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Understanding global security - Peter Hough

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HEALTH THREATS TO SECURITY<br />

Table 7.3 The ten deadliest non-communicable diseases in the world<br />

Disease Contributory factors Main areas affected Annual<br />

deaths<br />

1 Ischaemic heart Poor diet – excessive fat Global, particularly significant 6.9 million<br />

disease<br />

in North & East Europe<br />

2 Cerebrovascular Various Global, particularly significant 5.1 million<br />

heart disease<br />

in East Asia and Europe<br />

3 Chronic obstructive Tobacco smoking Global, particularly significant 2.5 million<br />

lung disorders<br />

in East Asia<br />

4 Perinatal disorders Poor hospital hygiene LDCs in Africa & Asia 2.4 million<br />

5 Lung, bronchus Tobacco smoking Global, particularly prevalent 1.2 million<br />

and trachea cancer<br />

in East Europe and N. America<br />

6 Diabetes mellitus Poor diet – excessive Global, particularly prevalent 0.8 million<br />

sugar<br />

in N. America, E. Europe &<br />

Middle East<br />

7 Cirrhosis Alcohol consumption Global, particularly in the 0.8 million<br />

developed world<br />

8 Stomach cancer Various, poor diet Global, particularly prevalent 0.7 million<br />

suspected<br />

in East Asia<br />

9 Congenital Lack of pre-natal Global, particularly prevalant 0.7 million<br />

abnormalities diagnosis in SE Asia & Middle East<br />

10 Liver cancer Often prompted by Global, particularly prevalent 0.6 million<br />

hepatitis B<br />

in E. Asia<br />

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

growth in international trade and the birth of liberal internationalism prompted the<br />

‘Concert’ powers to consider a response. In 1851 the first International Sanitary<br />

Conference was held in Paris but failed to agree on a convention to establish harmonized<br />

quarantine practices for cholera, plague and yellow fever which were ravaging<br />

Europe and much of the world. Subsequent International Sanitary Conferences<br />

also made little progress in coordinating controls in an era when barriers to free trade<br />

and navigation were anathema to the great naval and commercial powers. A breakthrough,<br />

however, occurred in 1892 at the seventh International Sanitation<br />

Conference when an International Sanitary Convention for cholera was agreed on by<br />

most of the European maritime powers. The onset of a major cholera epidemic<br />

the following year prompted two further International Sanitary Conventions at the 8th<br />

and 9th Conferences, which furthered measures to control the spread of that disease.<br />

At the 10th International Sanitary Conference in 1902 a fourth Convention was agreed<br />

on, dealing with the age-old threat of the plague.<br />

161

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