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

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Life Expectancy for Children Born Last Year
74 years
Top 1/5 of the 131 million born in that year.
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Life Expectancy for Children Born Last Year
74 years
64 years
Middle 3/5 of all children born.
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Life Expectancy for Children Born Last Year
74 years
48 years
64 years
Bottom 1/5
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Life Expectancy for Children Born Last Year
74 years
(2.7)
48 years
(-1.5)
64 years
(3.9)
How have things changed over the past decade?
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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.

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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.

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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.

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Premature Deaths in Developing Countries
Source WHO, 2001
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Principal Contributors to Global Burden of
Disease




These 10 conditions comprise 46 of all
healthy years of life lost worldwide.



Disability-Adjusted Life-Years Lost (millions)
Source WHO, 1999
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Children under 5 bear the greatest burden
Proportion of global burden of selected diseases
borne by children 0-4 years (estimated, year 2000)
Diarrhea
Malaria
Pneumonia
Measles
Children 0 4 years
Percentage of deaths occurring among
All other age groups
Source Adapted from Murray Lopez, 1996
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Laxmis Short Life
Kg
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M
10
X
D
ARI
D
9
D
D
ARI
ARI
D
8
ARI
D
D
D
D
ARI
ARI
ARI
ARI
ARI
ARI
FEVER
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D
D
D
D
D
D
ARI
D
D
ARI
D
ARI
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ARI
KEY ARI Acute Respiratory Infection D
Diarrhea M Measles FEVER Fever Unknown Origin
ARI
D
5
4
3
ARI
2
0 3 6 9 12 15 18 21 24 27 30 33 36
AGE IN MONTHS
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