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U.S. falls behind other developed countries in infant mortality The United States ranks 29th. The rate has not improved because of an increase in premature births, health officials say.

A rise in twins and triplets, driven by the use of infertility treatments, contributed somewhat to the rise in premature and low-birth-weight births, Petrini said. But even accounting for those trends, premature births are increasing, possibly tied to rising rates of obesity, diabetes and hypertension.

"We as a nation place less emphasis on primary care and prevention than a lot of these other industrialized democracies do that have lower rates than we do," said Dr. Ann O'Malley of the Center for Studying Health System Change, a Washington-based research group.

Some of Rigobon’s findings: In Chile, when the price of wheat goes up by 10%, the price of bread goes up by 5% 18 months later. In Colombia and Peru, it takes three years for this same percentage increase to occur, with these countries taking longer “to digest the international shock of commodity prices.” Not only do the prices of bread, cookies, meat, chicken, move in lockstep with wheat, but in some cases, so do housing, health and education. But Rigobon found that when the international price of oil increases, there is an immediate impact on all products related to oil. What’s worse, when the price of oil increases, the price of gas at the pump or for a rental car goes up disproportionately.

It’s been true for years, notes Rigobon, that “oil is unconditionally negatively correlated with cereals.” If oil is up, maize, sorghum and wheat prices are down. But this has recently changed, a sign “of the unique times we’re in, the policy challenges we’re facing.” We are simultaneously facing recession (due in large part to the sub-prime mortgage crisis), and inflation, in both food and oil prices. Central banks, he notes with scorn and wonderment, don’t include food and energy in their calculations of “core inflation.” If the job of these banks and government is to take care of their citizens, they must respond to this crisis along the lines of the response to 9/11 or Enron. Rigobon endorses well-communicated, transparent policies, and some tough measures like interest rate increases.

Presented here are the overview and full report of the UN Millennium Project. The overview is available here in six languages in pdf format; the English overview is available in html format using the navigation at the left. The task force reports are also available in pdf format.

From one month to five years of age, the main causes of death are pneumonia, diarrhoea, malaria, measles and HIV. Malnutrition contributes to more than half of deaths. Pneumonia is the prime cause of death in children under five years of age. Nearly three-quarters of all cases occur in just 15 countries. Addressing the major risk factors – including malnutrition and air pollution – is essential to preventing pneumonia, as is vaccination. Antibiotics and oxygen are vital tools for effectively managing the illness. Diarrhoeal diseases are a leading cause of sickness and death among children in developing countries. Treatment with Oral Rehydration Salts (ORS) combined with zinc supplements is safe, cost-effective, and saves lives. One African child dies every 30 seconds from malaria. Insecticide-treated nets prevent transmission and increase child survival. Over 90% of children with HIV are infected through mother-to-child transmission, which can be prevented with antiretrovirals, as well as safer delivery and feeding practices. About 20 million children under five worldwide are severely malnourished, which leaves them more vulnerable to illness and early death. About two-thirds of child deaths are preventable through practical, low-cost interventions. WHO is improving child health by helping countries to deliver integrated, effective care in a continuum - starting with a healthy pregnancy for the mother, through birth and care up to five years of age. Investing in strong health systems is key to delivering this preventive care.

Four years ago, the Chronic Poverty Research Centre published the Chronic Poverty Report 2004-05. This was the first major international development report to focus on the estimated 320 to 445 million people who live trapped in chronic poverty – people who will remain poor for much or all of their lives and whose children are likely to inherit their poverty. These chronically poor experience multiple deprivations, including hunger, under-nutrition, illiteracy, lack of access to safe drinking water and basic health services, social discrimination, physical insecurity and political exclusion. Many will die prematurely of easily preventable deaths.

Sastry endorses David Kolb’s “learning loop” model: concrete experience, observation and reflection, forming abstract concepts, then further implementing and analyzing. She ponders if this cycle can transcend classroom learning to engender change in the world. Her own research and consulting in health care delivery are based on such a stepped method. She stresses that an integrated, holistic perspective is also required. For instance, a malnourished patient will be unable to absorb drugs administered for AIDS; medicine is insufficient without food. As to the larger picture, she says “obviously we’ve got to tackle global warming and carbon emissions, but we also need to tackle poverty.”

ABOUT THE LECTURE:Three billion people on earth live on less than two dollars a day. A relative handful of us fare astronomically better. How do economists account for global “haves” and “have-nots”? Roberto Rigobon attributes a vast income inequality across countries to four connecting factors: luck, geography, quality of institutions, and quality of policies. If a country lies close to the 50th parallel, its citizens’ average income is six times greater than that of an equatorial country. Heat takes a toll on nation-building. Take Caribbean and Latin American countries, which experienced a wave of malaria in the 1500’s. Spanish colonists preferred to extract resources and send them home, rather than risk death by staying. Those nations developed impoverished economies and institutions that continue today. Colonists moved to cooler climes settled down, invested in the new world, and created enduring social structures. Rigobon can’t recommend a single, economic, or political doctrine to help a struggling nation achieve prosperity. “The set of rules depends on a country’s culture, history and religion…. In the end the only sustainable regime is democracy, freedom of speech, and the rule of law, but how we get there isn’t irrelevant.” Rigobon encourages developing nations to embrace social and political conflict as “an opportunity to improve.”