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FOCUS<br />

It is all happening so quickly. Three generations ago,<br />

Asians tended to die early of infections or parasites<br />

such as malaria or tuberculosis, in childbirth, or – at<br />

high rates – in early childhood. Today, they are increasingly<br />

living to a ripe old age and dying from heart disease,<br />

diabetes, chronic respiratory problems or cancer – all long<br />

considered rich-world problems.<br />

This should come as no surprise, says Eduardo Banzon,<br />

senior health specialist with the Asian Development Bank.<br />

“These diseases are associated with increased prosperity<br />

and longevity. As Asia is becoming richer, the health<br />

patterns of Western countries are being repeated here.”<br />

It is a demographic truism that as countries develop<br />

and become wealthier, they urbanize, and as they urbanize<br />

people live longer and fertility rates fall. When the number<br />

of elderly increases relative to the young, diseases linked<br />

to insufficient nutrition and infection give way to the<br />

degenerative problems of old age.<br />

This is what is happening in Asia. After decades of<br />

economic development and improving healthcare, deaths<br />

from communicable diseases (infectious diseases<br />

transmitted by direct contact) and maternal and prenatal<br />

conditions in the countries to the right of Pakistan on a<br />

Mercator map have fallen, while those caused by noncommunicable<br />

diseases (NCDs) have risen sharply.<br />

This is known as epidemiological transition, and Asia’s<br />

direction is clearly seen in data from the World Health<br />

Organization. Only one-fifth of all deaths in Asia and the<br />

Western Pacific region are now caused by infectious<br />

CAUSES OF DEATH IN ASIA-PACIFIC REGION, PROJECTED TO 2030<br />

As mortality rates from communicable diseases decrease, owing to economic<br />

development and better healthcare, rates for non-communicable diseases increase<br />

Female<br />

Male<br />

100% 100%<br />

90% 90%<br />

% of deaths in Asia-Pacific region<br />

80% 80%<br />

70% 70%<br />

60% 60%<br />

50% 50%<br />

40% 40%<br />

30% 30%<br />

20% 20%<br />

10% 10%<br />

% of deaths in Asia-Pacific region<br />

0% 0%<br />

2000 2012 2015 2030 2000 2012 2015 2030<br />

Communicable Non-communicable Injuries<br />

8 • Allianz<br />

Founded<br />

in 1982,<br />

the vast<br />

market spans<br />

over four million<br />

square meters and<br />

employs over 200,000<br />

people

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