Millions of children failed by global health crisis
A NEW report on child health supported by Global Child Health ambassador Zoleka Mandela identifies a failure in global policy which is killing thousands.
The international community is failing to take action on a global health crisis caused by road traffic, which kills 350 000 children and adolescents annually, and causes serious harm and injury to millions more, according to a report released on Monday at the World Health Assembly in Geneva, Switzerland.
The report, “Unfinished Journey: The Global Health Response to Children & Road Traffic”, released by the Child Health Initiative, identifies road traffic as one of the most neglected issues affecting the health and well-being of young people. The scale of the epidemic is being recognised and documented by UN agencies, but little or no action follows. This “fatal disconnect” in policy is failing the world’s children.
The report, launched this week to coincide with the World Health Assembly and the intergovernmental International Transport Forum, calls for the first summit of world leaders on child and adolescent health to urgently refocus global policy to address this road traffic-related health crisis.
The report argues that the headline figures of child deaths caused by road traffic, appalling as they are, are just the tip of the iceberg:
Road Traffic Injury: 227 000 children and adolescents (0-19) die on the world’s roads every year. Yet for every death there is a lifechanging disability, and for every disability several serious injuries. The equivalent of at least two large schools are emptied of children every day;
Air pollution: Outdoor air pollution kills more than 127000 children under the age of five every year, and 300 million children live in areas which dangerously exceed the World Health Organisation’s air quality limits. Road traffic emissions are a significant factor;
Unhealthy lifestyles: 81% of adolescents were insufficiently physically active in 2010, while obesity has increased tenfold since the 1970s. The dominance of road traffic and perception of road danger curtails and reduces children’s outdoor activity, contributing to this health burden;
Inequality: Road traffic fatalities disproportionately affect lowand middle-income countries, where 90% of global road deaths occur. Across the world, poorer children are more likely than their wealthier counterparts to be victims of road crashes, live close to busy roads and be exposed to dirty air.
Despite this serious health burden, the causes are not being tackled. UN Sustainable Development Goal (SDG) targets are set, and the solutions are well known but not funded or implemented. The focus of international health policy remains too narrow and is failing to adapt to changing global challenges. There is a lack of co-ordination and accountability.
To tackle this, the report recommends:
A first UN special summit on child and adolescent health, to raise visibility, build political commitment and deliver action and resources for neglected areas of public health.
A global commission on road traffic-related child health issues, to co-ordinate a response and report urgently to the UN secretarygeneral.
Specific indicators and funding for road trafficrelated health policies and solutions within “Every Woman, Every Child”, the UN’s global strategy for child and adolescent health.
Joint action with climate funds, to scale up “healthy streets” policies designed to enable safe walking and cycling, improve air quality and reduce carbon emissions.
Zoleka Mandela, grand-daughter of Nelson Mandela and global ambassador for the Child Health Initiative, said: “I know what it is like to suffer as a result of a road traffic injury. “I lost my daughter to this man-made epidemic. We need to ask ourselves some hard questions. Are we serious about the health and welfare of all our children? Or are we going to continue to neglect them and allow millions to suffer or die? “Our leaders need to start taking the health and rights of young people seriously, and our action agenda provides a clear path forward.” Saul Billingsley, executive director of the FIA Foundation and author of the report, said: “The world has halved child mortality with a rigorous focus on under-5s’ health, yet as these children survive and grow into adolescence and independence, they are abandoned.
“UN institutions are counting, but not countering, the avoidable deaths, injuries and ill-health that result. Many governments take their cue from the inaction of these global health and development leaders.
“So we need a change of approach, and a UN special summit on child and adolescent health can provide the urgency and leadership to save millions of lives between now and 2030.”
Turner is FIA Foundation media & public affairs manager, www.fiafoundation.org