Presentation on theme: "NCD Burden The Regional Responses"— Presentation transcript:
1 NCD Burden The Regional Responses ECOSOC/UNESCWA/WHO Western Asia Ministerial Meeting “Addressing non communicable diseases and injuries: major challenges to sustainable development in the 21st centuryNCD Burden The Regional ResponsesDr. Ibtihal FadhilRegional Adviser Non communicable diseases, World Health Organization, Regional Office for EMR10-11 May 2009Doha, Qatar
2 lesson learnedThe ADG and prominent panelists presented the detailed insight to the growing NCD burden globally and in EMRNon communicable diseases constituted around 55% of the mortality in EMR in It is estimated that it will increase to more than 60% by 2020 if the current trends continueThe Risk Factors are identifiable in EMR and therefore can be prevented. Increasing trend of smoking overweight and obesity among different age groups.
3 Cost-effective interventions are available to prevent up to 80% of cardiovascular disease and diabetes and 40% of cancer,Effective interventions exist for primary prevention: Examples..Raising tobacco taxes and pricesSalt reductionImproving availability and affordability of healthy foodImproving transportation policies and environmental designsRaising alcohol taxes and pricesCost-effective interventions exist for secondary and tertiary prevention:Cardiovascular disease can be prevented by targeting high risk people75% of recurrent heart attacks and strokes can be prevented by 4 medicinesTreating diabetesEarly detection of cancer
4 WHO Responses Global strategy for NCD prevention & control NCD Action plan for the global strategyFramework convention on tobacco controlStrategy on diet physical activity and healthRegional Framework on DPASThe Regional strategy on cancer control
5 Successful interventions Heart file in Pakistan,The Isfahan healthy heart project in the Islamic Republic of Iran,Nizwa Healthy City in Oman andDar Al Fatwa in LebanonAraina in Tunisia
7 Isfahan healthy Heart community Program “North Karelia of the Middle East” A 6-year program Launched in an integrated, community-based intervention aimed at fosteringhealthy diet,The program is quasi experimental: a reference population exists
8 The Isfahan Healthy Heart Program (IHHP) IHHP interventions in two cities of Isfahan and Najaf Abad have involved more than 150 government and non-government organizations.Interventions: community-based approach reduced tobacco smoking, increased physical activity and stress reduction among 2 m people in central Iran. to tackle NCDs risk factors using a.8
9 IHHP strategies to control CVD increasing fibre and decreasing salt content inbreadconvincing snack producers to market for childrennew snacks with less trans fats and sugarsserving healthy foods and increasing exercisetimes in schools and workplacessetting standards for restaurantsstopping television advertising of sausage andsoft drinksincorporating messages into TV programssimplifying food labelling.Results: increased intake of liquid oil, decreased smoking,increased physical activity, increased awareness of health personnel.
10 A bicycle path in Isfahan IHHP initiativesA bicycle path in IsfahanPromotion of vegetarianpizza served with salad
12 Nizwa healthy lifestyle project in Oman Community–based approach to tackle risk factorsInterventions were undertaken in 2004.Evaluation in 2009The project promotes healthy lifestyle through three subcommittees;(1) Tobacco control & accident prevention;(2) Promotion of physical activity and(3) Promotion of healthy nutrition.
13 Targeted outcome Physical Activity: Increase of percentage of physical activity among men from 52% to 67%.Increase of percentage of physical activity among women from 27% to 42%.Reduce the current prevalence of overweight among men from 31.9% to 25% and among women from 25.3% to 19%.Reduce the current prevalence of obesity among men from 8.6% to 5.6% and among women from 17% to 11%.
14 Targeted outcome Dietary styles: Reduce the percentage of usage the animal’s fat from 83.9% to 68.9% and increase the percentage of usage the vegetarian oils from 74.9% to 89.9%.Reduce the prevalence of hypercholesterolemia from 34.6% to 28.6% among men and among women from 36% to 30%.Increase the knowledge (know-how) about healthy dietary habits from 32% to 67%.
15 Targeted Outcome Tobacco use, RTA, and domestic accidents Reduce the percentage of the regular smokers and irregular smokers from 9.2% to 4.5% .Establishment of counseling service to assist quitting smoking.Reduce the deaths and diseases related to tobacco.Increase public awareness about prevention of road traffic, home (domestic) accidents, work injuries, and poisonings.Reduce the percentage of road traffic accidents, injuries and poisonings subsequently reduce the death related to them
16 Interventions NHLP Friendly Schools Alharaka Baraka (Move for Health) Lifestyle ClinicHealth professionals education and involvementObesity screening and management at PHCTobacco intervention, Health education in schools and tobacco cessation clinic
17 WHO Global Strategy on Diet, Physical Activity and Health & Regional FrameworkThe Regional Framework is a response to the growing burden of NCDs in the EM Region.Addresses two of the main risk factors for non-communicable diseases, namely diet and physical activityDevelop multicultural approach for the prevention and control of NCD'sSpecificity in EM Region ( physical activities, diet and food consumption patterns
19 Kuwait National Physical Activity Committee Under The Patronage of his highness the Crown Prince of Kuwait.Multiple sectors involved as members ( Health professionals, exercise specialists, Nutritionists, Media, Politicians etc.19
21 Inter-sectoral collaboration Support Physical Activities In Bahrain
22 School based interventions Health Promoting Schools in EMR The health-promoting schools initiative is being implemented in all countriesHealthy choices made easy and enjoyable to all school children, school staff and parents
23 Health promoting schools In United Arab Emirates & Bahrain is a collaborative effort between the Ministry of Health and Ministry of Education (through the Joint Committee), with other relevant partners including the Gulf Cooperation Council (GCC) School Health Committee and WHO.The 8 components of the health promotion are implemented in all schools .
24 A Way Forward Key challenges Leaders Supportive environment Funding Community awarenessClear Problem, Indeed we have the ability to make clear Actions