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Global Health Watch 1 in one file

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The wider health context | D3<br />

<strong>in</strong>g – even though food production has doubled <strong>in</strong> the past 40 years, as has<br />

production per head, while food prices are at an all-time low. This chapter<br />

aims to expla<strong>in</strong> why malnutrition exists <strong>in</strong> so many regions and countries<br />

when there is enough food; why hunger and food <strong>in</strong>security have grown <strong>in</strong><br />

spite of decl<strong>in</strong><strong>in</strong>g food prices; why the distribution of available food is heavily<br />

skewed toward the rich; and how the <strong>in</strong>creased concentration of power <strong>in</strong> the<br />

hands of a small number of vast corporations has resulted <strong>in</strong> the accumulation<br />

of huge profits on the <strong>one</strong> hand and chronic food <strong>in</strong>security for millions<br />

of people on the other.<br />

Figures, trends and causes<br />

Every day 799 million people <strong>in</strong> develop<strong>in</strong>g countries – about 18% of the<br />

world’s population – go hungry. In South Asia <strong>one</strong> person <strong>in</strong> four goes hungry,<br />

and <strong>in</strong> Sub-Saharan Africa the share is as high as <strong>one</strong> <strong>in</strong> three. There were<br />

reductions <strong>in</strong> the number of chronically hungry people <strong>in</strong> the first half of the<br />

1990s, but the number <strong>in</strong>creased by over 18 million between 1995 and 1997<br />

(Food and Agricultural Organization 2003).<br />

The situation regard<strong>in</strong>g the proportion and numbers of people who are<br />

undernourished is even bleaker. The number of undernourished people actually<br />

<strong>in</strong>creased by 4.5 million a year <strong>in</strong> the late 1990s. Twenty-six countries,<br />

most already with a large proportion of their population undernourished,<br />

60<br />

1990 1995 2000<br />

50<br />

% underweight<br />

40<br />

30<br />

20<br />

10<br />

0<br />

ASIA<br />

South Central Asia<br />

South East Asia<br />

AFRICA<br />

Western Africa<br />

Eastern Africa<br />

Northern Africa<br />

DEVELOPING COUNTRIES<br />

LATIN AMERICA/CARIBBEAN<br />

Central America<br />

Caribbean<br />

South America<br />

Figure D3.1 Trends <strong>in</strong> child malnutrition <strong>in</strong> develop<strong>in</strong>g countries,<br />

1990–2000 (Source: SCN 2004)<br />

226

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