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In Ukraine, the Human Rights Measurement Initiative [1] finds that country is fulfilling 79.4% of what they should be fulfilling for the right to health, based on their level on income. [2]
The crumbling, poorly financed healthcare system and rumours that children have fallen ill or even died after being immunised have led to a very poor vaccination rate. [3] [4] [5] In August 2016, 30% of children in Ukraine were fully immunized against measles, 11%, against hepatitis B, and 3% of against diphtheria, pertussis and tetanus. [6] At the time Ukraine had the lowest routine immunization rate in the world. [6]
As of June 2019, Ukraine is suffering one of the world's worst measles epidemics with more than 100,000 cases since 2017, with 16 deaths in 2018. In 2016 only 31% of the population had been immunised with the MMR vaccine. Various reasons are given for the low rate of vaccination including: a distrust of the state in the 1990s, a failure to keep vaccine supplies reliably refrigerated leading to ineffectiveness, a poorly informed medical profession and a high level of vaccine distrust in the wider population. Children are required to be vaccinated before entering the school system, but Unicef estimates that as many as 30% of vaccination certificates are falsified. [7] [8]
According to a study, entitled "Main reasons for the high death rate in Ukraine" conducted by the World Bank and released in December 2010 every third Ukrainian aged 18–65, including every fifth aged 18–25, had a high blood pressure. Almost 29% of the respondents suffered from being overweight, and 20% suffered from obesity. [9]
According to the above-mentioned 2010 World Bank study 36% (28.6% is the average in Europe) of Ukrainians smoke tobacco, including 31% of those who smoke every day. Men with primary education and women with higher education are inclined to smoking. Some 80% of daily smokers are men. The average age that daily smokers start the habit is decreasing, and at present is 16 years. In the younger age group there are four times as many smokers as in the older age group. The smallest percentage of smokers is to be found in the west of the country (24.6%), while the largest is in the east (34%). [10]
2.7 million people in Ukraine (6% [11] ) were reported as having a disability in 2014. [12] This number did not include the (reportedly) 1.5% of people with temporary disabilities. [12] In 2014, 35% of people aged 60–70 had some age-related disability. For people aged over 80 years, this number grew to 50%. [12]
Ukraine is notoriously "disability unfriendly". [12] [13] For example, in the capital Kyiv only 4% of infrastructure is considered to be "disability friendly". [12]
Ukraine has one of the fastest growing HIV/AIDS epidemics in the world. About 1.63 percent of Ukrainian adults, or about 756,300 citizens, were estimated to be living with HIV/AIDS in 2007, up from 1.46 percent of the population in 2005, or 685,600 citizens, according to UNAIDS. The statistics only reflect official cases, while those infected is likely higher according to UNAIDS. [14] The number of HIV/AIDS cases in Ukraine reduced by 200 or 3.9% to 4,900 in the period of January–November 2008, compared with the corresponding period of last year. Ukraine has one of the highest rates of increase of HIV/AIDS cases in Eastern Europe. [15] [16]
A 2017 article in The Independent reports that due to its mainly macho, patriarchal culture there is great resistance to psychotherapy in Ukraine. Weak mechanisms for licensing effective counsellors aggravates this resistance and a shame fostered by the years Ukraine was part of the Soviet Union [nb 1] compounds the problem, owing to Soviet authorities rendering psychiatry a tool for punishment (by imprisoning political dissidents in asylums) demonised mental health issues further. [18]
2007 and 2008 — 16.4 cases per 1,000 population. At the same time, a number of oblasts have much higher mortality rates: Chernihiv — 21,1 %, Sumy and Kirovohrad — 18,6, Donetsk — 18,1, Luhansk — 17,9 %. Negative natural increase in 2008 was observed in all regions of Ukraine, except Zakarpattia and Rivne regions and Kyiv.
Structure of causes of death in 2008:
diseases of the circulatory system — 63.7%
Ukraine is considered to be in a demographic crisis due to its high death rate and a low birth rate. The current Ukrainian birth rate is 11 births/1,000 population, and the death rate is 16.3 deaths/1,000 population. A factor contributing to the relatively high death is a high mortality rate among working-age males from preventable causes such as alcohol poisoning and smoking. [19]
In 2008, the country's population was one of the fastest declining in the world at -5% growth. [20] [21] The UN warned that Ukraine's population could fall by as much as 10 million by 2050 if trends did not improve. [22]
Vaccination is the administration of a vaccine to help the immune system develop immunity from a disease. Vaccines contain a microorganism or virus in a weakened, live or killed state, or proteins or toxins from the organism. In stimulating the body's adaptive immunity, they help prevent sickness from an infectious disease. When a sufficiently large percentage of a population has been vaccinated, herd immunity results. Herd immunity protects those who may be immunocompromised and cannot get a vaccine because even a weakened version would harm them. The effectiveness of vaccination has been widely studied and verified. Vaccination is the most effective method of preventing infectious diseases; widespread immunity due to vaccination is largely responsible for the worldwide eradication of smallpox and the elimination of diseases such as polio and tetanus from much of the world. However, some diseases, such as measles outbreaks in America, have seen rising cases due to relatively low vaccination rates in the 2010s – attributed, in part, to vaccine hesitancy. According to the World Health Organization, vaccination prevents 3.5–5 million deaths per year.
Measles is a highly contagious, vaccine-preventable infectious disease caused by measles virus. Symptoms usually develop 10–12 days after exposure to an infected person and last 7–10 days. Initial symptoms typically include fever, often greater than 40 °C (104 °F), cough, runny nose, and inflamed eyes. Small white spots known as Koplik's spots may form inside the mouth two or three days after the start of symptoms. A red, flat rash which usually starts on the face and then spreads to the rest of the body typically begins three to five days after the start of symptoms. Common complications include diarrhea, middle ear infection (7%), and pneumonia (6%). These occur in part due to measles-induced immunosuppression. Less commonly seizures, blindness, or inflammation of the brain may occur. Other names include morbilli, rubeola, red measles, and English measles. Both rubella, also known as German measles, and roseola are different diseases caused by unrelated viruses.
The MMR vaccine is a vaccine against measles, mumps, and rubella, abbreviated as MMR. The first dose is generally given to children around 9 months to 15 months of age, with a second dose at 15 months to 6 years of age, with at least four weeks between the doses. After two doses, 97% of people are protected against measles, 88% against mumps, and at least 97% against rubella. The vaccine is also recommended for those who do not have evidence of immunity, those with well-controlled HIV/AIDS, and within 72 hours of exposure to measles among those who are incompletely immunized. It is given by injection.
Immunization, or immunisation, is the process by which an individual's immune system becomes fortified against an infectious agent.
A vaccination schedule is a series of vaccinations, including the timing of all doses, which may be either recommended or compulsory, depending on the country of residence. A vaccine is an antigenic preparation used to produce active immunity to a disease, in order to prevent or reduce the effects of infection by any natural or "wild" pathogen. Vaccines go through multiple phases of trials to ensure safety and effectiveness.
Immunization during pregnancy is the administration of a vaccine to a pregnant individual. This may be done either to protect the individual from disease or to induce an antibody response, such that the antibodies cross the placenta and provide passive immunity to the infant after birth. In many countries, including the US, Canada, UK, Australia and New Zealand, vaccination against influenza, COVID-19 and whooping cough is routinely offered during pregnancy.
Niger is a landlocked country located in West Africa and has Libya, Chad, Nigeria, Benin, Mali, Burkina Faso, and Algeria as its neighboring countries. Niger was French territory that got its independence in 1960 and its official language is French. Niger has an area of 1.267 million square kilometres, nevertheless, 80% of its land area spreads through the Sahara Desert.
Measles vaccine protects against becoming infected with measles. Nearly all of those who do not develop immunity after a single dose develop it after a second dose. When the rate of vaccination within a population is greater than 92%, outbreaks of measles typically no longer occur; however, they may occur again if the rate of vaccination decreases. The vaccine's effectiveness lasts many years. It is unclear if it becomes less effective over time. The vaccine may also protect against measles if given within a couple of days after exposure to measles.
The current population of Myanmar is 54.05 million. It was 27.27 million in 1970. The general state of healthcare in Myanmar is poor. The military government of 1962-2011 spent anywhere from 0.5% to 3% of the country's GDP on healthcare. Healthcare in Myanmar is consistently ranked among the lowest in the world. In 2015, in congruence with a new democratic government, a series of healthcare reforms were enacted. In 2017, the reformed government spent 5.2% of GDP on healthcare expenditures. Health indicators have begun to improve as spending continues to increase. Patients continue to pay the majority of healthcare costs out of pocket. Although, out of pocket costs were reduced from 85% to 62% from 2014 to 2015. They continue to drop annually. The global average of healthcare costs paid out of pocket is 32%. Both public and private hospitals are understaffed due to a national shortage of doctors and nurses. Public hospitals lack many of the basic facilities and equipment. WHO consistently ranks Myanmar among the worst nations in healthcare.
Health in Angola is rated among the worst in the world.
Health in the Central African Republic has been degraded by years of internal conflict and economic turmoil since independence from France in 1960. One sixth of the country's population is in need of acute medical care. Endemic diseases put a high demand on the health infrastructure, which requires outside assistance to sustain itself.
Health in Russia deteriorated rapidly following the dissolution of the Soviet Union, and particularly for men, as a result of social and economic changes.
Health in South Africa touches on various aspects of health including the infectious diseases, Nutrition, Mental Health and Maternal care.
The 2010 maternal mortality rate per 100,000 births for Tanzania was 790. This is compared with 449 in 2008 and 610.2 in 1990. The UN Child Mortality Report 2011 reports a decrease in under-five mortality from 155 per 1,000 live births in 1990 to 76 per 1,000 live births in 2010, and in neonatal mortality from 40 per 1,000 live births to 26 per 1,000 live births. The aim of the report The State of the World's Midwifery is to highlight ways in which the Millennium Development Goals can be achieved, particularly Goal 4 – Reduce child
Universal Immunisation Programme (UIP) is a vaccination programme launched by the Government of India in 1985. It became a part of Child Survival and Safe Motherhood Programme in 1992 and is currently one of the key areas under the National Health Mission since 2005. The programme now consists of vaccination for 12 diseases- tuberculosis, diphtheria, pertussis, tetanus, poliomyelitis, measles, hepatitis B, rotaviral gastroenteritis, Japanese encephalitis, rubella, pneumonia and Pneumococcal diseases. Hepatitis B and Pneumococcal diseases were added to the UIP in 2007 and 2017 respectively. The cost of all the vaccines are borne entirely by the Government of India and is funded through taxes with a budget of ₹7,234 crore (US$870 million) in 2022 and the program covers all residents of India, including foreign residents.
The quality of health in Rwanda has historically been very low, both before and immediately after the 1994 genocide. In 1998, more than one in five children died before their fifth birthday, often from malaria. But in recent years Rwanda has seen improvement on a number of key health indicators. Between 2005 and 2013, life expectancy increased from 55.2 to 64.0, under-5 mortality decreased from 106.4 to 52.0 per 1,000 live births, and incidence of tuberculosis has dropped from 101 to 69 per 100,000 people. The country's progress in healthcare has been cited by the international media and charities. The Atlantic devoted an article to "Rwanda's Historic Health Recovery". Partners In Health described the health gains "among the most dramatic the world has seen in the last 50 years".
Zambia is a landlocked country in Sub Saharan Africa which experiences a burden of both communicable and non-communicable diseases. In line with WHO agenda for equity in health, it has adopted the Universal Health Coverage agenda to mitigate the challenges faced within the health sector. The Ministry of Health (MOH) provides information pertaining to Zambian health. The main focus of the Ministry of Health has been provision of uninterrupted care with emphasis on health systems strengthening and services via the primary health care approach.
Germany ranked 20th in the world in life expectancy in 2014 with 76.5 years for men and 82.1 years for women. It had a very low infant mortality rate, and it was eighth place in the number of practicing physicians, at 3.3 per 1,000 people
Life expectancy in Albania was estimated at 77.59 years, in 2014, ranking 51st in the world, and outperforming a number of European Union countries, such as Hungary, Poland and the Czech Republic. In 2016 it was 74 for men and 79 for women. The most common causes of death are circulatory diseases followed by cancerous illnesses. Demographic and Health Surveys completed a survey in April 2009, detailing various health statistics in Albania, including male circumcision, abortion and more.
