In anorexia surveillance is extremely difficult because the people with anorexia do not believe they need help and they deny it and often fight it if it is given to them. It is an extremely psychological illness that makes surveillance very difficult. The best way this is done is through outside sources such as the parents or friends instead of the people with the illness. Also the majority of people with anorexia still have problems with their weight throughout the rest of their lives. The fact that only 10% of people with anorexia seek treatment makes it extremely dangerous as extreme malnutrition can be extremely dangerous for the body and can result in death. Because of this reason anorexia is the number one killer in psychological illnesses. Anorexia usually takes effect around 17 which is another reason it has a higher mortality rate than any other psychological illness. Teenagers do not seek help and they often only seek help if their parents force them. Up to 5% of all female teenagers are anorexic. This is approximately one in two-hundred women. This is a very rough estimate because people who are anorexic don’t seek medical help and many go untreated. But it is also true that 50% of teenage girls think they are overweight and 40-60% of teenage girls constantly diet. These are the first steps to becoming anorexic and at least 50% of teenage girls are taking them.
There are many direct indicators of anorexia, but indirect indicators are much more difficult to use when dealing with anorexia because of the fact that people deny they need help and deny they are anorexic. The average age of death for anorexic patients is 34 which means that they struggled with the illness since they were teenagers. This is often very difficult to tell because they may seem as if they have recovered but many anorexic patients often have relapses and the majority is still very cautious of what they eat. Also many of the deaths related to anorexia are suicides which is often counted as a different cause of death.