Title: Global Health and Global Inequity
1Global Health and Global Inequity
- UNC Global Health Seminar
- September 15, 2004
- Nils Daulaire, MD, MPH
- Global Health Council
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5Life Expectancy for Children Born Last Year
74 years
Top 1/5 of the 131 million born in that year.
6Life Expectancy for Children Born Last Year
74 years
64 years
Middle 3/5 of all children born.
7Life Expectancy for Children Born Last Year
74 years
48 years
64 years
Bottom 1/5
8Life 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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10Global 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.
11Global 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.
12Global 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.
13Premature Deaths in Developing Countries
Source WHO, 2001
14Principal 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
15Children 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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17Laxmis 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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