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Millions of Children Dying
Needlessly, Doctors Say
Excerpt
By Patricia Reaney, Reuters Health
Six million children in poor countries
who die from preventable illnesses each year could be saved but
intervention and treatments are not reaching them, health experts
said on Friday.
Fifty percent of the deaths in
children occur in six countries -- India, Nigeria, China, Pakistan,
Democratic Republic of Congo and Ethiopia. The illnesses they
die from range from diarrhea, pneumonia and malnutrition to malaria
and HIV/AIDS which can be prevented or treated.
"We could save six million child
lives every year just by doing what we already know how to do
if people would put their heart and money into it. It is not a
question of technical know-how," Dr Jennifer Bryce of the World
Health Organization (WHO) told a news conference.
But although doctors have the means
to prevent the deaths, they are not being incorporated into public
health policies.
In the latest issue of The Lancet
medical journal, Bryce and other child health experts urge the
United Nations, governments, development agencies and scientists
to focus on child health and survival.
"We see child survival as the most
pressing moral and political issue of our time," Lancet editor
Richard Horton said.
SIMPLE INTERVENTIONS, INEXPENSIVE
TREATMENT
Nearly all of the deaths of young
children occur in poor countries but interventions such as promoting
breast feeding, improving nutrition, insecticides to prevent malaria,
vaccinations against infections and improvements in water and
sanitation could prevent the illnesses.
And those that do occur can be
treated with anti-malarial medicines, antibiotics and therapies
for diarrhoea.
"Most of these interventions are
not reaching half of the children who need them," said Dr Cesar
Victora, an epidemiologist at Federal University of Pelotas in
Brazil.
The Commission for Macroeconomic
and Health estimates that to increase interventions by 2007, $7.5
billion a year would be needed, less than the amount wealthy countries
spend on pet food annually.
"The initial impetus on child survival
that was present in the 1980s just discontinued in the 1990s,"
Victora added.
The U.N. Children's Fund, UNICEF,
said it agreed with the findings but said it is simplistic to
suggest that an approach that worked in the 1980s would have a
similar success.
"There are much more complex challenges
we are facing now, including AIDS and conflict," Alfred Ironisde,
a UNICEF spokesman, told Reuters.
Weak healthcare systems in poor
countries and disproportionate spending on the health needs of
the rich are compounding the health problems of the world's poorest
children.
"The key issue is we need political
will. We need political will at international level," Victora
said. "We need political will by donors from rich countries and
we need political will within developing countries which are not
prioritizing the survival of their own children."
Reference
Source 89
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