1. 100 years of living science Page 1 BSc in Global Health Paolo Vineis Helen Ward Peter Piot

2. © Imperial College LondonPage 2 What is global health? “health problems, issues, and concerns that transcend national boundaries, may be influenced by circumstances or experiences in other countries, and are best addressed by co-operative actions and solutions” * *United States Institute of Medicine

3. © Imperial College LondonPage 3 But - the global health challenge remains There are 6.2 billion people in the world One billion enjoy a long and healthy life How can we help the other five billion people live longer, healthier lives?

4. © Imperial College LondonPage 4 Ten leading causes of death: high income countries

5. © Imperial College LondonPage 5 Ten leading causes of death: low income countries

6. © Imperial College LondonPage 6 Obesity Trends* Among U.S. Adults 1985 Source: Mokdad A H, et al. J Am Med Assoc 1999;282:16, 2001;286:10.

7. © Imperial College LondonPage 7 Obesity Trends* Among U.S. Adults 2001 Source: Mokdad A H, et al. J Am Med Assoc 1999;282:16, 2001;286:10.

8. © Imperial College LondonPage 8 Starting in 2010 (after approval from Senate): full BSc (not specialist Course) Part A Introductory Module (2 weeks): Global health challenges and approaches to investigation Global burden of disease; emerging epidemics; conflict; global mental health; maternal and child health; poverty, inequality and health; migration; climate change; millennium development goals.

9. © Imperial College LondonPage 9 Part B Module 1: Infectious diseases new and old: major threats, transmission, molecular epidemiology, control Content: Global burden of infectious disease, current topics in HIV, TB and malaria; anthropology; STI, migration and health; refugees and migrants. Module 2: The challenges of new epidemics: obesity, diabetes, tobacco and environmental hazards; from discovery of causes to governance. Content: Global burden of non-infectious diseases; nutritional epidemiology and the metabolic syndrome; tobacco-related diseases and tobacco control; the role of environmental exposures in developed and developing countries; climate change and its effects on health; adaptation to climate change; the interplay between genes and the environment.

10. © Imperial College LondonPage 10 Module 3: Global health leadership: institutions, health systems, policies and advocacy Directors: Peter Piot and team from Global Health Institute Content: Health systems world-wide (funding, organization, access); international organizations dealing with global health: roles, structure, achievements and limitations; role of NGOs; examples of success stories in tackling global health issues; examples of failure; analysis of the reasons for success or failure; advocacy in global health; how to achieve leadership in global health.

11. © Imperial College LondonPage 11 Part C Each student will undertake an individual project. The projects will give the students the opportunity to undertake a piece of individual research. Projects will be able to address any question in global or environmental health. Projects may be: Literature-based, for example a systematic review and meta- analysis or an evidence-based policy review Analysis of an existing data set within one of the many research programmes Undertaking the collection of new data, for example a clinical audit, within the context of an existing clinical or research programme

12. © Imperial College LondonPage 12 Potential projects include The impact of climate change on heat-wave related mortality in Europe Obstacles to HIV testing in migrants in the UK Ethnicity, nationality and country of birth: what routine demographic data should be collected to understand population health? Availability of diagnostic tests through the internet and implications for regulation Post-traumatic stress in asylum seekers London 2012 – will it lead to an increase in sexually transmitted infections? A systematic review of the increased risk of HIV infection associated with sex work …

13. © Imperial College LondonPage 13 “When it comes to global health, there is no ‘them’... only ‘us’” Global Health Council