Table of Contents

HK J Paediatr (New Series)
Vol 2. No. 2, 1997

HK J Paediatr (New Series) 1997;2:116-122

Feature Article

Child Health Priorities in the 21st Century with Special Concern for Asia
二十一世紀亞洲兒童健康優先關注的問題

CL Hu


Abstract

The health problems of the world are changing; if current trends continue, the global importance of communicable diseases and malnutrition will decrease, and non-communicable diseases and injury will have assumed a far greater importance. However, for children, the projected distribution of causes of death will be much the same in 2020 as it was in 1990. The burden of ill health among children will continue to be dominated by diseases of under-development. The major causes of child deaths are acute respiratory infection, diarrhoea, measles, malaria, and malnutrition. This article addresses the five major life-threatening conditions, as well as perinatal/neonatal mortality, child mortality and HIV/AIDS, and additional health problems related to the consequences of urbanisation and changing lifestyles, and suggests what might be the priorities in dealing with them. It must be remembered that the five conditions mentioned above are a direct cause of 55% of all childhood mortality; this sad state is likely to remain so in 2020 unless action is taken now.

全球性健康問題正發生著變化。如果目前這種變化趨勢仍然繼續,傳染性疾病和營養不良性疾病在全球的重要性將會下降,而非傳染性疾病和損傷將會變得更加重要。然而,即使到2000年,各種導致兒童死亡的因素分佈與1990年一樣不會減少,不發達地區兒童的疾病仍將佔首位。引起兒童死亡的主要疾病為急性呼吸感染、腹瀉、麻疹、瘧疾及營養不良。本文論述了上述五種主要的致死性疾病以及圍產期/新生兒死亡率,兒童死亡率,人類免疫缺陷病毒感染/愛滋病及其他與都市化及生活方式改變有關的健康問題,並提出了處理上述疾病所需要優先解決的問題。值得提醒的是:因上述五種致死性疾病所引起的兒童死亡佔全球兒童死亡的55%;如果目前不採取措施,到2020年這種情形仍毫無改觀。

Keyword : Burden of ill health; Child abuse; Child health; Childhood HIV/AIDS; Communicable diseases; Genetic disorder; Lifestyle change; Malnutrition; Mortality; Noncommunicable diseases; Perinatal and neonatal: Priority: Urbanisation; Violence

 
 

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