global health and global inequity
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Global Health and Global Inequity. UNC Global Health Seminar September 15, 2004 Nils Daulaire, MD, MPH Global Health Council. Life Expectancy for Children Born Last Year. 74 years. Top 1/5 of the 131 million born in that year. Life Expectancy for Children Born Last Year. 74 years. - PowerPoint PPT PresentationTRANSCRIPT
Global Health and Global Inequity
UNC Global Health Seminar
September 15, 2004
Nils Daulaire, MD, MPH
Global Health Council
74 years
Life Expectancy for Children Born Last Year
Top 1/5 of the 131 million born in that year.
64 years
74 years
Life Expectancy for Children Born Last Year
Middle 3/5 of all children born.
48 years
74 years
64 years
Life Expectancy for Children Born Last Year
Bottom 1/5
48 years
74 years
64 years
(+2.7)(+2.7)
(+3.9)(+3.9)(-1.5)(-1.5)
Life Expectancy for Children Born Last Year
How have things changed over the past decade?
Global health inequities:
• One of every 7 children born into poverty in a developing country will not survive to age 5 – 20 times the risk faced here.
Global health inequities:
• One of every 7 children born into poverty in a developing country will not survive to age 5 – 20 times the risk faced here.
• In many countries, one of every 12 young women will die from pregnancy or childbirth before reaching the end of her reproductive years – 250 times the risk faced here.
Global health inequities:
• One of every 7 children born into poverty in a developing country will not survive to age 5 – 20 times the risk faced here.
• In many countries, one of every 12 young women will die from pregnancy or childbirth before reaching the end of her reproductive years – 250 times the risk faced here.
• In some southern African countries, the likelihood that any given adolescent will die from AIDS is greater than that she will live her life HIV-free.
Premature Deaths in Developing Countries
Injuries17%
Chronic/ Non-communicable
30%
Infectious and Reproductive
Causes53%
Source: WHO, 2001
0 20 40 60 80 100
Pneumonia/ARI
HIV
Perinatal causes
Diarrhea
(Unipolar Depression)
(Ischemic heart disease)
Vaccine-Preventable
(Cerebrovascular)
Malaria
Nutritional deficiencies
Principal Contributors to Global Burden of Disease
Source: WHO, 1999 Disability-Adjusted Life-Years Lost (millions)
These 10 conditions comprise 46% of all healthy years of life lost worldwide.
*
*
**
*
*
*
Children under 5 bear the greatest burden…Children under 5 bear the greatest burden…
Source: Adapted from Murray & Lopez, 1996
Proportion of global burden of selected diseases borne by children 0-4 years (estimated, year 2000)
Pneumonia Diarrhea Malaria Measles
Percentage of deaths occurring among: Children 0 – 4 yearsAll other age groups
54% 85% 79% 89%
Laxmi’s Short LifeLaxmi’s Short Life
0 3 6 9 12 15 18 21 24 27 30 33 36
ARI
ARI
ARIARI
ARI
ARI
ARI
ARI
ARI
ARI
ARIARI
ARIARI
ARI
ARI
M
D
D
D D D DDDDD
FEVER
D DD D
D
D
D
D
D
2
3
4
5
6
7
8
9
10
11
12
13
14
15
KEYARI – Acute Respiratory InfectionD – Diarrhea M – MeaslesFEVER – Fever Unknown Origin
AGE IN MONTHS
Kg
X