Identifier
Created
Classification
Origin
06MINSK152
2006-02-14 08:22:00
UNCLASSIFIED//FOR OFFICIAL USE ONLY
Embassy Minsk
Cable title:  

Belarus Getting Sicker

Tags:  SOCI ECON TBIO ENRG MNUC SENV BO 
pdf how-to read a cable
VZCZCXRO6072
RR RUEHAG RUEHDA RUEHDF RUEHFL RUEHIK RUEHKW RUEHLA RUEHLN RUEHLZ
RUEHROV RUEHSR RUEHVK RUEHYG
DE RUEHSK #0152/01 0450822
ZNR UUUUU ZZH
R 140822Z FEB 06
FM AMEMBASSY MINSK
TO RUEHC/SECSTATE WASHDC 3766
INFO RUEHZL/EUROPEAN POLITICAL COLLECTIVE
RHMFISS/HQ USEUCOM VAIHINGEN GE
RUFOADA/JAC MOLESWORTH RAF MOLESWORTH UK
UNCLAS SECTION 01 OF 04 MINSK 000152 

SIPDIS

SENSITIVE

SIPDIS

E.O. 12958: N/A
TAGS: SOCI ECON TBIO ENRG MNUC SENV BO
SUBJECT: Belarus Getting Sicker

Ref: 05 Minsk 837

UNCLAS SECTION 01 OF 04 MINSK 000152

SIPDIS

SENSITIVE

SIPDIS

E.O. 12958: N/A
TAGS: SOCI ECON TBIO ENRG MNUC SENV BO
SUBJECT: Belarus Getting Sicker

Ref: 05 Minsk 837


1. (SBU) Summary: Despite Lukashenko's "Third Way Economic
Miracle," the Belarusian population is now sicker, dies earlier and
has fewer children than during the late Soviet period. Doctors at
the CitiHope NGO recently passed to Econoff a report they drafted
chronicling the systematic worsening of the health of the
Belarusian people. General morbidity has risen for almost all
diseases. Some of this increase is directly attributable to the
Chernobyl nuclear accident, but the majority is due to declining
socio-economic factors. Maternal and children's health are
especially hard hit, even though the GOB has succeeded in lower the
infant mortality rate. As a result, the Belarusian population is
aging. Currently 25% of the population are pensioners. When this
number rises in the next few years, the GOB will be hard pressed to
make pension payments. End summary.


Chernobyl's Affects Still Being Felt
--------------


2. (U) According to this report, the Chernobyl accident
contaminated 23% of Belarus with cesium-137 levels above 1 Ci/km2,
with the highest levels around the regional capital of Gomel. At
the time, 2.2 million people lived in that area; now 1.5 million
live in these contaminated zones. The contaminated area includes
22% of Belarus' agricultural land and 21% of its forests. The
report found that the population, as well as life expectancy, has
been steadily falling in this area.


3. (SBU) Although the report agrees that the true number of
casualties from Chernobyl is subject to dispute, there is consensus
that at least 1,800 children in the most affected areas have
contracted thyroid cancer because of the accident. CitiHope cites
a 2002 UNICEF report that estimated another 8,000 people, who were
children at the time of the accident, will contract thyroid cancer
in coming years. However, WHO projected 50,000 new cases, and a
German radiation medicine specialist, who has run a thyroid center
in Belarus since 1991, estimates Chernobyl will result in 100,000
cases of thyroid cancer among all age groups.



4. (U) The report also blames Chernobyl for doubling the incidence
of breast cancer in the Gomel region, and predicts there will also
be increases in urogenital, lung and stomach cancers.


General Morbidity on the Rise
--------------


5. (SBU) CitiHope believes that Chernobyl, as well as economic
instability and falling living standards throughout the 1990s,
resulted in an increase in general morbidity. CitiHope pointed out
that tuberculosis (TB) is a good indicator of the general socio-
economic situation. TB rose from 24.8 cases per 100,000 in 1990 to
50 cases in 1998. It fell again by 2002 to 40.7, but rose in 2003
to 42.9 cases. Not just diseases rose sharply, but also the
incidence of accidents, poisonings and other external forms of
morbidity.


6. (U) From 1990 to 2003 (the latest statistics available),the
number of all newly diagnosed diseases rose 1.4 times, from 55,330
to 78,108 per 100,000 residents. The charts in the report show the
incidence of several diseases peaking in the late 1990s and falling
by 2003. However, most categories of illness indicated increasing
prevalence over the entire period, and show no sign of decreasing.
Cancer and heart disease in particular continue to rise, with cases
of heart disease doubling from 1138.2 cases per 100,000 people in
1990 to 2283.4 per 100,000 in 2003.


7. (U) The report provided the following data:

Cases per 100,000 residents
1990 1995 2003

Pulmonary disorders 31651.0 40340.0 39074.9
Injuries, poisonings and other 6259.9 7006.5 8045.2
external causes
Infectious and Parasitic 3022.1 4675.5 3603.9
diseases
Of which:
Pulmonary Tuberculosis 24.8 39.2 42.9
Syphilis 2.7 150.6 48.7
HIV 0.1 0.1 7.2
Diseases of the skin and 2404.1 4033.2 4268.5
hypodermic cellular tissue
Diseases of the musculoskeletal 1848.4 3088.5 4092.4
system and connective tissue
Urogenital disorders 1301.8 2475.4 3078.1
Cardiovascular disease 1138.2 1397.1 2283.4

MINSK 00000152 002 OF 004


Psychiatric and behavioral 577.1 1084.6 1364.0
disorders
Tumors 476.9 598.7 862.4
Of which are cancerous 264.3 298.6 352.5
Of which in the thyroid 2.8 6.1 11.0
Diseases of the blood, 139.9 193.0 246.9
hematogenic organs and the
immune system
Congenital malformations and 56.2 75.4 116.7
chromosomal disorders


Substance Abuse
--------------


8. (U) The report found that alcohol-related morbidity more than
doubled from 1995 to 2003, to 285 per 100,000 residents (28,100
total cases). Among women it increased 2.4 times and 4.1 times
among teenagers. The number of registered drug abusers rose five
times from 1990 to 2003, to 9 per 100,000 (15 per 100,000 for men,
3 per 100,000 for women). In December, the Ministry of Health
announced that Belarus has 253,000 registered alcoholics and drug
addicts.


HIV/AIDS
--------------


9. (U) As of January 2004, Belarus had 5,485 registered cases of
HIV, with 84 of them having AIDS. As of that date 381 Belarusian
had died of AIDS. There were 31 children under 14 with HIV; 23 of
them were born to HIV infected mothers. There were 779 children
between 15 and 19 with HIV, as well as 1,610 women. The main cause
of the spread of HIV is believed to be intravenous drug use.


Maternal Health Especially Hard Hit
--------------


10. (SBU) CitiHope particularly pointed to negative trends in
maternal and children's health, exacerbating the country's
population decline. Since 1994, the number of children (under 16)
in Belarus has fallen by 600,000 (out of a total population of just
under 10 million). In that period the share of children in the
total population fell from 22.5% to 16.5%.


11. (U) The report states that in 2003, 77.5% of women undergoing
their first prenatal exam were diagnosed with a disease. On
average, 2.2 medical conditions were found per pregnant woman.
This high ratio led to a sharp drop in normal childbirths, to only
28.7% of all births. Anemia was the most common condition, growing
from 20.8 cases per 100,000 pregnant women in 1994 to 28.3 cases in

2003. In the same period, the number of expectant mothers: with
urogenital diseases grew from 10% to 27.2%, resulting in
complications in 15.6% of all births; with thyroid conditions grew
from 13.3% to 18.6%; with toxemia grew from 7.4% to 10.3%. The
number of pregnant women with cardiovascular problems fell from
9.6% to 7.9%, but the number of pregnancies at risk of miscarriage
grew from 27.5% in 1997 to 30.2% in 2003. In one area of success,
maternal mortality fell from 26 per 100,000 live births in 1994 to
17 per 100,000 in 2003.


12. (U) Belarusian women are three to five times more likely than
men to become infected with a sexually transmitted disease,
although in recent years the incidence of STDs has dropped. The
prevalence of syphilis grew 40 times from 1991 to 1996, from 5.2
cases per 100,000, to 210.9 cases. It then fell by 2003 to 48.7
cases. Acute gonorrhea rose from 70.3 cases per 100,000 in 1991 to
130.1 cases in 1994, only to fall again to 60.3 per 100,000 in

2003.


Some Success Stories in Children's Health
--------------


13. (U) The GOB has had some successes, particularly regarding
children's health. New equipment and training for medical staff
resulted in a drop in infant mortality from 13.2 per 1,000 live
births in 1994 to 7.7 in 2003. The main improvement was in
reducing infant deaths due to digestive, infectious and parasitic
conditions in the first month of life. The GOB was also successful
in providing immunizations, with coverage of 98% of all children.
From 1994 to 2003 this resulted in a sharp drop in child parasitic
and infectious morbidity, from 120,183 per 100,000 children to
7,806. No polio cases were found in Belarus in 2002 or 2003.


But Children's General Health Worsening
--------------

MINSK 00000152 003 OF 004




14. (U) Despite these successes, children's health overall has
worsened. The number of infants born ill or who developed an
illness shortly after birth grew from 142.1 per 1,000 live births
in 1994 to 214.5 per 1,000 in 2003. Cases of iron deficiency have
increased by 50%, leading to 2,024.9 cases of blood or hematogenic
disease per 100,000 children in 2003. The incidence of other
diseases mostly increased in this period:

Cases per 100,000 children
1994 2003

Diseases of the digestive system 10609 11668
Respiratory disease 81164 109684
Mental and behavior disorders 2907.2 4301.3
Chronic pharyngitis, nasal 2200.9 2529.3
pharyngitis, chronic adenoid,
and tonsil infection
Urogenital diseases 2013.3 2975.5
Musculoskeletal diseases 1288 2796.7
Diseases of the nervous system 1051.9 2282.4
Bronchial asthma 445.7 847.5
Tumors 224.8 464.8
Allergic rhinitis 67.9 179.7
"Sugar" diabetes 39.7 60.9


15. (U) The report concludes, "Child morbidity has grown for all
types of disease. The health status of children of all ages is
clearly deteriorating. Rising numbers of children are being
diagnosed with congenital and hereditary disorders, chronic
respiratory diseases, mental conditions, allergies and diseases of
the digestive and urogenital systems. A growing proportion of
childhood diseases are chronic and recurrent. Newly diagnosed
chronic diseases of the internal organs are also becoming more
common." The report calls upon the state to become more active in
improving the health of the population, to avert a social and
demographic crisis.


The Demographic Crisis Approaches
--------------


16. (U) In many ways, Belarus already faces a demographic crisis.
The Belarusian population fell by 49,900 in 2005 (0.5%),to
9,750,200 according to the Ministry of Statistics. This is down
from a peak population of 10.24 million in 1993. The GOB expects
the population to fall another 2.2%, to 9.567 million, by 2010. A
UN report estimated the Belarusian population would fall to 7
million by 2050.


17. (U) In the first eleven months of the year there were 82,800
births (up 1,200 from a year before) and 129,000 deaths (up 1,900).
The GOB announced that in the past five years the birth rate has
fallen by 9.1%, while the death rate has increased 14.3%. Life
expectancy for men has fallen to 62.8 years, while it remains at
74.3 years for women. A demographic conference in December
concluded that the population is shrinking due to a low birth rate
(from socio-economic reasons),increasing incidence of disease,
rising alcohol consumption, the high divorce rate, emigration of
the educated, and poor diet and exercise.


18. (U) Meanwhile the Belarusian population is aging. The GOB
announced in August that there are 2.5 million pensioners, roughly
25% of the population. The retiree-to-worker ratio grew from 46 to
60 retirees per 100 workers in the past 15 years. By 2010 the GOB
estimates the number of workers will drop from the current 4.303
million to between 4.14 and 4.23 million. This aging of the
population will put increasing strain on the country's pension
system. One independent economist speculated that the current
pension system will collapse in 2007 if it is not reformed. At the
other end of the spectrum, the number of schoolchildren has fallen
by 18% since 2000. As a result of this trend, in 2005 the GOB
closed 48 primary and 42 secondary schools.


GOB Efforts to Counter Demographic Drop
--------------


19. (U) In an effort to correct this imbalance, in September the
Council of Ministers approved a five-year plan on demographic
security. This plan aims to achieve a life expectancy of 70 years,
raise the birth rate to 9-10 births per 1,000 people (it recently
leveled off at 9.1 births),reduce the mortality rate to 12-13
deaths per 1,000 people, and to reduce infant mortality to 6 per
1,000 live births. The GOB also hopes to lower the abortion rate
from the current 30 abortions per 1,000 women of reproductive age.


20. (U) On February 8, President Lukashenko announced his own views
on demography. He stressed that every Belarusian family should

MINSK 00000152 004 OF 004


have at least three children. "The most global problem that the
country is now facing is that only 10 million people live on our
relatively large territory. We may not speak about security if
there's no one to protect this land... I am confident that the
Belarusian land can feed 30 million people. We currently have one
or two children per family on the average. Three is a rare
occasion already. We should ensure that each family in Belarus has
at least three children. Then we'll have a certain population
growth. Can our families and women give birth and have three and
more children? Of course, they can," To encourage more births,
Lukashenko suggested selling apartments for half price to families
with three children, and opening special baby food stores.


Comment
--------------


21. (U) The general rise in most types of morbidity and the falling
population demonstrate that all is not well in Lukashenko's
economic paradise. Economic and social service reforms are needed
to raise standards of living and health care and correct the
negative trends. However, Lukashenko appears to be moving in the
opposite direction, clinging to the Soviet-type health care and
social welfare system, which has failed to protect the nation's
health, and even closing or taking over private medical clinics
(reftel).

PHLIPOT