Pakistan: country report on children's environmental health
Muhammad Mansoor Majeed1, Asfa Munir2
1Department of Oral Biology, Altamash Institute of Dental Medicine, Karachi, Pakistan.
Insights
Children in Pakistan face numerous environmental health risks due to a weak healthcare system. Key issues include polio, extensively drug-resistant typhoid, and rising human immunodeficiency virus (HIV) rates, alongside dengue and cholera.
Area of Science:
- Environmental Health
- Pediatrics
- Public Health
Background:
- Pakistan, a developing nation, has a significant child population vulnerable to environmental hazards.
- Inadequate healthcare infrastructure, especially in rural regions, exacerbates these risks.
- The country faces a high burden of maternal, fetal, and child mortality globally.
Purpose of the Study:
- To outline the diverse environmental health challenges confronting children in Pakistan.
- To highlight the prevalence of infectious diseases and environmental exposures impacting child health.
- To inform discussions on children's environmental health at a regional meeting.
Main Methods:
- The study is based on a report presented at the Regional Meeting on Children's Environmental Health.
- It synthesizes existing data and observations on environmental health issues in Pakistan.
- Information covers infectious diseases, pollution, sanitation, and occupational hazards.
Main Results:
- Persistent polio cases due to various socio-political and logistical factors.
- Widespread extensively drug-resistant typhoid, signaling global antibiotic resistance concerns.
- Alarming increase in human immunodeficiency virus (HIV) prevalence.
- Significant burden of dengue fever with substantial child mortality.
- High incidence of cholera linked to poor sanitation and hygiene.
- Prevalence of respiratory diseases from pollution and pesticide exposure.
- Other issues include diarrhea and occupational hazards from child labor.
Conclusions:
- Children in Pakistan are disproportionately affected by a range of environmental health threats.
- Urgent interventions are needed to address infectious diseases, pollution, and sanitation issues.
- Strengthening the healthcare system and improving living conditions are critical for child well-being.
Abstract:
Pakistan is a developing country with an estimated population of 220 million, and among them 34% are children. Due to the lack of a proper health care system, particularly in rural areas, children are prone to many environmental hazards. This paper reports about the different environmental health issues faced by children in Pakistan and was presented at the Regional Meeting on Children's Environmental Health at the Chulabhorn Research Institute, Bangkok, Thailand in May 2019. Pakistan is among those countries where polio is still present due to misconceptions, hard-to-reach areas, war zones, political uncertainty, etc. Extensively drug-resistant typhoid is broadly spreading in Pakistan, and this is a very serious concern over antibiotic failure around the world. Pakistan was long considered a region with a low prevalence of human immunodeficiency virus, but now the disease is spreading at an alarming rate. Globally, Pakistan has the third highest burden of maternal, fetal and child mortality. In the last 10 years or so, around 10,000 cases of dengue have been reported with around 800 deaths, including children. Other issues related to children's environmental health in Pakistan include cholera because of poor sanitation and hygiene, respiratory disease due to pollution, exposure to pesticides, diarrhea, occupational hazards as a result of child labor, etc.
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