Presentation on theme: "Global Strategy on Diet Physical activity and Health:"— Presentation transcript:
1Global Strategy on Diet Physical activity and Health: Adaptation at local and national levels to the AmericasDr Godfrey XuerebTeam LeaderPopulation-based PreventionDepartment of Chronic Diseases and Health Promotion
2World Health Organization 1 April 2017Noncommunicable disease and risk factorsTobacco useUnhealthy dietsPhysical inactivityHarmful use of alcoholHeart disease and strokeDiabetesCancerChronic lung disease60% of global deaths due to NCDsThis is just to remind ourselves that the focus of the GS and the HLM and its political declaration is on the four groups of NCDs that constitute around 80%of NCD deaths and that share the same risk factors and therefore also the same strategies
3High blood pressure continues to go up 40%30%High-income countriesUpper Middle-income countries% of populationLower middle-income countries20%Low-income countries10%19802008Raised blood pressure (2008)Source: WHO NCD Country Profiles (2010)
4Overweight continues to increase 70%60%50%High-income countries40%Upper Middle-income countries% of populationLower middle-income countries30%Low-income countries20%10%0%Overweight (2008)Source: WHO NCD Country Profiles (2010)19802008
5WHO Mandates to date2000200320042008Global Strategy for the Prevention and Control of Noncommunicable DiseasesGlobal Strategy on Diet, Physical Activity and HealthAction Plan on the Global Strategy for the Prevention and Control of NCDs201020092011Global Strategy to Reduce the Harmful Use of AlcoholWHO Global Status Report on NCDsPolitical Declaration on NCDs2012+Realizing the commitments made in the Political Declaration
6"Best buys" interventions to address NCDs 01/04/2017"Best buys" interventions to address NCDsPopulation-based interventionsaddressing NCDrisk factorsTobacco useExcise tax increasesSmoke-free indoor workplaces and public placesHealth information and warnings about tobaccoBans on advertising and promotionHarmful use of alcoholExcise tax increases on alcoholic beveragesComprehensive restrictions and bans on alcohol marketingRestrictions on the availability of retailed alcoholUnhealthy diet and physical inactivitySalt reduction through mass media campaigns and reduced salt content in processed foodsReplacement of trans-fats with polyunsaturated fatsPublic awareness programme about diet and physical activityIndividual-based interventionsaddressing NCDs in primary careCancerPrevention of liver cancer through hepatitis B immunizationPrevention of cervical cancer through screening (visual inspection with acetic acid [VIA]) and treatment of pre-cancerous lesionsCardiovascular disease and diabetesMulti-drug therapy (including glycaemic control for diabetes mellitus) for individuals who have had a heart attack or stroke, and to persons at high risk (> 30%) of a cardiovascular event within 10 yearsProviding aspirin to people having an acute heart attack6
7The General Assembly adopted by consensus the resolution titled "Political Declaration of the High-level Meeting of the General Assembly on the Prevention and Control of Non-communicable Diseases" (document A/66/L.1).
8What does the Political Declaration say on Diet & PA
9What does the Political Declaration say on Diet & PA
11Physical inactivity - 4th leading risk factor for global mortality Source: WHO's report on "Global health risks"1.5 billion adultsare insufficiently active
12Percentage of insufficient physical activity comparable country estimates, 2008 Age standardized; by WHO Region and World Bank income group, men and womenSource: Global Status Report on NCDs, WHO, 2001
13Prevalence of insufficient physical activity Prevalence of insufficient physical activity*, ages 15+ age standardized Males, 2008Source: Global Status Report on NCDs, WHO, 2001
14Prevalence of insufficient physical activity Prevalence of insufficient physical activity*, ages 15+ age standardized Females, 2008Source: Global Status Report on NCDs, WHO, 2001
15Being inactive costs the country and the individual New study* just released on the health care costs of physical inactivity in Canadian adults shows that the estimated direct, indirect and total health care costs in 2009 were:Direct: 2.4 billion C$ (3.8% of overall health care costs)Indirect: 4.3 billion C$Total Costs: 6.8 billion C$ (3.7% of overall health care costs)Other studies** have shown that 19% of the coronary artery disease cases in Canadian men are due to physical inactivity* Janssen, 2012, Appl. Physiol. Nutr. Metab.** Katzmarzyk and Janssen, 2004 Can.J. Appl. Physiol.
17Global recommendations on PA for Health 5-17 yrs oldAt least 60 minutes of moderate to vigorous intensity PA daily.+18 yrs old:At least 150 minutes of moderate-intensity aerobic PA spread throughout the week orAt least 75 minutes of vigorous-intensity aerobic PA spread throughout the week or an equivalent combination.65yrs old & above:Should perform PA to enhance balance and prevent falls on 3 or more days/ week.When they cannot do the recommended amounts of PA due to health conditions, they should be as physically active as their abilities and conditions allow.
19National strategies on diet and physical activity Conduct a situation analysis - GSHSMexicoGSHSCubaDominican RepublicBelizeHondurasGuatemalaNicaraguaEl SalvadorGuyanaCosta RicaVenezuelaSurinamePanamaColumbiaEcuadorAnguillaAntigua and BarbudaBahamasBarbadosBritish Virgin IslandsCayman IslandsDominicaGrenadaGuyanaJamaicaMontserratSt. Kitts and NevisSt. LuciaSt. Vincent and the GrenadinesTrinidad and TobagoPeruBrazilBoliviaParaguayChileCompleted SurveyImplementation WorkshopData collection underwayUruguayArgentina*Data collection complete
20National strategies on diet and physical activity Establish a coordinating team to develop the policy/ strategy/ programmeReview of Policies in selected Low and Middle Income Countries
21National strategies on diet and physical activity Multisectoral collaboration:Coordinating mechanism headed or chaired by ministry of health.Multisectoral collaboration containing representation from all key sectors.
23School Policies and programs CARICOM supports Physical Education Standards for all Caribbean States – Feb 2011, Port of Spain.
24Recommended actions for Member States Introduce transport policies that promote active and safe methods of travelling to and from schools, such as walking or cycling;Ensure that walking, cycling and other forms of physical activity are accessible to and safe for all;
25Recommended actions for Member States Improve sports, recreation and leisure facilities
26Recommended actions for Member States Increase the number of safe spaces available for active play
27Recommended actions for Member States UrbanPlanning