Epic Measures audiobook cover - One Doctor. Seven Billion Patients.

Epic Measures

One Doctor. Seven Billion Patients.

Jeremy N. Smith

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Key Takeaways from Epic Measures

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Epic Measures
Flawed Legacy Health Data (1980s)+
Christopher Murray's Foundation+
The DALY & Global Burden of Disease+
Institute for Health Metrics and Evaluation (IHME)+
Core Takeaways+

Quiz — Test Your Understanding

Question 1 of 8
What crucial lesson about disease analysis did Christopher Murray learn during his childhood sabbatical at a hospital in Niger?
  • A. Malaria outbreaks could be inadvertently worsened by hospital-distributed vitamin supplements containing iron.
  • B. The lack of running water and electricity was the primary cause of hospital-acquired infections.
  • C. Mobile clinics were largely ineffective in the Sahara desert without proper government funding.
  • D. Most patients in rural villages suffered from malnutrition rather than infectious diseases.
Question 2 of 8
Why did Murray consider the infant-mortality rate and life expectancy to be misleading indicators of a country's overall health in the 1980s?
  • A. They failed to account for the impact of non-fatal illnesses and the overall quality of a person's life.
  • B. They were based exclusively on hospital records, ignoring people who died in rural areas.
  • C. They heavily favored developed nations that had access to advanced pediatric care.
  • D. They only tracked communicable diseases and ignored injuries caused by accidents or war.
Question 3 of 8
In the 1980s, how did the organizational structure of the World Health Organization (WHO) negatively impact global health data?
  • A. Departments were organized by specific diseases, leading teams to overestimate statistics to secure more funding.
  • B. Staff members were frequently rotated between departments, preventing long-term data collection.
  • C. The organization relied solely on a 30-year-old formula instead of gathering new field data.
  • D. Departments refused to share data with the UN, resulting in two entirely separate global health databases.
Question 4 of 8
What did Christopher Murray mean by the '10/90-gap' in his early published research?
  • A. 90 percent of the world's health problems received only 10 percent of the research funds.
  • B. 10 percent of the world's population consumed 90 percent of global healthcare resources.
  • C. Only 10 percent of data collected by the UN was verified, leaving 90 percent highly inaccurate.
  • D. 90 percent of infant deaths could be prevented by just 10 percent of the World Bank's budget.
Question 5 of 8
What two factors are combined to calculate a 'disability-adjusted life year' (DALY) in Murray’s health measurement system?
  • A. The number of years lost to early death and the detrimental impact of non-fatal illnesses on quality of life.
  • B. The financial cost of medical treatments and the average life expectancy of a specific country.
  • C. The infant mortality rate and the prevalence of non-communicable diseases in adults.
  • D. The total government spending on healthcare and the number of hospital beds per capita.
Question 6 of 8
Why did the initial results of the Global Burden of Disease study generate backlash from the World Health Organization (WHO)?
  • A. The data revealed that 90 percent of WHO staff were working on issues that accounted for less than half of global health loss.
  • B. The study argued that WHO should be completely defunded and replaced by a new independent organization.
  • C. WHO felt that Murray had stolen their proprietary data to publish the study under his own name.
  • D. The results suggested that communicable diseases were no longer a threat, contradicting WHO's primary mission.
Question 7 of 8
What led Christopher Murray to leave the World Health Organization and eventually found the Institute for Health Metrics and Evaluation (IHME)?
  • A. He was demoted to an advisory role after publishing a report that unfavorably ranked the health systems of powerful member nations.
  • B. He realized that academic institutions could collect global health data much faster than bureaucratic organizations.
  • C. He was offered a lucrative contract by the World Bank to exclusively manage their tuberculosis projects in China.
  • D. He disagreed with WHO's new policy to focus exclusively on non-communicable diseases like diabetes.
Question 8 of 8
How did Murray's research evolve in 2012 to further improve global health interventions?
  • A. He began focusing on the root causes of diseases, such as household air pollution, to help governments implement preventative policies.
  • B. He shifted his focus entirely to the United States, aiming to improve its global healthcare ranking.
  • C. He stopped publishing written reports and only released data directly to major pharmaceutical companies.
  • D. He started analyzing the genetic predispositions of different populations to predict future pandemics.

Epic Measures — Full Chapter Overview

Epic Measures Summary & Overview

Epic Measures (2015) tells the incredible story of how one man, Christopher Murray, came to build the most comprehensive medical study ever assembled. Find out what motivated Murray and his dedicated team of collaborators to build a worldwide map of every disease and illness known to man – and discover how his remarkable work has revolutionized the face of world health.  

Who Should Listen to Epic Measures?

  • Medical students
  • Readers working in the health sector
  • Humanitarians

About the Author: Jeremy N. Smith

Jeremy N. Smith is a freelance writer and journalist. His work has appeared in the Atlantic, Discover and the New York Times. He is also the author of the book Growing a Garden City, which provides insight into how communities can be built through local gardens and farms.

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