2Non Communicable Diseases (NCDs) In Kuwait Dr.Yousef Al-NesefAssistant UndersecretaryMOH State of Kuwait2009
3Global Burden of NCDs 47% of the global burden of disease, NCDs such as cardiovascular, diabetes, cancer, renal, genetic and respiratory conditions are major health threat accounting for :60% of deaths47% of the global burden of disease,75 % of deaths in developing countries“The World Health Report 2004”
4EMRO BurdenNCDs are rising dramatically in the EMRO Region accounting for:45% of the region’s disease burden60% by the year 2020.
8Main Five Causes of Death in Kuwait 2006 Per 100,000RateCauses of Death106.6Cardiovascular40.9Tumors18.9Traffic accidents13.6Endocrine Metabolic nutritional disorders12.7Diabetes mellitus10.9HypertensionSource: Health Kuwait,2006
9Prevalence of NCD Risk Factors %RISK FACTOR81Low fruit and vegetable75.4Overweight &OBESITY55.4Physical Inactivity38.6Raise Cholesterol20.6Smoking20.5Hypertension12.4Diabetes Mellitus2.7Alcohol Consumption70At least 3 risk factors9Eman Study, 2008
111. Addressing Risk Factors Targeting All Modifiable Risk Factors (Lifestyle, Obesity, Smoking, Inactive Life etc):Target = 80%
122. Control and Preventions Activities National ProgramsInternational and Regional Co-ordinationHealth EducationHealthy ClinicClinical Practice GuidelinesReferral PoliciesY. Elnesef
133. Cooperation at the International, Regional and National levels Kuwait MOH is working in collaboration with WHO, UN, UNICEF, GCC Ministerial Council for health and other agencies for exchange of experiences, ideas, planning and implementation of joint researches and programs.
14Examples of Joint Work at the Regional level EMAN Imitative to control NCDsDiabetes plan at GCC Countries to control and prevention the diseaseWorld Health Survey, Global Survey for Tobacco use Among Youth.
154. Need-based Service Provision 82 Primary Health Care centers6 General Hospitals (2567 Beds)17 Specialized Hospitals (2134 beds)
165. Special Attention to PHC Role The Government Program , gave special attention to PHC in prevention, Control of Non-Communicable Diseases .A unique, well organized, easily accessible and good infrastructure PHC Service enables the integration of all NCD's prevention and control in PHC settings.
17Preventive Care Through PHC Health educationscreening,Counselingpreventive clinics :Smoking cessation,Obesity control,Health promotionBreast feeding promotion.Retinopathy screening
20Diabetes MellitusThe National Program for Prevention and Control of DMStrong Collaboration with NGOs (KDA)Centre of Excellence (Dasman Centre)
21Tobacco ControlThe National Program for smoking Control is one of the oldest program
22Obesity ControlThe National Program for Prevention and Control of Overweight and Obesity
23National Program of Physical Activity According to the partnership conference of the WHO and the U.S. CDC in San Diego 2006, the State of Kuwait has been chosen as one of the 4 countries in the world for the preparation of National plans for physical activity.
24The National Cancer Prevention Program The role of PHC in cancer prevention includes: health education and early detection of cancer clinics. A comprehensive national campaign for raising public awareness about early detection of breast cancer was organized in 2008.Cancer registry is, also, an important component of the national program for prevention of cancer."CAN" is a popular example of community based initiatives for prevention and control of cancer, one of the leading causes of death in Kuwait.
25National Program for Prevention & Control of CVD Social Marketing (including HE)Early detection of risk factors; such as: high blood pressure, high blood lipids & smoking, through screening at PHC settings
26ConclusionNCDs are global health and socio-economic threat that needs sustainable multi-sectoral intensive efforts and resources to achieve the target goals.Close collaboration at National, Regional and International levels is needed for prevention and control of NCDs
27ConclusionBig Government and non governmental efforts are exerted to control NCDs .Modern social approaches are needed.Kuwait is committed to building capacity, allocate resources and empowering other community partners in order to better control and prevention of Non Communicable Diseases.