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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 on theme: "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."— Presentation transcript:

1 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

2 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

3 The World Proportional to Total Population United Nations Development Programme’s 2004 Human Development Report From: www.worldmapper.org

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

5 The World Proportional to Number of Deaths from Injuries per Year United Nations Development Programme’s 2004 Human Development Report From: www.worldmapper.org and Ozgediz & Rivello, 2008)www.worldmapper.org 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

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

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

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

9 Contribution of surgically treatable diseases: 164,000,000 Disability Adjusted Life Years = 11 - 15% Global Disease Burden Debas at al., 2006

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

11 The World Proportional to Number of Working Doctors World Health Organisation’s 2006 World Health Report From: www.worldmapper.org

12

13 1 Doctor:15,000 population

14 1 Surgeon:30,000 population Uganda Ozgediz et al., 2008

15 Education

16 Questions? Thank you

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

18 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

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