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Tim Crocker-Buqué

What Effect can Surgeons have on World Health?. Tim Crocker-Buqué. 5 th Year – University of Nottingham Professor Harold Ellis Medical Student Prize for Surgery 9 th October 2009. GAPMINDER. Disability Adjusted Life Year - DALY. Quantifying the global burden of disease:.

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Tim Crocker-Buqué

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  1. What Effect can Surgeons have on World Health? Tim Crocker-Buqué 5th Year – University of Nottingham Professor Harold Ellis Medical Student Prize for Surgery 9th October 2009 GAPMINDER

  2. Disability Adjusted Life Year - DALY Quantifying the global burden of disease: 1 DALY = 1 year of ‘healthy’ life lost to disability or death Murray and Acharya, 1997

  3. The World Proportional to Total Population United Nations Development Programme’s 2004 Human Development Report From: www.worldmapper.org

  4. The World Proportional to Absolute Poverty (<$2 per day) Low income countries: LIC United Nations Development Programme’s 2004 Human Development Report From: www.worldmapper.org

  5. The World Proportional to Number of Deaths from Injuries per Year 90% Injury Deaths in LIC Only 33% injured patients in Africa reach a health facility African children >5yo – more deaths from injuries than HIV, Malaria and TB combined 63,000,000 DALYs United Nations Development Programme’s 2004 Human Development Report From: www.worldmapper.org and Ozgediz & Rivello, 2008)

  6. The World Proportional to Number of Deaths from Congenital Birth Defects per Year United Nations Development Programme’s 2004 Human Development Report From: www.worldmapper.org

  7. The World Proportional to Number of Deaths from Congenital Birth Defects per Year 14,000,000 DALYs United Nations Development Programme’s 2004 Human Development Report From: www.worldmapper.org

  8. The World Proportional Maternal Mortality 99% maternal deaths in LICs 500,000 surgically preventable deaths PA 10,000,000 DALYs United Nations Development Programme’s 2004 Human Development Report From: www.worldmapper.org and Ozgediz & Riviello, 2008)

  9. Contribution of surgically treatable diseases: 164,000,000 Disability Adjusted Life Years = 11 - 15% Global Disease Burden Debas at al., 2006

  10. What Effect can Surgeons have on World Health? Almost nothing.

  11. The World Proportional to Number of Working Doctors World Health Organisation’s 2006 World Health Report From: www.worldmapper.org

  12. 1 Doctor:15,000 population

  13. 1 Surgeon:30,000 population Uganda Ozgediz et al., 2008

  14. Education Education Education

  15. Thank you Questions?

  16. Recruitment and Retention of Doctors in LICs • Remuneration and incentives • Resources: equipment and drugs • Safe working environment • Training and mentoring

  17. Cost of of treating surgical disease: Estimated cost (USD) per DALY averted Measles Vaccine $5 HIV Antiretroviral Therapy $300 - $500 Basic Surgical Care $11 - $33

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