Schizophrenia is a major cause of disability, with active psychosis ranked as the third-most-disabling condition after quadriplegia and dementia and ahead of paraplegia and blindness.[116] Approximately three-fourths of people with schizophrenia have ongoing disability with relapses[23] and 16.7 million people globally are deemed to have moderate or severe disability from the condition.[117] Some people do recover completely and others function well in society.[118] Most people with schizophrenia live independently with community support.[4] In people with a first episode of psychosis a good long-term outcome occurs in 42%, an intermediate outcome in 35% and a poor outcome in 27%.[119] Outcomes for schizophrenia appear better in the developing than the developed world.[120] These conclusions, however, have been questioned