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THE GLOBAL HEALTH CRISIS

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Presentation on theme: "THE GLOBAL HEALTH CRISIS"— Presentation transcript:

1 THE GLOBAL HEALTH CRISIS
W. Thomas London, M.D.

2 Was there a Golden Age of Human Health
Was there a Golden Age of Human Health? Life Expectancy 10,000 BC to 1900 AD Hunter gatherers 10,000 BC- ~23 yrs Early farmers 8,000 BC yrs Roman citizens 100 AD ~25 yrs Roman slaves 100 AD ~20 yrs USA, England 1800 AD ~30 yrs USA, Europe 1850 AD ~35 yrs USA, Europe 1900 AD yrs

3 Life Expectancy at Birth USA 1900-2000
……….Females ———Males

4 Life Expectancy by Age USA 1900

5 Life Expectancy by Age USA 1940

6 Life Expectancy by Age USA 1990

7 Survival USA Click for larger picture

8 Leading Causes of Death USA 1900
Tuberculosis Pneumonia & Influenza Heart disease Diarrhea Stroke Kidney disease Accidents Cancer Senility Bronchitis

9 Leading Causes of Death USA 1940
Heart disease Cancer Stroke Kidney disease Pneumonia Accidents excluding motor vehicle Tuberculosis Diabetes Motor vehicle accidents Premature birth

10 Leading Causes of Death USA 1960
Heart disease Cancer Stroke Diseases of early infancy Pneumonia & influenza Accidents excluding motor vehicle Motor vehicle accidents Atherosclerosis generalized Diabetes Congenital anomalies

11 Leading Causes of Death USA 1998
Heart disease Cancer Stroke Chronic pulmonary disease Pneumonia & influenza Diabetes Accidents excluding motor vehicle Motor vehicle accidents Suicide Kidney diseases

12 What happened between 1900 and 1940 to change life expectancy and the causes of death?
PUBLIC HEATH

13 Components of Public Health
Clean water supply Sanitary sewage disposal Disease surveillance Food inspection Maternal-child health Nutrition- free lunch, free milk Housing regulations Worker safety Worker ages, hours

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20 Indicators of Population Health 1995-2000
Infant Mortality Deaths/ Live Births World Japan France USA Russia China Afghanistan Sierra Leone Life Expectancy at Birth Years World Japan France USA China Russia Afghanistan Sierra Leone

21 Leading Causes of Death- World 1998
Heart disease Infectious diseases Cancer Injuries Respiratory & digestive diseases Maternal Other

22 Leading Causes of Death Developing Countries 1998
Infectious diseases 45% Heart disease 24% Cancer 11% Injuries 11% Perinatal 6% Maternal 2% Nutritional 1%

23 Infectious Disease Deaths- World 1998
Pneumonia & influenza 3.5 million AIDS 2.3 million Diarrhea 2.2 million Tuberculosis 1.5 million Malaria 1.1 million Measles 0.9 million Total 11.5 million

24 Click for larger Picture

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