According to a site called “worldometers” since the year has started it is estimated that 52 million people have been born. That estimation is for the world, I mention this because immigration will also continue to be a factor since a lot of people want to come to the United States to make a better life for them and their families. With immigration being a big factor, it will mean more people need help. Also if our economy has not gotten better and immigrants from other countries are not able to get a job to help themselves it will mean more people will need help from the human health services department. Since it would be harder for people to get jobs it will mean more homeless sleeping on the streets, living in unsanitary conditions, and that brings more diseases and health issues.