scholarly journals Global and National Declines in Life Expectancy: An End-of-2021 Assessment

2022 ◽  
Author(s):  
Patrick Heuveline
Keyword(s):  
Life Expectancy ◽  
Mortality Data ◽  
First Year ◽  
High Quality ◽  
Global Estimate ◽  
Aids Pandemic ◽  
The World ◽  
Sub Saharan ◽  
Exact Size ◽  
The Impact

Timely, high-quality mortality data have allowed for assessments of the impact of Covid-19 on life expectancies in upper-middle- and high-income countries. Extant data, though imperfect, suggest that the bulk of the pandemic-induced mortality might have occurred elsewhere. This article reports on changes in life expectancies around the world as far as they can be estimated from the evidence available at the end of 2021. The global life expectancy appears to have declined by .92 years between 2019 and 2020 and by another .72 years between 2020 and 2021, but the decline seems to have ended during the last quarter of 2021. Uncertainty about its exact size aside, this represents the first decline in global life expectancy since 1950, the first year for which a global estimate is available from the United Nations. Annual declines in life expectancy (from a 12-month period to the next) appear to have exceeded two years at some point before the end of 2021 in at least 50 countries. Since 1950, annual declines of that magnitude had only been observed in rare occasions, such as Cambodia in the 1970s, Rwanda in the 1990s, and possibly some sub-Saharan African nations at the peak of the HIV/AIDS pandemic.

Does economic freedom improve health outcomes in sub-Saharan Africa?

2020 ◽  
Vol 47 (12) ◽  
pp. 1633-1649
Author(s):  
Anand Sharma
Keyword(s):  
Mortality Rate ◽  
Life Expectancy ◽  
Health Outcomes ◽  
Economic Freedom ◽  
Sub Saharan Africa ◽  
African Countries ◽  
Content Type ◽  
The World ◽  
Sub Saharan ◽  
The Impact

PurposeThe purpose of this study is to examine the impact of economic freedom on four key health indicators (namely, life expectancy, infant mortality rate, under-five mortality rate and neonatal mortality rate) by using a panel dataset of 34 sub-Saharan African countries from 2005 to 2016.Design/methodology/approachThe study obtains data from the World Development Indicators (WDI) of the World Bank and the Fraser Institute. It uses fixed effects regression to estimate the effect of economic freedom on health outcomes and attempts to resolve the endogeneity problems by using two-stage least squares regression (2SLS).FindingsThe results indicate a favourable impact of economic freedom on health outcomes. That is, higher levels of economic freedom reduce mortality rates and increase life expectancy in sub-Saharan Africa. All areas of economic freedom, except government size, have a significant and positive effect on health outcomes.Research limitations/implicationsThis study analyses the effect of economic freedom on health at a broad level. Country-specific studies at a disaggregated level may provide additional information about the impact of economic freedom on health outcomes. Also, this study does not control for some important variables such as education, income inequality and foreign aid due to data constraints.Practical implicationsThe findings suggest that sub-Saharan African countries should focus on enhancing the quality of economic institutions to improve their health outcomes. This may include policy reforms that support a robust legal system, protect property rights, promote free trade and stabilise the macroeconomic environment. In addition, policies that raise urbanisation, increase immunisation and lower the incidence of HIV are likely to produce a substantial improvement in health outcomes.Originality/valueExtant economic freedom-health literature does not focus on endogeneity problems. This study uses instrumental variables regression to deal with endogeneity. Also, this is one of the first attempts to empirically investigate the relationship between economic freedom and health in the case of sub-Saharan Africa.

scholarly journals The decomposition of life expectancy for age and cause of death in Tuscany, Italy

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
N Nante ◽  
L Kundisova ◽  
F Gori ◽  
A Martini ◽  
F Battisti ◽  
...  
Keyword(s):  
Life Expectancy ◽  
Causes Of Death ◽  
National Level ◽  
Age Groups ◽  
Resistant Bacteria ◽  
Mortality Data ◽  
Life Expectancy At Birth ◽  
Icd 10 ◽  
Reduction Of Mortality ◽  
The Impact

Abstract Introduction Changing of life expectancy at birth (LE) over time reflects variations of mortality rates of a certain population. Italy is amongst the countries with the highest LE, Tuscany ranks fifth at the national level. The aim of the present work was to evaluate the impact of various causes of death in different age groups on the change in LE in the Tuscany region (Italy) during period 1987-2015. Material and methods Mortality data relative to residents that died during the period between 1987/1989 and 2013/2015 were provided by the Tuscan Regional Mortality Registry. The causes of death taken into consideration were cardiovascular (CVS), respiratory (RESP) and infective (INF) diseases and cancer (TUM). The decomposition of LE gain was realized with software Epidat, using the Pollard’s method. Results The overall LE gain during the period between two three-years periods was 6.7 years for males, with a major gain between 65-89, and 4.5 years for females, mainly improved between 75-89, <1 year for both sexes. The major gain (2.6 years) was attributable to the reduction of mortality for CVS, followed by TUM (1.76 in males and 0.83 in females) and RESP (0.4 in males; 0.1 in females). The major loss of years of LE was attributable to INF (-0.15 in females; -0.07 in males) and lung cancer in females (-0.13), for which the opposite result was observed for males (gain of 0.62 years of LE). Conclusions During the study period (1987-2015) the gain in LE was major for males. To the reduction of mortality for CVS have contributed to the tempestuous treatment of acute CVS events and secondary CVS prevention. For TUM the result is attributable to the adherence of population to oncologic screening programmes. The excess of mortality for INF that lead to the loss of LE can be attributed to the passage from ICD-9 to ICD-10 in 2003 (higher sensibility of ICD-10) and to the diffusion of multi-drug resistant bacteria, which lead to elevated mortality in these years. Key messages The gain in LE during the period the 1987-2015 was higher in males. The major contribution to gain in LE was due to a reduction of mortality for CVS diseases.

scholarly journals The impact of African-trained neurosurgeons on sub-Saharan Africa

2020 ◽  
Vol 48 (3) ◽  
pp. E4 ◽  
Author(s):  
Claire Karekezi ◽  
Abdeslam El Khamlichi ◽  
Abdessamad El Ouahabi ◽  
Najia El Abbadi ◽  
Semevo Alidegnon Ahokpossi ◽  
...  
Keyword(s):  
Low Income ◽  
National Income ◽  
Sub Saharan Africa ◽  
World Federation ◽  
Neurosurgical Procedures ◽  
Ct Scanner ◽  
The Past ◽  
The World ◽  
Sub Saharan ◽  
The Impact

OBJECTIVESub-Saharan Africa (SSA) represents 17% of the world’s land, 14% of the population, and 1% of the gross domestic product. Previous reports have indicated that 81/500 African neurosurgeons (16.2%) worked in SSA—i.e., 1 neurosurgeon per 6 million inhabitants. Over the past decades, efforts have been made to improve neurosurgery availability in SSA. In this study, the authors provide an update by means of the polling of neurosurgeons who trained in North Africa and went back to practice in SSA.METHODSNeurosurgeons who had full training at the World Federation of Neurosurgical Societies (WFNS) Rabat Training Center (RTC) over the past 16 years were polled with an 18-question survey focused on demographics, practice/case types, and operating room equipment availability.RESULTSData collected from all 21 (100%) WFNS RTC graduates showed that all neurosurgeons returned to work to SSA in 12 different countries, 90% working in low-income and 10% in lower-middle-income countries, defined by the World Bank as a Gross National Income per capita of ≤ US$995 and US$996–$3895, respectively. The cumulative population in the geographical areas in which they practice is 267 million, with a total of 102 neurosurgeons reported, resulting in 1 neurosurgeon per 2.62 million inhabitants. Upon return to SSA, WFNS RTC graduates were employed in public/private hospitals (62%), military hospitals (14.3%), academic centers (14.3%), and private practice (9.5%). The majority reported an even split between spine and cranial and between trauma and elective; 71% performed between 50 and more than 100 neurosurgical procedures/year. Equipment available varied across the cohort. A CT scanner was available to 86%, MRI to 38%, surgical microscope to 33%, endoscope to 19.1%, and neuronavigation to 0%. Three (14.3%) neurosurgeons had access to none of the above.CONCLUSIONSNeurosurgery availability in SSA has significantly improved over the past decade thanks to the dedication of senior African neurosurgeons, organizations, and volunteers who believed in forming the new neurosurgery generation in the same continent where they practice. Challenges include limited resources and the need to continue expanding efforts in local neurosurgery training and continuing medical education. Focus on affordable and low-maintenance technology is needed.

scholarly journals Trends in Avoidable Mortality in Lithuania During 2001–2008 and Their Impact on Life Expectancy

Medicina ◽  
2011 ◽  
Vol 47 (9) ◽  
pp. 504 ◽  
Author(s):  
Vilius Grabauskas ◽  
Aldona Gaižauskienė ◽  
Skirmantė Sauliūnė ◽  
Rasa Mišeikytė
Keyword(s):  
Life Expectancy ◽  
Mortality Data ◽  
Avoidable Mortality ◽  
Average Life Expectancy ◽  
Mortality Trends ◽  
Annual Percent Change ◽  
Increasing Trend ◽  
Causes Of Deaths ◽  
Changes Over Time ◽  
The Impact

The process of the restructuring of health care system in Lithuania demonstrates the need to continue the monitoring of changes in avoidable mortality. Objective. To assess the level of avoidable mortality as well as its changes over time in Lithuania during 2001–2008 and to define the impact of avoidable mortality on life expectancy. Material and Methods. The mortality data were taken from the Lithuanian Department of Statistics. Twelve avoidable causes of deaths (treatable and preventable) were analyzed. Mortality trends were assessed by computing the average annual percent change (AAPC). The shortening of average life expectancy was computed from survival tables. Results. During the period 2001–2008, the avoidable mortality was increasing more significantly (AAPC 3.0%, P<0.05) than the overall mortality (AAPC 1.7%, P<0.05) in the population aged 5–64 years. The increasing trend was mainly determined by mortality from preventable diseases (AAPC 4.6%, P<0.05). The avoidable causes of death reduced the life expectancy by 1.77 years (preventable by 1.12 and treatable by 0.63 years). Diversity in trends in mortality of different avoidable causes was disclosed. A declining trend in mortality caused by chronic rheumatic heart disease and lung cancer was observed for males (AAPC –22.6% and –2.1%, respectively; P<0.05). However, the mortality caused by liver cirrhosis was increasing for both genders (AAPC 16.1% for males and 17.6% for females, P<0.01) and that caused by tuberculosis – only for females (AAPC 7.8%, P<0.05). Conclusions. An increasing trend in avoidable mortality was observed. Deaths caused by the diseases that could have been prevented had the greatest impact on the increasing mortality and decreasing life expectancy.

scholarly journals Health-Adjusted Life Expectancy among Canadian Adults with and without Hypertension

2011 ◽  
Vol 2011 ◽  
pp. 1-7 ◽  
Author(s):  
Lidia Loukine ◽  
Chris Waters ◽  
Bernard C. K. Choi ◽  
Joellyn Ellison
Keyword(s):  
Life Expectancy ◽  
Disease Surveillance ◽  
Premature Death ◽  
Canadian Community Health Survey ◽  
Significant Loss ◽  
Mortality Data ◽  
Disease Surveillance System ◽  
Community Health Survey ◽  
Table Analysis ◽  
The Impact

Hypertension can lead to cardiovascular diseases and other chronic conditions. While the impact of hypertension on premature death and life expectancy has been published, the impact on health-adjusted life expectancy has not, and constitutes the research objective of this study. Health-adjusted life expectancy (HALE) is the number of expected years of life equivalent to years lived in full health. Data were obtained from the Canadian Chronic Disease Surveillance System (mortality data 2004–2006) and the Canadian Community Health Survey (Health Utilities Index data 2000–2005) for people with and without hypertension. Life table analysis was applied to calculate life expectancy and health-adjusted life expectancy and their confidence intervals. Our results show that for Canadians 20 years of age, without hypertension, life expectancy is 65.4 years and 61.0 years, for females and males, respectively. HALE is 55.0 years and 52.8 years for the two sexes at age 20; and 24.7 years and 22.9 years at age 55. For Canadians with hypertension, HALE is only 48.9 years and 47.1 years for the two sexes at age 20; and 22.7 years and 20.2 years at age 55. Hypertension is associated with a significant loss in health-adjusted life expectancy compared to life expectancy.

scholarly journals COMPARATIVE ANALYSIS OF THE IMPACT OF GLOBALISATION ON HUMAN WELFARE IN SUB-SAHARAN AFRICA

10.23856/3002 ◽  
2018 ◽  
Vol 30 (5) ◽  
pp. 25-42
Author(s):  
Olukayode Emmanuel Maku ◽  
Bolaji Adesola Adesoye ◽  
Awoyemi Olayiwola Babasanya ◽  
Oluwaseyi Adedayo Adelowokan
Keyword(s):  
Comparative Analysis ◽  
Random Effects ◽  
Trade Openness ◽  
Sub Saharan Africa ◽  
Human Welfare ◽  
Fixed And Random Effects ◽  
The World ◽  
Sub Saharan ◽  
The Impact ◽  
Ssa Countries

The world has become more linked owing to the increased intensity of globalisation across regions. Sub-Saharan Africa (SSA) has become more relatively integrated into the world economy as shown by increasing degree of trade openness and foreign direct investment. Over the same period, quality of life of people in SSA in terms of access to basic necessity, monetary and non-monetary indices of poverty have been on the declining trend. This study adopted endogenous growth theory in analysing the comparative effects of globalisation between the highly and weakly globalised economies in SSA countries. Four channels of transmission of impact of globalisation were considered: trade openness, financial and capital flows labour mobility and access to telephone. Data for 16 SSA countries – 8 weakly globalised and 8 strongly globalised countries based on KOF globalisation index, were sourced from the world Development indicator for the period of 1980-2012. The feasible generalised least square (GLS) estimator was utilized to estimate the fixed and random effects panel regression models. Hausman test was used to determine the efficient estimator between fixed and random effects. All estimated coefficients were evaluated at 5% level of significance. The outcome of the comparative analysis revealed a mix result in some cases and unidirectional in some. In all, countries with higher intensity of globalisation have a greater improvement in their human welfare indicators compared to countries with weak globalisation indices. The study then recommended an improved reform in global integration to enable the region maximize the immense benefits inherent in global connections.

scholarly journals Tracking excess mortality across countries during the COVID-19 pandemic with the World Mortality Dataset

eLife ◽  
2021 ◽  
Vol 10 ◽  
Author(s):  
Ariel Karlinsky ◽  
Dmitry Kobak
Keyword(s):  
New Zealand ◽  
Excess Mortality ◽  
Mortality Data ◽  
Objective Indicator ◽  
Death Toll ◽  
The World ◽  
All Cause Mortality ◽  
Expected Mortality ◽  
The Impact ◽  
Annual Mortality

Comparing the impact of the COVID-19 pandemic between countries or across time is difficult because the reported numbers of cases and deaths can be strongly affected by testing capacity and reporting policy. Excess mortality, defined as the increase in all-cause mortality relative to the expected mortality, is widely considered as a more objective indicator of the COVID-19 death toll. However, there has been no global, frequently-updated repository of the all-cause mortality data across countries. To fill this gap, we have collected weekly, monthly, or quarterly all-cause mortality data from 94 countries and territories, openly available as the regularly-updated World Mortality Dataset. We used this dataset to compute the excess mortality in each country during the COVID-19 pandemic. We found that in several worst-affected countries (Peru, Ecuador, Bolivia, Mexico) the excess mortality was above 50% of the expected annual mortality. At the same time, in several other countries (Australia, New Zealand) mortality during the pandemic was below the usual level, presumably due to social distancing measures decreasing the non-COVID infectious mortality. Furthermore, we found that while many countries have been reporting the COVID-19 deaths very accurately, some countries have been substantially underreporting their COVID-19 deaths (e.g. Nicaragua, Russia, Uzbekistan), sometimes by two orders of magnitude (Tajikistan). Our results highlight the importance of open and rapid all-cause mortality reporting for pandemic monitoring.

scholarly journals Macroeconomic Impact of Migrant Workers’ Remittances in Bangladesh

2019 ◽  
Vol 15 (3) ◽  
pp. 167-188
Author(s):  
Bimal Sarkar
Keyword(s):  
Migrant Workers ◽  
Econometric Model ◽  
Least Square ◽  
First Year ◽  
Dynamic Effects ◽  
Macroeconomic Variables ◽  
Long Run ◽  
The World ◽  
Macroeconomic Impact ◽  
The Impact

Bangladesh being over populated is a cheap less-skilled and semi-skilled labor supplier country in the world and earning huge remittances from the abroad. This paper attempts to examine the dynamic effects of remittances on some important macroeconomic variables like consumption, investment, imports and economic growth in both the short and the long run in Bangladesh covering a period (1977-2014) following Nicholas P.Glytsos (2002) of Keynesian-type econometric model. The study finds using two-stage least square (2SLS) technique that one Taka increase in remittances contributes 3.15 Taka in income in Bangladesh through the impact multiplier as well as dynamic multipliers from the first year to seventh year.

scholarly journals The Role Of School Life Expectancy And Urbanization On Adult Literacy Rates In Sub-Saharan Africa

2014 ◽  
Vol 13 (2) ◽  
pp. 329
Author(s):  
Amon Okpala ◽  
Comfort Okpala
Keyword(s):  
Life Expectancy ◽  
Adult Literacy ◽  
Percent Level ◽  
Sub Saharan Africa ◽  
School Life ◽  
African Countries ◽  
Cross Sectional ◽  
Sub Saharan ◽  
The Impact

It is important to examine the role of urbanization, government, and school life expectancy (the years of schooling a child is expected to have) on adult literacy because literacy contributes to economic success. Using cross-sectional data on 46 Sub-Saharan African countries, this study examines 1) the impact of school life expectancy on adult literacy, 2) the influence of urban population on adult literacy, and 3) the effectiveness of government educational expenditure on adult literacy. OLS regression analysis showed that the percentage of the population residing in urban centers and the school life expectancy were positively significant at the 5 percent level. Government expenditure, as a percentage of GDP, was positively significant at the 1 percent level.

scholarly journals Impact of the COVID-19 pandemic on life expectancy in Madrid (Spain)

2020 ◽  
Author(s):  
Sergi Trias-Llimós ◽  
Usama Bilal
Keyword(s):  
Life Expectancy ◽  
Surveillance System ◽  
Excess Mortality ◽  
Daily Mortality ◽  
Life Expectancy At Birth ◽  
The World ◽  
Using Data ◽  
The Impact ◽  
Mortality Surveillance ◽  
Annual Mortality

The COVID-19 pandemic is causing substantial increases in mortality across populations, potentially causing stagnation or decline in life expectancy. We explored this idea by examining the impact of excess mortality linked to the COVID-19 crisis on life expectancy in the region of Madrid (Spain). Using data from the Daily Mortality Surveillance System (MoMo), we calculated excess mortality (death counts) for the weeks 10th to 14th in 2020 using data on expected and observed mortality, assuming no further excess mortality during the rest of the year. The expected annual mortality variation was +6%, +21% and +25% among men aged under 65, between 65 and 74 and over 75, respectively, and +5%, +13%, and 18% for women, respectively. This excess mortality during weeks 10th to 14th resulted in a life expectancy at birth decline of 1.6 years among men and 1.1 years among women. These estimates confirm that Madrid and other severely hit regions in the world may face substantial life expectancy declines.

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