Shann Frank
Intensive Care Unit, Royal Children's Hospital, Parkville, Melbourne, Victoria, Australia.
J Paediatr Child Health. 2010 May;46(5):217-21. doi: 10.1111/j.1440-1754.2009.01673.x. Epub 2010 Mar 10.
In 2007, 136 million children were born in the world, and 9.2 million died before they were 5 years old; 99.8% of these deaths were in developing countries, and 8.2 million were unnecessary. This is 23 000 unnecessary deaths every day. Approximately 0.2 million children die from the direct effects of war every year, and at least twice as many die from the indirect effects. However, most child deaths are caused by common childhood infections in communities that are not affected by war. In 2007, overseas development aid totalled only $104 billion, and world military expenditure totalled US$1339 billion. The 49 poorest countries in the world have a population of 1.3 billion; they spent only $27 per person on health in 2006, but the world spent $201 per person on military activity. The five permanent members of the United Nations Security Council account for 90% of weapons sales to developing countries, yet they are the very countries that have accepted responsibility for ensuring world security. Unfortunately, many governments in both rich and poor countries do not want to limit military spending - the vested interests that support military activity are too powerful. War is immensely harmful, but not primarily because of the horrible injuries, nor the large number of deaths it causes indirectly from infection, malnutrition, and social and political disruption. By far, the greatest harm comes from the diversion of huge amounts of money that could be used for beneficial development into harmful and destructive military activity.
2007年,全球有1.36亿儿童出生,其中920万在5岁前死亡;这些死亡案例中,99.8%发生在发展中国家,且其中820万例死亡本可避免。这意味着每天有2.3万例不必要的儿童死亡。每年约有20万儿童直接死于战争影响,而死于间接影响的儿童数量至少是直接死亡人数的两倍。然而,大多数儿童死亡是由未受战争影响社区中常见的儿童感染所致。2007年,海外发展援助总额仅为1040亿美元,而全球军事开支总计达1.339万亿美元。世界上最贫穷的49个国家共有13亿人口;2006年,这些国家人均卫生支出仅为27美元,而全球人均军事活动支出为201美元。联合国安理会五个常任理事国对发展中国家的武器销售占比达90%,然而正是这些国家承担了确保世界安全的责任。不幸的是,富国和穷国的许多政府都不愿限制军事开支——支持军事活动的既得利益集团势力过于强大。战争危害极大,但主要并非因其造成的可怕伤害,也不是因其间接导致的大量因感染、营养不良以及社会和政治动荡而引发的死亡。迄今为止,战争造成的最大危害在于,大量本可用于有益发展的资金被转用于有害且具有破坏性的军事活动。