The current population growth rate is 2.37%, one of the highest in the world outside of Africa. This population is expected to reach 82 million by 2050 if current population trends continue. The population of Afghanistan increased steadily until the 1980s, when civil war caused millions to flee to other countries such as Pakistan. Millions have since returned and the war conditions contribute to the country having the highest fertility rate outside Africa. Afghanistan's healthcare has recovered since the turn of the century, causing falls in infant mortality and increases in life expectancy, although it has the lowest life expectance of any country outside Africa. This (along with other factors such as returning refugees) caused rapid population growth in the 2000s that has only recently started to slow down. The Gini coefficient in 2008 was 27.8.