FFP1 Global Burden of Disease 2023 PDF

4 October 2023 FFP1 Global Burden of disease 04/10/2023 Professor Sam McConkey Deputy Dean Department of International Health and Tropical Medicine  The Global Burden of Disease Learning Outcomes Identify a range of measurements of health, disease, mortality, morbidity and health...

4 October 2023 FFP1 Global Burden of disease 04/10/2023 Professor Sam McConkey Deputy Dean Department of International Health and Tropical Medicine  The Global Burden of Disease Learning Outcomes Identify a range of measurements of health, disease, mortality, morbidity and health outcomes Appraise the relative strengths and weaknesses of each measurement Describe the use of lost years of life due to early death used in the Global Burden of Disease (GBD) Describe the use of partial years of life lost, as a measure of disability and morbidity Describe, compare and contrast mortality and morbidity for diseases across countries using examples of road accidents, diabetes, low back pain, drug use, in Ireland, Bahrain, Malaysia, Sierra Leone and the USA Describe, compare and contrast mortality and morbidity for different diseases in a country and population of their choice Predict how the global burden of disease may change over the next hundred years in light of the conflict, climate change and improved access to sanitation Recognise the clinical features of a patient with severe Covid-19 disease How to measure health? Gapminder.org Using displays of data to understand Hans Rosling the world Multidimentional visual display Explore it Is there an association between wealth and health? Our World in Data Life expectancy at birth Child mortality, 0-5 year olds dying per 1000 born Maternal mortality ratio The Conversation National data Using displays of data to understand Ireland as an example the world What national agencies say about themselves Central Statistics Office in Cork Health Protection Surveillan ce Service Our World in Data Using displays of data to understand Oxford Martin School, U of Oxford, GCDL the world Link to our world in da ta Euromomo measures all deaths There is more to life than health Using displays of data to understand Sustainable development Goals the world Link to UN Sustainable Development Goals No poverty Reduced inequalities Zero hunger Sustainable cities and communities Good health and well –being Responsible consumption and Quality education production Gender equality Climate action Clean water and sanitation Life below water Affordable and clean energy Life on land Decent work and economic growth Peace justice and strong institutions Industry innovation and infrastructure Partnerships for the goals How to measure health? How to measure death? How to measure illness and disability? Biases Recollection Measure, and compare to look Uses: for associations that might be To allocate scarce resources causal. best To compare across countries How linked is health to wealth? To compare across disease To understand health and How linked to education? disease Measure costs? To compare changes over Death certificates time → Measure social & economic To compare across groups of impact Mostly restricted to regions people where the health system is very organised Measuring Health How have they been measured in the past? Quality of life questions? See ref Ability to do activities of daily living Age at death Life expectancy Happiness The Global Burden of Disease study DALY Lancet reference Institute for Health Me trics and Evaluation link  How to measure health? Describe, compare and contrast mortality and morbidity for diseases across countries using examples of road accidents, diabetes, low back pain, drug use, in Ireland, Bahrain, Malaysia, Sierra Leone and the USA  How to measure health? Describe, compare and contrast mortality and morbidity for different diseases in a country and population of your choice over time  How to measure health? Predict how the global burden of disease may change over the next hundred years in light of the conflict, climate change and improved access to sanitation COVID19 A 45year-old man of 140kg presents with cough, shortness of breath, fever, tiredness and unable to get out of bed. In March 2020. Peripheral Oxygen saturations on room air were 85% Given oxygen by nasal prongs Arterial blood gases show Type one respiratory failure Escalating oxygen therapy Continuous Positive Airway Pressure Intubated for mechanical ventilation Sam McConkey [email protected] Deputy Dean Head of Department and Professor of International Health & Tropical Medicine