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Global Health Watch 1 in one file

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Box C1.5 <strong>Health</strong> status of Indigenous peoples <strong>in</strong> four countries<br />

Australia is a rich country (per capita GDP of US$ 28,260 <strong>in</strong> 2002) with a<br />

high human development <strong>in</strong>dex (UNDP 2004). However, the health of its<br />

Aborig<strong>in</strong>al and Torres Strait Islander peoples – 460,140 people account<strong>in</strong>g<br />

for 2.4% of Australia’s population (ABS 2002) – is significantly poorer than<br />

that of other Australians. Indigenous men are expected to live to the age<br />

of 56, some 21 years less than the national average (ABS 2003a). In 2001,<br />

the <strong>in</strong>cidence of tuberculosis for Indigenous people was 10 times that of<br />

non-Indigenous Australians. Deaths from cardiovascular disease among<br />

Indigenous people aged 25–54 are up to 15 times higher than other Australians<br />

(ABS 2003b).<br />

Bolivia is a very poor country (per capita GDP of US$ 2460 <strong>in</strong> 2002) with<br />

a low human development <strong>in</strong>dex (UNDP 2004). Unlike Australia, half the<br />

population is Indigenous – 4.2 million people from 37 dist<strong>in</strong>ct groups<br />

(Feir<strong>in</strong>g and M<strong>in</strong>ority Rights Group Partners 2003). However, 20% of Indigenous<br />

children die before they are <strong>one</strong> year old. Of those who survive the<br />

first 12 months, 14% die before reach<strong>in</strong>g school age (Alderete 1999). The<br />

<strong>in</strong>cidence of TB <strong>in</strong> Indigenous groups is five to eight times greater than<br />

the national average.<br />

Cambodia is another very poor country (per capita GDP of US$ 2060 <strong>in</strong><br />

2002), with a low human development <strong>in</strong>dex (UNDP 2004). It has a small<br />

population of Indigenous people – around 100,000 <strong>in</strong> two prov<strong>in</strong>ces. More<br />

than 20% of children under five suffer from malnutrition and 52% are classified<br />

as underweight and stunted <strong>in</strong> growth (<strong>Health</strong> Unlimited 2002).<br />

Uganda: In the near future, the Batwa pygmy tribe of Uganda (per capita<br />

GDP of US$ 1390 <strong>in</strong> 2002) may die out altogether. Only half the Batwa children<br />

born <strong>in</strong> Kisoro, Uganda, will reach their first birthday.<br />

often depend on ecosystems that are rapidly deteriorat<strong>in</strong>g through no fault of<br />

their own (van Oostdam et al. 1999, Merson 2000, Powell and Steward 2001). In<br />

some <strong>in</strong>stances, Indigenous peoples are exposed to environmental pollutants<br />

that have been prohibited <strong>in</strong> other parts of the world, such as the cont<strong>in</strong>u<strong>in</strong>g<br />

use of DDT, Aldr<strong>in</strong> and Dieldr<strong>in</strong> <strong>in</strong> the western highlands of Guatemala.<br />

Indigenous peoples often have higher rates of mental illness manifest<strong>in</strong>g<br />

as alcoholism, substance abuse, depression and suicide: for <strong>in</strong>stance,<br />

Indigenous peoples<br />

169

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