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Submitted By ecraela
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THIRD WORLD COUNTRY ( MADAGASCAR)
PUBLIC HEALTH STATUS
Public Health
Life expectancy at birth has gradually improved from an average of 37.5 years for men and 38.3 years for women in 1966 to an average of fifty-two years for men and fifty-five years for women in 1990 (for a combined average of fifty-four). Malaria remains the most serious tropical disease, although eradication campaigns against mosquitoes waged since 1948 initially resulted in spectacular declines in incidence and a dramatic decrease in the island's mortality rate during a twenty-year period. Indeed, in some regions, especially the central highlands, these campaigns were almost completely successful, although malaria continues to be prevalent in the coastal regions, especially the east coast. As prevention practices faltered during the late 1970s and throughout the 1980s, the mosquito staged a comeback. The effect on a population with a significantly reduced resistance to malaria was devastating. For example, the Malagasy Ministry of Health reported 490,000 cases and 6,200 deaths from malaria in 1985, but these figures rose--to 760,000 cases and 11,000 deaths--in 1987.
As of 1994, other serious diseases included schistosomiasis, tuberculosis, and leprosy. The prevalence of schistosomiasis, a parasitic ailment that spreads primarily through the passing of human wastes into ponds, irrigation canals, and slow-moving streams, reflects the continued lack of adequate sewage facilities, especially in the rural areas. Occasional outbreaks of bubonic plague occur in urban areas, the most recent of them in 1990. Yet Madagascar has been spared many of the diseases common in tropical countries, such as trypanosomiasis, cholera, brucellosis, and yellow fever.
The occurrence of sexually transmitted diseases (STDs) has increased during the 1980s and the 1990s. It is estimated that 287 of 100,000 inhabitants

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