Tag Archives: World Health Organization

The REAL Abortion? 21,000 children die each day

Today, around 21,000 children died around the world


Today, around 21,000 children died around the world. How about they give a damn more about all these children first?
That is equivalent to:

1 child dying every 4 seconds
14 children dying every minute
A 2011 Libya conflict-scale death toll every day
A 2010 Haiti earthquake occurring every 10 days
A 2004 Asian Tsunami occurring every 11 days
An Iraq-scale death toll every 19–46 days
Just under 7.6 million children dying every year
Some 92 million children dying between 2000 and 2010

The silent killers are poverty, hunger, easily preventable diseases and illnesses, and other related causes. Despite the scale of this daily/ongoing catastrophe, it rarely manages to achieve, much less sustain, prime-time, headline coverage.

From UNICEF, the world’s premier children’s organization, part of the United Nations:

2.5 billion people lack access to improved sanitation
1 billion children are deprived of one or more services essential to survival and development
148 million under 5s in developing regions are underweight for their age
101 million children are not attending primary school, with more girls than boys missing out
22 million infants are not protected from diseases by routine immunization
7.6 million children worldwide died before their 5th birthday in 2010
4 million newborns worldwide are dying in the first month of life
2 million children under 15 are living with HIV
>500,000 women die each year from causes related to pregnancy and childbirth

Global Issues

Social, Political, Economic and Environmental Issues That Affect Us All

World Child Hunger Facts

Nutritious foods in adequate amounts are essential for everyone but particularly for children. In early childhood, adequate nutrition can ensure healthy growth, proper organ formation and function, a strong immune system, and neurological and cognitive development. Nutrition, too, has increasingly been recognized as a basic pillar for social and economic development. Well-nourished people can learn new skills, think critically and contribute to their communities. Improving child nutrition impacts global, national and regional child survival, primary education, women’s empowerment, and maternal and child health rates.

On the flip side, child malnutrition hurts cognitive function and contributes to poverty by impeding people’s ability to lead productive lives. Poverty is the leading cause of hunger, but poverty also results from hunger, in a cyclical relationship. In spite of the importance of childhood nutrition and significant progress in the last 25 years, global childhood hunger is still rampant.

Overall, 5.6 million children under age five died in 2016, nearly 15,000 daily (World Health Organization [WHO], 2016). The risk of a child dying before five years of age is highest in Africa (76.5 per 1000 live births), about 8 times higher than in Europe (9.6 per 1000 live births) (WHO, 2016).

Approximately 3.1 million children die from undernutrition each year (UNICEF, 2018a). Hunger and undernutrition contribute to more than half of global child deaths, as undernutrition can make children more vulnerable to illness and exacerbate disease (UNICEF, 2018a).

Children who are poorly nourished suffer up to 160 days of illness each year (Glicken, M.D., 2010). Undernutrition magnifies the effect of every disease including measles and malaria. The estimated proportions of deaths in which undernutrition is an underlying cause are roughly similar for diarrhea (61%), malaria (57%), pneumonia (52%), and measles (45%) (Black, Morris, & Bryce, 2003; Bryce et al., 2005). Malnutrition can also be caused by diseases, such as the diseases that cause diarrhea, by reducing the body’s ability to convert food into usable nutrients (Black, Morris, & Bryce, 2003; Bryce et al., 2005)

66 million primary school-age children attend classes hungry across the developing world, 23 million whom live in Africa, which greatly impacts their ability to learn (World Food Programme [WFP], 2012).

Source: Mercy Corps, 2018


STUNTING (children significantly below standard height for their age)

Globally, about 151 million under-five-year-olds are estimated to be stunted in 2013.(UNICEF, WHO and The World Bank, 2018).

The global trend in stunting prevalence and numbers affected is decreasing. Between 2000 and 2017, stunting prevalence declined from 33% to 22% and numbers declined from 198 million to 151 million (UNICEF, 2018a). However, the regions of West and Central Africa have actually seen an increase in numbers of stunted children – from about 23 million to 29 million (UNICEF, 2018a).

In 2017, about half of all stunted children lived in Asia and over one third in Africa (UNICEF, WHO & The World Bank, 2018). Stunting is a public health problem but often goes unrecognized.

UNDERWEIGHT (children significantly below standard weight for their age)

Globally, 99 million under-five-year-olds were underweight in 2013, most of whom lived in Asia and Africa (Krasevec et al., 2014). The global trend in underweight prevalence continues to decrease; going from 25% to 13.5% between 1990 and 2017 (The World Bank, 2017).

The underweight prevalence in Africa decreased from 23% in 1990 to 17% in 2013, while in Asia, for the same period, the prevalence was reduced from 32% to 18%. In Latin America and the Caribbean the underweight prevalence decreased from 8% to 3% (Krasevec et al., 2014).

WASTING (children significantly below standard height to weight ratios)

Globally, 51 million under-five-year-olds were wasted and 16 million were severely wasted (UNICEF 2018a)

Wasting prevalence is estimated at 7.5% and severe wasting prevalence at 2.4% (UNICEF, 2018a).

Wasting in the under-five-year-olds group decreased by 13% from 1990 to 2013.

In 2017, approximately two thirds of all wasted children lived in Asia (mostly in South-Central Asia) and about one-quarter in Africa, with similar proportions for severely wasted children (UNICEF, 2018a)

MICRONUTRIENT DEFICIENCIES (Micronutrient – vital minerals and vitamins – deficiencies are caused by disease or inadequate consumption of nutritious foods).

Vitamin A deficiency affects about a third of children in low and middle-income countries, which increase a child’s risk of contracting infectious diseases by weakening the immune system (UNICEF, 2018b).

Zinc deficiency in low-income countries affects the immune and gastrointestinal systems, contributing to a major cause in under-five deaths – diarrhea (UNICEF, 2018b).

About 30% of the world’s population lives in areas where diets do not contain sufficient amounts of iodine, resulting in poor brain development (UNICEF, 2018b). The lack of micronutrients in children can be greatly influenced by the mother’s health, especially during pregnancy. In low-income countries, pregnant women who are malnourished may lack essential micronutrients for fetal development, such as iodine, zinc, iron, folate and vitamin D (Gernand et al., 2016).

For example, low iron in the mother can result in low birthweight of the infant, increasing the infant’s susceptibility to disease, a known contributor in the cycle of malnutrition (Gernand et. al., 2016).

According to UNICEF (2018b), about 40% of pregnant women and 40% of children under five years of age in developing countries are anemic, half of whom are estimated to be iron deficient.

THE DOUBLE BURDEN OF MALNUTRITION (The coexistence of undernutrition and overnutrition within individuals, families or populations)

Malnutrition encompasses both undernutrition and overnutrition. Some countries face this double burden of malnutrition, where undernutrition occurs along with overweight, obesity or diet-related diseases (WHO, 2017).

In some countries, like Egypt, Iraq and Vanuatu, for example, stunting is greater than 20% of their under-five population, while adult obesity is greater than 20% (FAO et al., 2017).

This double burden is becoming increasingly common in low and middle-income countries (WHO, 2017).

Globally, about 41 million children under five years old were overweight or obese (WHO, 2017).

About 155 million children under five years old were chronically undernourished (WHO, 2017). *

Undernourishment is a general term for receiving insufficient food and nutrients for growth (Merriam-Webster, 2018). It may lead to a child being underweight, a term that describes an individual below the median body measurements (weight for age) for a population (UNICEF, n.d.).

Source: WHO, 2018

What are some contributors? Early life nutrition. The amount of nutrition received during the fetal development period can determine much of the child’s future health (WHO, 2017).

o Low birthweight infants are at higher risk for metabolic disease (conditions that include high cholesterol and high blood sugar) (WHO, 2017).

o On the other hand, women who are overweight during pregnancy may have infants with larger weight, placing them at greater risk for obesity later (WHO, 2017).

Socioeconomic status and inequality. Low socioeconomic status impacts a family’s ability to buy adequately nutritious food (WHO, 2017).

While upper and middle-income countries have the highest prevalence of overweight, the prevalence in low and middle-income countries is still sizeable ¬– between 10% and 30% (WHO, 2017).

Food Systems. Diets high in saturated fats, salt and sugar are becoming more prominent, replacing nutritious diets, as they are sometimes more affordable or accessible (WHO, 2017).

Source: (GAIN) https://www.gainhealth.org; Global Nutrition Report 2015 The prevalence of stunting, wasting and underweight among children under-five years of age worldwide has significantly decreased since 1990. This is good news, but overall progress on malnutrition is insufficient, and millions of children remain hungry. Any child suffering from these conditions is at substantial increased risk of severe, acute malnutrition, illness and death.


Medical Treatment of Child Malnutrition
While some hunger prevention practices involve better access to nutritious foods and health care, as well as improving water and sanitation, short-term solutions for severe undernutrition commonly use ready-to-use therapeutic food (RUTF). Used to treat undernourished children under five years of age, RUTF is ideal for treatment at home; it contains micronutrients, does not need to be cooked, and can be stored for a long time (UNICEF, 2015).

Large Scale Approaches

In the 2030 Agenda for Sustainable Development, the United Nations sets global goals to eradicate extreme poverty and hunger (FAO et al., 2017).

Approaches by international organizations and programs to combat child hunger in lower-middle-income countries involve agriculture sustainability; emphasis on maternal health, education and empowerment; community and household education on nutrition; and partnerships with governments to fortify micronutrient levels in food.

Below are examples of some of the work in eradicating child hunger:

UNICEF (UNICEF, 2018b) Community-based approach to promote breastfeeding and encourage diet diversity, involving a variety of local foods; Vitamin A supplementation programs for children under-five-years old; Support of government programs to supplement iron folic acid supplementation during pregnancy to ensure proper fetal development; Support governments in implementing mass food fortification – for example, universal salt iodization.

World Food Programme (WFP, 2018) Invest in the agricultural supply chain and rural infrastructure (roads to transport food and ways to store food); Encourage the expansion of social protection (in some countries, in the form of cash transfers) for the poorest 2 billion in the world, creating the potential for economic growth so that poor households can afford proper food and medical care.

Action Against Hunger (Action Against Hunger, 2017) Provision of local, accessible outpatient treatment for undernourished children (community management of acute malnutrition – CMAM); Educating and supporting mothers in best feeding practices to ensure healthy child development; Ensuring access to supplementary foods for particularly vulnerable populations; Capacity building by training health workers to treat undernutrition and working to strengthen local health care systems. (Updated July 2018 with the assistance of Crystal Lam, George Washington University, MPH candidate) References
Action Against Hunger. (2017).

Nutrition and health. Retrieved from https://www.actionagainsthunger.org/impact/nutrition. Glicken, M. D. (2010). Social work in the 21st century: An introduction to social welfare, social issues, and the profession. Thousand Oaks, CA: Sage. Black, R. E., Morris, S. S., & Bryce, J. (2003).

Where and why are 10 million children dying every year?, The Lancet, 361(9376), 2226-2234. Bryce, J., Boschi-Pinto, C., Shibuya, K., Black, R. E., & WHO Child Health Epidemiology Reference Group. (2005).

WHO estimates of the causes of death in children. The Lancet, 365(9465), 1147-1152. FAO, IFAD, UNICEF, WFP and WHO. (2017).

The State of Food Security and Nutrition in the World 2017. Building resilience for peace and food security. Retrieved from https://docs.wfp.org/api/documents/WFP-0000022419/download/?_ga=2.58209514.1314642926.1528665631-1013504369.1528665631. Gernand, A. D., Schulze, K. J., Stewart, C. P., West Jr, K. P., & Christian, P. (2016).

Micronutrient deficiencies in pregnancy worldwide: Health effects and prevention. Nature Reviews Endocrinology, 12(5), 274. International Food Policy Research Institute. (2015).

Global nutrition report 2015: Actions and accountability to advance nutrition and sustainable development. Retrieved from http://www.thousanddays.org/wp-content/uploads/2015-Global-Nutrition-Report.pdf. Krasevec, J., Thompson, A., Blössner, M., Borghi, E., Feng, J., Serajuddin, U. for The United Nations Children’s Fund, the World Health Organization and the World Bank. (2014).

“Levels & trends in child malnutrition – UNICEF-WHO-The World Bank joint child malnutrition estimates”. Retrieved from http://www.who.int/nutgrowthdb/summary_jme_2013.pdf. Mercy Corps. (2018).

Quick facts: What you need to know about global hunger. Retrieved from https://www.mercycorps.org/articles/quick-facts-what-you-need-know-about-global-hunger. The New York Academy of Sciences. (2014, October 23).

Micronutrients: Supplementation, fortification, and beyond. Retrieved from https://www.nyas.org/podcasts/media/podcast/micronutrients-supplementation-fortification-and-beyond/. The World Bank. (2017).

Prevalence of underweight, weight for age (% of children under 5). Retrieved from https://data.worldbank.org/indicator/SH.STA.MALN.ZS?view=chart.

Undernourished. 2018. In Merriam-Webster.com. Retrieved July 14, 2018 from https://www.merriam-webster.com/dictionary/undernourished.

UNICEF. (2015, December 23). Severe acute malnutrition. Retrieved from https://www.unicef.org/nutrition/index_sam.html. UNICEF. (2018a). Malnutrition rates remain alarming: stunting is declining too slowly while wasting still impacts the lives of far too many young children. Retrieved from http://data.unicef.org/topic/nutrition/malnutrition/#.

UNICEF. (2018b). Micronutrients. Retrieved from https://www.unicef.org/nutrition/index_iodine.html.

UNICEF. (n.d.). Definitions: Nutrition. Retrieved from https://www.unicef.org/infobycountry/stats_popup2.html.

UNICEF, World Health Organization, & The World Bank. (2012, September 20). Key facts and figures. UNICEF/WHO/World Bank Group Joint Child Malnutrition Estimates. Retrieved from http://www.who.int/nutgrowthdb/key_facts_figures.pdf.

UNICEF, World Health Organization & The World Bank. (2018, May 14). Levels and trends in child malnutrition. UNICEF / WHO / World Bank Group Joint Child Malnutrition Estimates Key findings of the 2018 edition. Retrieved from http://data.unicef.org/wp-content/uploads/2018/05/JME-2018-brochure-.pdf.

World Food Programme. (2012). Two minutes to learn about: School Meals. Retrieved from https://documents.wfp.org/stellent/groups/public/documents/communications/wfp220221.pdf?_ga=2.263020492.1314642926.1528665631-1013504369.1528665631.

World Food Programme. (2018). Zero Hunger. Retrieved from http://www1.wfp.org/zero-hunger.

World Health Organization. (2016). Global Health Observatory (GHO) data. Retrieved from http://www.who.int/gho/child_health/mortality/mortality_under_five/en/.

World Health Organization. (2017). Policy brief. Geneva: The double burden of malnutrition. Retrieved from http://apps.who.int/iris/bitstream/handle/10665/255413/WHO-NMH-NHD-17.3-eng.pdf;jsessionid=6CC6C4506E1E43112CD1EF845ACC99A1?sequence=1.

World Health Organization. (2018). Nutrition. Retrieved from http://www.who.int/nutrition/double-burden-malnutrition/infographics/en/.

Margaret and Helen introduce the COVID19 Quarantini. It’s strong enough to make you think Obama is still President and will knock you on your ass from 6 feet away. #SocialDistancing

I am a former drunk. Haven’t touched a drop since 2005. But this? I damn well would drink right now.

Margaret, I’m sorry to say that the Social Distancing diet is fattening. My ass is almost as big as Trump’s ego, but easier to view if I do say so myself. The man gave himself a 10 out of 10 for how he has handled this. Really? Try to get tested right now. Just try. In my book the grade is zero which is also the number of tests you are going to find unless you are in another country or a professional basketball player.

Over a week ago he told us “Anyone who wants a test can get a test.” He repeated that statement more than once. That’s odd because yesterday the Governor of Texas announced that 15,000 tests would be available by the end of the week. The end of THIS WEEK. Texas has a population of 30,000,000. That’s 30 million.  1 test for every 2,000 Texans… but anyone who wants one… Math seems to be hard for the GOP.

Until this week Fox News continued to tell people it was all a Democratic hoax. But yesterday Trump said he knew it was a Pandemic a long time ago which is odd because he told everyone at his last rally that it was a Democrat “new hoax”. Either he was lying to all his supporters then or he’s lying to all Americans now. Well, I’ve got news for all those Trump supporting Fox News viewers. You are in for a real surprise when you head to the grocery store for toilet paper this week.

Trump also calls this the Chinese Virus because  finding blame for a pandemic is very Trumpian. He blames everything on Mexico, China, Obama or fake news. It’s as if he hasn’t been President for over three years. You know what Obama had to do with COVID19? Nothing. Honestly, if this really was called the Chinese Virus it would have a Trump clothing label on it and his moron of a first daughter would be trying to get it trademarked. The man has no shame and the sense God gave a goose.  My apology to geese.

A real President would have declared COVID19 a public health emergency within a week of the first US case being detected. In a fully functioning government, the first test to detect the new virus would have been approved by the FDA two days later and shipments of the new CDC test would have gone out within 2 weeks. You know – EXACTLY HOW THEN PRESIDENT BARACK OBAMA HANDLED THE H1N1 VIRUS.

But not Donald Trump.  It’s over two months since the first case in the US and we are just now getting any type of major testing underway.  Asked whether he took responsibility for the apparent lag in widespread testing, Trump said, “No, I don’t take responsibility at all because we were given a — a set of circumstances, and we were given rules, regulations and specifications from a different time.”

Well I call BULLSHIT.  This Asshat fired the U.S. pandemic response team in 2018 to cut costs.  And that is a fact.  Here are some other facts:

December 31: Health officials in Wuhan, China, post a notice about investigating a pneumonia outbreak. The World Health Organization (WHO) acknowledges that it “was informed of a cluster of cases of pneumonia of unknown cause.”

January 14: Two cases of Coranavirus (COVID19) reported in the US.

January 21: Dr. Nancy Messonnier, a senior CDC official handling the response to respiratory diseases, tells reporters, “We do expect additional cases in the United States and globally.”

January 22: Trump says he isn’t worried that the outbreak could turn into a global pandemic, “We have it totally under control. It’s one person coming in from China, and we have it under control. It’s going to be just fine.”

January 24: Trump posts his first of many misleading tweets about the coronavirus. He praises the Chinese government for its “transparency” handling the outbreak and says, “it will all work out well.”

January 25: The WHO says there are more than 1,000 confirmed cases worldwide.

January 31: Two weeks after the first reported cases in the US, Trump administration declares a public health emergency in the United States because of the coronavirus and blocks foreigners who visited China from entering the country.

February 1: The WHO says there are more than 10,000 confirmed cases worldwide.

February 6: The WHO says there are more than 25,000 confirmed cases worldwide.

February 7: Trump tweets that China “will be successful” in stopping the coronavirus, “especially as the weather starts to warm & the virus hopefully becomes weaker, and then gone.”

February 10: At a political rally in New Hampshire, Trump mentions the coronavirus and says it “looks like, by April, you know, in theory, when it gets a little warmer, it miraculously goes away.”

February 14:  One month since first reported cases in US

February 15: The WHO says there are more than 50,000 confirmed cases worldwide.

February 19: The WHO says there are more than 75,000 confirmed cases worldwide.

February 24: Trump tweets, “The Coronavirus is very much under control in the USA.”

February 25: Messonnier, the CDC official, says it is inevitable that the coronavirus will spread in the US and that Americans need to prepare for disruptions to their daily lives.

February 25: Trump tells reporters during his trip to India that the virus is “a problem that’s going to go away.”

February 26: At a White House press conference, Trump contradicts the assessment from the CDC that the virus will definitely spread throughout the US. Trump says, “I don’t think it’s inevitable. I think that there’s a chance that it could get worse, a chance it could get fairly substantially worse, but nothing’s inevitable.”

February 27: The WHO says there are more than 82,000 confirmed cases worldwide.

February 28: At another political rally Trump tells supporters, “The Democrats are politicizing the coronavirus. They’re politicizing it.” Then Trump called the coronavirus “their new hoax.”

February 29: Health officials in Washington state announce the first coronavirus death inside the United States. Forty-six (46) days after the first reported cases in the US, Trump conceded that “additional cases in the United States are likely.”

March 5:  Vice President and Chief Brown Noser Mike Pence admits we don’t have enough tests.

March 6: Trump lies (again) and says “Anyone who wants a test, can get a test.”

March 14: Two months since first reported cases in the US.

March 18: Sixty-four (64) days after the first reported cases in the US and we are still asking “Where are the tests?”

March 19: Global cases approach a quarter of a million. Cases in the US approach 10,000. Over 150 Americans have died. Many Hospitals report that tests are arriving broken or with incomplete parts.

(Sidenote:  My idiot Senator from Texas, John Cornyn – the other idiot Senator from Texas I should say – says that viruses like Swine Flu are China’s fault because they eat weird food. He then goes home to have some bacon-wrapped jalapenos and bison burgers. At the same time Ted Cruz emerges from self-quarantine but admits that he was never tested. Ted Cruz doesn’t play basketball professionally and I guess beating Jimmy Kimmel doesn’t get you a free test kit.)

We are all now hoarding toilet paper and social distancing. Millions of people are sheltering in place. Schools and universities are closed. Tens of thousands of Uber and Lyft drivers, artists, theatres, restaurants, clubs, small businesses, large businesses will go under. The stock market is heading south faster than my friends Marvin and Fannie Stein do from New York in October.  And our Supreme Leader Trump is most concerned about saving the Cruise Ship and Airline industries. The man is an asshat.

Contrary to popular belief, I was born after the 1918 Spanish Flu pandemic.  I’m really not sure what to tell you.  I would imagine, however, that social distancing means it’s ok to drink alone.

Helen’s COVID19 Quarantini

1-part vermouth

19 parts gin

Garnished with a Vitamin C tablet

Served Chilled with Hand Sanitizer

The world is indeed a bit crazy these days, but we can all get through this together… even if that means we must be apart for a while.  I mean it. Really.