<strong>June</strong> <strong>2007</strong>KUWAIT MEDICAL JOURNALWHO-Facts Sheet1. New Country Estimates Show Heavy Toll Caused by Indoor Air Pollution2. Road Traffic Crashes are the Leading Cause of Death for 10-24 Year Olds3. WHO Proposes Global Agenda on Transplantation4. Global Tuberculosis Epidemic Levelling Off5. World Moves Closer to Eradicating Ancient Worm Disease6. Guidelines on Cultivating Essential Plant used in Anti-Malaria MedicinesCompiled and edited byBabichan K ChandyKuwait Medical Journal <strong>2007</strong>, <strong>39</strong> (2):203-2081. NEW COUNTRY ESTIMATES SHOW HEAVYTOLL CAUSED BY INDOOR AIR POLLUTIONIn the 21 worst-affected countries, close to 5% ofdeath and disease is caused by indoor air pollution,according to new estimates published by the WorldHealth Organization (WHO).The first-ever country-by-country estimates ofthe burden of disease due to indoor air pollutionhighlight the heavy toll solid fuel use takes on thehealth and well-being of people around the world.Among the worst affected 11 countries alone,indoor air pollution is to blame for a total of 1.2million deaths a year. Globally, reliance on solidfuels is one of the ten most important threats topublic health.“The prevention potential is enormous” saidSusanne We b e r-Mosdorf, WHO’s A s s i s t a n tDirector-General for Sustainable Development andHealthy Environments. “Solutions are available,and it is our international responsibility to promotethehealth and well-being of those affected, who aremostly women and children.”Worldwide, more than three billion peopledepend on solid fuels, including biomass (wood,dung and crop residues) and coal, for cooking andheating. Exposure to indoor air pollution from solidfuels has been linked to many diseases, inparticular pneumonia among children and chronicrespiratory diseases among adults.A shift towards cleaner and more eff i c i e n tmodern fuels, such as biogas, liquefied petroleumgas (LPG) and kerosene could largely eliminate thishealth risk and prevent 1.5 million deaths a yearglobally. In the short-term, the promotion of moref u e l - e fficient and cleaner technologies, such asi m p roved cooking stoves, smoke hoods andinsulated retained heat cookers, could substantiallyreduce indoor air pollution and would bring aboutmany other convenience and socioeconom i cbenefits.These burdens of disease estimates will assistnational decision-makers in the health, enviro n m e n t ,energy and finance sectors to set priorities forpreventive action. They can also be used to assessthe performance of policies over time. In thecontext of limited resources, burden of diseaseinformation should be complemented withknowledge on technological options in a givencountry and information on the costs and benefitsof such options.For more information contact: Nada Osseiran,Advocacy & Communications Officer, Public Healthand Environment, WHO, Geneva, Tel. +4122 -7914475, Fax: +4122 791 4127. Email:osseirann@who.int.Country by country information on indoor airpollution and its health impacts, available athttp://www.who.int/indoorair/health_impacts/burden/en/index.html2. ROAD TRAFFIC CRASHES ARE THELEADING CAUSE OF DEATH FOR 10-24 YEAROLDSNew Report marks First United Nations GlobalRoad Safety WeekRoad traffic crashes are the leading cause ofdeath among young people between 10 and 24Address correspondence to:Office of the Spokesperson, WHO, Geneva. Tel.: (+41 22) 791 2599; Fax (+41 22) 791 4858; E-mail: inf@who.int; Web site: http://www.who.int/
204WHO-Facts Sheet <strong>June</strong> <strong>2007</strong>years, according to a new report published by theWorld Health Organization (WHO). The report,Youth and Road Safety, says that nearly 400,000young people under the age of 25 are killed in roadtraffic crashes every year. Millions more are injuredor disabled.The vast majority of these deaths and injuriesoccur in low- and middle-income countries. Thehighest rates are found in Africa and the MiddleEast. Young people from economically disadvantagedbackgrounds are at greatest risk in every country.Young males are at higher risk for road trafficfatalities than females in every age group under 25years.Unless more comprehensive global action istaken, the number of deaths and injuries is likely torise significantly. Road traffic collisions cost anestimated $518 billion globally in material, healthand other costs. For many low- and middle-incomecountries, the cost of road crashes re p re s e n t sbetween 1-1.5% of GNP and in some cases exceedthe total amount they receive in internationaldevelopment aid.Youth and Road Safety stresses that the bulk ofthese crashes are predictable - and preventable.Many involve children playing on the street, youngpedestrians, cyclists, motorcyclists, novice driversand passengers of public transport.The report points out that, children are not justlittle adults. Their height, level of maturity, theirinterests, as well as their need to play and travelsafely to school, mean that they require specialsafety measures. Also, the report says, protectingolder youth requires other measures such as lowerblood alcohol limits for young drivers andgraduated license programmes.Youth and Road Safety highlights examples incountries where improved measures such aslowering speed limits, cracking down on drinkdriving,promoting and enforcing the use of seatbelts,child restraints, and motorcycle helmets, aswell as better road infrastructure and creating safea reas for children to play have significantlyreduced the number of deaths and injuries.“The lack of safety on our roads has become animportant obstacle to health and development,”said Dr Margaret Chan, WHO Director-General.“Our children and young adults are among themost vulnerable. Road traffic crashes are not‘accidents’. We need to challenge the notion thatthey are unavoidable and make room for a proactive,preventive approach. “For more information contact: Laura Sminkey,Technical Officer, WHO, Geneva, Tel: +41 22 791 4547,Mobile: +41 79 249 3520, Email: sminkeyl@who.int.3. WHO PROPOSES GLOBAL AGENDA ONTRANSPLANTATIONNew World Observatory Launched with SpainAt the second Global Consultation onTransplantation held in March <strong>2007</strong>, the WorldHealth Organization (WHO) presented countriesand other stakeholders with a blueprint forupdated global guiding principles on cell, tissueand <strong>org</strong>an donation and transplantation.Those principles aim to address a number ofproblems: the global shortage of human materials -particularly <strong>org</strong>ans - for transplantation; the gro w i n gphenomenon of ‘transplant tourism’ partly causedby that shortage; quality, safety and e fficacy issuesrelated to transplantation pro c e d u re s ; traceabilityand accountability of human materials crossingborders.Stakeholders agreed to the creation of a GlobalForum on Transplantation to be spearheaded byWHO, to assist and support developing countriesinitiating transplantation programmes and to worktowards a unified global coding system for cells,tissues and <strong>org</strong>ans.A central theme of the discussions was WHO’sconcern over increasing cases of commerc i a lexploitation of human materials.“Human <strong>org</strong>ans are not spare parts,” said DrHoward Zucker, WHO Assistant Director-Generalof Health Technology and Pharmaceuticals. “Noone can put a price on an <strong>org</strong>an which is going tosave someone’s life.”“Non-existent or lax laws on <strong>org</strong>an donationand transplantation encourage commercialism andtransplant tourism,” said Dr Luc Noel, in charge oftransplantation at WHO. “If all countries agree ona common approach, and stop commercial exploitation,then access will be more equitable and we will havefewer health tragedies.”Transplantation is increasingly seen as the bestsolution to end-stage <strong>org</strong>an failure . E n d - s t a g ekidney disease, for instance, can only be re p a i re dwitha kidney transplant. Without it, the patient will dieor require dialysis for years, which is an expensivep ro c e d u re and often out of reach of poore rpatients. Transplantation is the only option forsome liver conditions, such as severe cirrhosis orliver cancer, and a number of serious heartconditions.Recent estimates communicated to WHO by 98countries show that the most sought after <strong>org</strong>an isthe kidney. Sixty-six thousand kidneys weretransplanted in 2005 representing a mere 10% of theestimated need. In the same year, 21000 livers and6000 hearts were transplanted. Both kidney andliver transplants are on the rise but demand is alsoincreasing and remains unmatched.