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UN Estimates 4.9 Million Under-Five Deaths in 2024 as Progress Stalls

Officials cite preventable causes alongside shrinking aid as key risks.

Overview

  • The latest UN collaboration estimates cite prematurity (36%) and birth complications (21%) as leading neonatal causes, with diarrhoea, pneumonia and malaria major killers in older children.
  • For the first time, the report estimates more than 100,000 under-five deaths from severe acute malnutrition, with indirect effects likely pushing the toll higher.
  • Deaths were heavily concentrated in low-income regions, including about 58% in sub-Saharan Africa and roughly 25% in South Asia.
  • Agencies warn the 2024 figures predate sizable donor cuts, with the Gates Foundation tracking about a 27% drop in global health aid in 2025 that could reverse gains and weaken data systems.
  • The organizations note that differing methods across recent years limit direct comparisons between the 2023 and 2024 totals.