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Other Assets Impairments, Restructuring and Other Items - Additional Information (Detail)
$ in Millions
 12 Months Ended
Dec. 31, 2018
USD ($)
Positions
Dec. 31, 2017
USD ($)
Dec. 31, 2016
USD ($)
Restructuring and Impairment Costs [Line Items]      
Impairments of property, plant and equipment $ 500 $ 544 $ 157
Business combination contingent consideration arrangements change in amount of contingent consideration liability 57 154 83
Restructuring costs $ 488 $ 535 $ 245
Number of positions eliminated | Positions 10,300    
Expected revenue from Florida manufacturing plant in 2019 $ 255    
Recall and inventory reserves cost 51    
India [Member]      
Restructuring and Impairment Costs [Line Items]      
Impairments of property, plant and equipment 64    
Property, Plant and Equipment [Member]      
Restructuring and Impairment Costs [Line Items]      
Impairments of property, plant and equipment 245    
Property, Plant and Equipment [Member] | Japan [Member]      
Restructuring and Impairment Costs [Line Items]      
Impairments of property, plant and equipment 180    
Property, Plant and Equipment [Member] | China [Member]      
Restructuring and Impairment Costs [Line Items]      
Impairments of property, plant and equipment 28    
Restructuring Cost [Member]      
Restructuring and Impairment Costs [Line Items]      
Impairments of property, plant and equipment 155    
Restructuring Cost [Member] | Israel [Member]      
Restructuring and Impairment Costs [Line Items]      
Impairments of property, plant and equipment 113    
Restructuring Cost [Member] | Headquarters and Distribution Sites Consolidation in US [Member]      
Restructuring and Impairment Costs [Line Items]      
Impairments of property, plant and equipment 42    
Expenses Related to Bendeka [Member]      
Restructuring and Impairment Costs [Line Items]      
Business combination contingent consideration arrangements change in amount of contingent consideration liability $ 40