Presentation on theme: "PROF. G.C. ONYEMELUKWE (MON)"— Presentation transcript:
1 PROF. G.C. ONYEMELUKWE (MON) ROLE OF MEDICAL WOMEN ASSOCIATION OF NIGERIA IN NON-COMMUNICABLE DISEASESBYPROF. G.C. ONYEMELUKWE (MON)CHAIRMAN, NATIONAL EXPERT COMMITTEE ON NON-COMMUNICABLE DISEASESAREWA HOUSE KADUNA23RD NOVEMBER 2004
2 _ _____ _ ______ ______ _____ ______ ____ ______ ____ WHAT DO WOMEN WANT?_ _____ _ ______ ______ _____ ______ ____ ______ ____
3 LIST OF NON COMMUNICABLE DISEASES 10. Coronary heart disease11. Cerebrovascular disease (stroke)12 Heart Diseasea. Cardiomyopathiesb. Endomyocardial fibrosisc. Peripartum Cardiacfailure (PPCF)13. Cancersa. Hepatomab. Prostatec. Cervixd. BreastHypertensionDiabetes MellitusSickle Cell DiseaseMental ILL Health & drug abuseAsthmaViolence (Road traffic accident, domestic, conflictBlindnessOral HealthRheumatic fever/rheumatic heart disease
4 Road traffic Accidents 14.25% 2. Infections and Septicaemia 10.80% 3. MORTALITY STATISTICS ( ) ABUTH, ZARIA (Source: Community Medicine)1.Road traffic Accidents14.25%2.Infections and Septicaemia10.80%3.Hypertension9.32%4.Protein calorie malnutrition8.53%5.Tuberculosis5.09%6.HIV/AIDS4.75%7.Cancers4.07%8.Mellitus3.29%9.Cerebrovascular Accidents (Stroke)2.35%*44% of deaths are due to NCDs
5 *2003 SURVEILLANCE DATA LAGOS (SW ZONE) BP systolic =>140mmHgBP diastolic =>90mmHgFemale : 22.6%Male : 22.1%Female: %Male : 30%Rural (all) : 13.7%Urban (all): 28.7%Rural : %Urban : %* Risk of CVS damage doubles for every 10 point increase in diastolic and 20 point systolic increase. * ¼ to 1/3 of women in rural and urban areas are hypertensive.
6 NATIONAL MENTAL HEALTH SURVEY DEPRESSION SYMPTOMS HIGH (Female>male)ANXIETY SYMPTOMS HIGHNB: Severe depression can lead to violence and suicide
7 BURDEN OF NON COMMUNICABLE DISEASE (DALYs) %DISTRIBUTION IN SUB SAHARAN AFRICA
8 WHAT IS RISK FACTOR?A risk factor is a condition that places an individual at risk of developing a health related problem.A risk factor can be genetic or acquired. It may be identified as a single measurement (e.g. a physical feature such as weight), a disease (e.g. Hypertension) or a lifestyle characteristics (e.g. smoking)
9 WHAT IS RISK FACTOR? Cont. In order to be considered a risk factor for a disease, the condition must be associated with that disease in a manner which is beyond chance alone.A casual link is therefore impliedA risk factor will however not necessarily lead to the development of the diseaseRisk factors/habits begin in youth/in womb.
14 CHILDHOOD UNDER NUTRITION ENVIRONMENTGENESPHYSICO-CHEMICAL-MICROBIAL ENVIRONMENTPSYCHOSOCIAL ENVIRONMENTINTRAUTERINE ENVIRONMENTVSHIGH STRESSLACK OF EXERCISEHIGH FATSMOKINGHIGH RISKBEHAVIOURHIGH SALTALCOHOLUNSAFE SEXDRUG ABUSEFETAL UNDER NUTRITIONOBESITY, HYPERTENSION, DIABETES,ASTHMA, CANCERS, MENTAL ILL-HEALTH,CORONARY ARTERY DISEASEOSTEOPOROSIS ETCCHILDHOOD UNDER NUTRITION
15 TEN COMMAND CIVIC DUTIES OF ALL NIGERIANS S/NDUTIESBENEFITS1.Exercise daily (including walks)Prevention of hypertension, diabetes, obesity, mental ILL health, cancers etc.2.Know blood pressure from age 30 and above (annually/six monthly)Detect hypertension early (blood pressure increases with age)3.Know blood sugar from age 40 yearsDetect diabetes mellitus (blood sugar increases with age)4.Know sickle cell genotype of all familyFor counseling of family5.Monthly breast self examination by females from age 17To detect lumps and early breast cancer6.Know presence of hepatitis B surface antigen in blood of family membersPrevent liver cancer and other diseases.7.Know prostate specific antigen (PSA) blood level (men 50 years)To detect prostate cancer8.Women screen cervical smear (PAP Smear) every 2 – 3 yearsTo prevent, detect early cervical cancer.9.Know blood cholesterol by obese or overweight people from age 40 yearsPrevent coronary heart disease10.Know body mass index (BMI) (weight in kgHeight x height (mtrs)To watch nutritional excess or deficiencyIssued by NCD Expert Committee on Non-Communicable Disease Note: BMI >30kg/mtr2 is Obesity BMI >25kg/mtr2 is overweight BMI <18.5kg/mtr2 shows under-nutrition
16 POLITICAL WILL – Lack IN STATES of NCDs, SILENT KILLERS CARING/COMPASSIONATE SOCIETY FIRM VOICE; FIRM AGENDA BY (WOMEN)STRATEGIC GATES OF WOMEN AND CONSEQUENCES1. Gate to stomach2. Gate into world (womb – intrauterine)3. Gate to Child/Family Destiny – Children risk factors4. Gate to Domestic Finance
17 CONCLUSION ROLES: INFORMATION, EDUCATION, COMMUNICATION – RADIO TALKS SCREENINGLIFESTYLE RISK FACTOR MODIFICATION (MULTIFACTOR APPROACH)RESEARCH IN WOMEN HEALTH – BRITISH WOMEN/USA DONENATIONAL ACTION ON TOBACCO CESSATIONHEPATITIS B VACCINATION OF CHILDREN