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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

Deprivation, Poverty and Public Health

Lucy Macleod, Interim Director of Public Health

slide2

www.equalitytrust.org.uk

Life expectancy in rich countries is no longer related to National Income per head

Wilkinson & Pickett, The Spirit Level

slide3

www.equalitytrust.org.uk

Life expectancy is strongly related to income within rich countries

RichestPoorest

Wilkinson & Pickett, The Spirit Level

slide4

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

slide5

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

slide6

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

slide7

www.equalitytrust.org.uk

The UNICEF Index of Child Wellbeing is not related to National Income per head

Wilkinson & Pickett, The Spirit Level

slide8

www.equalitytrust.org.uk

Child well-being is better in more equal countries

Wilkinson & Pickett, The Spirit Level

slide9

www.equalitytrust.org.uk

Mental illness is more common in more unequal societies

Wilkinson & Pickett, The Spirit Level

slide10

www.equalitytrust.org.uk

Imprisonment rates are higher in more unequal countries

Wilkinson & Pickett, The Spirit Level

impacts of poverty
Impacts of Poverty
  • Restriction of choice
  • Disempowerment
  • Dignity and self respect
  • Marginalisation
  • Stigma
  • Biological
outcomes of poverty
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
norfolk at present
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.
mitigation
Mitigation
  • Equitable Provision
  • Better access to support
  • Coping strategies – reaffirmation of humanity, empowerment, control
  • Improved default
  • Measuring, monitoring, engaging, advocacy