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Life expectancy has risen dramatically in the developing world in recent decades. But infectious diseasessuch as malaria, hepatitis, AIDS, and tuberculosiscontinue to take a major toll, particularly in poverty-stricken regions. Controlling these potential killers is a key priority for international assistance.
Infectious diseases kill an estimated 13 million people each year worldwide. They account for over 40 per cent of all deaths in developing countries. According to the WHO, infectious diseases are the worlds largest killers of young adults and children. Malaria alone cost Africa US$ billions by reducing economic growth by an estimated 1.3 per cent every year.
Cancer is also a rapidly growing health problem across the developing world. No longer is cancer believed to be a disease of the affluent. The caseload in developing countries has risen from 2 million in 1985, to 5 million in 2000, and is projected to reach 10 million in 2015. This rapid increase has spurred nations to recognize the need for improvements in clinical and medical physics aspects of radiation oncology to enhance cancer care.
IAEA-supported human health activities concentrate on the detection and treatment of diseases afflicting the poor, and the planning and evaluation of applied nutrition programmes tailored especially to the needs of women and children. They also give priority to the establishment of quality assurance programmes for radiation dosimetry and treatment of cancer.
Health authorities in Mali, for example, are employing nuclear methods to identify drug resistant strains of malaria and to tailor drug treatment strategies at the community level. Nutrition experts in Thailand are using isotopic tracers to measure the effectiveness of iron-fortified fish sauce in child-bearing women. The nutritionally improved product will then be mass marketed by the private sector. A new global alliance has been forged with the WHO and other concerned organizations aimed at vaccine development for AIDS. Last but not least, a new cancer treatment facility in Ethiopias capital has given new hope for rural women suffering from invasive cervical cancer.
These activities span many disciplinesincluding radioimmunoassay, radiotherapy, radiopharmaceutical production, nutritional analysis, and sterilization techniques for transplants and medical instruments. All efforts aim at building the capacity of developing countries to manage and direct science toward the health problems of the needy. 
Focusing Science on the Health Problems of the Poor
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The health problems of the very poormalaria, AIDS, tuberculosisdeserve greater attention from the global scientific community. In Bangladesh (left), many villagers are suffering from arsenic poisoning. This mans village is benefiting from a new deep well that is arsenic free.
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