HEALTH COACH - 1.2 million deaths of mainly preventable adolescents, report

HEALTH COACH -
 1.2 million deaths of mainly preventable adolescents, report  

The leading cause of death among young people aged 10 to 19 in the world in 2015 was a Injury by road that killed more than 115,000 people, followed by lower respiratory infections and self-injury.

When it is separated by age, sex and region, the leading causes of death have varied considerably.

The report, published on Tuesday, indicates that two-thirds of adolescent deaths occur in Southeast Asia and Africa

It further stresses that improving services Health, education and social services can help prevent these deaths by giving teens the support they need.

"Adolescents have been completely absent from National Health Plans for decades," said Dr. Flavia Bustreo, WHO Assistant Director-General, in a statement. "Relatively low investments focused on adolescents will not only translate into healthy, self-sufficient adults who will thrive and contribute positively to their communities, but it will also result in healthier future generations, generating enormous returns."

Factors such as poor diet, lack of exercise and unsafe sexual behaviors that may affect health throughout a person's life begin Also at adolescence and should be taken into account, according to the report.

The importance of adolescent health has been increasing, "said Dr. David Ross, a WHO doctor who co-authored the report. But many more must be done.

Injuries and infections in teenage boys

Although road accidents are the biggest cause of death worldwide, the data Revealed them to be particularly harmful to boys aged 15 to 19 years, most of them were not drivers, such as pedestrians and cyclists. The cause of death for boys was interpersonal violence, as Physical or sexual abuse or emotional threats.

"In most road accident deaths, the teenager is a passive victim," Ross said. In only a small proportion, they are the driver. "

Dr. Sonia Saxena, expert in primary care at the Imperial College of London, which did not participate in the report, Pointed out that previous studies have found that the leading causes of death among adolescents in high-income developed countries are risky behaviors, such as drug and alcohol abuse, The environment in which they live.

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"These factors for teenagers are around their entire environment," she said. "It should not be dangerous to walk on the road."

But Saxena stressed that it needed more details to find out why people die from injuries, stressing that the underlying factors could vary: being drunk and wandering around at night, being hit by

Risks of pregnancy in girls

Causes of death in girls Also had a clear Division based on age, most of the 10 to 14 deaths of lower respiratory infections, such as pneumonia. The report suggests that this comes from their exposure to indoor air pollution, through the use of polluting fuels to cook in their homes.

"They are working in appalling conditions, or maybe there are no services to deal with Infections in a timely manner," Saxena said.

Elderly girls, aged 15-19 years, experienced an increased risk of death due to complications of pregnancy, childbirth or unsafe abortions.

Saxena emphasized the incomprehensible nature of this last cause, asking: "Why are girls between 15 and 19 years pregnant at all?" She added that if pregnancy occurs, complications and unsafe abortions should not be common.

Young girls with a small family or community support are more likely to end up in situations where sex work becomes an option, opening them to pregnancy and new infections, said Saxena.

"It is an impossible task to compare the world," said Saxena, adding that the quality of available data varies considerably region.

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The image is very different leaving behind world numbers to focus on regional causes of death in adolescents

"While some conditions are common in all regions, such as accidents Road and suicide, others are more important in some areas, "Ross said.

Road traffic accidents have been the leading cause of death, by combining the sexes, in high-income countries as well as low- and middle-income countries in Southeast Asia and The western Pacific regions of WHO. However, self - mediation has taken the initiative in Europe, collective violence (war) in the Eastern Mediterranean, violence and abuse in the Americas and lower respiratory infections in the African region, WHO.

"There are enormous amounts of interpersonal violence" in the Americas, Ross said, further highlighting the continuing burden of infectious diseases in Africa. "This is the only region where HIV remains in the top five."

Other dominant infections as a cause of death in African adolescents include meningitis, diarrheal diseases and lower respiratory infections.

"With infectious diseases, it is still on the path of development," said Saxena, adding that the least developed country is, the more burden infections have on the population.

The influence of the conflict

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