Wasting is defined by a low weight-to-height ratio; it is visible in the form of skeletally thin children usually found in the middle of a famine. The authors note that a public health disaster is generally declared if more than 15% of the children in a country suffer from wasting. Gross and Webb analyzed countries with the highest child mortality rates and child wasting rates. Based on their assessment of the data, the authors present five surprising facts about severe children malnutrition and argue that such conditions must be resolved in non-emergency settings to prevent future public health crises.
First, contrary to popular belief, Africa does not have the most children suffering from wasting. "Although in the past 10 years, every subregion of Africa saw a rise in both the number of wasted children under the age of five and in the overall rate of wasting, about 78% of the world's 5.5 million wasted children live in India, Pakistan, and Bangladesh; nearly two thirds of those in India alone," says Webb.
Secondly, the absence of conflict, such as political instability, does not prevent or resolve wasting in children. When the authors compared countries without recent conflict to countries that have recently emerged from periods of conflict or remain continually unstable, they found that, "…stability, economic growth, and even political transparency are not in themselves sufficient factors to overcome the persistence of wastin