By 2030, the middle-class population in Asia-Pacific is expected to increase from 1.38 billion people in 2015 to 3.49 billion people. In comparison, the middle-class population of sub-Saharan Africa is expected to increase from 114 million in 2015 to 212 million in 2030.

Worldwide wealth

While the middle-class has been on the rise, there is still a huge disparity in global wealth and income. The United States had the highest number of individuals belonging to the top one percent of wealth holders, and the value of global wealth is only expected to increase over the coming years. Around 57 percent of the world’s population had assets valued at less than 10,000 U.S. dollars; while less than one percent had assets of more than million U.S. dollars. Asia had the highest percentage of investable assets in the world in 2018, whereas Oceania had the highest percent of non-investable assets.

The middle-class

The middle class is the group of people whose income falls in the middle of the scale. China accounted for over half of the global population for middle-class wealth in 2017. In the United States, the debate about the middle class “disappearing” has been a popular topic due to the increase in wealth to the top billionaires in the nation. Due to this, there have been arguments to increase taxes on the rich to help support the middle-class.

South Africa ZA: Income Share Held by Third 20% data was reported at 8.200 % in 2014. This records an increase from the previous number of 8.000 % for 2010. South Africa ZA: Income Share Held by Third 20% data is updated yearly, averaging 8.200 % from Dec 1993 (Median) to 2014, with 7 observations. The data reached an all-time high of 9.900 % in 2000 and a record low of 7.500 % in 2005. South Africa ZA: Income Share Held by Third 20% data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s South Africa – Table ZA.World Bank.WDI: Poverty. Percentage share of income or consumption is the share that accrues to subgroups of population indicated by deciles or quintiles. Percentage shares by quintile may not sum to 100 because of rounding.; ; World Bank, Development Research Group. Data are based on primary household survey data obtained from government statistical agencies and World Bank country departments. Data for high-income economies are from the Luxembourg Income Study database. For more information and methodology, please see PovcalNet (http://iresearch.worldbank.org/PovcalNet/index.htm).; ; The World Bank’s internationally comparable poverty monitoring database now draws on income or detailed consumption data from more than one thousand six hundred household surveys across 164 countries in six regions and 25 other high income countries (industrialized economies). While income distribution data are published for all countries with data available, poverty data are published for low- and middle-income countries and countries eligible to receive loans from the World Bank (such as Chile) and recently graduated countries (such as Estonia) only. See PovcalNet (http://iresearch.worldbank.org/PovcalNet/WhatIsNew.aspx) for definitions of geographical regions and industrialized countries.

In 2022, South African households had an average disposable income of over ****** South African rand (approximately ***** U.S. dollars). This was slightly higher than the previous year where the average disposable income was ****** South African rand (around ***** U.S. dollars). Within the observed period, the disposable income of households in the country was highest in 2018 at ****** South African rand (about ***** U.S. dollars), while it was lowest in 2004.

The average monthly salary for South Africans who were employed in the formal non-agricultural sector was just over 26,800 South African rands (comparable to roughly 1,500 U.S. dollars) in November 2023, which represented a yearly increase of tw0 percent. During the period under review, the overall growth trend was positive, with the earnings increasing by 24.4 percent from 21,500 South African rands (approximately 1,180 U.S. dollars) in November 2018.    Minimum wage and highest-paid professions    Starting in March 2023, the minimum hourly wage in the country increased to 25.42 South African rands (comparable to 1.40 U.S. dollars), which represented an increase of 9.6 percent from 23.19 South African rands (1.27 U.S. dollars) per hour in the preceding year. On the other hand, professionals in executive and change management positions were paid the highest salaries in South Africa, with an average of 74,000 U.S. dollars yearly. Individuals with jobs in retail, trade, and craft followed, receiving an average of 66,000 U.S. dollars per annum.       Highest unemployment among Black South Africans In 2022, the unemployment rate in South Africa was nearly 30 percent following an increasing trend since 2008. The rate was highest among Black South Africans reaching as high as 36.8 percent in the second quarter of 2023. Moreover, Colored South Africans followed with around 22 percent, while white South Africans had a much lower unemployment rate of over 7 percent.

South Africa CCI: Higher Middle Income (HM) data was reported at 21.000 % in Jun 2018. This records a decrease from the previous number of 27.000 % for Mar 2018. South Africa CCI: Higher Middle Income (HM) data is updated quarterly, averaging 3.133 % from Mar 1995 (Median) to Jun 2018, with 94 observations. The data reached an all-time high of 27.000 % in Mar 2018 and a record low of -28.000 % in Dec 1998. South Africa CCI: Higher Middle Income (HM) data remains active status in CEIC and is reported by Bureau for Economic Research. The data is categorized under Global Database’s South Africa – Table ZA.H006: Consumer Survey.

Seychelles recorded the highest Gross National Income (GNI) per capita in Africa as of 2023, at 16,940 U.S. dollars. The African island was, therefore, the only high-income country on the continent, according to the source's classification. Mauritius, Gabon, Botswana, Libya, South Africa, Equatorial Guinea, Algeria, and Namibia were defined as upper-middle-income economies, those with a GNI per capita between 4,516 U.S. dollars and 14,005 U.S. dollars. On the opposite, 20 African countries recorded a GNI per capita below 1,145 U.S. dollars, being thus classified as low-income economies. Among them, Burundi presented the lowest income per capita, some 230 U.S. dollars. Poverty and population growth in Africa Despite a few countries being in the high income and upper-middle countries classification, Africa had a significant number of people living under extreme poverty. However, this number is expected to decline gradually in the upcoming years, with experts forecasting that this number will decrease to almost 400 million individuals by 2030 from nearly 430 million in 2023, despite the continent currently having the highest population growth rate globally. African economic growth and prosperity In recent years, Africa showed significant growth in various industries, such as natural gas production, clean energy generation, and services exports. Furthermore, it is forecast that the GDP growth rate would reach 4.5 percent by 2027, keeping the overall positive trend of economic growth in the continent.

As of 2024, an individual living in South Africa with less than 1,109 South African rand (roughly 62.14 U.S. dollars) per month was considered poor. Furthermore, individuals having 796 South African rand (approximately 44.60 U.S. dollars) a month available for food were living below the poverty line according to South African national standards. Absolute poverty National poverty lines are affected by changes in the patterns of household consumers and fluctuations in prices of services and goods. They are calculated based on the consumer price indices (CPI) of both food and non-food items separately. The national poverty line is not the only applicable threshold. For instance,13.2 million people in South Africa were living under 2.15 U.S. dollars, which is the international absolute poverty threshold defined by the World Bank. Most unequal in the globe A prominent aspect of South Africa’s poverty is related to extreme income inequality. The country has the highest income Gini index globally at 63 percent as of 2023. One of the crucial obstacles to combating poverty and inequality in the country is linked to job availability. In fact, youth unemployment was as high as 49.14 percent in 2023.

In the 3 years to March 2021, black households were most likely out of all ethnic groups to have a weekly income of under £600.

Objective

To synthesize research published on vocational rehabilitation (VR) interventions offered in institutions, by occupational therapists, to mental health service users (MHSUs) with chronic mental illness, in low-income to upper middle-income countries (L-UMIC).

Design

This scoping review used Arksey and O'Malley's methodological framework, the Preferred Reporting Items for Systematic Reviews extension for Scoping Reviews (PRISMA-ScR) and Joanna Briggs scoping review guidelines.

Data Sources

We searched PsycInfo, EBSCOhost, HINARI, Google scholar, Medline, CINAHL, PubMed, Cochrane Library, Scopus, Science Direct and Wiley online library between 15 July and 31 August 2021.

Eligibility Criteria

Sources, published in English between 2011 and 2021, on institution-based VR in occupational therapy for MHSUs who had chronic mental illness in L-UMIC were included. We included primary studies of any design.

Data extraction and synthesis

Three reviewers used Mendeley to manage identified references, Rayyan for abstract and full text screening, and Microsoft Excel for data extraction. Data was sifted and sorted by key categories and themes.

Results

895 sources were identified, and their title and abstracts reviewed. 207 sources were included for full text screening. 12 articles from 4 countries (South Africa, India, Brazil & Kenya) were finally included. Types of VR intervention included supported employment, case management and prevocational skills training. Client centeredness, support and empowerment were the key VR principles identified. Teaching of illness self-management, job analysis and matching, job coaching, trial placement, and vocational guidance and counseling, were the main intervention strategies reported.

Conclusions

VR intervention in institutions for MHSUs in L-UMIC revealed the multidimensional uniqueness of individual MHSU's vocational ability, needs and contexts. The interventions allowed client-centered approaches that offer support, and empowerment beyond the boundaries of the institutions. Occupational therapists offering VR need to expand their interventions beyond their institutions to contexts where MHSUs are working or intending to work.

The chikungunya East/Central/South/Africa virus lineage (CHIKV-ECSA) was first detected in Brazil in the municipality of Feira de Santana (FS) by mid 2014. Following that, a large number of CHIKV cases have been notified in FS, which is the second-most populous city in Bahia state, northeastern Brazil, and plays an important role on the spread to other Brazilian states due to climate conditions and the abundance of competent vectors. To better understand CHIKV dynamics in Bahia state, we generated 5 complete genome sequences from a local outbreak raised in Serraria Brasil, a neighbourhood in FS, by next-generation sequencing using Illumina approach. Phylogenetic reconstructions revealed that the new FS genomes belongs to the ECSA genotype and falls within a single strongly supported monophyletic clade that includes other older CHIKV sequences from the same location, suggesting the persistence of the virus during distinct epidemic seasons. We also performed minor variants analysis and found a small number of SNPs per sample (b_29L and e_45SR = 16 SNPs, c_29SR = 29 and d_45PL and f_45FL = 21 SNPs). Out of the 93 SNPs found, 71 are synonymous, 21 are non-synonymous and one generated a stop codon. Although those mutations are not related to the increase of virus replication and/or infectivity, some SNPs were found in non-structural proteins which may have an effect on viral evasion from the mammal immunological system. These findings reinforce the needing of further studies on those variants and of continued genomic surveillance strategies to track viral adaptations and to monitor CHIKV epidemics for improved public health control.

In 2023, the gross median household income for Asian households in the United States stood at 112,800 U.S. dollars. Median household income in the United States, of all racial and ethnic groups, came out to 80,610 U.S. dollars in 2023. Asian and Caucasian (white not Hispanic) households had relatively high median incomes, while the median income of Hispanic, Black, American Indian, and Alaskan Native households all came in lower than the national median. A number of related statistics illustrate further the current state of racial inequality in the United States. Unemployment is highest among Black or African American individuals in the U.S. with 8.6 percent unemployed, according to the Bureau of Labor Statistics in 2021. Hispanic individuals (of any race) were most likely to go without health insurance as of 2021, with 22.8 percent uninsured.