-Caveat Lector-

Guess this explains some tings.
KS


-Mental disorders set to rise, UN says

Depression will be second leading cause of death by
2020

REUTERS

Jan. 9 � Mental and neurological disorders � ranging
from depression to Alzheimer�s and epilepsy � strike
400 million people globally and are set to surge in
the next two decades, the World Health Organization
said Tuesday. By 2020, depression would jump to be the
second greatest cause of death and disability
worldwide, following ischemic heart disease, the
United Nations health agency predicted.

 �We know that 70 percent of those suffering from
major depression can fully recover if properly
treated.�
� DR. BENEDETTO SARACENO
WHO          WHO officials attributed the projected
rise in depression to factors including more stressful
lifestyles, poverty and violence. Alzheimer�s disease,
a debilitating dementia which hits the elderly, is
expected to increase as people live longer.
       They spoke at a news briefing to launch WHO�s
2001 campaign aimed at removing myths and stigmas
linked to such disorders, whose slogan is �Stop
exclusion � Dare to care.�
       �This (campaign) is overdue, given that mental
health is a major cause of disability, family and
community distress and loss of production,� said WHO�s
Dr. Derek Yach.
       Dr. Benedetto Saraceno, director of WHO�s
department of mental health and substance dependence,
said: �Mental health disorders, neurological diseases
is a major public health concern worldwide. There is a
common myth that mental health problems are those of
rich, industrialized countries, a luxury.
       �But mental and neurological problems are
equally important in rich and poor countries,� he
added.

400 MILLION SUFFERERS
       Some 400 million people today suffer from
mental and neurological disorders worldwide, according
to Saraceno.
       �Unipolar major depression is today considered
fifth in the ranking of major causes of disability and
it is expected to jump to second place in 2020,� he
said.
       At present, depression is the fifth leading
cause of death and disability, while ischemic heart
disease trails in sixth place, according to the
Geneva-based WHO.
       The table is currently topped by acute lower
respiratory infections, according to the WHO which
says infectious diseases are generally expected to
fall.
       Depression, often genetic, hits roughly twice
as many women as men, according to WHO experts.
       The Americas and Western Pacific regions �
essentially the United States and Japan � have the
most victims of depression, with the lowest rates in
Africa, according to Saraceno.
       �Surveys in Brazil, Zimbabwe, India and Chile
show the more impoverishment � measured by hunger,
level of debt and education � the higher the
prevalence of common mental disorders,� said Yach, a
South African.
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         Mental and neurological disorders represent
11 percent of the �global burden of disease,� a figure
based on mortality and disability, according to
Saraceno. The figure is expected to represent 14
percent in 2020, he said.
       Saraceno: �The good news is that mental health
treatment does not require very expensive
infrastructure.�
       �We know that 70 percent of those suffering
from major depression can fully recover if properly
treated,� he added. �We can expect a decrease in
suicides if we are properly treating depressed
people.�

ONE MILLION SUICIDES
       Globally, there are one million suicides a year
out of a total of 10 million attempts, he added. The
top 10 countries for suicide are composed of all
former Soviet Union states, led by Russia, where many
are reeling in economic and social upheaval.
       Schizophrenia, a chronic disorder, affects 45
million people worldwide, with about half of the
victims achieving full �social recovery,� according to
Saraceno.
       He praised India and China for their programs
for treating and supporting schizophrenic patients,
combing use of generic psychotropic drugs and human
resources.
       �Different diseases are prominent in different
regions, with one exception. Schizophrenia is
ubiquitous � you will find the same rate of
schizophrenia in Los Angeles and central Africa,
probably because there is a very strong genetic
component.�

       � 2001 Reuters Limited. All rights reserved.
Republication or redistribution of Reuters content is
expressly prohibited without the prior written consent
of Reuters.

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