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illages; approximately two-thirds of the people lived in communities with less than 1,000 population. Only twelve cities had more than 10,000 population in 1969. The quadrangular area formed by the cities of Durres, Tirana, Elbasan, and Fier, all of which are linked by rail and roads, was experiencing the most rapid growth in the 1960s. There was a very slight improvement in living standards from 1950 to 1970. Despite modest growth in the economy, the per capita gross national product (GNP) in 1967 was the lowest in Europe, an estimated United States equivalent of $320. The average citizen's welfare in the allocation of resources for food, consumers' goods, and housing was sacrificed to the development of industry and the program to achieve eventual self-sufficiency in agriculture. Reduction of disease and improved health were the most important gains countrywide. Also, by 1970 electricity had been extended to over two-thirds of all villages. Consistently high levels of population growth placed severe strains on available supplies of food, consumers' goods, housing, and services. POPULATION The total population in January 1970 was an increase of approximately 500,000 over the 1960 official census total of 1,626,315. The distribution by age groups in 1970 was: under fifteen years of age, 42 percent; fifteen to thirty-nine years, 37 percent; forty to sixty-four years, 16 percent; and sixty-five years and over, 5 percent. With almost 60 percent of its inhabitants under forty years of age and a median age of approximately nineteen years, the population was extremely youthful, and indications were that it would remain so into the 1970s. The proportion of persons in the dependent age groups, under fifteen and over sixty-four years, to the working age group, fifteen to sixty-four years, was 887 to 1,000. The overall ratio of males to females, 106 to 100, was the highest among the Communist countries of East Europe. The preponderance of men was greatest at ages below forty; in the age group above sixty-four there were only 77 men to 100 women. The higher ratio of men for the total population was attributed in part to the high infant mortality rate among female infants, caused by neglect and the deference accorded to male progeny. Losses in World War II, an estimated 28,800 persons, or 2.48 percent of the population, had little influence on the ratio of males to females and the population structure. In keeping with t
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