Reclaiming the commons our health and our education
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Reclaiming the Commons:  Our Health and Our Education. Stephen Bezruchka, MD, MPH Departments of Global Health & Health Services School of Public Health University of Washington. POP HEALTH QUIZ. POP HEALTH QUIZ. Sri Lanka US Adult Female Mortality 1970-2010. POP HEALTH QUIZ.

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Reclaiming the Commons:  Our Health and Our Education

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Reclaiming the commons our health and our education

Reclaiming the Commons:  Our Health and Our Education

Stephen Bezruchka, MD, MPH

Departments of Global Health & Health Services

School of Public Health

University of Washington


Pop health quiz

POP HEALTH QUIZ


Pop health quiz1

POP HEALTH QUIZ


Reclaiming the commons our health and our education

Sri Lanka US

Adult Female Mortality 1970-2010


Pop health quiz2

POP HEALTH QUIZ


Pop health quiz3

POP HEALTH QUIZ


Reclaiming the commons our health and our education

US County Life Expectancy Trends 1987-2007

Female

Male

Ezzati et. al 2008


Pop health quiz4

POP HEALTH QUIZ


Pop health quiz5

POP HEALTH QUIZ


Reclaiming the commons our health and our education

Australia, Canada, Japan, Sweden

US Maternal Mortality 1970-2010


Pop health quiz6

POP HEALTH QUIZ


Pop health quiz7

POP HEALTH QUIZ


Pop health quiz8

POP HEALTH QUIZ


Pop health quiz9

POP HEALTH QUIZ


1st 4th yr us medical student knowledge of population health 2002

1st & 4th yr US medical student knowledge of Population Health (2002)

Agrawal, J. R., J. Huebner, et al. (2005). "Medical students' knowledge of the U.S. health care system and their preferences for curricular change: a national survey." Acad Med 80(5): 484-8.


Pop health quiz10

POP HEALTH QUIZ


Pop health quiz11

POP HEALTH QUIZ


Playing game of health without a scoreboard

Playing Game of Healthwithout a scoreboard


Measures of health of populations

Measures of health of populations?


How healthy is the us health olympics

How healthy is the US?Health Olympics

Number one Gold

1-5 _______

6-10 _______

11-15 _______

16-20 _______

21-25 _______

26-30 _______

31+ _______


Reclaiming the commons our health and our education

HEALTH OLYMPICS 2011

5

Life

expectancy

10

15

20

25

30

United Nations Human Development Report 2011


Reclaiming the commons our health and our education

US County Life Expectancy Trends 1961-1983

Male

Female

Ezzati et. al 2008


Reclaiming the commons our health and our education

US County Life Expectancy Trends 1987-2007

Female

Male

Ezzati et. al 2008


Reclaiming the commons our health and our education

Trends FEMALE life expectancy age 50 from 1955-2007

Glei et al. 2010


Reclaiming the commons our health and our education

In Phillips County,Arkansas,

the birth rate among teenage girls

in 2000 was 127 births per 1,000 w

omen aged 15 to 19

- a rate higher than in 94 developing countries.

A fifth of 20-yr old women

in the US gave birth in their teens

SCF State of the World's Mothers 2004


Reclaiming the commons our health and our education

Youth violence Olympics—Homicide rates among youth aged 10-29 (most recent year available) from the World Health Organizations’ World Report on Violence and Health, 2002*

*Austria, Finland, Ireland, Norway, Sweden and Switzerland had fewer than 20 deaths reported and therefore rates were not calculated.

checking indicators


Population health concepts

Population Health Concepts

  • Health has been improving most of the last century

  • Health improvements are not shared equally

  • Poorer people have poorer health

  • Early life is most critical period for health


Population health concepts1

Population Health Concepts

  • Health has been improving most of the last century

  • Health improvements are not shared equally

  • Poorer people have poorer health

  • Early life is most critical period for health


Reclaiming the commons our health and our education

US MORTALITY RATES BY ZIP CODE INCOME

Wilkinson & Pickett 2009 Spirit Level


Reclaiming the commons our health and our education

Survival Rate on the Titanic

60 %

40 %

25 %

24 %


Health and social problems are worse in more unequal countries

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

Source: Wilkinson & Pickett, The Spirit Level (2009)


Reclaiming the commons our health and our education

"more egalitarian societies (i.e., those with a less steep differential between the richest and the poorest) have better average health" pg. 59


Reclaiming the commons our health and our education

Deaths attributable to

excess income inequality

1 / 3

Kondo et al. 2009


Health and education

Health and Education

  • Education

    • an epiphenomenon, not root cause

    • (we have most education of all countries)

    • Marsh, J. (2011). Class dismissed : why we cannot teach or learn our way out of inequality. New York, N.Y., Monthly Review Press. Introduction Unintended Consequences: 9-23


Reclaiming the commons our health and our education

BETTER HEALTH

World Bank WDR 2006

Data are for 2000 and line tracks changes 1985-2000


Reclaiming the commons our health and our education

BETTER HEALTH

World Bank WDR 2006

Data are for 2000 and line tracks changes 1985-2000


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