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Deprivation, Poverty and Public Health

Deprivation, Poverty and Public Health. Lucy Macleod, Interim Director of Public Health. www.equalitytrust.org.uk. Life expectancy in rich countries is no longer related to National Income per head. Wilkinson & Pickett, The Spirit Level. www.equalitytrust.org.uk.

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Deprivation, Poverty and Public Health

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  1. Deprivation, Poverty and Public Health Lucy Macleod, Interim Director of Public Health

  2. www.equalitytrust.org.uk Life expectancy in rich countries is no longer related to National Income per head Wilkinson & Pickett, The Spirit Level

  3. www.equalitytrust.org.uk Life expectancy is strongly related to income within rich countries RichestPoorest Wilkinson & Pickett, The Spirit Level

  4. www.equalitytrust.org.uk Inequality... How much richer are the richest 20% in each country than the poorest 20%? Income gaps How many times richer are the richest fifth than the poorest fifth? Wilkinson & Pickett, The Spirit Level

  5. Neither health nor social problems are related to national income per head Index of health and social problems Index of: • Life expectancy • Math & Literacy • Infant mortality • Homicides • Imprisonment • Teenage births • Trust • Obesity • Mental illness – incl. drug & alcohol addiction • Social mobility Wilkinson & Pickett, The Spirit Level www.equalitytrust.org.uk

  6. www.equalitytrust.org.uk Health and social problems are worse in more unequal countries Index of: • Life expectancy • Math & Literacy • Infant mortality • Homicides • Imprisonment • Teenage births • Trust • Obesity • Mental illness – incl. drug & alcohol addiction • Social mobility Index of health and social problems Wilkinson & Pickett, The Spirit Level

  7. www.equalitytrust.org.uk The UNICEF Index of Child Wellbeing is not related to National Income per head Wilkinson & Pickett, The Spirit Level

  8. www.equalitytrust.org.uk Child well-being is better in more equal countries Wilkinson & Pickett, The Spirit Level

  9. www.equalitytrust.org.uk Mental illness is more common in more unequal societies Wilkinson & Pickett, The Spirit Level

  10. www.equalitytrust.org.uk Imprisonment rates are higher in more unequal countries Wilkinson & Pickett, The Spirit Level

  11. Impacts of Poverty • Restriction of choice • Disempowerment • Dignity and self respect • Marginalisation • Stigma • Biological

  12. Outcomes of Poverty • Poorer general health • Poorer mental health • Earlier disability • Earlier death • Health and wellbeing burden to individuals and families • Treatment and cost burden to society

  13. Norfolk at Present • About 11% of the population are in the most deprived group in England • Child poverty significantly higher than the national average for Norwich and Great Yarmouth. • Great Yarmouth has the highest inequality in child poverty across Norfolk and Waveney (6.5% - 49%) • Over a quarter of households in North Norfolk are estimated to be fuel poor. • Fuel poverty ranges from over 40% of households for an area in West Norfolk to about 10% for an area in Broadland.

  14. Long Term Unemployment in Norfolk

  15. Male Disability Free Life Expectancy in Norfolk

  16. Other Measures

  17. Mitigation • Equitable Provision • Better access to support • Coping strategies – reaffirmation of humanity, empowerment, control • Improved default • Measuring, monitoring, engaging, advocacy

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