Fifty facts from the World Health Report 1995



CONTENTS


GENERAL

The world's population has more than doubled from 2.5 billion in
1950 to 5.6 billion today, including 4.4 billion in the developing
world.

More than one-fifth of the global population lives in extreme
poverty.

Life expectancy in one of the world's least developed countries is
43 years, compared to 78 years in one of the world's most developed
countries.

Despite gains in overall life expectancy worldwide - a rise of 4
years to 65 years since 1980 - at least five countries will see
their life expectancy rates drop in the next five years.

Half the world's population still lacks regular access to treatment
of common diseases and to the most needed essential drugs.

CHILDREN

More than 12 million children under 5 years of age die in the
developing world every year, most from a combination of preventable
causes.

Each year more than 4 million children under 5 years die of acute
respiratory infections, particularly pneumonia. This is equal to one
death every 8 seconds.

Diarrhoeal diseases kill about 3 million children a year.

Measles kills about 1.2 million children a year.

Malaria kills about 1 million children a year.

More than half a million babies die each year from neonatal tetanus.

Up to 320 out of every 1000 babies do not reach their fifth birthday
in some parts of the developing world, compared to only 6 deaths
under 5 years per thousand births in some of the most developed countries.

More than 200 million children - almost a third of all the children
in the world - are undernourished.

Breast-feeding could prevent the deaths of at least 1 million
children a year.

It is estimated that by the year 2000, over 5 million children will
be infected by HIV and another 5-10 million orphaned by the HIV/AIDS
pandemic.

Globally, infant mortality has fallen by 25 per cent since 1980,
from 82 per 1000 births to 62 per 1000, while deaths among children
under 5 have fallen from 115 per 1000 births in 1980 to 87 per 1000 births
today.

The number of children under 5 dying from vaccine-preventable
diseases - diphtheria, measles, neonatal tetanus, pertussis
(whooping cough) and tuberculosis - dropped from 3.7 million in 1985 to 2.4
million in 1993. Eight out of 10 children in the world have been vaccinated
against these diseases.

ADOLESCENTS

Pregnancy in adolescence carries a high risk of death or long-term
complications. Maternal mortality rates at ages 15-19 are double the
rates at 20-24 and the rates at ages 10-14 are five times higher in some
countries.

Compared to other age groups, sexually transmitted diseases are most
common in young people aged 15 to 24, and up to two-thirds of all
new HIV infections are expected to be in this age group.

Studies in Latin American and the Caribbean show that 30-60 per cent
of marriages take place in adolescence.

One smoker in two will eventually die because of a cigarette habit
begun in adolescence.

Suicide rates among young people are rising more rapidly worldwide
than in all other age groups. For every successful suicide in the
developed world, some 40 adolescents attempt to kill themselves.

ADULTS

Of the world's 51 million deaths last year, 40 per cent were caused
by communicable diseases.

Infectious diseases and parasites are the world's biggest group of
killers, claiming 16.4 million lives each year.

Diseases of the circulatory system kill 10 million people each year,
and are the largest cause of death.

Cancer claims 6 million lives each year, including 1 million due to
cancer of the lungs and airways. Worldwide lung cancer is the
biggest single cause of cancer deaths in men.

Breast cancer is the main cause of cancer deaths among women in
developed countries and the second cause in the developing world
after cervical cancer.

The majority of cancer victims live in the developing world and
two-thirds of future cancer cases over the next 25 years will occur
there.

Overall smoking kills 6 people a minute. Smoking is the world's
largest single preventable cause of illness and death. It already
kills 3 million people a year and is expected to kill 10 million by the year
2020.

Ninety-nine per cent of deaths from communicable diseases and from
maternal, perinatal and neonatal causes occur in the developing
world.

A pregnant woman in Africa is 13.5 times more likely to die in
childbirth than one in Europe, while the mothers of more than half
of the babies born in the least developed countries have no prenatal care.

Twenty million women undergo unsafe abortions each year and 70,000
die as a result.

More than half of the world's women now use a contraceptive method
compared to fewer than 10 per cent in 1960.

More than 7000 adults die each day from tuberculosis, and there are
over 1000 new cases every hour of every day.

Hepatitis B kills about 1 million people each year, but it is
preventable by vaccine.

Over 13 million adults, mainly heterosexual men and women, are
infected with HIV. Up to 60 per cent of infections in females are
believed to occur by the age of 20. Some 6000 people become infected each
day and by the year 2000, the cumulative total of HIV infections worldwide
could reach 30 to 40 million.

In the next 5 years, AIDS will have killed more than 8 million
people, most of them young adults, with women an increasing
proportion of the total.

In the developing world, 1 in 2 deaths is caused by communicable
disease, whereas in the developed world 3 out of 4 deaths are due
noncommunicable diseases, many of which are lifestyle-related, such as
cancer or heart disease.

Hypertension or high blood pressure, one of the major contributors
to heart disease, stroke and kidney failure, affects 8 to 18 per
cent of adults worldwide.

More than 100 million people will suffer from diabetes by the end of
this century - 90 percent of them with the form strongly linked to
lifestyle habits such as inappropriate diet and lack of exercise.

Some 500 million people suffer from neurotic, stress-related and
somatoform disorders, and another 200 million from mood disorders
such as chronic and manic depression.

In Africa, where 9 of 10 deaths from malaria occur, the social and
economic costs of the diseases have reached $2 billion a year.

Schistosomiasis, or snail fever, affects 200 million people in 74
countries. The cost of treatment - although only 30 cents per
patient - is too expensive for widespread use in many of the most affected
countries.

River blindness, or onchocerciasis, a parasitic disease, infects 18
million people in 34 countries in Africa and Latin America.

Every day about 600 people die, and another 33 000 are injured
because of unsafe working conditions. Worldwide, 90 per cent of
workers have no access to occupational health services.

ELDERLY

The number of people in the developing world aged over 65 will
increase by between 200 and 400 per cent during the next 30 years.

Studies of elderly people in many countries show a high prevalence
of such chronic diseases as stroke, dementia and cancer.

Dementia, particularly Alzheimer's disease, affects at least 22
million people globally, including one in every 5 aged over 80.

At least 165 million people in the world, most of them elderly, are
estimated to have rheumatoid arthritis.

One in 3 women over 50 have osteoporosis - thin bone disease - and
so stand a much-heightened risk of bone fractures.


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