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Understanding global security - Peter Hough

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HEALTH THREATS TO SECURITY<br />

Table 7.2 The ten most significant <strong>global</strong> infectious disease threats<br />

Disease Cause Main areas affected Annual<br />

deaths<br />

1 Lower Influenza and pneumonia virus Global but most deadly 3.9 million<br />

respiratory passed by coughing and sneezing in LDCs<br />

diseases<br />

2 AIDS Virus transmitted by bodily fluids Global but principally 2.9 million<br />

Sub-Saharan Africa<br />

3 Diarrhoeal Various diseases carried by India, China, Sub-Saharan 2.1 million<br />

waterborne viruses, bacteria and Africa<br />

parasites (e.g. cholera, dysentery,<br />

e. coli )<br />

4 Tuberculosis Bacterial infection transmitted by LDCs, principally Africa 1.7 million<br />

coughs and sneezes<br />

& SE Asia<br />

5 Malaria Parasites transmitted by mosquito The ‘Tropics’ 1.1 million<br />

6 Measles Virus affecting children Global 0.8 million<br />

7 Hepatitis B Virus transmitted via blood Global but principally 0.6 million<br />

(e.g. sharing needles) causing Africa & E Asia<br />

liver diseases<br />

8 Tetanus Bacterial infection affecting babies LDCs in Asia and Sub 0.3 million<br />

and mothers during birth due to Saharan Africa<br />

unsanitary conditions<br />

9 Pertussis Bacterial infection of the lungs Africa 0.3 million<br />

(whooping<br />

cough)<br />

10 Meningitis Bacterial infection transmitted by Global but most deadly in 0.2 million<br />

human contact<br />

Sub-Saharan Africa<br />

Source: Figures from Murray et al. (2001).<br />

diphenyl-trichloroethane (DDT), against disease-carrying insects such as mosquitoes<br />

and tsetse flies. The defence against disease was strengthened by significant medical<br />

advances that discovered and refined antibiotics, such as long-acting penicillin, which<br />

could directly attack the microbes themselves or immunize whole vulnerable<br />

populations against threatening diseases. Coordinating this joint strategy was a new<br />

<strong>global</strong> body set up as part of the United Nations, the World Health Organization<br />

(WHO).<br />

A WHO-led immunization campaign entirely eradicated smallpox in 1978,<br />

saving around two million lives a year, while the use of DDT in WHO-led operations<br />

quickly curbed the annual death toll attributable to malaria to a similar degree<br />

155

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