2016-03-16 global health begins at home
TRANSCRIPT
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GillingsGlobalGateway™UNCGillingsSchoolofGlobalPublicHealth
March 16, 2016
JimHerrington,PhD,MPHExecuBveDirectorGillingsGlobalGateway™ProfessorofthePracBceDepartmentofHealthBehaviorand
"GlobalHealthBeginsatHome”NorthRaleighRotaryClub
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OUTLINE
• WhoAmI?WhyAmIHere?• GlobalHealth• GoodNews!BadNews!BurdenofDisease
DefiniDonofterms
• NaDonal,MulDlateral,FoundaDons,UniversiDes• FollowtheMoney
Stakeholders,Milestones,Money
• WhoWeAre,WhatWeDoGillingsGlobalGateway™
• FalsifiedandSubstandardMedicinesHerrington’sResearchInterests
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ChickasawIndianHeritage
IntroducDon–WhoisJimHerrington?WhyisHeHere?
Cameofageinthe1960s
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AcademicandWorkExperience
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GlobalLong-termAssignments
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GlobalHealthDefined:
“Anareaofstudy,research,andpracDcethatplacesapriorityonimprovinghealthandachievingequityinhealthforallpeopleworldwide…emphasizestransnaDonalhealthissues,determinants,andsoluDons;involvesmanydisciplineswithinandbeyondthehealthsciencesandpromotesinterdisciplinarycollaboraDon;andisasynthesisofpopulaDon-basedprevenDonwithindividual-levelclinicalcare.”
Koplanetal.Lancet,2009hcp://www.sciencedirect.com/science/arDcle/pii/S0140673609603329
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GoodNews!GlobalBurdenofDisease:ReportedMortalitybyCause
30%
60%
10%
World
14%
77%
9%
RegionoftheAmericas
Source:WorldHealthReport,2013;DiseaseControlPrioriDesProject,2006,IHME,2012
Communicable,Maternal,Perinatal,andNutriDonalCondiDonsNon-CommunicableDiseasesInjuries
Pop.~7billion Pop.~874million
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GlobalBurdenofDisease:ReportedMortalitybyCause
Source:WorldHealthReport,2013;DiseaseControlPrioriDesProject,2006,IHME,2012
Communicable,Maternal,Perinatal,andNutriDonalCondiDonsNon-CommunicableDiseasesInjuries
30%
60%
10%
World
68%
25%
7%
AfricaRegionPop.~7billion Pop.~738million
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Source:WorldHealthReport,2013;DiseaseControlPrioriDesProject,2006;IHME,2012
GlobalBurdenofDisease,ReportedMortalitybyCause:CommunicableDiseases,
AfricaRegion
38%
19%9%
23%
8%
1%
2%0%
HIV/AIDS
Malaria
Tuberculosis
Diarrhoealdiseases
Childhood-clusterdiseasesSTDsexcludingHIV
Tropdiseases,leprosy,denguetotalIntesDnalnematodeinfecDons
DiphtheriaMeaslesPertussisPolioTetanus
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Source:WorldHealthReport,2013;DiseaseControlPrioriDesProject,2006;IHME,2012
GlobalBurdenofDisease,ReportedMortalitybyCause:CommunicableDiseasesexcludingHIV/
AIDS,AfricaRegion
63%
19%
3%13%
2%InfecDousandparasiDcdiseases
RespiratoryinfecDons
MaternalcondiDons
PerinatalCondiDons
NutriDonalDeficiencies
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Malaria:PrevenDonandTreatment¬ 3Short-termTools
• Long-lasDnginsecDcidetreatedbednetsreduceallcausemortalityby~20%;U5by~50%
• ResidualindoorsprayingwithDDT• ArtemisinincombinaDonRx
Photo: Chris Herrington
Photo: © 2005 Luigi Rignanese
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Source:President’sMalariaIniDaDve,2012
InsecDcide-TreatedNetsSaveLives:ExamplefromRwanda
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BadNews!The20thCenturyTakeOffinHumanHealth,LifeExpectancy,1550-2050
Source:DiseaseControlPrioriDesProject,2006,hcp://www.ncbi.nlm.nih.gov/books/bookres.fcgi/dcp2/ch1.pdf
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Epidemiological,Demographic,EconomicandSocialTransiDons
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GlobalBurdenofDisease,ReportedMortalitybyCause,Non-CommunicableDiseases,AfricaRegion
17%
42%11%
8%
6%
5% 11%
MalignantneoplasmsCardiovasculardiseasesRespiratorydiseases
DigesDvediseases
Diabetesmellitus
NeuropsychiatriccondiDonsOther
Source:WorldHealthReport,2013;DiseaseControlPrioriDesProject,2006,IHME,2012
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MalAlimenta+on(“badfood”)associatedwitheconomicdevelopment,longevity,sedentarysociety
Source:hcp://en.wikipedia.org/wiki/BK_StackerPhotocredit:MichalStanley
'''BK Stacker''' Serving size 1 sandwich
311g Energy 1000 cal
Energy from fat 620 cal Total fat 68g
Saturated fat 30g Cholesterol 240mg
Sodium 1800mg Dietary fiber 1g
Sugars 6g Protein 62g Source www.BK.com Notes US % Daily Value
based on 2000 calorie diet.
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MalComportment(“badbehavior”)associatedwitheconomicdevelopment,longevity,mobilesociety
Source:TobaccoFreeIniDaDve,WorldHealthOrganizaDon;20thCenturyFoxhcp://www.foxflash.com/usedwithpermission.
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MalEnvironment(“badsurroundings”)associatedwitheconomicstagnaDon/decline,lowfemaleliteracy,
agrariansociety
Photo:GrameenShikka
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KeyStakeholdersinGlobalHealth
MulBlateralandInternaBonalOrganizaBons
• GlobalFund• UNAgencies,suchas:• WHO• UNAIDS• UNFPA• UNICEF
• GAVI• StopTB• RollBackMalaria
Countries
• Donorcountries,suchasthoseintheGroupof8(G-8,includingUnitedStatesofAmerica,UnitedKingdom,Japan,Germany,France)andtheGroupof20(G-20)
• Partnercountries,suchasSouthAfrica,Vietnam,andHaiD
PrivateSector
• Businesses,includingpharmaceuDcalcompanies
• FoundaDons
AcademiaandResearchOrganizaBons
• UniversiDes• ResearchinsDtuDons• Thinktanks
CivilSociety
• Non-governmentalorganizaDons(NGOs)
• CommunityorganizaDons
Individuals
• Affectedindividuals• Familymembers• Communitymembers
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WHODeclaraBon“HealthforAllby
2000”1978
Smallpoxeradicated1980
UNInternaBonalDrinkingWaterSupplyandSanitaBonDecade
declared1980
PoliomyeliBseradicaBonbegins
1988
UNMillenniumDevelopmentGoals(MDGs)adopted
2000
TheGlobalFundtoFightAIDS,
TuberculosisandMalaria(GlobalFund)
begins2002
President’sEmergencyPlanforAIDSRelief(PEPFAR)authorized
2003
President’sMalariaIniBaBve(PMI)created
2005
USAIDNeglectedTropicalDiseases
(NTD)Programcreated2007
PEPFARReauthorized2008
GlobalHealthIniBaBve(GHI)launched
2009
OfficeofGlobalHealthDiplomacy(S/GHD)
created2012
PEPFARExtended2013
PMIextended2014
UNSustainableDevelopmentGoals(SDGs)adopted
2015
What’sNext?
MilestonesinGlobalHealthPolicy&Programs
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QuickFacts:GillingsSchoolofGlobalPublicHealth
“GlobalHealthisLocalHealth”
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GLOBALISLOCALISGLOBALISLOCAL…
Average100,000commercialflightsdailyintheworld
Source:hcp://openflights.org/demo/openflights-routedb-2048.png
Average29,000commercialflightsdailyinUSAverage29,000commercialflightsdailyinUS
Source:hcps://flightaware.com/live/
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EnhanceGillingsSchoolofGlobalPublicHealthstrategicimpactby:• Fosteringhigh-impactpublichealthpartnershipswithgovernments,theprivatesector,non-profitsandacademia
• Turningresearchintoreal-worldsolu+onsthattransformlivesinNorthCarolinaandaroundtheworld–“implementa+onscience”
• Promo+ngtheuniquestrengthsoftheGillingsSchoolinglobalresearch,teaching,andpublicservice
• Trainingthenextgenera+onofglobalpublichealthleaders
MissionoftheGillingsGlobalGatewayTM
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Clim
atalk.in Flickr/creative comm
ons
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Long-termVisionofGlobalLearning§ Schoolofchoiceforglobal
publichealthcareer§ Vibrantstudentexchanges
andvisiDngscholarsprogramsinplace
§ GlobalizedCurriculum
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Long-termVisionofGlobalLearning
GlobalizedCurriculumthatincludes:
• MPHProgramTracks• Leadership(ResidenDal&
Online)• GlobalOnline“GO
MPH™”(OnlineOnly)• OccupaDonalHealth
Nursing(ResidenDal&Online)
• HealthCare&PrevenDon(ResidenDal)
OnlineGraduateCerBficatePrograms• CorePublicHealthConcepts• PublicHealthLeadership• GlobalHealth• OccupaDonalHealthNursing• FieldEpidemiology
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GlobalImpact§ Sustainedoutputofideas&innovaDonswithbothlocalandglobalimpact
§ Researchfindingsrapidlytransformedintoreal-worldsoluDons
§ Researchimplementedatscale
§ Ourgraduatesareglobalchange-makers
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ThankYou!
hcps://secure.dev.unc.edu/giy/Default.aspx?p=SOPH