Large parts of the world have not enjoyed the remarkable global progress in health conditions that have taken place over the past century. Indeed, millions of deaths in impoverished nations are avoidable with prevention and treatment options that the rich world already uses. This year, 10 million children will die in low- and middle-income countries. If child death rates were the same as those in developed countries, this figure would be lower than one million. Conversely, if child death rates were those of rich countries just 100 years ago, the figure would be 30 million.