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New York, New York, United Nations, 1992. vi, 199 p. (ST/ESA/SER.R/118)This global review and inventory of population policies in 1991 is a machine readable database which is available on diskette. Current data on 174 countries are described. Data are based on the Population Policy Data Bank. Policy information is available on the government's view on population growth and the type of intervention to modify fertility level, acceptable mortality level, internal limits to contraceptive access and policy on use of modern contraceptives, government's view and policy and migration/spatial distribution levels, view and policy on international migration and emigration, and the agency responsible for population formulation or coordination of policy. General topics are identified questions and responses follow, i.e., "government's view on population growth" is for Bolivia "too low." The diskettes contain policy information plus statistical data on current and projected population to 2025, the crude birth and death rate, average growth rate, total fertility rate, life expectancy, dependent population, urban population, foreign-born population, and development level. Information is also available on whether the country responded to each of the 6 inquiries, on the UN regional commission code, on the subregion code, and on the full UN Statistical Office country name. A summary description of the variables in the database is included in the annex as well as a detailed description of variables and their codes. The cost of the diskette is US$50 and an order from is provided.
In: UNFPA: 1986 report, [by] United Nations Fund for Population Activities. New York, New York, UNFPA, 1987. 6-31.The implications of population growth and prospects for the future are examined in a 1987 UNFPA report on the state of world population. Demographic patterns in developed and developing countries are compared, as well as life expectancy and mortality rates. Although most countries have passed the stage of maximum growth, Africa's growth rate continues to increase. Changes in world population size are accompanied by population distribution and agricultural productivity changes. On an individual level, the fate of Baby 5 Billion is examined based on population trajectories for a developing country (Kenya, country A), and a developed country of approximately the same size (Korea, country B). The report outlines the hazards that Baby 5 Billion would face in a developing country and explains the better opportunities available in country B. Baby 5 Billion is followed through adolescence and adulthood. Whether the attainment of 5 billion in population is a threat or a triumph is questioned. Several arguments propounding the beneficial social, economic, and environmental effects of unchecked population growth are refuted. In addition, evidence of the serious consequences of deforestation and species extinction is presented. The report concludes with an explanation of the developmental, health and economic benefits of vigorous population control policies, especially in developing countries.
BACKGROUND NOTES. 1987 Feb; 1-7.Honduras is a democratic, constitutional republic located between Guatemala, El Salvador, and Nicaragua in Central America. Although in the early history of the nation there were frequent revolutions, Honduras has been independent throughout much of its existence. Since the decade of the 1980s, there has been close cooperation with the US including bilateral economic and security assistance, and joint military exercises. The government constitution adopted in 1982 assures that there will be a powerful executive branch, a unicameral legislature, and a judiciary appointed by the National Congress. Following 18 years of military government, Honduras is now under civilian and constitutional rule. Its major serious concerns center around development in the economic and social spheres. Honduras is the least developed Central American country. In 1984, it became a Caribbean Basin Initiative beneficiary country and as a result, the research and development of nontraditional export products has grown greatly. The US has been its most important trade partner. Among others, the US and the World Bank have committed large amounts of financial resources to help Honduras. Honduras and El Salvador are attempting to come to some agreement about their mutual boundaries and Honduras is concerned about the Nicaraguan and general Central American situation. It supports the US position and policy toward Nicaragua. In response to the threats posed by some of its neighbors, Honduras has focused on developing a mobile deterrent force with strong counterterrorism capabilities. Honduras relies heavily on US material assistance and political support.
New York, New York, United Nations, 1987. vi, 247 p. (Population Studies, No. 102; ST/ESA/SER.A/102)WORLD POPULATION POLICIES presents, in 3 volumes, current information on the population policies of the 170 members states of the UN and non-member states. This set of reports in based on the continuous monitoring of population policies by the Population Division of the Department of International Economic and Social Affairs of the UN Secretariat. It replaces POPULATION POLICY BRIEFS: CURRENT SITUATION IN DEVELOPING COUNTRIES, POPULATION POLICY BRIEFS: CURRENT SITUATION IN DEVELOPED COUNTRIES, and POPULATION POLICY COMPENDIUM. Except where noted, the demographic estimates and projections cited in this report are based on the 10th round of global demographic assessments undertaken by the Population Division. Country reports are grouped alphabetically; Volume I contains Afghanistan to France. Each country's entry includes demographic indicators detailing population size, a structure, and growth; mortality and morbidity; fertility, nuptiality, and family; international migration; and spatial distribution and urbanization. Current perceptions of these demographic indicators are included, along with the country's general policy framework, institutional framework, and policies and measures. A brief glossary of terms and list of countries replying to the 1st, 2nd, 3rd, 4th, and 5th inquiries are appended.
[Recommendations of the Population World Plan of Action and of the United Nations Expert Group on Population Distribution, Migration and Development] Recomendaciones del Plan de Accion Mundial sobre Poblacion y del Grupo de Expertos de la Organizacion de las Naciones Unidas sobre Distribucion de la Poblacion, Migracion y Desarrollo.
In: Reunion Nacional sobre Distribucion de la Poblacion, Migracion y Desarrollo, Guadalajara, Jalisco, 11 de mayo de 1984, [compiled by] Mexico. Consejo Nacional de Poblacion [CONAPO]. Mexico City, Mexico, CONAPO, 1984. 21-31.Highlights are presented of the expert meeting on population distribution, migration, and development held in Hammamet, Tunisia, in March 1983 to prepare for the 1984 World Population Conference. Rafael Salas, Secretary General of the World Population Conference, indicated in the inaugural address of the meeting that changes in the past 10 years including the increasing importance of short-term movements, illegal migrations, and refugees would require international agreements for their resolution. In the area of internal migrations, Salas suggested that in addition to migration to metropolitan areas which continues to predominate, short-term movements of various kinds need to be considered in policy. Improvement in the quality of life of the urban poor is an urgent need. Leon Tabah, Adjunct Secretary General of the World Population Conference, pointed out that population distribution and migration had received insufficient attention in the 1975 World Population Conference, and that the World Population Plan of Action should be modified accordingly. Among the most important findings of the meeting were: 1) The Plan of Action overstressed the negative effects of urbanization and rural migration. Available evidence suggests that migration and urbanization are effects rather than causes of a larger process of unequal regional and sectorial development 2) The historical context of each country should be considered in research and planning regarding population movements. 3) Analyses of the determinants and consequences of migration were reexamined in light of their relationship to the processes of employment, capital accumulation, land tenure, technological change, ethnic and educational aspects, and family dynamics. 4) The need to consider interrelationships between urban rural areas in formulation of policy affecting population distribution was emphasized. 5) National development strategies and macroeconomic and sectoral policies usually have stronger spatial effects than measures specifically designed to influence population distribution, and should be examined to ensure compatability of goals. 6) Population distribution policies should not be viewed as ends in themselves but as measures to achieve larger goals such as reducing socioeconomic inequalities. 7) Multiple levels of analysis should be utilized for understanding the causes and consequences of population movements. 8) Programs of assistance should be organized for migrants and their families. 9) The human and labor rights of migrants and nonmigrants should be considered in policy formulation. 10) Policies designed to improve living and working conditions of women are urgently needed.
[National Conference on Population Distribution, Migration and Development, Guadalajara, Jalisco, May 11, 1984] Reunion Nacional sobre Distribucion de la Poblacion, Migracion y Desarrollo, Guadalajara, Jalisco, 11 de mayo de 1984.
Mexico City, Mexico, CONAPO, 1984. 107 p.Proceedings of a national conference on population distribution, migration, and development held in Guadalajara, Mexico, in May 1984 in preparation for the 1984 World Population Conference are presented. 2 opening addresses explain the objectives and relevance of the national conference, while the 1st conference paper outlines the recommendations of the World Population Plan of Action and of an expert meeting sponsored by the UN in Tunisia in 1983 on the topic of population distribution, migration, and development. The main conference papers discuss recent evolution of population distribution in Mexico; migration, labor markets, and development, including migratory flows and the economic structure of Mexico, recommendations of the World Population Conference of 1974, the migration policy of the Mexican National Development Plan, and the National Employment Service as an instrument of migration policy; and reflections on the World Population Conference, the Mexican government, and the design of an international migration policy, including commentarty on the recommendations of the expert committee on international migration convened in preparation for the World Population Conference, and comments on problems in design of migration policy. The main recommendations of the conference were 1) the principles of the World Population Plan of Action, particularly in regard to respect for fundamental human rights, be reaffirmed; 2) policies designed to influence population movement directly be supplemented by and coordinated with other social and economic policies likely to produce the same effect; 3) coordination among all sectors be improved to ensure effective implementation of policy goals; 4) efforts be undertaken to provide more detailed information on internal migratory movements; 5) laws governing migration and population distribution in Mexico be carefully analyzed and possibly modified; and 6) a clear and realistic international migration policy be formulated which would take into account the need for more detailed data on international migration, a clear definition of policy objectives in international migration, respect of basic human rights, and coherence between external and internal international migration policies.
Editorial Research Reports. 1985; 2(20):887-904.The author discusses aspects of urbanization, living conditions in urban centers, and selected policies, summarizing findings from recently published sources. U.N. population projections for selected urban areas for the year 2000 are compared with 1950 estimates, and the proportions of the population living in urban areas in various regions of the world are contrasted. Attention is given to living conditions in rapidly growing and crowded cities, including Mexico City, Mexico; Sao Paulo and Rio de Janeiro, Brazil; Lagos, Nigeria; and Cairo, Egypt. Statements on urban growth issued by the U.N. Fund for Population Activities are considered.
[World population and development: an important change in perspective] Population mondiale et developpement: un important changement de perspective.
Problemes Economiques. 1984 Oct 24; (1895):26-32.The International Population Conference in Mexico City was much less controversial than the World Population Conference in Bucharest 10 years previously, in part because the message of Bucharest was widely accepted and in part because of changes that occurred in the demographic and economic situations in the succeeding decade. The UN medium population projection for 1985 has been proved quite accurate; it is not as alarming as the high projection but still represents a doubling of world population in less than 40 years. The control of fertility upon which the medium projection was predicated is well underway. The movement from high to low rates of fertility and mortality began in the 18th century in the industrial countries and lasted about 1 1/2 centuries during which the population surplus was dispersed throughout the world, especially in North and South America. The 2nd phase of movement from high to low rates currently underway in the developing countries has produced a far greater population increase. The proportion of the population in the developed areas of Europe, North America, the USSR, Japan, Australia, and New Zealand will decline from about 1/3 of the 2.5 billion world population of 1950 to 1/4 of the 3.7 billion of 1985, to 1/5 of the 4.8 billion of 2000, and probably 1/7 of the 10 billion when world population stabilizes at the end of the next century. The growth rates of developing countries are not homogeneous; the populations of China and India have roughly doubled in the past 35 years while that of Latin America has multiplied by 2 1/2. The population of Africa more than doubled in 35 years and will almost triple by 2025. The number of countries with over 50 million inhabitants, 9 in 1950, will increase from 19 in 1985 to 32 in 2025. The process of urbanization is almost complete in the industrialized countries, with about 75% of the population urban in 1985, but urban populations will continue to grow rapidly in the developing countries as rural migration is added to natural increase. The number of cities with 10 million inhabitants has increased from 2 to 13 between 1950 and 1985, and is expected to reach 25 by 2000, with Mexico City, Sao Paulo, and Shanghai the world's largest cities. The peak rate of world population growth was reached in the 1960s, with annual increases of 2.4%. In 1980-85 in the developed and developing worlds respectively the rates of population growth were .7% and 2.0%/year; total fertility rates were 2.05 and 4.2, and the life expectancies at birth were 72.4 and 57.0. Considerable variations occurred in individual countries. Annual rates of growth in 1980-85 were 2.4% in Latin America, 3.0% in Africa, 2.2% in South Asia and 1.2% in East Asia. Today only Iran among high fertility countries pursues a pronatalist policy. Since Bucharest, it has become evident to developing and developed countries alike that population control and economic development must go hand in hand.
[Unpublished] 1984 Aug 13. 40 p. (E/CONF.76/L.3; M-84-718)This report of the International Conference on Population, held in Mexico City during August 1984, includes: recommendations for action (socioeconomic development and population, the role and status of women, development of population policies, population goals and policies, and promotion of knowledge and policy) and for implementation (role of national governments; role of international cooperation; and monitoring, review, and appraisal). While many of the recommendations are addressed to governments, other efforts or initiatives are encouraged, i.e., those of international organizations, nongovernmental organizations, private institutions or organizations, or families and individuals where their efforts can make an effective contribution to overall population or development goals on the basis of strict respect for sovereignty and national legislation in force. The recommendations reflect the importance attached to an integrated approach toward population and development, both in national policies and at the international level. In view of the slow progress made since 1974 in the achievement of equality for women, the broadening of the role and the improvement of the status of women remain important goals that should be pursued as ends in themselves. The ability of women to control their own fertility forms an important basis for the enjoyment of other rights; likewise, the assurance of socioeconomic opportunities on a equal basis with men and the provision of the necessary services and facilities enable women to take greater responsibility for their reproductive lives. Governments are urged to adopt population policies and social and economic development policies that are mutually reinforcing. Countries which consider that their population growth rates hinder the attainment of national goals are invited to consider pursuing relevant demographic policies, within the framework of socioeconomic development. In planning for economic and social development, governments should give appropriate consideration to shifts in family and household structures and their implications for requirements in different policy fields. The international community should play an important role in the further implementation of the World Population Plan of Action. Organs, organizations, and bodies of the UN system and donor countries which play an important role in supporting population programs, as well as other international, regional, and subregional organizations, are urged to assist governments at their request in implementing the reccomendations.
New York, United Nations, 1984. 108 p. (Population Studies, No. 85; ST/ESA/SER.A/85)The 3 parts of this report on world, regional, and international developments in the field of population, present a summary of levels, trends, and prospects in mortality, fertility, nuptiality, international migration, population growth, age structure, and urbanization; consider some important issues in the interrelationships between economic, social, and demographic variables, with special emphasis on the problems of food supply and employment; and deal with the policies and perceptions of governments on population matters. The 1st part of the report is based primarily on data compiled by the UN Population Division. The 2nd part is based on information provided by the Food and Agriculture Organization of the UN (FAO) and the International Labor Organization (ILO), as well as that compiled by the Population Division. The final part is based on information in the policy data bank maintained by the Population Division, including responses to the UN Fourth Population Inquiry among Governments. In 1975-80 the expectation of life at birth for the world was estimated at 57.2 years for both sexes combined. The corresponding figure for the developed and developing regions was 71.9 and 54.7 years, respectively. In 1975-80 the birthrate of the world was estimated at 28.9/1000 population and the gross reproduction rate was 1.91. These figures reflect considerable decline from the levels attained 25 years earlier: a crude birthrate of 38/1000 population and a gross reproduction rate of 2.44. World population grew from 2504 million in 1950 to 4453 million in 1983. Of the additional 1949 million people, 1645 million, or 84%, accrued to the less developed countries. The impact of population growth on economic development and social progress is not well understood. The governments of some developing countries still officially welcome a rapid rate of population growth. Many other governments see cause for concern in the need for the large increases in social expenditure, particularly for health and education, that accompany a young and growing population. Planners are concerned that the rapidly growing supply of labor, compounded by a trend toward rapid urbanization, may exceed that which the job market is likely to absorb. In the developed regions the prospect of a declining, or an aging, population is also cause for apprehension. There is a dearth of knowledge as to the impact of policies for altering the consequences of these trends. Many policies have been tried, in both developed and developing countries, to influence population growth and distribution, but the consequences of such policies have been difficult to assess. Frequently this problem arises because their primary objectives are not demographic in character.
[National Conference on Population, Resources, Environment, and Development] Reunion Nacional sobre Poblacion, Recursos, Medio Ambiente y Desarrollo
Mexico City, Mexico, Mexico. Consejo Nacional de Poblacion [CONAPO], 1984. 120 p.Opening remarks, presentations, comments, and conclusions are presented from the Mexican National Conference on Population, Resources, Environment, and Development, the last of a series of conferences held in preparation for the 1984 World Population Conference. The 3 papers, each with a commentary, concerned questions regarding the balance between population, resources, the environment, and development to be addressed by the World Population Conference; population, resources, and environment; and population and development. A list of comments of participants and the closing remarks are also included. Several concluding statements summarized the main points of the debate: 1) Relationships between demographic variables and economic and social processes are highly complex and the World Population Conference should take such complexities into account. 2) Reproductive and migratory behavior of the population is just 1 element influencing and being influenced by social and economic development. The decreasing rate of population growth alone cannot lead to development. 3) The quest for a better balance between resource utilization and environmental conservation, with the resulting improvement in living standards, requires immediate and realistic measures on the part of the State and the participation of the people not merely as objects but also as active subjects through their community organizations. 4) The regional dimension must be included in the analysis of disequilibrium between population and development, at both national and international levels, in order to provide a better comprehension of phenomena such as migration, urbanization, production and distribution of food, environmental deterioration, ant the qualitative development of the population. 5) Better conceptual, analytical, informative, and planning instruments must be developed regarding the themes of population and development. In particular, instruments for the medium- and longterm should be developed, since the time frame of population processes exceeds the usual programming limits. 6) Questions suitable for a forum such as the World Population Conference must be distinguished from those relating to national population policy. Nevertheless, common principles exist, such as full respect for human rights, national sovereignty, and the fundamental objectives of population policy, which should be to contribute to elevating the level and quality of life of human beings.
In: United Nations. Department of International Economic and Social Affairs. Population projections: methodology of the United Nations. Papers of the United Nations Ad Hoc Expert Group on Demographic Projections, United Nations Headquarters, 16-19 November 1981. New York, United Nations, 1984. 15-6. (Population Studies No. 83; ST/ESA/SER.A/83)As the UN demographic estimates and projections cover all the developed and developing countries, special problems are encountered in data collection and evaluations. The responsibility for the UN projections rests primarily with the Population Division, but the results are the product of collaboration by all responsible offices within the UN system. This is 1 of the strengths of the UN population projections, yet there are numerous problems concerning those projections. Aside from the perpetual difficulties with collection and estimation of basic demographic indicators from incomplete data, all of which must be continuously undertaken, there are 8 major problems which have become more important in recent years and concern the current UN demographic projections. The 1st problem is the question of meeting the needs of the users who are the researchers, the planners, and the policymakers. The 2nd problem is that significant improvement can be made in the methodologies with, on the 1 hand, the prodigious advances in calculation devices and research techniques and on the other, a better knowledge of the economic and social context of demographic variables. The 3rd major problem in the component method of projections of fertility, which continues to be the most influential component to the future population of most nations. Another component of projection, mortality, has become a pressing issue in the field of projection as well. Knowledge of mortality in the third world is highly fragmentary. The 5th problematic issue is urbanization and city growth. There are severe problems with data comparability and projection methods. Sixth, for several developing and developed countries international migration plays a significant role in their population growth. More problematic than estimating the current net numbers of migrants is formulating assumptions about future patterns of international migration. Seventh, thus far demographic projections have largely been based on the demographic theory of transition, which appears to continue to be useful for developing countries. Yet, the demographic transition models are affected by a wider variety of trajectories than anticipated. Finally, no one has been able to explain clearly the major simultaneous movements of fertility of the developed countries. The question of obvious policy significance is what will happen in the future.
International consultation of NGOs on population issues in preparation of the 1984 United Nations International Conference on Population: report of the consultation.
[Unpublished] . 83 p.196 individuals from 44 countries, representing national and international non-governmental organizations, bilateral agencies and intergovernmental organizations attended the consultation. The purposes of the consultation were: 1) to provide an overview of the contributions of non-governmental organizations to the implementation of the World Population Plan of Action through a wide range of population and population related programs carried out since the Plan was adopted in 1974; 2) to explore what non-governmental organizations believe needs to be done in the world population field during the balance of the century; 3) to prepare for participation in the January 1984 Conference Preparatory Committee meeting and in the Conference itself to be held in August 1984; and 4) to provide suggestions for activities of national affiliates relative to the 1984 Conference. This report provides a synopsis of the plenary sessions and their recommendations. Addresses by numerous individuals covered the following topics: the creative role of non-governmental organizations (NGOs) in the population field; vital contributions of NGO's to the implementation of the world population plan of action; the family; population distribution and migration; population, resources, environment and international economic crisis; mortality and health; and NGO prospects for the implementation of the world population plan of action.
New York, UN, 1981 Jan 26. 41 p. (ESA/P/WP.72)The attempt is made to present on a systematic basis a brief summary of governments' current perceptions and policies in relation to population growth, fertility, international migration, and spatial distribution. The assessment, which covers 35 Member States and Non-Member States of the United Nations considered to be developed, is of September 1980. The information included in this document is based on the replies to the 3rd and 4th Population Inquiry Among Governments, material contained in the Population Policy Data Bank of the Population Division, and national development plans and publications of various organizations. The 35 countries assesed are the following: Albania; Australia; Austria; Belgium; Bulgaria; Byelorussian Soviet Socialist Republic; Canada; Czechoslovakia; Denmark; Finland; France; German Democratic Republic; Federal Republic of Germany; Greece; Hungary; Iceland; Ireland; Italy; Japan; Luxembourg; Malta; Netherlands; New Zealand; Norway; Poland; Portugal; Romania; Spain; Sweden; Switzerland; Ukrainian Soviet Socialist Republic; Union of Soviet Socialist Republics; United Kingdom; United States of America; and Yugoslavia.
[Population policy in the Third World eight years after Bucharest: hopes and realities] Les politiques de population dans le Tiers Monde huit ans apres Bucarest: espoirs et realites.
Revue Tiers Monde. 1983 Apr-Jun; 24(94):277-304.2 events of the past 2 decades have been of vital importance in the history of the human race: the slowing of the very high rates of population growth and the massive interventionism of governments in the demographic domain. This article describes the current status of population policies in the Third World, contrasting them to the goals and objectives expressed in the Plan of Action of the World Population Conference in Bucharest. 5 major sections consider the perceptions and policies of governments regarding population growth; morbidity and mortality; fertility, spatial redistribution and internal migration; and international migration. It is concluded that the objectives of the Plan of Action were sometimes attained, sometimes surpassed, and sometimes merely forgotten. National population policies have tended to be both general and diverse, not focusing solely on antinatalist interventions. The concept of integration of demographic policy into development policy has furnished a theoretical and practical basis of compromise between those who see development as the best means of limiting fertility and those who view fertility control as a prerequisite for development. Integration in the actual implementation of policies has been less frequently achieved. Programs to control fertility have had characteristics out of keeping with the spirit or letter of the Plan of Action, such as recourse to coercion on family size and careful restrictions on geographic mobility. Among some of the poorest countries, the urgency of controlling demographic growth in order to facilitate economic development has eclipsed to some extent respect for individual rights. A new world demographic order is evolving, with the reduction in fertility rates accelerated by population policies covering most of the developing world. But the momentum of growth resulting from the very high rates of fertility in the past few decades means that world population will continue to increase for years into the future. When world population stabilizes at about 10 billion, the population of the currently industrialized nations will account for only about 13%, compared to the 25% of today.
REVIEWS OF INFECTIOUS DISEASES. 1983 May-Jun; 5(3):452-9.This summary of the worldwide impact of measles discusses epidemiology, reported incidence, clinical severity, community attitudes toward measles, and the impact of immunization programs on measles. Measles, 1 of the most ubiquitous and persistent of human viruses, occurs regularly everywhere in the world except in very remote and isolated areas. Strains of measles virus from different counties are indistinguishable, and serum antibodies from diverse population have identical specificity. Yet, the epidemic pattern, average age at infection, and mortality vary considerably from 1 area to another and provide a contrasting picture between the developing and the developed countries. In the populous areas of the world, measles causes epidemics every 2-5 years, but in the rapidly expanding urban conglomerations in the developing world, the continuous immigration from the rural population provides a constant influx of susceptible individuals and, in turn, a sustained occurrence of measles and unclear epidemic curves. In the economically advanced nations, measles epidemics are closely tied to the school year, building up to a peak in the late spring and ceasing abruptly after the summer recess begins. Maternal antibody usually confers protection against measles to infants during the 1st few months of life. The total number of cases of measles reported to WHO for 1980 is 2.9 million. Considering that in the developing world alone almost 100 million infants are born yearly, that less than 20% of them are immunized against measles, and that various studies indicate that almost all nonimmunized children get measles, less than 3 million cases of measles in 1980 is a gross underestimate. There was adecrease in the global number of reported cases of measles during the 1979-80 period due primarily to the reduction in the number of cases in the African continent and, to a lesser extent, in Europe. It is premature to conclude that such a reported decline is real and that it reflects the beginning of a longterm trend. The contrast between the developed and the developing worlds is most marked in relation to the severity and outcome of measles. Case fatality rates of more than 20% have been reported from West Africa. It has been estimated that 900,000 deaths occur yearly in the developing world because of measles, but data available to WHO indicate that the global case fatality rate in the developing world approaches 2% (in contrast to 2/10,000 cases in the US), and the actal mortality may be greater than 1.5 million deaths per year. The advent of WHO's Expanded Program on Immunization has brought about an awareness of the measles problem. Whenever and wherever measles vaccine has been used effectively on a large scale, a marked reduction in the number of cases has been recorded.