The Future of Primary Health Care: Ensuring Equity. Paul Farmer, MD, PhD Harvard Medical School Partners In Health. Priority Setting. Cardiovascular disease and cancer are the first cause of mortality in Latin America.
Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.
The Future of Primary Health Care:Ensuring Equity
Paul Farmer, MD, PhD
Harvard Medical School
Partners In Health
Tuberculosis196,630 (1980)232,262 (1995)
Malaria535,273 (1980)1,056,072 (1997)
HIV/AIDS66,315 (until 1991)31,699 (in 1995)
 OPS 2000.
The Poor Bear the Burden of Infectious Disease:
Percentage of Deaths from Infectious Disease that Occur in the Poorest 20% of the Global Population
Source: Davidson R. Gwatkin, May 1999
Deaths (in millions)
Acute respiratory infections
Source: WHO, 2000
Source: WHO, 1999
Reported TB cases, U.S.-born and foreign-born persons United States, 1999
Source: CDC, 1999
The Outcome Gap Grows
Introduction of effective technology
United Kingdom 6
South Africa 6
Bulletin of the American College of Surgeons, 1987
J. Perez, personal communication, 2000
Cause of death % of deaths
Sepsis, infection 8.3-65%
(including malaria, TB)
Uterine rupture 27.6%
Abortion up to 50%
Stokoe U. Determinants of maternal mortality in the developing world. Aust NZ J Obstet Gynaecol 1991; 31:8-16.
Malaria: The Costs of Inequality
Sources: WHO 2001; WHO Press Release 2000
Tropical Disease Research
Between 1975 and 1996,
1,233 new chemical entities were registered.
Of that number, only 11 were for tropical
diseases such as malaria.
Source: Sylvia Pfeifer, “Public-Private Partnership Attacks Tuberculosis—Aim is to Spur Development of New Drugs,” Knight Ridder/ChicagoTribune, October 20, 2000.
Meanwhile in the US:
Trends in Age-Adjusted Death Rate
due to HIV Infection,1982-1998
*Using the age distribution of the projected
year 2000 US population as the standard.
**Preliminary 1998 data
Average life expectancy at birth, in years
Source: United Nations Population Division, 1996
Source: Public Citizen’s Congress Watch (www.citizen.org), from Fortune Magazine,
April 2000, Fortune 500 (www.fortune.com).