1. Heart health equity What prospects? Norman Sharpe

2. 2 Disproportionate universalism: CVD mortality

3. An increasing burden for Māori For Māori, an actual increase in the absolute number of deaths is projected for males and a relatively stable number for females IHD Mortality in NZ Trends and Projections Tobias et al NZMedJ April 2006

4. Cigarette smoking, obesity prevalence and NZ Dep NZ Health Survey 2006-7 NZ Dep Quintile I II III IV V Smoking % 11.8 17.0 20.0 24.4 33.1 Obesity % BMI >40 % 20.9 2.1 20.6 1.7 23.0 2.8 26.0 2.2 37.6 7.9 Poverty and health risk in New Zealand

5. Risk Factors for Acute Rheumatic Fever 0-24 years New Zealand 2002-2006 NZ Dep ScoreRR 1-21.00 3-42.74 5-65.52 7-87.83 9-1028.65 Maori (29/100,000) 22.97 Pacific (62/100,000) 48.62 European (1.3/100,000) 1.00 Asian/Indian (1.3/100,000) 0.99 Maori 23 times and Pacific ~50 times more affected Poor

6. Smaller health inequalities Lakes Whanganui Tairawhiti Waitemata Cap/Coast Canty Counties M Wairarapa H Bay W Coast S’land MidC Taranaki Hutt Otago Auckland S Canty BoP Waikato N-M Northland Shorter life expectancy Longer life expectancy Greater health inequalities “Health inequality” = variation in life expectancy within each DHB’s area. Life expectancy and health inequalities in NZ Variation amongst DHB areas

7. Inequality of Access to Health Services Hospital Discharges in 2009 with an Angiography Procedure

8. Acute Coronary Syndrome Revascularisation Cohort Study 5,456 Māori and 62,294 non-Māori 1 st acute admissions 2000-2008 with ACS