scholarly journals Increasing Longevity and the New Demography of Death

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
George W. Leeson

The world is ageing at both an individual and population levels and population ageing is truly a global phenomenon, the only notable region of exception being sub-Saharan Africa, which remains relatively young in demographic terms. At an individual level, life expectancies at birth have increased at the global level from 47 years in the mid-20th century to around 70 years today and are expected to rise to 76 years by the mid-21st century. At the population level, the proportion of the world’s population aged 60 years and over has increased from 8 percent in the mid-20th century to 12 percent, and by 2050, it is expected to reach 21 percent. In Europe, ageing has continued at a slower rate, but with the emergence of increasing numbers of centenarians. This paper outlines the transition using data from England and Wales from a demography of young death in the mid-19th century to a demography of survival in the 20th century and on to the new demography of old death in the 21st century. The paper provides evidence that it is likely that ages at death will continue to increase, with more and more people reaching extreme old age. At the same time, it is likely that life expectancies at birth will continue to rise, taking life expectancy at birth in England and Wales to 100 years or more by the end of the 21st century. The new 21st century demography of death will lead to annual numbers of deaths far in excess of previous maxima.

2018 ◽  
Author(s):  
Melanie Channon ◽  
SARAH HARPER

The gap between achieved fertility and fertility ideals is notably higher in sub-Saharan Africa (SSA) than elsewhere, relating to both under- and overachievement of fertility ideals. We consider the extent to which the relationship between fertility ideals and achieved fertility is mitigated by educational achievement. Further, we consider if the effect of education acts differently in SSA, and thereby hypothesise how increasing levels of education in SSA may decrease fertility.We use 227 Demographic and Health Surveys from 57 countries worldwide to look at population- and individual-level measures of achieving fertility ideals. Population level measures are used to assess whether the correspondence between fertility intentions and achievements differ by level of education. We then look at the individual-level determinants of both under- and overachieving fertility intentions. An average of 40% of women in SSA underachieve their stated fertility intentions compared to 26% in non-SSA countries. Furthermore, the educational gradient of underachievement is different in SSA where higher levels of education are not related to better correspondence between fertility intentions and achievements. We argue that the phenomenon of underachieving fertility ideals (or unrealized fertility) may be of particular importance for the ongoing fertility transition throughout SSA, especially for highly educated groups.


2021 ◽  
pp. jech-2020-215505
Author(s):  
Jose Manuel Aburto ◽  
Ridhi Kashyap ◽  
Jonas Schöley ◽  
Colin Angus ◽  
John Ermisch ◽  
...  

BackgroundDeaths directly linked to COVID-19 infection may be misclassified, and the pandemic may have indirectly affected other causes of death. To overcome these measurement challenges, we estimate the impact of the COVID-19 pandemic on mortality, life expectancy and lifespan inequality from week 10 of 2020, when the first COVID-19 death was registered, to week 47 ending 20 November 2020 in England and Wales through an analysis of excess mortality.MethodsWe estimated age and sex-specific excess mortality risk and deaths above a baseline adjusted for seasonality with a systematic comparison of four different models using data from the Office for National Statistics. We additionally provide estimates of life expectancy at birth and lifespan inequality defined as the SD in age at death.ResultsThere have been 57 419 (95% prediction interval: 54 197, 60 752) excess deaths in the first 47 weeks of 2020, 55% of which occurred in men. Excess deaths increased sharply with age and men experienced elevated risks of death in all age groups. Life expectancy at birth dropped 0.9 and 1.2 years for women and men relative to the 2019 levels, respectively. Lifespan inequality also fell over the same period by 5 months for both sexes.ConclusionQuantifying excess deaths and their impact on life expectancy at birth provide a more comprehensive picture of the burden of COVID-19 on mortality. Whether mortality will return to—or even fall below—the baseline level remains to be seen as the pandemic continues to unfold and diverse interventions are put in place.


Author(s):  
Richard Grant

Accra is one of the largest and most important cities in sub-Saharan Africa. The aim of this article is to assess the evolution of urban studies in Accra and its main historical and contemporary foci. Early knowledge on urban Accra is fragmentary and orientated toward European contact points and urban plans, ostensibly from the gaze of Europeans. Writings from Euro-Africans such as Carl Reindorf provide a different prism into the precolonial, indigenous, urban society, whereas most indigenous urban knowledge was situated in the oral tradition at this time. Around independence, officially appointed social anthropologists wrote about an indigenous community in Tema and surveyed the multiethnic Accra environment. From independence in 1957 until the early 1980s, social scientists viewed the urban settlement as an alien, Western intervention. Local scholarship on Accra was sidelined as the academy in a poor, emergent nation became preoccupied with the genesis of nation-state building and the establishment of viable academic departments in national universities, and growing proportions of migrants regarded “home” as somewhere else, that is, ancestral villages. In the 1970s Accra was inserted into world history and social history, and social scientists began to study residential geographies, but scholarship at the city-scale remained sparse. Engagement with world and social histories and the social sciences demonstrated that history matters, but not in linear and teleological ways. The liberalization era ushered in by structural adjustment policies (SAPs) in 1983 invigorated studies of Accra’s urban impacts and effects. Much of this research was disseminated by international scholars, as Ghanaian scholars had to contend with the negative impacts of SAPs on their own universities and households. Since the turn of the 21st century, scholarship on Accra, and African cities in general, has been increasing. Diverse research questions and a multiplicity of methodologies and frameworks seek to engage Western urban theories and other variants, undertake policy-relevant work, assess ethnic and residential dynamics, contribute to international urban debates, and advance postcolonial and revisionist accounts of urbanism. Viewed at the third decade of the 21st century, scholarship on Accra is of diverse origins, encompassing scholarship from locals, members of the diaspora, and international urbanists, and a promising tilt is local–international collaborations co-producing knowledge.


2011 ◽  
Vol 140 (10) ◽  
pp. 1873-1879 ◽  
Author(s):  
J. P. CROFTS ◽  
M. E. KRUIJSHAAR ◽  
V. DELPECH ◽  
F. NCUBE ◽  
I. ABUBAKAR

SUMMARYThis study used linked national tuberculosis (TB) and HIV surveillance data to investigate recent trends and factors associated with HIV co-infection (TB-HIV) in healthcare workers (HCWs) with TB in England and Wales. Methods applied were the χ2 trend test and logistic regression. Overall 14% (231/1627) of HCWs with TB were co-infected with HIV, increasing from 8% in 1999 to 14% in 2005 (P<0·001). Most (78%) HCWs were non-UK born and 74% of these developed TB ⩾2 years post-entry. Being born in Sub-Saharan Africa was an independent predictor for TB-HIV, especially for female HCWs (odds ratio 66·5, 95% confidence interval 16·3–271·1), who also had a lower median CD4 count than other co-infected women (106/mm3, interquartile range 40–200, P<0·01). Voluntary HIV testing of new HCWs should be encouraged as an opportunity for early diagnosis. Post-entry, a high index of clinical suspicion for TB in those most at risk remains important.


Politeia ◽  
2019 ◽  
Vol 38 (2) ◽  
Author(s):  
Rod Alence

International organisations have long sought to promote peace and development in sub-Saharan Africa. Much research has focused on their policies and activities, but little is known about how people living in Africa view them. How aware are people in Africa of international organisations, and how helpful do they believe them to be? This article analyses public perceptions using data from Afrobarometer Round 4 surveys conducted in 20 countries. Awareness of international organisations is widespread, especially in countries that have experienced peacekeeping missions and among individuals who have completed primary school. Evaluations are favourable on balance, more so for the United Nations and other “global” organisations than for the African Union and its sub-regional bodies. Though most Africans see development aid as helpful, large and highly visible aid inflows are associated with concerns about the influence that donors and NGOs wield over recipient governments.


There are no single-volume studies that address the whole topic of alcohol in Africa or its modern history. Globally, fermented alcohol has a very ancient history, with archaeological findings documenting such drinks many thousands of years ago. Given the relative lack of archaeological work in sub-Saharan Africa, the evidence for the ancient consumption of fermented drinks on the continent is thin, but the earliest records in combination with ethnographic research point to a very long history and to the ubiquity of fermented drinks. Virtually every African society produced one or more kinds of fermented drinks, whether it was palm wine in coastal regions, various wines made from honey or local fruits such as bananas, or, especially, beers produced from millet and sorghum and later maize. In Muslim societies, these fermented drinks, often classified as foods by local peoples, were not seen to violate Qurʾanic prohibition. Ethnographic studies often include detailed accounts of the complex processes through which such drinks were produced and the equally complicated social practices related to drinking. Such drinks were often bought and sold through local trade networks, but fermented drinks are expensive to transport and until the development of modern bottling technology had very short shelf lives. Distillation technology dates only to the 11th century and its spread was closely connected to international trade. During the 20th century, alcohol regulation emerged as a critical element in colonial hegemony, and the importance of alcohol to state revenue persists to the present day. Following independence, with the end of international prohibitions on distilling, industrial brewing and distilling grew rapidly in many African countries, generally led by international enterprises. South African Breweries ultimately emerged as a major international player, with large stakes across the continent. Racist thinking dominated colonial policy on alcohol sales and consumption across much of eastern, central, and southern Africa, and colonial states in those regions used revenue from alcohol monopolies to reinforce racial segregation and domination. This thinking incorporated a racially defined view of collective dependency and abuse which was fueled by colonial expediency and in turn shaped public perceptions and response to African alcohol consumption. Such perspectives have persisted in “expert” discourse in postcolonial Africa. Yet alcohol consumption has been, for men, among the most important leisure activities in many African societies, and in the 20th century, drinking establishments emerged as very important sites of popular culture.


Author(s):  
Rachel Ronke Ojo

Leadership is an integral aspect of successful organisations including libraries. Helping librarians to acquire leadership skills in order to adroitly navigate libraries through 21st century changes and challenges of the information environment is crucial. INELI (International Network for Emerging Library Innovators) was birthed globally as an initiative of the Bill and Melinda Gates Foundation to provide young leaders in public libraries across the world the opportunities to connect, learn, and explore new ideas and services that can transform their communities. INELI Sub-Saharan Africa (INELI-SSAf), an offshoot of the initiative for African public librarians, is a leadership training program with the primary objectives of exposing participants to concepts and practices about innovative information services in current times and assisting them to create within and across border networks for peer leaning. The topics taught include time management, advocacy, data management, smart risks, and innovations in libraries. (INELI SSAf is run by African Library and Information Associations and Institutions (AfLIA)).


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