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Centre for Adolescent Health Global patterns of mortality in young men & women Professor George Patton. Expert Group Meeting on Adolescents, Youth & Development, United Nations, New York July 2011.
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TWO IDEAS Paradox of Adolescent Health Health Transition
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Scope of Talk Mortality Mortality Morbidity Morbidity A picture of young peoples health A picture of young peoples health
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Scope of Talk Mortality Mortality Morbidity Morbidity A picture of young peoples health A picture of young peoples health
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World Health Organisation (WHO) Regions
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Death Registration of at least 70% (stripes)
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WHERE (regions) WHO (age) HOW (causes)
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All-cause Mortality 10-24 years
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305/100,000 pa 45/100,000 pa
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2.6 million deaths each year…
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WHERE (regions) WHO (age) HOW (causes)
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All-cause Mortality 10-14 years
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All-cause Mortality 15-19 years
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All-cause Mortality 20-24 years 505/100,000 pa 69/100,000 pa
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WHERE (regions) WHO (age) HOW (causes)
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Mortality Classification Group Ia - Maternal Group Ib - Infectious, Nutritional Group II - Non-communicable Group III – Injuries* * Traffic, Suicide, Violence & War, Drowning & Burns
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Maternal Deaths 15-24 years 134/100,000 pa 0.5/100,000 pa
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Infectious Disease Deaths 10-24 years 149/100,000 pa 1.4/100,000 pa
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Chronic Disease Deaths 10-24 years 40/100,000 pa 13/100,000 pa 51/100,000 pa
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Injury Deaths 10-24 years 68/100,000 pa 30/100,000 pa
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But things change quickly!
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Gun Deaths in Latin America
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Fires Traffic Inj Drowning Suicide Violence
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50-year Lating America: Cause-specific death rates in 15-24yo males
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50-year Sth America: Cause specific proportions of 15-24yo male deaths
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50 year trends in mortality of 1 to 24 year old males in 49 countries
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Changing Priorities in Youth Health
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Scope of Talk Mortality Mortality Morbidity – DALYS Morbidity – DALYS A picture of young peoples health A picture of young peoples health
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Mortality and Morbidity components of global DALYS in 10-24 year olds
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DALYs per 1000 in 15 to 19-year-olds
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Scope of Talk Mortality Mortality Morbidity Morbidity A picture of young peoples health A picture of young peoples health
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Measuring adolescent health Mortality not enough Mortality not enough –Effects of epidemiological transition –Changing relevance of adolescence Beyond the health sector Beyond the health sector –Joined-up approaches
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A framework for measuring youth health 1
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