I think the world's top altruist is the person who desires the image of success the most.
Who cares? You just spent half this thread claiming that success is subjective. Bill Gates and James Harrison are going by their own ideas of altruistic success, not yours.
(For what it's worth, I personally do consider James Harrison successful at helping people. It explicitly was his goal, he made a pledge and everything.)
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There's a couple of things going on there. One is that Somalia is in fact a very malnourished country. Another is that the GDP figures DanielLC cites are nominal, not based on purchasing power parity, and therefore can be skewed by exchange rates. The currencies of poor third-world nations tend to be very weak, so going by nominal GDP will end up making them look even poorer than they actually are.
PPP estimates for Somalia seem uncommon for some reason, but the CIA estimated a per-capita annual value of around $600 USD in 2010.
Thanks for the information. My point is that money is a poor predictor of happiness and success.