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
Dec 16, 2015
Tim Crocker-Buqué5th Year – University of Nottingham
Professor Harold Ellis Medical Student Prize for Surgery
9th October 2009
What Effect can Surgeons have on World Health?
GAPMINDER
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
The World Proportional to Total Population
United Nations Development Programme’s 2004 Human Development ReportFrom: www.worldmapper.org
The World Proportional to Absolute Poverty (<$2 per day)
United Nations Development Programme’s 2004 Human Development ReportFrom: www.worldmapper.org
Low income countries: LIC
The World Proportional to Number of Deaths from Injuries per Year
United Nations Development Programme’s 2004 Human Development ReportFrom: www.worldmapper.org and Ozgediz & Rivello, 2008)
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
The World Proportional to Number of Deaths from Congenital Birth Defects per Year
United Nations Development Programme’s 2004 Human Development ReportFrom: www.worldmapper.org
The World Proportional to Number of Deaths from Congenital Birth Defects per Year
United Nations Development Programme’s 2004 Human Development ReportFrom: www.worldmapper.org
14,000,000 DALYs
The World Proportional Maternal Mortality
United Nations Development Programme’s 2004 Human Development ReportFrom: www.worldmapper.org and Ozgediz & Riviello, 2008)
500,000 surgically preventable deaths PA
99% maternal deaths in LICs
10,000,000 DALYs
Contribution of surgically treatable diseases:
164,000,000 Disability Adjusted Life Years
=
11 - 15% Global Disease Burden
Debas at al., 2006
The World Proportional to Number of Working Doctors
World Health Organisation’s 2006 World Health ReportFrom: www.worldmapper.org
Recruitment and Retention of Doctors in LICs
Remuneration and incentives
Resources: equipment and drugs
Safe working environment
Training and mentoring