Tim Crocker-Buqué 5 th Year – University of Nottingham Professor Harold Ellis Medical Student Prize for Surgery 9 th October 2009 What Effect can Surgeons.

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Presentation transcript:

Tim Crocker-Buqué 5 th Year – University of Nottingham Professor Harold Ellis Medical Student Prize for Surgery 9 th October 2009 What Effect can Surgeons have on World Health? GAPMINDER

Disability Adjusted Life Year - DALY 1 DALY = 1 year of ‘healthy’ life lost to disability or death Quantifying the global burden of disease: Murray and Acharya, 1997

The World Proportional to Total Population United Nations Development Programme’s 2004 Human Development Report From:

The World Proportional to Absolute Poverty (<$2 per day) United Nations Development Programme’s 2004 Human Development Report From: Low income countries: LIC

The World Proportional to Number of Deaths from Injuries per Year United Nations Development Programme’s 2004 Human Development Report From: and Ozgediz & Rivello, 2008) 90% Injury Deaths in LIC African children >5yo – more deaths from injuries than HIV, Malaria and TB combined 63,000,000 DALYs Only 33% injured patients in Africa reach a health facility

The World Proportional to Number of Deaths from Congenital Birth Defects per Year United Nations Development Programme’s 2004 Human Development Report From:

The World Proportional to Number of Deaths from Congenital Birth Defects per Year United Nations Development Programme’s 2004 Human Development Report From: 14,000,000 DALYs

The World Proportional Maternal Mortality United Nations Development Programme’s 2004 Human Development Report From: and Ozgediz & Riviello, 2008) 500,000 surgically preventable deaths PA 99% maternal deaths in LICs 10,000,000 DALYs

Contribution of surgically treatable diseases: 164,000,000 Disability Adjusted Life Years = % Global Disease Burden Debas at al., 2006

What Effect can Surgeons have on World Health? Almost nothing.

The World Proportional to Number of Working Doctors World Health Organisation’s 2006 World Health Report From:

1 Doctor:15,000 population

1 Surgeon:30,000 population Uganda Ozgediz et al., 2008

Education

Questions? Thank you

Recruitment and Retention of Doctors in LICs Remuneration and incentives Resources: equipment and drugs Safe working environment Training and mentoring

Cost of of treating surgical disease: Measles Vaccine HIV Antiretroviral Therapy Basic Surgical Care $5 $300 - $500 $11 - $33 Estimated cost (USD) per DALY averted