“The more there are suffering, then the more natural their sufferings appear. Who wants to prevent the fish in the sea from getting wet? Bertolt Brecht

$2.00

“ There are still around 1 billion people living at the margins of survival on less than US$1 a day, with 2.6 billion — 40% of the world ’ s population — living on less than US$2 a day. ” 2007 Human Development Report (HDR) United Nations Development Program

In this class we will often compare the US and Haiti

USHaiti Per capita national income $450$43400 UNICEF 2005

USHaiti Per capita national income $450$43400 That’s <$1.25/day on average! UNICEF 2005

USHaiti Per capita national income $450$43400 % of household Income--bottom 40% 16% 40% % of household Income--top 20% 9% 63% And most Haitian’s aren’t even average! UNICEF 2005

USHaiti Per capita national income $450$43400 This has consequences Life expectancy 7852 UNICEF 2005

USHaiti Per capita national income $450$43400 This has consequences Life expectancy 7852 UNICEF 2005 Chances of dying Before age 1 10% 0.9%

Leading causes of death in Sub-Saharan Africa, South Asia, and Southeast Asia for persons age 0-44 (World Health Organization) In the developing world treatable infectious diseases remain big killers

Leading causes of death in Sub-Saharan Africa, South Asia, and Southeast Asia for persons age 0-44 (World Health Organization) Let’s use tuberculosis--TB-- as an example

Stats from WHO; slide from TBAlliance

Two billion people --one third of the world’s population-- are infected with the bacteria that causes TB World Lung Foundation (2008)

New infections occur at a rate of one per second! World Lung Foundation (2008)

Left untreated, a person with active TB will infect other people per year World Lung Foundation (2008) and

Leading causes of death in Sub-Saharan Africa, South Asia, and Southeast Asia for persons age 0-44 (World Health Organization) It’s not who you know, its where you live.

SOURCES: World Health Organization; Doctors Without Borders | THE WASHINGTON POST It’s not who you know, its where you live.

TB is present world-wide but Incidence rates differ dramatically CDC

80% of all TB cases are concentrated in 22 “high-burden” countries STOP TB partnership

Rates of drug resistant TB CDC

Even with treatment, the average TB patient loses 3-4 months of work, and up to 30% of yearly household earnings. WHO and World Bank And that’s not all!

This robs the world's poorest communities of an estimated US$12 billion in lost income WHO and World Bank And that’s not all!

Loss of productivity totals 4-7% of total GDP in hardest hit nations. WHO and World Bank And that’s not all!

Our nation provides development assistance to the developing world

But we are not doing our share nor meeting the goal to which we agreed