The World Health Organization (WHO) is calling for urgent action to put a brake on road traffic crashes that kill 1.35 million people every year, mostly in poor developing countries.
In Geneva, the U.N. agency launched its global status report on road safety 2018.
The report found road traffic injuries to be the leading killer of children and young people aged five to 29 years, with a death occurring every 24 seconds. The report said more than half of those killed are pedestrians, cyclists, and motorcycle riders and passengers.
Etienne Krug, head of the U.N. Agency’s Department on Disability, Violence and Injury Prevention, called these deaths a huge inequality issue.
“Low-income countries have one percent of the vehicles in the world and 13 percent of all the deaths; while high-income countries have 40 percent of all the vehicles,” Krug said. “So, that is 40 times more, but only seven percent of the deaths.That is half of the deaths with 40 times more vehicles.”
The report said death rates are highest in Africa and lowest in Europe. Some of the key risk factors include speeding, drinking and driving, and failure to use seat belts, motorcycle helmets and child restraints.
Krug said putting the right measures in place will save lives. These include the right legislation and enforcement, creating special lanes for cyclists and improving the quality of vehicles.
“It is not acceptable that vehicles are being sold in developing countries that look the same as the vehicles that we see here in Switzerland or the U.S. or anywhere else, but that are not,” Krug told VOA. “Because to make them cheaper, they have been stripped of all of their safety features, such as air bags or electronic stability control, etc.”
WHO noted that 48 middle- and high-income countries that have implemented strong road traffic laws and other safety measures have made progress in reducing road deaths.
Pakistan is registering approximately 20,000 new HIV infections annually, the highest rate of increase among all countries in the region, warns the World Health Organization (WHO).
The international body says mortality among Pakistanis living with the virus, which causes the deadly AIDS disease, is also rising, in spite of the availability of lifesaving antiretroviral therapy.
The latest government figures show that only 16 percent of the estimated 150,000 people living with HIV had been tested and only 9 percent have access to lifesaving treatment.
“The remaining 135,000 people are walking around in the communities as carriers of (HIV) infection who are ready to transmit infections to those who are not infected, even to their unborn babies,” Dr. Saima Paracha of the National AIDS Control Program, told VOA.
Officials say the HIV epidemic in Pakistan remains largely concentrated among the key populations, including people who inject drugs, the transgender community, sex workers and their clients and men who have sex with men.
“The drivers of infection are now the sexual networks and they are ready to spill the infection into the general public,” Dr. Paracha cautioned.
Paracha says the Pakistani government offers free HIV testing and treatment, but she notes the marginalized key populations continue face widespread stigma and discrimination in the society.
The fear of maltreatment, and punitive actions by law enforcers impacts the willingness of these populations to pursue testing, which remains a major challenge facing national efforts to treat and prevent the spread of HIV, she lamented.
Official estimates show that Pakistan has seen a 45 percent increase in new HIV infections since 2010.
“The number of new HIV infections will continue to increase dramatically if implementation rates of intervention remain at current levels,” said Dr. Nima Saeed Abid, country head of WHO.
An official statement issued in connection with World AIDS Day quoted him as saying that Pakistan has the lowest rate of all regional countries in diagnosing people who are infected and linking them to care and treatment.
Naila Bashir, who heads the HIV treatment center at Islamabad’s Pakistan Institute of Medical Sciences (PIMS), told VOA the facility receives up to 40 new HIV patients every month, underscoring the alarming increase in the number of infections.
The center was established in 2005 and the number of patients has since increased from 22 to more than 3,000, including men, women and children of all ages, said Dr. Bashir.
HIV has never been a priority program in the national health system and the recent abolition of the federal health ministry and the devolution of its functions to the provinces, which lacked preparedness and capacity, have led to the increase in infections, say WHO experts in the country. However, they acknowledge the new government of Prime Minister Imran Khan is giving priority to tackling health emergencies in Pakistan, including HIV.
Federal Minister for National Health Services Regulation and Coordination, Aamir Mehmood Kiyani, says the government is working on a strategy to remove barriers and challenges in protecting people from HIV infections.
Kiyani told a seminar in Islamabad that since taking office three months ago, the government has moved to established 12 new HIV treatment centers while overall 33 such facilities have been working throughout Pakistan.
U.N. officials say the Pakistan government urgently needs to redouble efforts to “de-stigmatize HIV testing, advocate for confidential, non-discriminatory, community based care models and raise awareness about disease transmission, prevention treatment” to achieve reductions in new infections in affected populations. (VOA)