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I’ve been saying for years that the world is getting better. I’ll point out that, for example, the number of young children who die before their fifth birthday has fallen by more than half in just two decades—from 10 million in 2000 to just over 4 million today.
But current events are making it harder to argue that the future will be better than the past. Russia’s war on Ukraine is inflicting terrible suffering in Eastern Europe and driving up food and energy prices around the world. The COVID-19 pandemic caused millions of deaths and severely hampered efforts to immunize children. Economic growth is slowing. And climate change is leading to more frequent extreme weather.
These setbacks are causing the most pain for people who were already the worst off. It would compound the tragedy if nations stopped doing the things that have worked for the past two decades—including being generous with foreign aid. The world should continue to do more to help the poorest.
The good news is that this is eminently achievable. We can continue to reduce health inequity while dealing with war, the economy, the pandemic, and climate change—thanks in part to innovations in global health that will allow the world’s efforts to have more impact than ever.
Some of these innovations are already being deployed, like a new polio vaccine that will move us closer to eradication despite recent setbacks. Others are being tested now with the potential to be used more widely soon, like AI-powered ultrasounds that could help save mothers and their babies.
Although the number of children who die before age 5 has gone down dramatically, the number of babies of who die in the first 30 days of life—what’s known as the neonatal period—is not dropping nearly as fast. Almost 1.9 million newborns died in 2019, only a third fewer than in 2000.
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