PHARMACEUTICALS, INC.

Ticker:       REGN           Security ID:  75886F107
Meeting Date: JUN 12, 2009   Meeting Type: Annual
Record Date:  APR 14, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Charles A. Baker         For       For          Management
1.2   Elect Director Michael S. Brown, M.D.   For       For          Management
1.3   Elect Director Arthur F. Ryan           For       For          Management
1.4   Elect Director George L. Sing           For       For          Management
2     Ratify Auditors                         For       For          Management


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

RESMED, INC.

Ticker:       RMD            Security ID:  761152107
Meeting Date: NOV 20, 2008   Meeting Type: Annual
Record Date:  SEP 24, 2008

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Christopher G. Roberts   For       Withhold     Management
1.2   Elect Director John Wareham             For       For          Management
2     Amend Omnibus Stock Plan                For       For          Management
3     Ratify Auditors                         For       For          Management


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

SANOFI AVENTIS

Ticker:       SAN            Security ID:  F5548N101
Meeting Date: APR 17, 2009   Meeting Type: Annual/Special
Record Date:  APR 14, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Approve Financial Statements and        For       For          Management
      Statutory Reports
2     Accept Consolidated Financial           For       For          Management
      Statements and Statutory Reports
3     Approve Allocation of Income and        For       For          Management
      Dividends of EUR 2.20 per Share
4     Ratify Appointment of Chris Viehbacher  For       For          Management
      as Director
5     Approve Auditors' Special Report        For       Against      Management
      Regarding Related-Party Transactions
6     Approve Transaction with Chris          For       For          Management
      Viehbacher Re: Severance Payments
7     Authorize Repurchase of Up to 10        For       For          Management
      Percent of Issued Share Capital
8     Authorize Issuance of Equity or         For       For          Management
      Equity-Linked Securities with
      Preemptive Rights up to Aggregate
      Nominal Amount of EUR 1.3 Billion
9     Authorize Issuance of Equity or         For       For          Management
      Equity-Linked Securities without
      Preemptive Rights up to Aggregate
      Nominal Amount of EUR 500 Million
10    Authorize Capital Increase of up to 10  For       For          Management
      Percent of Issued Capital for Future
      Acquisitions
11    Authorize Board to Increase Capital in  For       For          Management
      the Event of Additional Demand Related
      to Delegation Submitted to Shareholder
      Vote Above
12    Authorize Capitalization of Reserves of For       For          Management
      Up to EUR 500 Million for Bonus Issue
      or Increase in Par Value
13    Approve Employee Stock Purchase Plan    For       For          Management
14    Authorize up to 2.5  Percent of Issued  For       For          Management
      Capital for Use in Stock Option Plan
15    Authorize up to 1.0 Percent of Issued   For       For          Management
      Capital for Use in Restricted Stock
      Plan
16    Approve Reduction in Share Capital via  For       For          Management
      Cancellation of Repurchased Shares
17    Amend Article 15 of the Bylaws Re:      For       For          Management
      Audit Committee
18    Authorize Filing of Required            For       For          Management
      Documents/Other Formalities


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

SCHERING-PLOUGH CORP.

Ticker:       SGP            Security ID:  806605101
Meeting Date: MAY 18, 2009   Meeting Type: Annual
Record Date:  APR 6, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Thomas J. Colligan       For       For          Management
1.2   Elect Director Fred Hassan              For       For          Management
1.3   Elect Director C. Robert Kidder         For       For          Management
1.4   Elect Director Eugene R. McGrath        For       For          Management
1.5   Elect Director Antonio M. Perez         For       For          Management
1.6   Elect Director Patricia F. Russo        For       For          Management
1.7   Elect Director Jack L. Stahl            For       For          Management
1.8   Elect Director Craig B. Thompson        For       For          Management
1.9   Elect Director Kathryn C. Turner        For       For          Management
1.10  Elect Director Robert F.W. van Oordt    For       For          Management
1.11  Elect Director Arthur F. Weinbach       For       For          Management
2     Ratify Auditors                         For       For          Management
3     Provide for Cumulative Voting           Against   Against      Shareholder
4     Amend Articles/Bylaws/Charter -- Call   Against   Against      Shareholder
      Special Meetings


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

SHIONOGI & CO. LTD.

Ticker:       4507           Security ID:  J74229105
Meeting Date: JUN 25, 2009   Meeting Type: Annual
Record Date:  MAR 31, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Approve Allocation of Income, with a    For       For          Management
      Final Dividend of JPY 14
2     Amend Articles To Indemnify Directors - For       For          Management
      Reflect Digitalization of Share
      Certificates
3.1   Elect Director                          For       For          Management
3.2   Elect Director                          For       For          Management
3.3   Elect Director                          For       For          Management
3.4   Elect Director                          For       For          Management
3.5   Elect Director                          For       For          Management
3.6   Elect Director                          For       For          Management
4     Appoint Statutory Auditor               For       Against      Management
5     Approve Annual Bonus Payment to         For       For          Management
      Directors
6     Approve Retirement Bonus and Special    For       For          Management
      Payments in Connection with Abolition
      of Retirement Bonus System


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

ST. JUDE MEDICAL, INC.

Ticker:       STJ            Security ID:  790849103
Meeting Date: MAY 8, 2009    Meeting Type: Annual
Record Date:  MAR 11, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director John W. Brown            For       For          Management
1.2   Elect Director Daniel J. Starks         For       For          Management
2     Approve Executive Incentive Bonus Plan  For       For          Management
3     Ratify Auditors                         For       For          Management


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

STRYKER CORP.

Ticker:       SYK            Security ID:  863667101
Meeting Date: APR 29, 2009   Meeting Type: Annual
Record Date:  MAR 2, 2009

#     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 Louise L. Francesconi    For       For          Management
1.5   Elect Director Howard L. Lance          For       For          Management
1.6   Elect Director Stephen P. MacMillan     For       For          Management
1.7   Elect Director William U. Parfet        For       Withhold     Management
1.8   Elect Director Ronda E. Stryker         For       For          Management
2     Ratify Auditors                         For       For          Management


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

TENET HEALTHCARE CORP.

Ticker:       THC            Security ID:  88033G100
Meeting Date: MAY 6, 2009    Meeting Type: Annual
Record Date:  MAR 16, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Director John Ellis "Jeb" Bush    For       For          Management
2     Elect Director Trevor Fetter            For       For          Management
3     Elect Director Brenda J. Gaines         For       Against      Management
4     Elect Director Karen M. Garrison        For       For          Management
5     Elect Director Edward A. Kangas         For       Against      Management
6     Elect Director J. Robert Kerrey         For       For          Management
7     Elect Director Floyd D. Loop            For       For          Management
8     Elect Director Richard R. Pettingill    For       Against      Management
9     Elect Director James A. Unruh           For       For          Management
10    Elect Director J. McDonald Williams     For       Against      Management
11    Ratify Auditors                         For       For          Management
12    Adopt Pay for Superior Performance      Against   For          Shareholder
      Principles


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

TEVA PHARMACEUTICAL INDUSTRIES LTD.

Ticker:       TEVA           Security ID:  881624209
Meeting Date: SEP 25, 2008   Meeting Type: Special
Record Date:  AUG 18, 2008

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Joseph (Yosi) Nitzani as External For       For          Management
      Director


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

THERMO FISHER SCIENTIFIC INC.

Ticker:       TMO            Security ID:  883556102
Meeting Date: MAY 20, 2009   Meeting Type: Annual
Record Date:  MAR 27, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Judy C. Lewent           For       For          Management
1.2   Elect Director Peter J. Manning         For       For          Management
1.3   Elect Director Jim P. Manzi             For       For          Management
1.4   Elect Director Elaine S. Ullian         For       For          Management
2     Ratify Auditors                         For       For          Management


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

UNITEDHEALTH GROUP INCORPORATED

Ticker:       UNH            Security ID:  91324P102
Meeting Date: JUN 2, 2009    Meeting Type: Annual
Record Date:  APR 3, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Director William C. Ballard, Jr.  For       For          Management
2     Elect Director Richard T. Burke         For       For          Management
3     Elect Director Robert J. Darretta       For       For          Management
4     Elect Director Stephen J. Hemsley       For       For          Management
5     Elect Director Michele J. Hooper        For       For          Management
6     Elect Director Douglas W. Leatherdale   For       For          Management
7     Elect Director Glenn M. Renwick         For       For          Management
8     Elect Director Kenneth I. Shine, M.D.   For       For          Management
9     Elect Director Gail R. Wilensky, Ph.D.  For       For          Management
10    Ratify Auditors                         For       For          Management
11    Advisory Vote to Ratify Named Executive Against   For          Shareholder
      Officers' Compensation


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

UNIVERSAL HEALTH SERVICES, INC.

Ticker:       UHS            Security ID:  913903100
Meeting Date: MAY 20, 2009   Meeting Type: Annual
Record Date:  MAR 31, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Other Business                          For       Against      Management


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

WELLPOINT, INC.

Ticker:       WLP            Security ID:  94973V107
Meeting Date: MAY 20, 2009   Meeting Type: Annual
Record Date:  MAR 18, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Director Lenox D. Baker, Jr.,     For       For          Management
      M.D.
2     Elect Director Susan B. Bayh            For       For          Management
3     Elect Director Larry C. Glasscock       For       For          Management
4     Elect Director Julie A. Hill            For       For          Management
5     Elect Director Ramiro G. Peru           For       For          Management
6     Ratify Auditors                         For       For          Management
7     Approve Omnibus Stock Plan              For       For          Management
8     Amend Qualified Employee Stock Purchase For       For          Management
      Plan
9     Advisory Vote to Ratify Named Executive Against   For          Shareholder
      Officers' Compensation


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

ZIMMER HOLDINGS INC

Ticker:       ZMH            Security ID:  98956P102
Meeting Date: MAY 4, 2009    Meeting Type: Annual
Record Date:  MAR 5, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Director Betsy J. Bernard         For       For          Management
2     Elect Director Marc N. Casper           For       For          Management
3     Elect Director David C. Dvorak          For       For          Management
4     Elect Director Robert A. Hagemann       For       For          Management
5     Elect Director Arthur J. Higgins        For       For          Management
6     Elect Director Cecil B. Pickett         For       For          Management
7     Elect Director Augustus A. White, III   For       For          Management
8     Ratify Auditors                         For       For          Management
9     Approve Omnibus Stock Plan              For       For          Management
10    Amend Non-Employee Director Omnibus     For       For          Management
      Stock Plan
11    Amend Deferred Compensation Plan        For       For          Management

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


                                   SIGNATURES

     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.

(Registrant): Morgan Stanley Health Sciences Trust

By (Signature and Title)*


                                        /s/ Randy Takian
                                        ----------------------------------------
                                        Randy Takian
                                        President and Principal Executive
                                        Officer - Office of the Funds

Date August 28, 2009

*    Print the name and title of each signing officer under his or her
     signature.