Christopher J. L. Murray

Last updated
Christopher Murray
Christopher Murray.jpg
Known for public health
Relatives Megan B. Murray (sister)
Awards John Dirks Canada Gairdner Global Health Award (2018)
Rhodes Scholarship
Scientific career
Institutions IHME
University of Washington
Harvard T.H. Chan School of Public Health
World Health Organization
Website www.healthdata.org/about/christopher-jl-murray

Christopher Murray is an American physician, health economist, and global health researcher. He is a professor at the University of Washington in Seattle, where he is Chair of Health Metrics Science and the director of the Institute for Health Metrics and Evaluation (IHME). [1]

Contents

Beginning in 1990, he has worked on ways to measure the burden of disease and disability around the globe. He has led several projects to gather that data, disease-by-disease, country by country. The aim of these efforts, which involves the work of hundreds of researchers, is to provide data for policy makers around the world to allocate healthcare resources.

Early life

Murray was born to a New Zealand-born scientist father and grew up in Minnesota with three siblings, including Megan B. Murray. [2] As his father was an internist and mother was a microbiologist, the family moved to Niger for various charitable medical missions. [3]

Career

Murray previously served as Director of the Harvard Initiative for Global Health and as Executive Director of the Evidence and Information for Policy Cluster at the World Health Organization. He graduated from Harvard University in 1984 and was a Rhodes Scholar, attending Oxford University, where he earned a DPhil in International Health Economics. [4] In 1988, he returned to Harvard, where he specialized in internal medicine and earned a Medical Doctorate. Since, he has worked on measurement of health and health outcomes. He was a part of the Disease Control Priorities Project. In 2005–2007, Murray was director of the Harvard Center for Population and Development Studies.[ citation needed ]

In 2007, Murray moved from Harvard to the University of Washington to head the Institute for Health Metrics and Evaluation with the help of former Mexican Secretary of Health, Julio Frenk, who serves as Chair of the Board of Directors. [5] At the institute, Murray's work has included studying adult and child mortality, costs of various health interventions, and continuing work with colleagues at Harvard, the WHO and elsewhere on projects that conduct research and mine data to improve public health.[ citation needed ]

The Institute for Health Metrics and Evaluation COVID model was called the Chris Murray model in White House press briefings. [6]

In 2020, Murray was appointed by the Council on Foreign Relations to serve on its Independent Task Force on Improving Pandemic Preparedness, co-chaired by Sylvia Mathews Burwell and Frances Fragos Townsend. [7]

Research

While at Harvard, Murray, along with medical demographer Alan Lopez, developed the disability adjusted life years (DALY) approach to measuring the global burden of disease. Using this approach, it is possible to calculate standardized estimates for the years of healthy life lost due to disease, injury and risk factors over time. It is also possible to compare the effects of different diseases on a population. [8] The research is intended to be used by policy makers to weigh healthcare decisions and allocate resources. [9]

The idea behind the work was to remove politics and other pressures from the research questions. This led to some tension when the team moved to the World Health Organization. When countries and organizations were found to have poorer-than-expected health outcomes, they complained to the W.H.O. At one point, an independent committee was formed to review some of the results. [10]

His work attracted the attention of Bill Gates, who decided to use the concept of DALYs to help determine priorities and evaluate potential projects in global health. [11] In 2007, the Bill & Melinda Gates Foundation, along with the state of Washington, established IHME and selected Murray as its leader. As head of IHME, Murray greatly expanded on his earlier research, leading an effort by 486 researchers from 302 institutions in 50 countries to produce Global Burden of Disease reports in 2010 and 2013. [12]

The later reports were significantly larger than the first. In 1990, for example, researchers catalogued 107 diseases and injuries. [13] The 2013 report involved creating and then analyzing a database of over 800 million deaths, and produced estimates for death and disability from 240 health conditions. [14] [15]

Some of the findings from his studies have been controversial. In 2010, The Lancet published one such study on global maternal death rates, showing, to the surprise of some in the field, that maternal mortality had dropped significantly over the prior three decades. Fearing the results might undermine their ongoing efforts, some advocacy groups tried to delay publication of the material, The Lancet editor said at the time. [16]

In 2008, The Lancet published findings from Murray and IHME's work evaluating the work of Gavi, the vaccine alliance, which showed many countries had been inflating the number of children being immunized for diphtheria, pertussis, and tetanus. [17] The study found that progress in childhood immunizations is far lower than prior official reports. The countries were receiving funding for the vaccinations, raising the concern that Gavi may have paid out much more than it should have based on the number of children immunized. After the report was published Gavi suspended payments and commenced a review. [18]

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References

  1. ↑ "Christopher J.L. Murray".
  2. ↑ Lowry, Elizabeth. "UW's Chris Murray pushes strong medicine for global health". magazine.washington.edu. Retrieved June 17, 2020.
  3. ↑ "TB superstrains". hsph.harvard.edu. Fall 2008. Retrieved June 18, 2020.
  4. ↑ Inker, Rachel (1984). "Harvard Leads National Rhodes Tally with Nine Scholars Bound for Oxford". Harvard Crimson.
  5. ↑ Paulson, Tom (June 4, 2007). "$105 million Gates' gift helps start global health center". Seattle PI. Retrieved 13 November 2014.
  6. ↑ Mark Furman (April 7, 2020). "'You are actively slowing down the spread': Model predicts Oregon cases peak April 21". KVAL-TV.
  7. ↑ Independent Task Force Report No. 78 – Improving Pandemic Preparedness: Lessons From COVID-19 Council on Foreign Relations, October 2020.
  8. ↑ Smith, Jeremy (11 December 2013). "Life, not death, is focus of new health metrics". Discover magazine. Retrieved 13 November 2014.
  9. ↑ Das, Pamela (15 December 2012). "The story of GBD 2010: a "super-human" effort". The Lancet. 380 (9859): 2067–2070. doi:10.1016/S0140-6736(12)62174-6. PMID   23259158. S2CID   45801452 . Retrieved 13 November 2014.
  10. ↑ Smith, Jeremy (11 December 2013). "Life, not death, is focus of new health metrics". Discover magazine. Retrieved 13 November 2014.
  11. ↑ Smith, Jeremy (11 December 2013). "Life, not death, is focus of new health metrics". Discover magazine. Retrieved 13 November 2014.
  12. ↑ Smith, Jeremy (11 December 2013). "Life, not death, is focus of new health metrics". Discover magazine. Retrieved 13 November 2014.
  13. ↑ Horton, Richard (15 December 2012). "GBD 2010: Understanding disease, injury, and risk". The Lancet. 380 (9859): 2053–2054. doi:10.1016/S0140-6736(12)62133-3. PMID   23245595. S2CID   32201579 . Retrieved 18 December 2014.
  14. ↑ "Institute for Health Metrics and Evaluation". Institute for Health Metrics and Evaluation. Retrieved 27 March 2015.
  15. ↑ Murray, Christopher JL; Lopez, Alan D (10 January 2015). "Global, regional, and national age–sex specific all-cause and cause-specific mortality for 240 causes of death, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013". The Lancet. 385 (9963): 117–171. doi:10.1016/s0140-6736(14)61682-2. hdl:11655/15525. PMC   4340604 . PMID   25530442.
  16. ↑ Grady, Denise (April 13, 2010). "Maternal Deaths Decline Sharply Across the Globe". New York Times. Retrieved 13 November 2014.
  17. ↑ Lim, Stephen; Murray, Christopher J.L. (13 December 2008). "Tracking progress towards universal childhood immunisation and the impact of global initiatives: a systematic analysis of three-dose diphtheria, tetanus, and pertussis immunisation coverage". The Lancet. 372 (9655): 2031–2046. doi:10.1016/S0140-6736(08)61869-3. PMID   19070738. S2CID   19753477.
  18. ↑ Brown, David (12 December 2008). "Number of Children Immunized Has Been Inflated for Years". The Washington Post. Retrieved 13 November 2014.
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