"Global Health Begins at Home” Gillings Global Gateway™ UNC Gillings School of Global Public Health March 16, 2016 Jim Herrington, PhD, MPH ExecuBve Director Gillings Global Gateway™ Professor of the Practice Department of Health Behavior

1. Gillings Global Gateway™
UNC Gillings School of Global Public Health
March 16, 2016
Jim Herrington, PhD, MPH
ExecuBve Director
Gillings Global Gateway™
Professor of the PracBce
Department of Health Behavior and
"Global Health Begins at Home”
North Raleigh Rotary Club

2. OUTLINE
• Who Am I? Why Am I Here?
• Global Health
• Good News! Bad News! Burden of Disease
DefiniDon of terms
• NaDonal, MulDlateral, FoundaDons, UniversiDes
• Follow the Money
Stakeholders, Milestones, Money
• Who We Are, What We Do
Gillings Global Gateway™
• Falsified and Substandard Medicines
Herrington’s Research Interests

3. Chickasaw Indian Heritage
IntroducDon –
Who is Jim Herrington? Why is He Here?
Came of age in the 1960s

4. Academic and Work Experience

5. Global Long-term Assignments

6. Global Health Defined:
“An area of study, research, and pracDce that places a
priority on improving health and achieving equity in
health for all people worldwide…emphasizes
transnaDonal health issues, determinants, and soluDons;
involves many disciplines within and beyond the health
sciences and promotes interdisciplinary collaboraDon;
and is a synthesis of populaDon-based prevenDon with
individual-level clinical care.”
Koplan et al. Lancet, 2009
hcp://www.sciencedirect.com/science/arDcle/pii/S0140673609603329

7. Good News! Global Burden of Disease:
Reported Mortality by Cause
30%
60%
10%
World
14%
77%
9%
Region of the Americas
Source: World Health Report, 2013; Disease Control PrioriDes Project, 2006, IHME, 2012
Communicable, Maternal, Perinatal, and NutriDonal CondiDons
Non-Communicable Diseases
Injuries
Pop. ~ 7 billion Pop. ~ 874 million

8. Global Burden of Disease:
Reported Mortality by Cause
Source: World Health Report, 2013; Disease Control PrioriDes Project, 2006, IHME, 2012
Communicable, Maternal, Perinatal, and NutriDonal CondiDons
Non-Communicable Diseases
Injuries
30%
60%
10%
World
68%
25%
7%
Africa Region
Pop. ~ 7 billion Pop. ~ 738 million

9. Source: World Health Report, 2013; Disease Control PrioriDes Project, 2006; IHME, 2012
Global Burden of Disease, Reported
Mortality by Cause: Communicable Diseases,
Africa Region
38%
19%
9%
23%
8%
1%
2%
0%
HIV/AIDS
Malaria
Tuberculosis
Diarrhoeal diseases
Childhood-cluster
diseases
STDs excluding HIV
Trop diseases,
leprosy, dengue total
IntesDnal nematode
infecDons
Diphtheria
Measles
Pertussis
Polio
Tetanus

10. Source: World Health Report, 2013; Disease Control PrioriDes Project, 2006; IHME, 2012
Global Burden of Disease, Reported
Mortality by Cause: Communicable Diseases excluding HIV/
AIDS, Africa Region
63%
19%
3%
13%
2%
InfecDous and
parasiDc diseases
Respiratory
infecDons
Maternal condiDons
Perinatal CondiDons
NutriDonal
Deficiencies

11. Malaria: PrevenDon and Treatment
¬ 3 Short-term Tools
• Long-lasDng insecDcide treated
bednets reduce all cause mortality
by ~20%; U5 by ~50%
• Residual indoor spraying with DDT
• Artemisinin combinaDon Rx
Photo: Chris Herrington
Photo: © 2005 Luigi Rignanese

12. Source: President’s Malaria IniDaDve, 2012
InsecDcide-Treated Nets Save Lives:
Example from Rwanda

13. Bad News! The 20th Century Take Off in Human
Health, Life Expectancy, 1550-2050
Source: Disease Control PrioriDes Project, 2006, hcp://www.ncbi.nlm.nih.gov/books/bookres.fcgi/dcp2/ch1.pdf

14. Epidemiological, Demographic,
Economic and Social TransiDons

15. Global Burden of Disease, Reported Mortality by Cause,
Non-Communicable Diseases, Africa Region
17%
42%
11%
8%
6%
5% 11%
Malignant
neoplasms
Cardiovascular
diseases
Respiratory diseases
DigesDve diseases
Diabetes mellitus
Neuropsychiatric
condiDons
Other
Source: World Health Report, 2013; Disease Control PrioriDes Project, 2006, IHME, 2012

17. Mal Alimenta+on (“bad food”) associated with economic
development, longevity, sedentary society
Source: hcp://en.wikipedia.org/wiki/BK_Stacker
Photo credit: Michal Stanley
'''BK Stacker'''
Serving size 1 sandwich
311g
Energy 1000 cal
Energy from fat 620 cal
Total fat 68g
Saturated fat 30g
Cholesterol 240mg
Sodium 1800mg
Dietary fiber 1g
Sugars 6g
Protein 62g
Source www.BK.com
Notes US % Daily Value
based on 2000
calorie diet.

18. Mal Comportment (“bad behavior”) associated with
economic development, longevity, mobile society
Source: Tobacco Free IniDaDve, World Health OrganizaDon;
20th Century Fox hcp://www.foxflash.com/ used with permission.

19. Mal Environment (“bad surroundings”) associated with
economic stagnaDon/decline, low female literacy,
agrarian society
Photo: Grameen Shikka

20. Key Stakeholders in Global Health
MulBlateral and
InternaBonal
OrganizaBons
• Global Fund
• UN Agencies, such as:
• WHO
• UNAIDS
• UNFPA
• UNICEF
• GAVI
• Stop TB
• Roll Back Malaria
Countries
• Donor countries, such as those in
the Group of 8
(G-8, including United States of
America, United Kingdom, Japan,
Germany, France) and the Group
of 20 (G-20)
• Partner countries, such as South
Africa, Vietnam, and HaiD
Private Sector
• Businesses, including
pharmaceuDcal companies
• FoundaDons
Academia and Research
OrganizaBons
• UniversiDes
• Research insDtuDons
• Think tanks
Civil Society
• Non-governmental
organizaDons (NGOs)
• Community organizaDons
Individuals
• Affected individuals
• Family members
• Community members

21. WHO DeclaraBon
“Health for All by
2000” 1978
Smallpox eradicated
1980
UN InternaBonal
Drinking Water Supply
and SanitaBon Decade
declared
1980
PoliomyeliBs
eradicaBon begins
1988
UN Millennium
Development Goals
(MDGs) adopted
2000
The Global Fund to
Fight AIDS,
Tuberculosis and
Malaria (Global Fund)
begins
2002
President’s Emergency
Plan for AIDS Relief
(PEPFAR) authorized
2003
President’s Malaria
IniBaBve (PMI) created
2005
USAID Neglected
Tropical Diseases
(NTD) Program created
2007
PEPFAR Reauthorized
2008
Global Health IniBaBve
(GHI) launched
2009
Office of Global Health
Diplomacy (S/GHD)
created
2012
PEPFAR Extended
2013
PMI extended
2014
UN Sustainable
Development Goals
(SDGs) adopted
2015
What’s
Next?
Milestones in Global Health Policy & Programs

22. Quick Facts:
Gillings School of Global Public Health
“Global Health is Local Health”

23. GLOBAL IS LOCAL IS GLOBAL IS
LOCAL…
Average 100,000 commercial flights daily in the world
Average 29,000 commercial flights daily in US Average 29,000 commercial flights daily in US

28. Enhance Gillings School of Global Public Health strategic impact by:
• Fostering high-impact public health partnerships with
governments, the private sector, non-profits and academia
• Turning research into real-world solu+ons that transform lives in
North Carolina and around the world – “implementa+on science”
• Promo+ng the unique strengths of the Gillings School in global
research, teaching, and public service
• Training the next genera+on of global public health leaders
Mission of the Gillings Global GatewayTM

29. Climatalk.inFlickr/creativecommons

30. Long-term Vision of Global Learning
§ School of choice for global
public health career
§ Vibrant student exchanges
and visiDng scholars
programs in place
§ Globalized Curriculum

31. Long-term Vision of Global Learning
Globalized Curriculum that
includes:
• MPH Program Tracks
• Leadership (ResidenDal &
Online)
• Global Online “GO
MPH™” (Online Only)
• OccupaDonal Health
Nursing (ResidenDal &
Online)
• Health Care & PrevenDon
(ResidenDal)
Online Graduate CerBficate Programs
• Core Public Health Concepts
• Public Health Leadership
• Global Health
• OccupaDonal Health Nursing
• Field Epidemiology

32. Global Impact
§ Sustained output of
ideas & innovaDons
with both local and
global impact
§ Research findings
rapidly transformed
into real-world
soluDons
§ Research implemented
at scale
§ Our graduates are
global change-makers

33. Thank You!
hcps://secure.dev.unc.edu/giy/Default.aspx?p=SOPH