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US 1 from 8 countries in which the health of children has improved, but maternal mortality has worsened – Eurasia review



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The United States & # 39 is one of the eight countries in the world where
decreases in infant and child mortality for the period of 27 years
who also agreed to reduce maternal mortality, according
to a new scientific study.

This divergent trend was also found in American Samoa, Canada,
Greece, Guam, Jamaica, Saint Vincent and the Grenadines and Zimbabwe. with
these countries, the United States had the largest increase in maternal
The mortality rate at 67.5%.

"Our findings are particularly alarming because health
children are very closely connected with their mother, "said Dr.
Nicolas Kassebaum, senior author of the study and from the & # 39; yunkt
Professor at the Institute for Health Metrics and evaluation (IHME) in
University of Washington School of Medicine. "This paradox guarantees
A more detailed study in the United States, to determine how we can
priorities for improving the health of mothers with those for children
and adolescents ".

Kassebaum said that the study also determines the uneven progress
the health of children and adolescents during the 27-year study period, with injustice
It grows between the countries with the highest and lowest
Socio-demographic index (SDI) scores. The SDI, the development measure
It takes into account the per capita income, adult education, and the general
the fertility rate for women aged up to 25 years.

For example, studies show the gap between the best and worst
performers widened. Low-SDI and SDI low average level of the country felt the
82.2% of all children and adolescents who have died, compared with 70.9% in 1990.

Published today in the international medical journal JAMA Pediatrics.
study covers 1990 to 2017 and 195 countries and territories. part
Global Burden of Disease (GBD) study, this new analysis & # 39 is
comprehensive effort to measure the health of children and adolescents
at the international level. The results are presented in the collective age group
from birth to 19 years, but also separately for neonates, infants, children,
and adolescents. The study authors defined as those infants younger 28
days, the babies, as those under the age of 1 year, children are those under the age of
than 10 years and adolescents as persons between the ages of 10 to 19 years.

The researchers found, children today are more likely than ever to reach
their 20th birthday as a result of a significant reduction in mortality.
Child and adolescent deaths were doubled in the period from 1990 to 2017, the decline
from 13.8 million to 6.6 Mill. These dramatic progress has been largely due to
global reduction in mortality from diarrhea, lower respiratory tract
infections, and other common infectious diseases, especially among
children aged 1-4 years, which have seen the most rapid decline in mortality.

Despite significant progress, lower respiratory tract infection,
diarrhea, and severe malnutrition remains one of the biggest killers
children and young people around the world in 2017. In addition, HIV / AIDS remains
direct threat to the health and well-being of older children and
teenagers in many countries in sub-Saharan Africa, including South
Africa, Zimbabwe, Lesotho, Swaziland, Botswana and Zambia.

With the reduction in mortality from infectious diseases, many
middle- and high-income countries have experienced higher loss of health
noncommunicable disease (NCD) such as congenital birth defects,
mental and behavioral disorders, and asthma. Injuries also continue
be one of the main causes of premature death and long-term disability among the elderly
children and young people in all countries.

"The resulting threat to the & # 39 is a large and growing severity of mental health
and disorders due to use of psychoactive substances among older children and adolescents
around the world, "said Dr. Bobby Reiner, senior author of the study and assistant
Professor IHME. "The more children to survive infancy, already
overburdened health care system will have to adapt to the challenges
Addressing non-communicable diseases among older children and
teens ".

Rainer also noted that several countries have shown no signs of health
improvement among adolescents over a period of 27 years after it was
Common progress in the development of society is expected.

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