1. Sir Richard Doll Seminar in Public Health and Epidemiology
Oxford, May 18th2010
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Danny DorlingUniversity of Sheffield
Worldmapping:how and where do 57 million people a year die?

2. Live and let die
According to the Global Burden of Disease Study there are approximately 57 million people dying a year:
57,000,000 a year;
these are 157,000 a day;
or 2 persons dying every second.
This presentation shows,why there is someone dying every half second;
This presentation shows, how the world looks likewhen health, disease, and death are put onto maps;
This presentation shows,how unequal health is distributed globally...
3. How healthy is the world?Mapping Health
General overview
4. Public Health Spending
2228 billion PPP US$, $39,000 per death per year
5. Private Health Spending
1847 billion PPP US$, $4 for every $5 spent by the state
6. Physicians Working
9.56 million, one physician for every 6 deaths a year
7. Early Neonatal Mortality
3.01 million, one within 7 days of birth for every 3 physicians
8. HIV/AIDS Prevalence
29.22 million, one in every 200 people in the world
9. Malaria Cases
71.9 million, 7.5 cases per physician in the world
10. What are they all dying from?Mapping Causes of Death
Grouped in three broad groups of causes
Note: For technical reasons the following slides
have been modified from their original version.
The original presentation with full screen maps can be downloaded from our website at
http://sasi.group.shef.ac.uk/presentations/
11. Preventable Deaths
people who died from most preventable (communicable infections, maternal, perinatal and nutritional conditions) in one year
12. Cause of Death:Often Preventable Deaths
18,475,000 a year; 51,000 a day; one every 2 seconds...
13. Causes of Death(continued)
Tuberculosis
1,570,000 a year; 4,301 a day; one every 20 seconds...
Infectious and Parasitic Disease
10,988,000 a year; 30,000 a day; one every 3 seconds...
STDs Excluding HIV
180,000 a year; 493 a day; one every 3 minutes...
HIV/AIDS
2,920,000 a year; 8,000 a day; one every 11 seconds...
14. Causes of Death(continued)
Chlamydia
9,415 a year; 26 a day; one every 56 minutes...
Syphilis
157,000 a year; 430 a day; one every 3 minutes...
Diarrhoea
1,871,000 a year; 5126 a day; one every 17 seconds...
Gonorrhoea
959 a year; 3 a day; one every 9 hours...
15. Causes of Death(continued)
Whooping Cough
294,000 a year; 805 a day; one every 2 minutes...
Vaccine Preventable Deaths
1,121,000 a year; 3,071 a day; one every 28 seconds...
Diphtheria
5,452 a year; 15 a day; one every 1 hours...
Tetanus
214,000 a year; 586 a day; one every 2 minutes...
16. Causes of Death(continued)
Measles
607,000 a year; 1,663 a day; one every 52 seconds...
Polio
831 a year; 2 a day; one every 10 hours...
Hepatitus B
103,000 a year; 282 a day; one every 5 minutes...
Meningitis
173,000 a year; 474 a day; one every 3 minutes...
17. Causes of Death(continued)
Malaria
911,000 a year; 2,496 a day; one every 35 seconds...
Hepatitus C
54,000 a year; 148 a day; one every 10 minutes...
Sleeping sickness
48,000 a year; 132 a day; one every 11 minutes...
Local Tropical Diseases
158,000 a year; 433 a day; one every 3 minutes...
18. Causes of Death(continued)
Schistosomiasis
44,000 a year; 121 a day; one every 12 minutes...
Chagas Disease
15,000 a year; 41 a day; one every 35 minutes...
Elephantiasis
417 a year; one every 21 hours...
Leishmaniasis
51,000 a year; 140 a day; one every 10 minutes...
19. Causes of Death(continued)
Dengue
19,000 a year; 52 a day; one every 28 minutes...
Leprosy
6,168 a year; 17 a day; one every 1 hours...
Intestinal Worm Infection
12,000 a year; 33 a day; one every 44 minutes...
Japanese Encephalitis
14,000 a year; 38 a day; one every 38 minutes...
20. Causes of Death(continued)
Whipworm Infection
3,019 a year; 8 a day; one every 3 hours...
Roundworm Infection
3,410 a year; 9 a day; one every 2 hours...
All Respiratory Infection Deaths
4,026,000 a year; 11,030 a day; one every 8 seconds...
Hookworm Disease
2,941 a year; 8 a day; one every 3 hours...
21. Causes of Death(continued)
Nose and Throat Infection
76,000 a year; 208 a day; one every 7 minutes...
Pneumonia
3,947,000 a year; 10,814 a day; one every 8 seconds...
Deaths of Women from Pregnancy
510,000 a year; 1397 a day; one every minute...
Ear Infection
3,596 a year; 10 a day; one every 2 hours...
22. Causes of Death(continued)
Low Birth Weight Related
1,271,000 a year; 3,482 a day; one every 25 seconds...
Deaths of Babies from Childbirth
2,465,000 a year; 6,753 a day; one every 13 seconds...
All Nutritional Deficiences Deaths
485,000 a year; 1,329 a day; one every 65 seconds...
Birth Injury Related
725,000 a year; 1,986 a day; one every 44 seconds...
23. Causes of Death(continued)
Vitamin A Deficiency
23,000 a year; 63 a day; one every 23 minutes...
Deaths from Starvation
260,000 a year; 712 a day; one every 2 minutes...
Iodine Deficiency
6,536 a year; 18 a day; one every 80 minutes...
Iron Deficiency Anaemia
137,000 a year; 375 a day; one every 4 minutes...
24. Causes of Death(continued)
All Cancer Deaths
7,145,000 a year; 19,575 a day; one every 4 seconds...
Non-Communicable Illnesses
33,630,000 a year; 92,137 a day; one every second...
Throat Cancer
450,000 a year; 1,233 a day; one every 70 seconds...
Mouth Cancer
318,000 a year; 871 a day; one every 99 seconds...
25. Causes of Death(continued)
Bowel Cancer
624,000 a year; 1,710 a day; one every 50 seconds...
Stomach Cancer
857,000 a year; 2,348 a day; one every 37 seconds...
Pancreas Cancer
231,000 a year; 633 a day; one every 2 minutes...
Liver Cancer
623,000 a year; 1,707 a day; one every 50 seconds...
26. Causes of Death(continued)
Skin Cancer
66,000 a year; 181 a day; one every 8 minutes...
Lung Cancer
1,248,000 a year; 3,419 a day; one every 25 seconds...
Cancer of the Cervix
239,000 a year; 655 a day; one every 2 minutes...
Breast Cancer
478,000 a year; 1,310 a day; one every 66 seconds...
27. Causes of Death(continued)
Ovary Cancer
135,000 a year; 370 a day; one every 4 minutes...
Cancer of the Uterus
71,000 a year; 195 a day; one every 7 minutes...
Bladder Cancer
179,000 a year; 490 a day; one every 3 minutes...
Prostate Cancer
269,000 a year; 737 a day; one every 2 minutes...
28. Causes of Death(continued)
Leukaemia
265,000 a year; 726 a day; one every 2 minutes...
Lymphoma
334,000 a year; 915 a day; one every 94 seconds...
Diabetes
987,000 a year; 2,704 a day; one every 32 seconds...
Other Tumour Deaths
149,000 a year; 408 a day; one every 3 minutes...
29. Causes of Death(continued)
Brain Disorder
1,112,000 a year; 3,047 a day; one every 28 seconds...
Endocrine and other disorders
242,000 a year; 663 a day; one every 2 minutes...
Manic-depression
733 a year; 2 a day; one every 12 hours...
Depression Related
13,000 a year; 36 a day; one every 40 minutes...
30. Causes of Death(continued)
Epilepsy
125,000 a year; 342 a day; one every 4 minutes...
Schizophrenia
23,000 a year; 63 a day; one every 23 minutes...
Dementias
396,000 a year; 1,085 a day; one every 80 seconds...
Alcohol Use Disorders
91,000 a year; 249 a day; one every 6 minutes...
31. Causes of Death(continued)
Multiple Sclerosis
16,000 a year; 44 a day; one every 33 minutes...
Parkinson Disease
99,000 a year; 271 a day; one every 5 minutes...
Post Traumatic Stress Disorder
56 a year; one every 6 days...
Drug Use Disorders
86,000 a year; 236 a day; one every 6 minutes...
32. Causes of Death(continued)
Glaucoma
102 a year; one every 86 days...
Eye and Ear Disease
3,249 a year; 9 a day; one every 2 hours...
Rheumatic Heart Disease
329,000 a year; 901 a day; one every 96 seconds...
All Cardiovascular Disease Deaths
16,778,000 a year; 45,963 a day; one every 2 seconds...
33. Causes of Death(continued)
Heart Attack
7,219,000 a year; 19,778 a day; one every 4 seconds...
Stroke
5,536,000 a year; 15,167 a day; one every 6 seconds...
Inflammatory Heart Disease
405,000 a year; 1,110 a day; one every 78 seconds...
Hypertensive Heart Disease
914,000 a year; 2,504 a day; one every 35 seconds...
34. Causes of Death(continued)
Chronic Bronchitis
2,766,000 a year; 7,578 a day; one every 11 seconds...
Respiratory Disease
3,722,000 a year; 10,197 a day; one every 9 seconds...
Digestive Tract Diseases
1,973,000 a year; 5,405 a day; one every 16 seconds...
Asthma
241,000 a year; 660 a day; one every 2 minutes...
35. Causes of Death(continued)
Cirrhosis Of The Liver
789,000 a year; 2,162 a day; one every 40 seconds...
Peptic Ulcer Disease
265,000 a year; 726 a day; one every 2 minutes...
Genitourinary Tract Diseases
849,000 a year; 2,326 a day; one every 37 seconds...
Appendicitis
22,000 a year; 60 a day; one every 24 minutes...
36. Causes of Death(continued)
Deaths from enlarged Prostate
32,000 a year; 88 a day; one every 16 minutes...
Kidney Disease
678,000 a year; 1,858 a day; one every 47 seconds...
All Musculoskeletal Disease Deaths
106,000 a year; 290 a day; one every 5 minutes...
Skin Disease
69,000 a year; 189 a day; one every 7 minutes...
37. Causes of Death(continued)
Osteoarthritis
4,736 a year; 13 a day; one every 111 minutes...
Rheumatoid Arthritis
25,000 a year; 68 a day; one every 21 minutes...
Oral Conditions
1,608 a year; 4 a day; one every 5 hours...
Birth Defects
494,000 a year; 1,353 a day; one every 64 seconds...
38. Causes of Death(continued)
All Accidental Deaths
3,560,000 a year; 9,753 a day; one every 9 seconds...
All Injury Deaths
5,183,000 a year; 14,200 a day; one every 6 seconds...
Accidental Poisoning
352,000 a year; 964 a day; one every 90 seconds...
Road Traffic Accident
1,195,000 a year; 3,274 a day; one every 26 seconds...
39. Causes of Death(continued)
Deaths from Fires
312,000 a year; 855 a day; one every 101 seconds...
Deaths from Falls
393,000 a year; 1,077 a day; one every 80 seconds...
Other Accidental Injury Deaths
925,000 a year; 2,534 a day; one every 34 seconds...
Deaths from Drowning
384,000 a year; 1,052 a day; one every 82 seconds...
40. Causes of Death(continued)
Suicide
878,000 a year; 2,405 a day; one every 36 seconds...
All Non-accidental Deaths
1,622,000 a year; 4,444 a day; one every 19 seconds...
War
171,000 a year; 468 a day; one every 3 minutes...
Murder
560,000 a year; 1,534 a day; one every 56 seconds...
41. War Deaths
people who died from war in one year
42. When are they all dying?Mapping the Age of Death
Sorted from oldest to youngest people
43. Age of Death: 100+
92,585 deaths; 254 per day; one every 341 seconds...
44. Age of Death: 95-99
484,416 deaths; 1,327 per day; one every 65 seconds...
45. Age of Death: 90-94
1,563,557 deaths; 4,284 per day; one every 20 seconds...
46. Age of Death: 85-89
3,144,797 deaths; 8,616 per day; one every 10 seconds...
47. Age of Death: 80-84
4,381,231 deaths; 12,003 per day; one every 7 seconds...
48. Age of Death: 75-79
5,410,001 deaths; 14,822 per day; one every 6 seconds...
49. Age of Death: 70-74
5,416,482 deaths; 14,840 per day; one every 6 seconds...
50. Age of Death: 65-69
4,548,376 deaths; 12,461 per day; one every 7 seconds...
51. Age of Death: 60-64
3,615,847 deaths; 9,906 per day; one every 9 seconds...
52. Age of Death: 55-59
2,802,369 deaths; 7,678 per day; one every 11 seconds...
53. Age of Death: 50-54
2,412,379 deaths; 6,609 per day; one every 13 seconds...
54. Age of Death: 45-49
2,098,466 deaths; 5,749 per day; one every 15 seconds...
55. Age of Death: 40-44
1,788,164 deaths; 4,899 per day; one every 18 seconds...
56. Age of Death: 35-39
1,652,503 deaths; 4,527 per day; one every 19 seconds...
57. Age of Death: 30-34
1,606,806 deaths; 4,402 per day; one every 20 seconds...
58. Age of Death: 25-29
1,496,071 deaths; 4,099 per day; one every 21 seconds...
59. Age of Death: 20-24
1,273,937 deaths; 3,490 per day; one every 25 seconds...
60. Age of Death: 15-19
870,915 deaths; 2,386 per day; one every 36 seconds...
61. Age of Death: 10-14
536,950 deaths; 1,471 per day; one every 59 seconds...
62. Age of Death: 5-9
863,022 deaths; 2,364 per day; one every 37 seconds...
63. Age of Death: 1-4
2,556,272deaths; 7004 per day; one every 12 seconds...
64. Age of Death: Infants (aged under 1)
8,142,016 deaths; 22,307 per day; one every 4 seconds...
65. From Map to Cartogram
Infant Mortality
66. World maps by the Worldmapper team
Slides and animations by Benjamin Hennig
Slides available on http://sasi.group.shef.ac.uk/presentations/
For a definition of all the causes and the data see www.worldmapper.org
New estimates on causes of death are due to be released by the end of 2010 in the Global Burden of Diseases, Injuries, and Risk Factors Study
http://www.globalburden.org
Credits
67. World maps by the Worldmapper team
Slides and animations by Benjamin Hennig
Slides available on http://sasi.group.shef.ac.uk/presentations/
Infant mortality in affluent countries at the end of the nineteenth century rose as charitable giving rose. Mortality then fell as public anger at social injustice was converted into political change.Political change which then used medical knowledge.
References
Dorling, D. (2007). Worldmapper: The human anatomy of a small planet. PLoS Medicine 4(1), 13-18.
Dorling, D. and Barford, A. (2007). Shaping the world to illustrate inequalities in health. Bulletin of the World Health Organisation, 85(11), 821-900.
Dorling, D. and Barford, A. (2007). The shape of global causes of death. International Journal of Health Geographies, 6(48).
Credits