making visible global injustice in health: mapping the causes of 57 million deaths

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Keynote by Danny Dorling and Benjamin Hennig given at the Medsin Global Health Conference, Newcastle, March 28th 2010.

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Making visible global injustice in health:mapping the causes of 57 million deaths

Danny DorlingUniversity of Sheffield

Medsin Global Health ConferenceNewcastle, 28 March 2010

this map transforms into one showing where infants in the world die

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www.worldmapper.org

Live and let die According to the Global Burden of Disease Study

there are approximately 57 million people dying a year:

57,000,000 a year;these are 157,000 a day;or 2 persons dying every second.

This presentation shows,why there is someone dying every half second;

This presentation shows, how the world looks likewhen health, disease, and death are put onto maps;

This presentation shows,how unequal health is distributed globally...

How healthy is the world?Mapping Health

General overview

www.worldmapper.org

Public Health Spending 2228 billion PPP US$, $39,000 per death per

year

www.worldmapper.org

Private Health Spending 1847 billion PPP US$, $4 for every $5 spent by

the state

www.worldmapper.org

Physicians Working 9.56 million, one physician for every 6 deaths

a year

www.worldmapper.org

Early Neonatal Mortality 3.01 million, one within 7 days of birth for every

3 physicians

www.worldmapper.org

HIV/AIDS Prevalence 29.22 million, one in every 200 people in the

world

www.worldmapper.org

Malaria Cases 71.9 million, 7.5 cases per physician in the

world

What are they all dying from?

Mapping Causes of DeathGrouped in three broad groups of causes

www.worldmapper.org

Preventable Deaths people who died from most preventable (communicable infections, maternal, perinatal and

nutritional conditions) in one year

www.worldmapper.org

Cause of Death:Often Preventable Deaths 18,475,000 a year; 51,000 a day; one every 2

seconds...

www.worldmapper.org

Cause of Death:Infectious and Parasitic Disease 10,988,000 a year; 30,000 a day; one every 3

seconds...

www.worldmapper.org

Cause of Death:Tuberculosis 1,570,000 a year; 4,301 a day; one every 20

seconds...

www.worldmapper.org

Cause of Death:HIV/AIDS 2,920,000 a year; 8,000 a day; one every 11

seconds...

www.worldmapper.org

Cause of Death:STDs Excluding HIV 180,000 a year; 493 a day; one every 3

minutes...

www.worldmapper.org

Cause of Death:Syphilis 157,000 a year; 430 a day; one every 3

minutes...

www.worldmapper.org

Cause of Death:Chlamydia 9,415 a year; 26 a day; one every 56

minutes...

www.worldmapper.org

Cause of Death:Gonorrhoea 959 a year; 3 a day; one every 9 hours...

www.worldmapper.org

Cause of Death:Diarrhoea 1,871,000 a year; 5126 a day; one every 17

seconds...

www.worldmapper.org

Cause of Death:Vaccine Preventable Deaths 1,121,000 a year; 3,071 a day; one every 28

seconds...

www.worldmapper.org

Cause of Death:Whooping Cough 294,000 a year; 805 a day; one every 2

minutes...

www.worldmapper.org

Cause of Death:Tetanus 214,000 a year; 586 a day; one every 2½

minutes...

www.worldmapper.org

Cause of Death:Diphtheria 5,452 a year; 15 a day; one every 1½ hours...

www.worldmapper.org

Cause of Death:Polio 831 a year; 2 a day; one every 10½ hours...

www.worldmapper.org

Cause of Death:Measles 607,000 a year; 1,663 a day; one every 52

seconds...

www.worldmapper.org

Cause of Death:Meningitis 173,000 a year; 474 a day; one every 3

minutes...

www.worldmapper.org

Cause of Death:Hepatitus B 103,000 a year; 282 a day; one every 5

minutes...

www.worldmapper.org

Cause of Death:Hepatitus C 54,000 a year; 148 a day; one every 10

minutes...

www.worldmapper.org

Cause of Death:Malaria 911,000 a year; 2,496 a day; one every 35

seconds...

www.worldmapper.org

Cause of Death:Local Tropical Diseases 158,000 a year; 433 a day; one every 3

minutes...

www.worldmapper.org

Cause of Death:Sleeping sickness 48,000 a year; 132 a day; one every 11

minutes...

www.worldmapper.org

Cause of Death:Chagas Disease 15,000 a year; 41 a day; one every 35

minutes...

www.worldmapper.org

Cause of Death:Schistosomiasis 44,000 a year; 121 a day; one every 12

minutes...

www.worldmapper.org

Cause of Death:Leishmaniasis 51,000 a year; 140 a day; one every 10

minutes...

www.worldmapper.org

Cause of Death:Elephantiasis 417 a year; one every 21 hours...

www.worldmapper.org

Cause of Death:Leprosy 6,168 a year; 17 a day; one every 1½ hours...

www.worldmapper.org

Cause of Death:Dengue 19,000 a year; 52 a day; one every 28

minutes...

www.worldmapper.org

Cause of Death:Japanese Encephalitis 14,000 a year; 38 a day; one every 38

minutes...

www.worldmapper.org

Cause of Death:Intestinal Worm Infection 12,000 a year; 33 a day; one every 44

minutes...

www.worldmapper.org

Cause of Death:Roundworm Infection 3,410 a year; 9 a day; one every 2½ hours...

www.worldmapper.org

Cause of Death:Whipworm Infection 3,019 a year; 8 a day; one every 3 hours...

www.worldmapper.org

Cause of Death:Hookworm Disease 2,941 a year; 8 a day; one every 3 hours...

www.worldmapper.org

Cause of Death:All Respiratory Infection Deaths 4,026,000 a year; 11,030 a day; one every 8

seconds...

www.worldmapper.org

Cause of Death:Pneumonia 3,947,000 a year; 10,814 a day; one every 8

seconds...

www.worldmapper.org

Cause of Death:Nose and Throat Infection 76,000 a year; 208 a day; one every 7

minutes...

www.worldmapper.org

Cause of Death:Ear Infection 3,596 a year; 10 a day; one every 2½ hours...

www.worldmapper.org

Cause of Death:Deaths of Women from Pregnancy 510,000 a year; 1397 a day; one every

minute...

www.worldmapper.org

Cause of Death:Deaths of Babies from Childbirth 2,465,000 a year; 6,753 a day; one every 13

seconds...

www.worldmapper.org

Cause of Death:Low Birth Weight Related 1,271,000 a year; 3,482 a day; one every 25

seconds...

www.worldmapper.org

Cause of Death:Birth Injury Related 725,000 a year; 1,986 a day; one every 44

seconds...

www.worldmapper.org

Cause of Death:All Nutritional Deficiences Deaths 485,000 a year; 1,329 a day; one every 65

seconds...

www.worldmapper.org

Cause of Death:Deaths from Starvation 260,000 a year; 712 a day; one every 2

minutes...

www.worldmapper.org

Cause of Death:Vitamin A Deficiency 23,000 a year; 63 a day; one every 23

minutes...

www.worldmapper.org

Cause of Death:Iron Deficiency Anaemia 137,000 a year; 375 a day; one every 4

minutes...

www.worldmapper.org

Cause of Death:Iodine Deficiency 6,536 a year; 18 a day; one every 80

minutes...

www.worldmapper.org

Cause of Death:Non-Communicable Illnesses 33,630,000 a year; 92,137 a day; one every

second...

www.worldmapper.org

Cause of Death:All Cancer Deaths 7,145,000 a year; 19,575 a day; one every 4

seconds...

www.worldmapper.org

Cause of Death:Mouth Cancer 318,000 a year; 871 a day; one every 99

seconds...

www.worldmapper.org

Cause of Death:Throat Cancer 450,000 a year; 1,233 a day; one every 70

seconds...

www.worldmapper.org

Cause of Death:Stomach Cancer 857,000 a year; 2,348 a day; one every 37

seconds...

www.worldmapper.org

Cause of Death:Bowel Cancer 624,000 a year; 1,710 a day; one every 50

seconds...

www.worldmapper.org

Cause of Death:Liver Cancer 623,000 a year; 1,707 a day; one every 50

seconds...

www.worldmapper.org

Cause of Death:Pancreas Cancer 231,000 a year; 633 a day; one every 2

minutes...

www.worldmapper.org

Cause of Death:Lung Cancer 1,248,000 a year; 3,419 a day; one every 25

seconds...

www.worldmapper.org

Cause of Death:Skin Cancer 66,000 a year; 181 a day; one every 8

minutes...

www.worldmapper.org

Cause of Death:Breast Cancer 478,000 a year; 1,310 a day; one every 66

seconds...

www.worldmapper.org

Cause of Death:Cancer of the Cervix 239,000 a year; 655 a day; one every 2

minutes...

www.worldmapper.org

Cause of Death:Cancer of the Uterus 71,000 a year; 195 a day; one every 7

minutes...

www.worldmapper.org

Cause of Death:Ovary Cancer 135,000 a year; 370 a day; one every 4

minutes...

www.worldmapper.org

Cause of Death:Prostate Cancer 269,000 a year; 737 a day; one every 2

minutes...

www.worldmapper.org

Cause of Death:Bladder Cancer 179,000 a year; 490 a day; one every 3

minutes...

www.worldmapper.org

Cause of Death:Lymphoma 334,000 a year; 915 a day; one every 94

seconds...

www.worldmapper.org

Cause of Death:Leukaemia 265,000 a year; 726 a day; one every 2

minutes...

www.worldmapper.org

Cause of Death:Other Tumour Deaths 149,000 a year; 408 a day; one every 3½

minutes...

www.worldmapper.org

Cause of Death:Diabetes 987,000 a year; 2,704 a day; one every 32

seconds...

www.worldmapper.org

Cause of Death:Endocrine and other disorders 242,000 a year; 663 a day; one every 2

minutes...

www.worldmapper.org

Cause of Death:Brain Disorder 1,112,000 a year; 3,047 a day; one every 28

seconds...

www.worldmapper.org

Cause of Death:Depression Related 13,000 a year; 36 a day; one every 40

minutes...

www.worldmapper.org

Cause of Death:Manic-depression 733 a year; 2 a day; one every 12 hours...

www.worldmapper.org

Cause of Death:Schizophrenia 23,000 a year; 63 a day; one every 23

minutes...

www.worldmapper.org

Cause of Death:Epilepsy 125,000 a year; 342 a day; one every 4

minutes...

www.worldmapper.org

Cause of Death:Alcohol Use Disorders 91,000 a year; 249 a day; one every 6

minutes...

www.worldmapper.org

Cause of Death:Dementias 396,000 a year; 1,085 a day; one every 80

seconds...

www.worldmapper.org

Cause of Death:Parkinson Disease 99,000 a year; 271 a day; one every 5

minutes...

www.worldmapper.org

Cause of Death:Multiple Sclerosis 16,000 a year; 44 a day; one every 33

minutes...

www.worldmapper.org

Cause of Death:Drug Use Disorders 86,000 a year; 236 a day; one every 6

minutes...

www.worldmapper.org

Cause of Death:Post Traumatic Stress Disorder 56 a year; one every 6½ days...

www.worldmapper.org

Cause of Death:Eye and Ear Disease 3,249 a year; 9 a day; one every 2½ hours...

www.worldmapper.org

Cause of Death:Glaucoma 102 a year; one every 86 days...

www.worldmapper.org

Cause of Death:All Cardiovascular Disease Deaths 16,778,000 a year; 45,963 a day; one every 2

seconds...

www.worldmapper.org

Cause of Death:Rheumatic Heart Disease 329,000 a year; 901 a day; one every 96

seconds...

www.worldmapper.org

Cause of Death:Stroke 5,536,000 a year; 15,167 a day; one every 6

seconds...

www.worldmapper.org

Cause of Death:Heart Attack 7,219,000 a year; 19,778 a day; one every 4

seconds...

www.worldmapper.org

Cause of Death:Hypertensive Heart Disease 914,000 a year; 2,504 a day; one every 35

seconds...

www.worldmapper.org

Cause of Death:Inflammatory Heart Disease 405,000 a year; 1,110 a day; one every 78

seconds...

www.worldmapper.org

Cause of Death:Respiratory Disease 3,722,000 a year; 10,197 a day; one every 9

seconds...

www.worldmapper.org

Cause of Death:Chronic Bronchitis 2,766,000 a year; 7,578 a day; one every 11

seconds...

www.worldmapper.org

Cause of Death:Asthma 241,000 a year; 660 a day; one every 2

minutes...

www.worldmapper.org

Cause of Death:Digestive Tract Diseases 1,973,000 a year; 5,405 a day; one every 16

seconds...

www.worldmapper.org

Cause of Death:Peptic Ulcer Disease 265,000 a year; 726 a day; one every 2

minutes...

www.worldmapper.org

Cause of Death:Cirrhosis Of The Liver 789,000 a year; 2,162 a day; one every 40

seconds...

www.worldmapper.org

Cause of Death:Appendicitis 22,000 a year; 60 a day; one every 24

minutes...

www.worldmapper.org

Cause of Death:Genitourinary Tract Diseases 849,000 a year; 2,326 a day; one every 37

seconds...

www.worldmapper.org

Cause of Death:Kidney Disease 678,000 a year; 1,858 a day; one every 47

seconds...

www.worldmapper.org

Cause of Death:Deaths from enlarged Prostate 32,000 a year; 88 a day; one every 16

minutes...

www.worldmapper.org

Cause of Death:Skin Disease 69,000 a year; 189 a day; one every 7½

minutes...

www.worldmapper.org

Cause of Death:All Musculoskeletal Disease Deaths 106,000 a year; 290 a day; one every 5

minutes...

www.worldmapper.org

Cause of Death:Rheumatoid Arthritis 25,000 a year; 68 a day; one every 21

minutes...

www.worldmapper.org

Cause of Death:Osteoarthritis 4,736 a year; 13 a day; one every 111

minutes...

www.worldmapper.org

Cause of Death:Birth Defects 494,000 a year; 1,353 a day; one every 64

seconds...

www.worldmapper.org

Cause of Death:Oral Conditions 1,608 a year; 4 a day; one every 5½ hours...

www.worldmapper.org

Cause of Death:All Injury Deaths 5,183,000 a year; 14,200 a day; one every 6

seconds...

www.worldmapper.org

Cause of Death:All Accidental Deaths 3,560,000 a year; 9,753 a day; one every 9

seconds...

www.worldmapper.org

Cause of Death:Road Traffic Accident 1,195,000 a year; 3,274 a day; one every 26

seconds...

www.worldmapper.org

Cause of Death:Accidental Poisoning 352,000 a year; 964 a day; one every 90

seconds...

www.worldmapper.org

Cause of Death:Deaths from Falls 393,000 a year; 1,077 a day; one every 80

seconds...

www.worldmapper.org

Cause of Death:Deaths from Fires 312,000 a year; 855 a day; one every 101

seconds...

www.worldmapper.org

Cause of Death:Deaths from Drowning 384,000 a year; 1,052 a day; one every 82

seconds...

www.worldmapper.org

Cause of Death:Other Accidental Injury Deaths 925,000 a year; 2,534 a day; one every 34

seconds...

www.worldmapper.org

Cause of Death:All Non-accidental Deaths 1,622,000 a year; 4,444 a day; one every 19

seconds...

www.worldmapper.org

Cause of Death:Suicide 878,000 a year; 2,405 a day; one every 36

seconds...

www.worldmapper.org

Cause of Death:Murder 560,000 a year; 1,534 a day; one every 56

seconds...

www.worldmapper.org

Cause of Death:War 171,000 a year; 468 a day; one every 3

minutes...

www.worldmapper.org

War Deaths people who died from war in one year

When are they all dying?Mapping the Age of Death

Sorted from oldest to youngest people

www.worldmapper.org

Age of Death: 100+ 92,585 deaths; 254 per day; one every 341

seconds...

www.worldmapper.org

Age of Death: 95-99 484,416 deaths; 1,327 per day; one every 65

seconds...

www.worldmapper.org

Age of Death: 90-94 1,563,557 deaths; 4,284 per day; one every

20 seconds...

www.worldmapper.org

Age of Death: 85-89 3,144,797 deaths; 8,616 per day; one every

10 seconds...

www.worldmapper.org

Age of Death: 80-84 4,381,231 deaths; 12,003 per day; one every

7 seconds...

www.worldmapper.org

Age of Death: 75-79 5,410,001 deaths; 14,822 per day; one every

6 seconds...

www.worldmapper.org

Age of Death: 70-74 5,416,482 deaths; 14,840 per day; one every

6 seconds...

www.worldmapper.org

Age of Death: 65-69 4,548,376 deaths; 12,461 per day; one every

7 seconds...

www.worldmapper.org

Age of Death: 60-64 3,615,847 deaths; 9,906 per day; one every 9

seconds...

www.worldmapper.org

Age of Death: 55-59 2,802,369 deaths; 7,678 per day; one every

11 seconds...

www.worldmapper.org

Age of Death: 50-54 2,412,379 deaths; 6,609 per day; one every

13 seconds...

www.worldmapper.org

Age of Death: 45-49 2,098,466 deaths; 5,749 per day; one every

15 seconds...

www.worldmapper.org

Age of Death: 40-44 1,788,164 deaths; 4,899 per day; one every

18 seconds...

www.worldmapper.org

Age of Death: 35-39 1,652,503 deaths; 4,527 per day; one every

19 seconds...

www.worldmapper.org

Age of Death: 30-34 1,606,806 deaths; 4,402 per day; one every

20 seconds...

www.worldmapper.org

Age of Death: 25-29 1,496,071 deaths; 4,099 per day; one every

21 seconds...

www.worldmapper.org

Age of Death: 20-24 1,273,937 deaths; 3,490 per day; one every

25 seconds...

www.worldmapper.org

Age of Death: 15-19 870,915 deaths; 2,386 per day; one every 36

seconds...

www.worldmapper.org

Age of Death: 10-14 536,950 deaths; 1,471 per day; one every 59

seconds...

www.worldmapper.org

Age of Death: 5-9 863,022 deaths; 2,364 per day; one every 37

seconds...

www.worldmapper.org

Age of Death: 1-4 2,556,272 deaths; 7004 per day; one every

12 seconds...

www.worldmapper.org

Age of Death: Infants (aged under 1) 8,142,016 deaths; 22,307 per day; one every

4 seconds...

www.worldmapper.org

From Map to Cartogram Infant Mortality

www.worldmapper.org

World maps by the Worldmapper team Slides and animations by Benjamin Hennig

For a definition of all the causes and the data see www.worldmapper.org

New estimates on causes of death are due to be released by the end of 2010 in the Global Burden of Diseases, Injuries, and Risk Factors Study

http://www.globalburden.org

Credits

www.worldmapper.org

World maps by the Worldmapper team Slides and animations by Benjamin Hennig

For a definition of all the causes and the data see www.worldmapper.org

New estimates on causes of death are due to be released by the end of 2010 in the Global Burden of Diseases, Injuries, and Risk Factors Study

http://www.globalburden.org

Dorling, D. (2007). Worldmapper: The human anatomy of a small planet. PLoS Medicine 4(1), 13-18.Dorling, D. and Barford, A. (2007). Shaping the world to illustrate inequalities in health. Bulletin of the World Health Organisation, 85(11), 821-900.Dorling, D. and Barford, A. (2007). The shape of global causes of death. International Journal of Health Geographies, 6(48).

Credits

Infant mortality in affluent countries at the end of the nineteenth century rose as

charitable giving rose. Mortality then fell as public

anger at social injustice was converted into political

change. Political change which then used medical

knowledge. References

All Sasi presentations are now on our new website athttp://sasi.group.shef.ac.uk/presentations/

Go to this website for multimedia versions and the original presentations.

All Sasi presentations are now on our new website athttp://sasi.group.shef.ac.uk/presentations/

Go to this website for multimedia versions and the original presentations.

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