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Global Health and Global Inequity

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Title: Global Health and Global Inequity


1
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.
7
Life Expectancy for Children Born Last Year
74 years
48 years
64 years
Bottom 1/5
8
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.

11
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.

12
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.

13
Premature Deaths in Developing Countries
Source WHO, 2001
14
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
15
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
15
14
13
12
11
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
7
D
D
D
D
D
D
ARI
D
D
ARI
D
ARI
6
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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