For a general Western audience, mention of Afghanistan may bring to mind several narratives: domestic implications of endless war, wariness of radical Islam, images of burning poppy fields supplying the international drug trade. While these observations are grounded in some degree of fact, they largely reflect an extraordinarily poor society with significant barriers to development just beginning to rebuild. To put this in perspective: the average Afghan* woman will live to 52 years and will bear six or more children. The average male will support his family on an annual income of $584 USD, and will not see the age 50.
Of course, this sort of extreme poverty extends to health access. Of the different population- and disability-adjusted life year burdens measured by the Institute on Health Metrics and Evaluation, Afghanistan comes dead last – behind all other countries – in 19 of 50 categories.
At nearly 120 deaths per 1,000 live births, Afghanistan’s infant mortality rate is higher than that of any other country; in its especially remote regions, such as the Wakhan Corridor, an estimated 50% of children die before reaching the age of five. 34 years of constant war have wreaked havoc on health systems, skepticized a populace, and left mortality and morbidity burdens frozen in time, reflective of another era. Continue reading “Infants, Infection, and Insurgency: Disease Burden in Afghanistan”