The AIDS Emergency

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LEAGUE TABLE:  CHILDREN ORPHANED BY AIDS

The devastating impact of the AIDS crisis on children in the developing world has yet to be fully understood. The number of orphans, particularly in Africa, constitutes nothing less than an emergency, requiring an emergency response. As already impoverished societies struggle with this massive blow, their hard-won gains in social development — including improvements in child health, nutrition and education — are being wiped out.

Magnitude of the orphan crisis

Loss is an inevitable corollary of disease and death, but the wrenching toll taken by AIDS is unique: So far the disease has left 8.2 million children without a mother or both parents, the vast majority of them in sub-Saharan Africa. And the total continues to grow, expected to reach 13 million by the year 2000, of whom 10.4 million will still be under the age of 15.

The children's personal tragedies are enormous. So, too, are the social crises occurring as the worst affected communities and nations - among the poorest in the world — struggle to care for the ill as well as a generation of orphans, on a scale unprecedented in human history.

In most parts of the industrialized world, usually no more than 1% of the child population is orphaned. Before the onset of the AIDS epidemic, societies in the developing world absorbed orphans into extended families and communities at a rate just over 2% of the child population. In contrast, a staggering 11% of children in Uganda are now orphans because of AIDS. In Zambia, 9% are orphans; in Zimbabwe, 7%; and in Malawi, 6%. Where prevalence rates among women are high, so are the numbers of children left behind.

Nor are these losses abating: In 35 countries, the rate at which children have been orphaned has doubled, tripled or even quadrupled in just three years, from 1994 to 1997. Fears are that, because of AIDS, Asia will see its orphan population triple by the year 2000. And at this moment, according to UNAIDS, the number of children living with an HIV-positive parent is far greater than the number of children already orphaned, a disturbing prospect for the future.

Children who have lost their mother or both parents are society's most vulnerable members. Socially isolated because of the stigma of AIDS, they are less likely to be immunized, more likely to be malnourished and illiterate, and more vulnerable to abuse and exploitation.

Finding the resources needed to help stabilize the crisis and protect children is a priority that requires urgent action from the international community.

WHAT THE TABLE SHOWS

The number of under-15s per 10,000 who have lost their mother or both parents to AIDS

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SUB-SAHARAN AFRICA MIDDLE EAST AND
NORTH AFRICA
CENTRAL ASIA
Uganda
1,100
Egypt
<1
Afghanistan
<1
Zambia
890
Iran
<1
Armenia
<1
Zimbabwe
700
Iraq
<1
Azerbaijan
<1
Malawi
580
Israel
<1
Georgia
<1
Togo
400
Jordan
<1
Kazakhstan
<1
Botswana
390
Kuwait
<1
Kyrgyzstan
<1
Burundi
380
Lebanon
<1
Tajikstan
<1
Côte d'Ivoire
380
Libya
<1
Turkmenistan
<1
Congo
360
Oman
<1
Uzbekistan
<1
Tanzania
360
Saudi Arabia
<1
Rwanda
350
Syria
<1
Central African Rep.
340
Tunisia
<1
Burkina Faso
290
Turkey
<1
Kenya
280
Yemen
<1
Ethiopia
250
Algeria
No data
Mozambique
180
Morocco
No data
Sierra Leone
170
Sudan
No data
Liberia
150
U. Arab Emirates
No data
Congo, Dem. Rep.
140
Chad
130
Gambia
120
Ghana
110
Namibia
110
South Africa
110
Cameroon
100
Lesotho
100
Gabon
90
Senegal
90
Nigeria
60
Mali
50
Guinea
40
Angola
30
Benin
30
Niger
30
Guinea-Bissau
20
Mauritania
10
Madagascar
2
Eritrea
No data
Mauritius
No data
Somalia
No data

 

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EAST/SOUTH ASIA
AND PACIFIC
AMERICAS
Thailand
30
Haiti
100
Cambodia
20
Honduras
20
Myanmar
8
Jamaica
20
Papua New Guinea
6
Trinidad/Tobago
20
India
3
Dominican Rep.
10
Malaysia
2
United States
10
Lao PDR
1
Panama
9
Nepal
1
El Salvador
8
New Zealand
1
Costa Rica
6
Pakistan
1
Guatemala
6
Sri Lanka
1
Uruguay
4
Viet Nam
1
Argentina
2
Australia
<1
Ecuador
2
Bangladesh
<1
Mexico
2
Bhutan
<1
Chile
1
China
<1
Colombia
1
Indonesia
<1
Nicaragua
1
Japan
<1
Paraguay
1
Korea, Dem.
<1
Peru
1
Korea, Rep.
<1
Venezuela
1
Mongolia
<1
Bolivia
<1
Philippines
<1
Canada
<1
Singapore
<1
Cuba
<1
Brazil
No data

Note:  These estimations do not include those children who have lost only their father.

Comparable data on the number of children orphaned by AIDS are not available for many of the developed countries or those in transition, so these countries have been excluded from the league table.

Source:  UNAIDS/WHO; data as at end-1997.

Where the numbers are highest*

Uganda 1,100,000   Malawi 270,000
Ethiopia 700,000   Côte d'Ivoire 240,000
Tanzania 520,000   South Africa 180,000
Zambia 360,000   Burkina Faso 150,000
Zimbabwe 360,000   Mozambique 150,000
Kenya 350,000   Burundia 110,000
Nigeria 350,000   India 110,000
Congo, Dem. Rep. 310,000      

* Children under the age of 15 who have lost their mother or both parents to AIDS, as at end-1997.

Source:  UNAIDS/WHO.

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