“ Ebola and The Social Determinants of Global Health” Atlanta, GA October 9, 2014 David Satcher, M.D., PhD. Director, The Satcher Health Leadership Institute and The Center of Excellence on Health Disparities Poussaint-Satcher- Cosby Chair in Mental Health Morehouse School of Medicine 16th U.S. Surgeon General Transdisciplinary Collaborative Center For Health Disparities Research Presents:

Satcher Health Leadership Institute Mission The mission of the Satcher Health Leadership Institute (SHLI) is to develop a diverse group of exceptional health leaders, advance and support comprehensive health system strategies, and actively promote policies and practices that will reduce and ultimately eliminate disparities in health.

“ Today, the need for leaders is too great to leave their emergence to chance.” “ Today, the need for leaders is too great to leave their emergence to chance.” Institute of Medicine Report, 1988

Reports of the 16 th Surgeon General Reports of the 16 th Surgeon General Best available science

The 50 th Anniversary of the First Ever Surgeon General’s Report on Smoking & Health JANURARY, 2014

H EALTHY P EOPLE 2020: O VERARCHING G OALS Attain high quality, longer lives free of preventable disease, disability, injury, and premature death Achieve health equity, eliminate disparities, and improve the health of all groups Create social and physical environments that promote good health for all Promote quality of life, healthy development, and healthy behaviors across all life stages

E BOLA V IRUS

W EST A FRICA E BOLA O UTBREAK 2014

W EST A FRICA E BOLA O UTBREAK

W EST A FRICA E BOLA O UTBREAK - E ARLY S YMPTOMS

W EST A FRICA E BOLA O UTBREAK

F ACTS A BOUT E BOLA  You can only get Ebola from: Touching bodily fluids of a person who is sick with or has died from Ebola, or From exposure to contaminated objects, such as needles * Ebola poses no significant risk in the United States.

S TOPPING THE E BOLA O UTBREAK

Determinants of Health Source: Healthy People 2010

W HAT ARE THE SOCIAL DETERMINANTS OF HEALTH ? The conditions in which people are born, grow, live, work and age. They are shaped by the distribution of money, power and resources at global, national and local levels. Changes in the Social Determinants of Health often require policy changes.

Difference in Child Mortality Rate Changes Under-five mortality rate by region Source: UNICEF 2001

CSDH: Fig. 2.2 Under-5 Mortality Rate Per 1000 Live Births by Levels of Household Wealth Source: Gwatkin et al. (2007), using DHS data; WHO Commission Final Report, 2008.

Don’t Forget About the Social Determinants of Health Our WHO commission found that the conditions to which children are exposed- including the quality of relationships they are part of, the language they hear, and the environment around them- literally sculpt the developing brain. Health Affairs January 2009

CSDH: Three Principles of Action to Achieve Health Equity 1.Improve the conditions of daily life- the circumstances in which people are born, grow, live, work, and age. 2.Tackle the inequitable distribution of power, money, and resources- the structural drivers of those conditions of daily life- globally, nationally, and locally. 3.Measure the problem, evaluate action, expand the knowledge base, develop a workforce that is trained in the social determinants of health, and raise public awareness about the social determinants of health. WHO Commission Final Report, 2008

M C K INLAY ’ S P OPULATION M ODEL OF H EALTH P ROMOTION : H EALTHY D IET FOR C HILDREN (upstream) (midstream) (downstream) Source: Based on McKinlay (1995), Glanz (1999) Agriculture policy Food subsidies And expanded funding/ Eligibility for NSLP/NSBP Federal /State Lobbying/discharge regulation State/Feder al Food and menu Label regulations Zoning/busine ss Inventive for grocery stores Farmers markets Community-wide Education campaigns School soda bans/ Competitive food restrictions Restaurant/grocery store/school point of purchase prompts Parent training re; feeding Practices/healthy diets BMI screening And treatment Nutrition training Requirements for professional certification (childcare Healthcare)

“In order to eliminate disparities in health, we need leaders who care enough, know enough, will do enough and are persistent enough.” “In order to eliminate disparities in health, we need leaders who care enough, know enough, will do enough and are persistent enough.”

“ Ebola and The Social Determinants of Global Health” Atlanta, GA October 9, 2014 David Satcher, M.D., PhD. Director, The Satcher Health Leadership Institute and The Center of Excellence on Health Disparities Poussaint-Satcher- Cosby Chair in Mental Health Morehouse School of Medicine 16th U.S. Surgeon General Transdiciplinary Collaborative Center For Health Disparities Research Presents: