The health care system is in a state of extreme disrepair. For example, in 1989 the health budget for Iraq was US$450 million. In 2002 it was a mere US$20 million. One fifth of the children under five are underweight, and infant mortality has more than doubled to 100 per 1,000 live births over the past decade. Under-five mortality has increased from 50 per 1,000 in 1990 to 131 in 1999. This level of infant and child mortality is similar to that prevailing in parts of sub-Saharan Africa. The equivalent figures for both infant and under-five mortality in Ireland is six per 1,000.