I watched the presentation video here:
http://www.gatesfoundation.org/livingproofproject/Pages/impatient-optimists-speech.aspx
> Gates said the generosity of the United States “has helped improve health and save lives and bring down population growth, so that money can be spent on all the other things that need investment – economic growth, jobs, and so on.”
– http://www.politico.com/news/stories/1009/28794.html
Here is an embedded link:
The rest of this post is my notes while watching the video:

Child Deaths: Bill Gates said this chart is the most beautiful picture he has ever seen. A chart shows that the number of children dying went down from 20 million children in 1960 to under 9 million in 2008. This is less deaths, despite the 25% increase in number of births. One of the great accomplishments of the last 100 years. Bill claims two reasons: one is increase in standard of living and food / sanitation, the other is smart spending on global health.
2010 Federal Budget is $3.6 trillion, ~1% is foreign aid, and ~0.22% is for global health at $8 billion. The Gate’s foundation puts in $1.8 billion per year, over half the foundation’s spending.
Small Pox: by 1977, small pox was eradicated: $130 million for US over 10 year period saved $17 billion (and also “untold human misery”).
Polio: has been eliminated in the US, and reduced by 99%, but still not completed eradicated. It is still endemic in 4 countries: Nigeria, India (specifically Uttar Pradesh and Bihar), Pakistan, and Afghanistan.
Rotavirus: kills 500,000 per year. In 1998 a rotavirus vaccine (RotaShield, by Wyeth) was licensed for use in the United States, but the manufacturer of the vaccine, however, withdrew it from the market in 1999, after it was discovered that the vaccine may have contributed to an increased risk for intussusception, or bowel obstruction, in one of every 12,000 vaccinated infants. In 2006, two vaccines against Rotavirus A infection were shown to be safe and effective in children: Rotarix by GlaxoSmithKline and RotaTeq by Merck. Paul Offit is credited as an inventor of RotaTeq.
They also mentioned how you have to invent, then manufacture, then transport (which requires refrigeration over plane, truck, then at the hospital / facility), then deliver to patients.
Many big diseases have gone down:

Cost of drugs: has gone down, which is a strong example of how economic development and increased standard of living can reduce cost of drugs, which is how they become available:

HIV/AIDS: since it has no vaccine yet, we need to focus on available treatment, and especially on prevention. One thing that surprised me is the comment / claim that (male circumcision can reduce AIDS during sex with a partner by 60%) (this surprised me because in the developing world, we don’t have this issue, and circumcision is controversial and sometimes even compared to female genital mutilation). And there are treatments such as retrovirus. And alleged progress towards a vaccine.
Malaria: worldwide in 1900, eradicated from US / Canada and Europe in 1970, today in 2009 there is a plan to continue this progress:
![2009_10_28_malaria2[4] 2009_10_28_malaria2[4]](http://www.mepem.com/pemtech_files/0_unsorted/df3f8f48fd28_101DC/2009_10_28_malaria24_thumb.png)
Here’s a summary:
The US is the biggest contributor, but Europe is also big.
At 40 min, addressing some arguments about global health aid:
Corruption? accountability, auditing, measuring
Does aid discourage developing countries from developing? Some countries like Brazil and Thailand used to be receivers of aid but are now givers of aid. Tanzania doubled its health budget since 1990.
Improving health causes overpopulation, and thus actually makes global problems worse? This one Bill and Melinda worried about a lot, which is why they started with a focus on family planning health issues. But they referenced a TED talk from Hans Rosling:
| Good Health Small Families |
Good Health Large Families |
| Poor Health Small Families |
Poor Health Large Families |
Formerly poor countries like India in 1960 used to have Poor Health Large Families, and the worry was that giving them aid would just encourage them have larger families, and increase their need for aid. But according to the data, between 1960 and 2007, the countries actually went up-left rather than just straight up. Allegedly, because women choose to have smaller families, when they are to choose, and there’s a higher chance of their children surviving into adult years.
This is important, since small families means more resources (time, effort, money, education, health, freedom, etc) to focus on fewer children. When people have smaller families: it’s easier to feed the kids, to protect their health, to have better nutrition, to send them to school and college or graduate college, to earn more income, to lead more productive lives, to lead less stressful lives, to keep the family life healthier and happier and less stressful and more civil, to better focus and enable the family (both children and parents) to continue to develop grow… And the economy and standard of living in the country improves and life by every single measure gets better.
One unstated philosophy ethics premise I really liked in this presentation, is how they talked about deaths per year. Not deaths per year per population. This is important, and it’s definitely the right way to present it. If the population triples, and the deaths triples, then the deaths still tripled.
Infant mortality and death of mother during childbirth: One are they said there has not been much progress until very recently. 4 million babies still die within the first 30 days, and 0.5 million mothers that die in childbirth – which of course can affect the entire family.
Pem (Admin) :: 2009/10/28 (Wednesday, October 28, 2009) ::
Philosophy / Opinions ::
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