GillingsGlobalGateway™UNCGillingsSchoolofGlobalPublicHealth

March 16, 2016

JimHerrington,PhD,MPHExecuBveDirectorGillingsGlobalGateway™ProfessorofthePracBceDepartmentofHealthBehaviorand

"GlobalHealthBeginsatHome”NorthRaleighRotaryClub

OUTLINE

• WhoAmI?WhyAmIHere?• GlobalHealth• GoodNews!BadNews!BurdenofDisease

DefiniDonofterms

• NaDonal,MulDlateral,FoundaDons,UniversiDes• FollowtheMoney

Stakeholders,Milestones,Money

• WhoWeAre,WhatWeDoGillingsGlobalGateway™

• FalsifiedandSubstandardMedicinesHerrington’sResearchInterests

ChickasawIndianHeritage

IntroducDon–WhoisJimHerrington?WhyisHeHere?

Cameofageinthe1960s

AcademicandWorkExperience

GlobalLong-termAssignments

GlobalHealthDefined:

“Anareaofstudy,research,andpracDcethatplacesapriorityonimprovinghealthandachievingequityinhealthforallpeopleworldwide…emphasizestransnaDonalhealthissues,determinants,andsoluDons;involvesmanydisciplineswithinandbeyondthehealthsciencesandpromotesinterdisciplinarycollaboraDon;andisasynthesisofpopulaDon-basedprevenDonwithindividual-levelclinicalcare.”

Koplanetal.Lancet,2009hcp://www.sciencedirect.com/science/arDcle/pii/S0140673609603329

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

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

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

Source:WorldHealthReport,2013;DiseaseControlPrioriDesProject,2006;IHME,2012

GlobalBurdenofDisease,ReportedMortalitybyCause:CommunicableDiseasesexcludingHIV/

AIDS,AfricaRegion

63%

19%

3%13%

2%InfecDousandparasiDcdiseases

RespiratoryinfecDons

MaternalcondiDons

PerinatalCondiDons

NutriDonalDeficiencies

Malaria:PrevenDonandTreatment¬  3Short-termTools

•  Long-lasDnginsecDcidetreatedbednetsreduceallcausemortalityby~20%;U5by~50%

•  ResidualindoorsprayingwithDDT•  ArtemisinincombinaDonRx

Photo: Chris Herrington

Photo: © 2005 Luigi Rignanese

Source:President’sMalariaIniDaDve,2012

InsecDcide-TreatedNetsSaveLives:ExamplefromRwanda

BadNews!The20thCenturyTakeOffinHumanHealth,LifeExpectancy,1550-2050

Source:DiseaseControlPrioriDesProject,2006,hcp://www.ncbi.nlm.nih.gov/books/bookres.fcgi/dcp2/ch1.pdf

Epidemiological,Demographic,EconomicandSocialTransiDons

GlobalBurdenofDisease,ReportedMortalitybyCause,Non-CommunicableDiseases,AfricaRegion

17%

42%11%

8%

6%

5% 11%

MalignantneoplasmsCardiovasculardiseasesRespiratorydiseases

DigesDvediseases

Diabetesmellitus

NeuropsychiatriccondiDonsOther

Source:WorldHealthReport,2013;DiseaseControlPrioriDesProject,2006,IHME,2012

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.

MalComportment(“badbehavior”)associatedwitheconomicdevelopment,longevity,mobilesociety

Source:TobaccoFreeIniDaDve,WorldHealthOrganizaDon;20thCenturyFoxhcp://www.foxflash.com/usedwithpermission.

MalEnvironment(“badsurroundings”)associatedwitheconomicstagnaDon/decline,lowfemaleliteracy,

agrariansociety

Photo:GrameenShikka

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

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

QuickFacts:GillingsSchoolofGlobalPublicHealth

“GlobalHealthisLocalHealth”

GLOBALISLOCALISGLOBALISLOCAL…

Average100,000commercialflightsdailyintheworld

Source:hcp://openflights.org/demo/openflights-routedb-2048.png

Average29,000commercialflightsdailyinUSAverage29,000commercialflightsdailyinUS

Source:hcps://flightaware.com/live/

EnhanceGillingsSchoolofGlobalPublicHealthstrategicimpactby:•  Fosteringhigh-impactpublichealthpartnershipswithgovernments,theprivatesector,non-profitsandacademia

•  Turningresearchintoreal-worldsolu+onsthattransformlivesinNorthCarolinaandaroundtheworld–“implementa+onscience”

•  Promo+ngtheuniquestrengthsoftheGillingsSchoolinglobalresearch,teaching,andpublicservice

•  Trainingthenextgenera+onofglobalpublichealthleaders

MissionoftheGillingsGlobalGatewayTM

Clim

atalk.in Flickr/creative comm

ons

Long-termVisionofGlobalLearning§  Schoolofchoiceforglobal

publichealthcareer§  Vibrantstudentexchanges

andvisiDngscholarsprogramsinplace

§  GlobalizedCurriculum

Long-termVisionofGlobalLearning

GlobalizedCurriculumthatincludes:

•  MPHProgramTracks•  Leadership(ResidenDal&

Online)•  GlobalOnline“GO

MPH™”(OnlineOnly)•  OccupaDonalHealth

Nursing(ResidenDal&Online)

•  HealthCare&PrevenDon(ResidenDal)

OnlineGraduateCerBficatePrograms•  CorePublicHealthConcepts•  PublicHealthLeadership•  GlobalHealth•  OccupaDonalHealthNursing•  FieldEpidemiology

GlobalImpact§  Sustainedoutputofideas&innovaDonswithbothlocalandglobalimpact

§  Researchfindingsrapidlytransformedintoreal-worldsoluDons

§  Researchimplementedatscale

§  Ourgraduatesareglobalchange-makers

ThankYou!

hcps://secure.dev.unc.edu/giy/Default.aspx?p=SOPH