A tale of two cities:
London’s Health Inequalities




       BMA & London Deanery seminar series
          „Metropolitan Medicine 2012‟
                     2 July 2012
              Dr. Benjamin D. Hennig
                University of Sheffield
“London is a special city,
                    London is incredibly diverse
                      and London has its own
                     unique health problems.”
                                         (BMA seminar programme)




2 July 2012 – A tale of two cities: London‟s Health Inequalities – Benjamin D. Hennig, University of Sheffield – www.viewsoftheworld.net
A tale of two cities:
                   London’s Health Inequalities

Changing perspectives

I.              Britain‟s place in the world
II.             Health and place
III.            Outlook: The fragmentation of society




2 July 2012 – A tale of two cities: London‟s Health Inequalities – Benjamin D. Hennig, University of Sheffield – www.viewsoftheworld.net
Britain’s place in the world
                                                               Part I




2 July 2012 – A tale of two cities: London‟s Health Inequalities – Benjamin D. Hennig, University of Sheffield – www.viewsoftheworld.net
Global Inequalities in Health




2 July 2012 – A tale of two cities: London‟s Health Inequalities – Benjamin D. Hennig, University of Sheffield – www.viewsoftheworld.net
The Human Shape of the UK




2 July 2012 – A tale of two cities: London‟s Health Inequalities – Benjamin D. Hennig, University of Sheffield – www.viewsoftheworld.net
The Constituencies that never were




                                                                                                                        Data source: European
                                                                                                                    Constituencies obtained from the
                                                                                                                     House of Commons Research
                                                                                                                             Paper 98/102

2 July 2012 – A tale of two cities: London‟s Health Inequalities – Benjamin D. Hennig, University of Sheffield – www.viewsoftheworld.net
Health and place
                                                               Part II




2 July 2012 – A tale of two cities: London‟s Health Inequalities – Benjamin D. Hennig, University of Sheffield – www.viewsoftheworld.net
All-cause mortality ratios

Notes for all following
mortality-ratio maps:
Age-sex standardized
mortality rate showing
deviation from England
and Wales national
average of 1.0
Data source: Mortality records and
population estimates calculated for “The
Population of the UK”, forthcoming book
published by Policy Press




2 July 2012 – A tale of two cities: London‟s Health Inequalities – Benjamin D. Hennig, University of Sheffield – www.viewsoftheworld.net
Heart attack




2 July 2012 – A tale of two cities: London‟s Health Inequalities – Benjamin D. Hennig, University of Sheffield – www.viewsoftheworld.net
Cerebrovascular disease




2 July 2012 – A tale of two cities: London‟s Health Inequalities – Benjamin D. Hennig, University of Sheffield – www.viewsoftheworld.net
HIV disease infections




2 July 2012 – A tale of two cities: London‟s Health Inequalities – Benjamin D. Hennig, University of Sheffield – www.viewsoftheworld.net
Tuberculosis




2 July 2012 – A tale of two cities: London‟s Health Inequalities – Benjamin D. Hennig, University of Sheffield – www.viewsoftheworld.net
Lung cancer




2 July 2012 – A tale of two cities: London‟s Health Inequalities – Benjamin D. Hennig, University of Sheffield – www.viewsoftheworld.net
Cervical cancer




2 July 2012 – A tale of two cities: London‟s Health Inequalities – Benjamin D. Hennig, University of Sheffield – www.viewsoftheworld.net
Skin cancer




2 July 2012 – A tale of two cities: London‟s Health Inequalities – Benjamin D. Hennig, University of Sheffield – www.viewsoftheworld.net
Mortality by hanging




2 July 2012 – A tale of two cities: London‟s Health Inequalities – Benjamin D. Hennig, University of Sheffield – www.viewsoftheworld.net
Proportion of the population
 dying by the age of 60




Data source: Data source: A component of
the UNDP Human Poverty Index, see
Appendix in Seymour , J. (for UNED-UK)
(2001) Poverty in Plenty: A Human
Development Report for the UK. Northern
Ireland data from Denny et al (1999) Literacy
and Education in Ireland, The Economic and
Social Review, 30 (3): 215-226.




2 July 2012 – A tale of two cities: London‟s Health Inequalities – Benjamin D. Hennig, University of Sheffield – www.viewsoftheworld.net
Rates of death and people living on
    below half average incomes
            Data source: Seymour, J. (for UNED-UK) (2001) Poverty in Plenty: A Human Development Report for the UK
            London: Earthscan Publications Ltd. (data included in the appendix)

                  Each point is a 1999 European parliamentary constituency in Britain




2 July 2012 – A tale of two cities: London‟s Health Inequalities – Benjamin D. Hennig, University of Sheffield – www.viewsoftheworld.net
Outlook
             The Fragmentation of Society
                                                              Part III




2 July 2012 – A tale of two cities: London‟s Health Inequalities – Benjamin D. Hennig, University of Sheffield – www.viewsoftheworld.net
Conclusion
• It is helpful to look at the population of the UK with a
  map based on that that population
• Chances of life – and death – can be shown on
  such a map
• Such chances alter over time, across space and
  are often influenced by social class
• Everybody dies, but some die too early, and there
  are a wide variety of rare causes of death
• There are distinct geographical patterns to be seen
  in premature mortality by cause of death
• It is far easier to live a long and healthy life if you are
  free, especially free of others‟ orders
Conclusion
• London is unique in its degree of health inequalities
  at largest scale in the United Kingdom
• London‟s position has to be seen within its place in
  the United Kingdom
• Its fragmented patterns reflect the degree of
  unequal chances in life in the country that reach
  from birth to the when and how people are dying
• Tackling health inequalities is as much about
  tackling access to healthcare as it is about
  increasing life chances in other areas of life to
  enable people to make their own choices
A Fragmented City




2 July 2012 – A tale of two cities: London‟s Health Inequalities – Benjamin D. Hennig, University of Sheffield – www.viewsoftheworld.net
Thanks for your attention!




  b.hennig@worldmapper.org| http://www.viewsoftheworld.net/
         This research is funded by the Trust for London

More Related Content

PPTX
Social determinants labour plp
PPTX
Gestió o exclusió
PPT
Master of the Game by Sidney Sheldon
PPTX
Londonmapper
PPTX
sheldoooooooon 2334_za_motg
PPTX
Book Review : Who moved my cheese.pptx
PPT
Tale Of Two Cities
PPT
New Geographies of China
Social determinants labour plp
Gestió o exclusió
Master of the Game by Sidney Sheldon
Londonmapper
sheldoooooooon 2334_za_motg
Book Review : Who moved my cheese.pptx
Tale Of Two Cities
New Geographies of China

Similar to A Tale of Two Cities: London’s Health Inequalities (8)

PPTX
The best job in the world: practicing public health, past present and future
PPTX
The state of health in Europe: and what are the major threats for the future?...
PPTX
The state of health in Europe: and what are the major threats for the future?
PDF
Asthma and COPD Basic Mechanisms and Clinical Management 1st Edition Peter J....
PPTX
The best job in the world: practicing public health, past, present, future
PPTX
181205 music and public health
PPT
Detlev Ganten Skolkovo biomedical technologies opportunities and challenges
PPTX
The best job in the world: a life in public health, past, present and future
The best job in the world: practicing public health, past present and future
The state of health in Europe: and what are the major threats for the future?...
The state of health in Europe: and what are the major threats for the future?
Asthma and COPD Basic Mechanisms and Clinical Management 1st Edition Peter J....
The best job in the world: practicing public health, past, present, future
181205 music and public health
Detlev Ganten Skolkovo biomedical technologies opportunities and challenges
The best job in the world: a life in public health, past, present and future
Ad

More from Benjamin Hennig (20)

PPTX
Worldmapper: The Relaunch
PPTX
Inequalities in Higher Education / Ungleichheiten in der Hochschulbildung
PPTX
Geographic perspectives: The role of spatial thinking and geovisualisation in...
PPTX
Beyond fire and ice: Mapping Iceland in the 21st Century
PPTX
A new Social Atlas of Europe
PPTX
The Power of Maps: A Cartographic Journey along the World's Borders
PPTX
“Calling Abidjan” - estimating population distribution through analysis of mo...
PPTX
Unequal Worlds - 100% Equality?
PPTX
Hyperspectral remote sensing and analysis of intertidal zones: A contribution...
PPTX
Inequality and Sustainability
PPTX
The Social Atlas of Europe
PPT
Visualization of Satellite Data Availability : TerraSAR-X and TanDEM-X Runni...
PPT
Mapping Perspectives of Changing China
PPTX
Data driven storytelling: The impact of visualisation on teaching and research
PPT
Where the wild spaces are: Visualising wilderness
PPT
Into the big wide open: Think (twice) before you map!
PPT
One Planet, Many Worlds: Visualising the social and physical environment of h...
PPTX
Changing views of a changing planet
PPT
Megacity London - ever growing, ever more unequal?
PPT
From geovisualisation to neocartography: Maps in a digital world
Worldmapper: The Relaunch
Inequalities in Higher Education / Ungleichheiten in der Hochschulbildung
Geographic perspectives: The role of spatial thinking and geovisualisation in...
Beyond fire and ice: Mapping Iceland in the 21st Century
A new Social Atlas of Europe
The Power of Maps: A Cartographic Journey along the World's Borders
“Calling Abidjan” - estimating population distribution through analysis of mo...
Unequal Worlds - 100% Equality?
Hyperspectral remote sensing and analysis of intertidal zones: A contribution...
Inequality and Sustainability
The Social Atlas of Europe
Visualization of Satellite Data Availability : TerraSAR-X and TanDEM-X Runni...
Mapping Perspectives of Changing China
Data driven storytelling: The impact of visualisation on teaching and research
Where the wild spaces are: Visualising wilderness
Into the big wide open: Think (twice) before you map!
One Planet, Many Worlds: Visualising the social and physical environment of h...
Changing views of a changing planet
Megacity London - ever growing, ever more unequal?
From geovisualisation to neocartography: Maps in a digital world
Ad

Recently uploaded (20)

PPTX
growth and developement.pptxweeeeerrgttyyy
PPT
hsl powerpoint resource goyloveh feb 07.ppt
PPTX
Theoretical for class.pptxgshdhddhdhdhgd
PPSX
namma_kalvi_12th_botany_chapter_9_ppt.ppsx
PPTX
MMW-CHAPTER-1-final.pptx major Elementary Education
PPTX
Power Point PR B.Inggris 12 Ed. 2019.pptx
PPTX
principlesofmanagementsem1slides-131211060335-phpapp01 (1).ppt
DOCX
THEORY AND PRACTICE ASSIGNMENT SEMESTER MAY 2025.docx
PDF
African Communication Research: A review
PDF
FAMILY PLANNING (preventative and social medicine pdf)
PPTX
Neurological complocations of systemic disease
PPTX
Neurology of Systemic disease all systems
PPTX
2025 High Blood Pressure Guideline Slide Set.pptx
DOCX
EDUCATIONAL ASSESSMENT ASSIGNMENT SEMESTER MAY 2025.docx
PDF
Physical pharmaceutics two in b pharmacy
PDF
Horaris_Grups_25-26_Definitiu_15_07_25.pdf
PPTX
ENGlishGrade8_Quarter2_WEEK1_LESSON1.pptx
PDF
LATAM’s Top EdTech Innovators Transforming Learning in 2025.pdf
PDF
GSA-Past-Papers-2010-2024-2.pdf CSS examination
PDF
Review of Related Literature & Studies.pdf
growth and developement.pptxweeeeerrgttyyy
hsl powerpoint resource goyloveh feb 07.ppt
Theoretical for class.pptxgshdhddhdhdhgd
namma_kalvi_12th_botany_chapter_9_ppt.ppsx
MMW-CHAPTER-1-final.pptx major Elementary Education
Power Point PR B.Inggris 12 Ed. 2019.pptx
principlesofmanagementsem1slides-131211060335-phpapp01 (1).ppt
THEORY AND PRACTICE ASSIGNMENT SEMESTER MAY 2025.docx
African Communication Research: A review
FAMILY PLANNING (preventative and social medicine pdf)
Neurological complocations of systemic disease
Neurology of Systemic disease all systems
2025 High Blood Pressure Guideline Slide Set.pptx
EDUCATIONAL ASSESSMENT ASSIGNMENT SEMESTER MAY 2025.docx
Physical pharmaceutics two in b pharmacy
Horaris_Grups_25-26_Definitiu_15_07_25.pdf
ENGlishGrade8_Quarter2_WEEK1_LESSON1.pptx
LATAM’s Top EdTech Innovators Transforming Learning in 2025.pdf
GSA-Past-Papers-2010-2024-2.pdf CSS examination
Review of Related Literature & Studies.pdf

A Tale of Two Cities: London’s Health Inequalities

  • 1. A tale of two cities: London’s Health Inequalities BMA & London Deanery seminar series „Metropolitan Medicine 2012‟ 2 July 2012 Dr. Benjamin D. Hennig University of Sheffield
  • 2. “London is a special city, London is incredibly diverse and London has its own unique health problems.” (BMA seminar programme) 2 July 2012 – A tale of two cities: London‟s Health Inequalities – Benjamin D. Hennig, University of Sheffield – www.viewsoftheworld.net
  • 3. A tale of two cities: London’s Health Inequalities Changing perspectives I. Britain‟s place in the world II. Health and place III. Outlook: The fragmentation of society 2 July 2012 – A tale of two cities: London‟s Health Inequalities – Benjamin D. Hennig, University of Sheffield – www.viewsoftheworld.net
  • 4. Britain’s place in the world Part I 2 July 2012 – A tale of two cities: London‟s Health Inequalities – Benjamin D. Hennig, University of Sheffield – www.viewsoftheworld.net
  • 5. Global Inequalities in Health 2 July 2012 – A tale of two cities: London‟s Health Inequalities – Benjamin D. Hennig, University of Sheffield – www.viewsoftheworld.net
  • 6. The Human Shape of the UK 2 July 2012 – A tale of two cities: London‟s Health Inequalities – Benjamin D. Hennig, University of Sheffield – www.viewsoftheworld.net
  • 7. The Constituencies that never were Data source: European Constituencies obtained from the House of Commons Research Paper 98/102 2 July 2012 – A tale of two cities: London‟s Health Inequalities – Benjamin D. Hennig, University of Sheffield – www.viewsoftheworld.net
  • 8. Health and place Part II 2 July 2012 – A tale of two cities: London‟s Health Inequalities – Benjamin D. Hennig, University of Sheffield – www.viewsoftheworld.net
  • 9. All-cause mortality ratios Notes for all following mortality-ratio maps: Age-sex standardized mortality rate showing deviation from England and Wales national average of 1.0 Data source: Mortality records and population estimates calculated for “The Population of the UK”, forthcoming book published by Policy Press 2 July 2012 – A tale of two cities: London‟s Health Inequalities – Benjamin D. Hennig, University of Sheffield – www.viewsoftheworld.net
  • 10. Heart attack 2 July 2012 – A tale of two cities: London‟s Health Inequalities – Benjamin D. Hennig, University of Sheffield – www.viewsoftheworld.net
  • 11. Cerebrovascular disease 2 July 2012 – A tale of two cities: London‟s Health Inequalities – Benjamin D. Hennig, University of Sheffield – www.viewsoftheworld.net
  • 12. HIV disease infections 2 July 2012 – A tale of two cities: London‟s Health Inequalities – Benjamin D. Hennig, University of Sheffield – www.viewsoftheworld.net
  • 13. Tuberculosis 2 July 2012 – A tale of two cities: London‟s Health Inequalities – Benjamin D. Hennig, University of Sheffield – www.viewsoftheworld.net
  • 14. Lung cancer 2 July 2012 – A tale of two cities: London‟s Health Inequalities – Benjamin D. Hennig, University of Sheffield – www.viewsoftheworld.net
  • 15. Cervical cancer 2 July 2012 – A tale of two cities: London‟s Health Inequalities – Benjamin D. Hennig, University of Sheffield – www.viewsoftheworld.net
  • 16. Skin cancer 2 July 2012 – A tale of two cities: London‟s Health Inequalities – Benjamin D. Hennig, University of Sheffield – www.viewsoftheworld.net
  • 17. Mortality by hanging 2 July 2012 – A tale of two cities: London‟s Health Inequalities – Benjamin D. Hennig, University of Sheffield – www.viewsoftheworld.net
  • 18. Proportion of the population dying by the age of 60 Data source: Data source: A component of the UNDP Human Poverty Index, see Appendix in Seymour , J. (for UNED-UK) (2001) Poverty in Plenty: A Human Development Report for the UK. Northern Ireland data from Denny et al (1999) Literacy and Education in Ireland, The Economic and Social Review, 30 (3): 215-226. 2 July 2012 – A tale of two cities: London‟s Health Inequalities – Benjamin D. Hennig, University of Sheffield – www.viewsoftheworld.net
  • 19. Rates of death and people living on below half average incomes Data source: Seymour, J. (for UNED-UK) (2001) Poverty in Plenty: A Human Development Report for the UK London: Earthscan Publications Ltd. (data included in the appendix) Each point is a 1999 European parliamentary constituency in Britain 2 July 2012 – A tale of two cities: London‟s Health Inequalities – Benjamin D. Hennig, University of Sheffield – www.viewsoftheworld.net
  • 20. Outlook The Fragmentation of Society Part III 2 July 2012 – A tale of two cities: London‟s Health Inequalities – Benjamin D. Hennig, University of Sheffield – www.viewsoftheworld.net
  • 21. Conclusion • It is helpful to look at the population of the UK with a map based on that that population • Chances of life – and death – can be shown on such a map • Such chances alter over time, across space and are often influenced by social class • Everybody dies, but some die too early, and there are a wide variety of rare causes of death • There are distinct geographical patterns to be seen in premature mortality by cause of death • It is far easier to live a long and healthy life if you are free, especially free of others‟ orders
  • 22. Conclusion • London is unique in its degree of health inequalities at largest scale in the United Kingdom • London‟s position has to be seen within its place in the United Kingdom • Its fragmented patterns reflect the degree of unequal chances in life in the country that reach from birth to the when and how people are dying • Tackling health inequalities is as much about tackling access to healthcare as it is about increasing life chances in other areas of life to enable people to make their own choices
  • 23. A Fragmented City 2 July 2012 – A tale of two cities: London‟s Health Inequalities – Benjamin D. Hennig, University of Sheffield – www.viewsoftheworld.net
  • 24. Thanks for your attention! [email protected]| http://www.viewsoftheworld.net/ This research is funded by the Trust for London