Download HIV and AIDS in New York City: An Update

Global Health IS
America’s Health
Tom Frieden, MD, MPH
Commissioner
New York City Health Department
November 18, 2008
Global Burden of Disease
Children Are Hit Hard
• 10 million deaths of children <5 yrs. (99% in
developing countries) – 4 million are newborns
–Maternal and child under-nutrition cause >1/3 of child deaths
• Lack of clean water/sanitation kill 2 million people a
year – mostly children
• >500,000 women die of pregnancy-related
causes
• 1 million deaths/year from malaria
Global Burden of Disease
Chronic Diseases Kill 35 Million a Year
• 80% of chronic disease deaths are in
developing countries
• Cardiovascular disease is leading cause of
death
–4 million people die from high cholesterol
–7 million people die from high blood pressure
• 5 million deaths result from violence and
injuries
Global Burden of Disease
Tobacco Is the Leading Agent of Death
• Tobacco kills 5.4 million/year – one in 10
adult deaths worldwide
– About 1 in 4 adults smokes – >1 billion people
– Deaths could double in the next few decades
• Tobacco use could kill 1 billion people
worldwide this century unless urgent action
is taken
Global Tobacco Control Is
Underfunded Compared with
Other Leading Causes of Death
World Health Organization
U.S. Lags Other Developed
Nations in International Aid
Aid as percentage of GDP, 2006
U.S.
OECD, 2006 data.
More Effective Global Health
Assistance
• Is a moral imperative
• Will help reduce our risk of
infectious disease
• Will increase stability and
productivity globally, protecting our
security and economic interests