from Section 4 - Environmental/Ecological Considerations and Planetary Health
Published online by Cambridge University Press: 04 February 2021
When I started to work in Pittsburgh, a journalist called with a request for an explanation about infant mortality. Recent surveys had shown that infant mortality in some neighborhoods of Pittsburgh was higher than in developing countries such as Nicaragua and the Philippines. These findings caused an uproar on social media. How was this possible? In 42 countries, infant mortality rates are lower than in the United States. For every 1,000 American babies born, an average of 5.82 will die before their first birthday. In Pennsylvania, the average infant mortality rate is 5.9. In Pittsburgh, the average is 6.65, but in some areas it is up to 22, especially among African-American populations. Americans, unaccustomed to not being in a leadership role, cannot imagine why such disparities occur (Smith, 2017).
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