Most tragically, a great number of orphaned and vulnerable children do not survive to adulthood. In 2010, the number of orphaned children under age five who died in sub-Saharan Africa was more than 30 times the number of all intercountry adoptions by American parents.
Source: Adoption Advocate No. 57: Reconsidering Intercountry Adoption: Who wants to Adopt and Who Could Be Adopted? Published March 2013 by Christopher Balding. Read more.