Emhlabeni jikelele, ukwanda okuphelele kokugonywa kwesimungumungwane kuhambisane nokwehla okukhulu kwezigameko zalesi sifo.

Ngo-1980, cishe izigidi ezingu-2,6 zokufa okubangelwa yisimungumungwane kwabikwa unyaka ngamunye emhlabeni wonke. Ngo-2001, i-WHO kanye ne-UNICEF basungula isu lokugoma elanciphisa inani lokufa ngamaphesenti angaphezu kwama-80.⁹. E-France, kwakunamacala angaphezu kuka-500 ngonyaka ngaphambi kuka-000, futhi kuphela amacala angu-1980 kuya kwangu-40 ngo-45-2006.¹⁰. Nokho, kusukela ngo-January 1, 2008, ubhadane luye lwadlanga eFrance naseYurophu. Ngo-April 2011, amazwe angu-33 eYurophu abike ukwanda okukhulu kwesimungumungwane. Kusukela ngalolo suku, ngokwe-Institute for Public Health Surveillance, sekumenyezelwe izehlakalo zesimungumungwane ezingaphezu kwe-14 ezwenikazi laseFrance, futhi kungenzeka ukuthi kubikwe amacala amancane angama-500.

Ubhubhane luphinde lwahlasela iQuebec, eyaqopha amacala angaba ngu-750 ngo-2011, ecaleni elilodwa noma amabili eminyaka edlule. Lokhu kukhula kwezigameko kuhlotshaniswa ngqo nokwehla kwenani labantu abagonyiwe.