The more there are suffering, then the more natural their sufferings appear. Who wants to prevent the fish in the sea from getting wet? Bertolt Brecht $2.00 Have you visited a developing country? There are still around 1 billion people living at the margins of survival on less than US$1 a day, with 2.6 billion40% of the worlds population living on less than US$2 a day. 2007 Human Development Report (HDR) United Nations Development Program In this class we will often compare the US and Haiti USHaiti Per capita national income $771$51749 World Bank 2012 USHaiti Per capita national income $771$51749 World Bank 2012 Thats ~$2/day on average! Whats the difference between mean and median? USHaiti Per capita national income $771 % of household Income--bottom 40% 16% 46% % of household Income--top 20% 8% 63% And most Haitians arent even average! UNICEF 2010 $51749 USHaiti Per capita national income This has consequences Life expectancy 7862 UNICEF 2010 $771 $51749 USHaiti Per capita national income $650$47140 This has consequences Life expectancy 7862 UNICEF 2010 Chances of dying Before age 1 7.6% 0.7% What kills folks in the US? In contrast in the US we die of diseases of lifestyle or old age Poverty has its advantages: Haiti ranks 158 th In deaths due to traffic accidents Few US deaths are caused by infectious disease and most of those occur among the elderly or infirm Leading causes of death in Sub-Saharan Africa, South Asia, and Southeast Asia for persons age 0-44 (World Health Organization) In the developing world treatable infectious diseases remain big killers The pictures even worse for kids under 5 However, as well see, with a concerted effort we can move in the right direction! HIV/AIDs 2002 New cases Deaths 3 million 5.3 million million 2.3 million Leading causes of death in Sub-Saharan Africa, South Asia, and Southeast Asia for persons age 0-44 (World Health Organization) Lets use tuberculosis--TB-- as an example Stats from WHO; 2012 TB KILLS 1.3 MILLION PEOPLE EVERY YEAR OVER 3500 EVERY DAY ONE PERSON EVERY 27 SECONDS Two billion people --one third of the worlds population-- are infected with the bacteria that causes TB World Lung Foundation (2008) New infections occur at a rate of one per second! World Lung Foundation (2008) Left untreated, a person with active TB will infect other people per year World Lung Foundation (2008) and Leading causes of death in Sub-Saharan Africa, South Asia, and Southeast Asia for persons age 0-44 (World Health Organization) Its not who you know, its where you live. SOURCES: World Health Organization; Doctors Without Borders | THE WASHINGTON POST Its not who you know, its where you live. TB is present world-wide but Incidence rates differ dramatically CDC 2009 80% of all TB cases are concentrated in 22 high-burden countries STOP TB partnership Why does the map of rates of drug resistant TB look different? CDC In contrast, 9945 cases In 2012! Even with treatment, the average TB patient loses 3-4 months of work, and up to 30% of yearly household earnings. WHO and World Bank And thats not all! This robs the world's poorest communities of an estimated US$12 billion in lost income WHO and World Bank And thats not all! Loss of productivity totals 4-7% of total GDP in hardest hit nations. WHO and World Bank And thats not all! Our nation provides development assistance to the developing world But we are not doing our share nor are we meeting the goal to which we agreedPromised Delivered