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In: Population strategy in Asia. The Second Asian Population Conference, Tokyo, November 1972. Report, declaration and selected papers, [compiled by] United Nations Economic Commission for Asia and the Far East [ECAFE]. Bangkok, Thailand, ECAFE, 1974 Jun. 69-130. (Asian Population Study Series No. 28; E/C.N.11/1152)The Economic Commission for Asia and the Far East (ECAFE) region currently includes 31 countries and territories. Since the first Asian Population Conference in 1963, there has been greater recognition of the adverse effects of rapid population growth on national development and on the standard of living of individual family units. By the year 2000, the population of the ECAFE region is expected to almost equal the total for the world in 1970, despite significantly slowed population growth in the East Asia subregion. During the periods 1900-1950 and 1950-2000, the average annual rates of growth for the population of the ECAFE region are estimated at 0.7% and 2.0%, respectively. The 4 largest countries in the region--China, India, Indonesia, and Japan--together hold 78% of the region's total population. Even in the countries where there has been a decline in fertility, it has not been sufficient to offset the effects of corresponding declines in mortality. The 1950 population of each country, except for China and Japan, will at least double itself by the year 2000. The number of preschool-aged children is expected to reach 356 million by 1980 and there will be 609 million school-aged children. Children ages 0-14 years currently comprise about 40% of the total population of the ECAFE region, producing a high dependency burden. The female population in the reproductive age group will grow from 474 million in 1970 to 593 million in 1980, implying that the fertility potential of the region will be accelerated. In addition, the population of persons aged 60 years and over will increase from 117 million in 1970 to 158 million in 1980, requiring significant investments in health facilities and social security. The urban population in the region is expected to increase from 25% in 1970 to 45% by 2000. Despite widespread awareness of the interrelation of population and development, no common approach among demographers, family plannes, and economic plannes has emerged.
In: Demographic trends in the European region: health and social implications, edited by Alan D. Lopez and Robert L. Cliquet. Copenhagen, World Health Organization, Regional Office for Europe, 1984. 5-67. (WHO Regional Publications, European Series No. 17; Project RMI/79/P05)This chapter presents an overview of recent demographic trends in Europe and discusses the implications of these trends for health and social services. The discussion is based on reports received from 15 of the 33 Member States of the European Region of the World Health Organization. The components of demographic change analyzed included population growth and structure, family formation, fertility, mortality, and population movement. Increases in the number and proportion of the elderly were noted and the traditional excess of births over deaths is expected to change in future years. Population aging is expected to continue to be a principal concern for the social services sector. The increasing emphasis on caring for rather than attempting to cure chronic illnesses among the aged suggests a need for more nursing homes and home-help services. Anticipation of future morbidity and mortality patterns implies a need to focus on specific risk groups, e.g. migrants, adult males, and those from lower socioeconomic groupings. With regard to fertility, adolescent sexual activity and the low use levels of contraception among teenagers comprise areas where greater service provision is necessary. In addition, there is a need for more vocational training for women, improved child care facilities, and full-time employment opportunities better suited to the needs of workers with dependent children. As a result of smaller families, increased divorce rates, the discrepancy between male and female survival, and greater regional mobility, markedly higher numbers of single individuals can be expected. Rapidly evolving changes in family formation, social norms, and underlying demographic trends will continue to alter European societies in the years ahead. The interrelationships between health and demographic phenomenon must continue to be probed to form a basis for future health and social planning.