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ECOSOC Western Asia Ministerial Meeting Addressing noncommunicable diseases and injuries: major challenges to sustainable development in the 21st century.

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Presentation on theme: "ECOSOC Western Asia Ministerial Meeting Addressing noncommunicable diseases and injuries: major challenges to sustainable development in the 21st century."— Presentation transcript:

1 ECOSOC Western Asia Ministerial Meeting Addressing noncommunicable diseases and injuries: major challenges to sustainable development in the 21st century Addressing common, modifiable risk factors for noncommunicable diseases Dr Fiona Adshead Director, Chronic Diseases and Health Promotion World Health Organization 10-11 May 2009 Doha, Qatar

2 ECOSOC Western Asia Ministerial Meeting, Doha, Qatar | 10-11 May 2009 Addressing noncommunicable diseases and injuries: major challenges to sustainable development in the 21st century 2 |2 | Four diseases: –Cardiovascular diseases –Diabetes –Cancers –Chronic respiratory diseases Four risk factors: –Tobacco use –Unhealthy diet –Physical inactivity –Harmful use of alcohol These diseases predominantly affect poor people in developing countries, but they are preventable through action on four risk factors. Noncommunicable Diseases and their shared risk factors

3 ECOSOC Western Asia Ministerial Meeting, Doha, Qatar | 10-11 May 2009 Addressing noncommunicable diseases and injuries: major challenges to sustainable development in the 21st century 3 |3 | Know your risk: Countries with STEPS surveys STEPS survey completed Survey or data analysis under way

4 ECOSOC Western Asia Ministerial Meeting, Doha, Qatar | 10-11 May 2009 Addressing noncommunicable diseases and injuries: major challenges to sustainable development in the 21st century 4 |4 | STEPwise approach to surveillance (STEPS) A simple, standardized method for collecting, analysing and disseminating risk factor data in countries. Three different "steps" of risk factor assessment: –Questionnaire, –Physical measurements, –Biochemical measurements. Multiple modules on different topics.

5 ECOSOC Western Asia Ministerial Meeting, Doha, Qatar | 10-11 May 2009 Addressing noncommunicable diseases and injuries: major challenges to sustainable development in the 21st century 5 |5 | From data to policy Using the STEPS data for programs: –To target your audience, –To target your intervention, –To target your location, –To monitor progress.

6 ECOSOC Western Asia Ministerial Meeting, Doha, Qatar | 10-11 May 2009 Addressing noncommunicable diseases and injuries: major challenges to sustainable development in the 21st century 6 |6 | UK Foresight – Tackling Obesities: Future Choices 2007 Tackling obesity: how we respond to challenges Modelling work has shown the need to: –anticipate and prepare for change, –aim for impact at a societal level. Combined approaches to tackle multiple risk factors can be effective: –involve all stakeholders, –create enabling environments, –improve health literacy, –use "daily life" interventions where people live and work: improving urban or rural "walkability" or "cyclability", school or worksite based health promotion programmes.

7 ECOSOC Western Asia Ministerial Meeting, Doha, Qatar | 10-11 May 2009 Addressing noncommunicable diseases and injuries: major challenges to sustainable development in the 21st century 7 |7 | Goal: to improve the health of people in Nizwa through community based projects for primary prevention of NCDs (2004-2009). Nizwa Healthy Lifestyle Project – Oman Interventions tackle following risk factors: - physical inactivity, - unhealthy diet, - unhealthy environment, - smoking, - traffic accidents.

8 ECOSOC Western Asia Ministerial Meeting, Doha, Qatar | 10-11 May 2009 Addressing noncommunicable diseases and injuries: major challenges to sustainable development in the 21st century 8 |8 | School based interventions: "Know Your Body" – Crete, Greece Intervention : Know Your Body: 6-year programme (grades 1 to 6), Characteristics : Comprehensive, multi-component, school-based, focus on diet and PA, Constructs from social learning theory, Curricula offered by trained teachers, Strong parental focus, Outcomes : significant improvements in knowledge and food choices, substantive reductions in intake of dietary fat, particularly saturated fat, and four- to five-fold increases in self-reported leisure-time activity. Source: WHO, What Works, 2009

9 ECOSOC Western Asia Ministerial Meeting, Doha, Qatar | 10-11 May 2009 Addressing noncommunicable diseases and injuries: major challenges to sustainable development in the 21st century 9 |9 | Improving health at work: shared benefits Workplace health promotion can achieve a 25-30% reduction in medical and absenteeism costs. 27% reduction in sick leave absenteeism, 26% reduction in healthcare costs, return on investment: $1 invested results in $3 savings. Source: Chapman LS, 2003

10 ECOSOC Western Asia Ministerial Meeting, Doha, Qatar | 10-11 May 2009 Addressing noncommunicable diseases and injuries: major challenges to sustainable development in the 21st century 10 | Community intervention – Pasos Adelante The programme: Pasos Adelante, or "Steps Forward", is a community-participation campaign for chronic NCD prevention, targeting border counties between USA and Mexico. The basis for the intervention: Individuals received culturally appropriate educational classes and participated in a walking club. The outcomes: The programme has an 87% completion rate, with a 120-minute median increase in physical activity, and a four-serving increase in fruit and vegetables per person per week. Source: Staten LK et al, 2005

11 ECOSOC Western Asia Ministerial Meeting, Doha, Qatar | 10-11 May 2009 Addressing noncommunicable diseases and injuries: major challenges to sustainable development in the 21st century 11 | Risk factor reduction: at the heart of NCD prevention and control Prevent NCDs through four key risk factors: tobacco, unhealthy diet, physical inactivity, harmful use of alcohol, Target action based on risk factors, Target action where people live their lives, Multistakeholder and community-level approaches are best.

12 ECOSOC Western Asia Ministerial Meeting, Doha, Qatar | 10-11 May 2009 Addressing noncommunicable diseases and injuries: major challenges to sustainable development in the 21st century 12 | Background material

13 ECOSOC Western Asia Ministerial Meeting, Doha, Qatar | 10-11 May 2009 Addressing noncommunicable diseases and injuries: major challenges to sustainable development in the 21st century 13 | Physical inactivity * <600 MET-mins/week (=5x30 minutes of moderate activity Data collected using WHO STEPS surveillance tools

14 ECOSOC Western Asia Ministerial Meeting, Doha, Qatar | 10-11 May 2009 Addressing noncommunicable diseases and injuries: major challenges to sustainable development in the 21st century 14 | % <5 servings of fruits and vegetables Data collected using WHO STEPS surveillance tools

15 ECOSOC Western Asia Ministerial Meeting, Doha, Qatar | 10-11 May 2009 Addressing noncommunicable diseases and injuries: major challenges to sustainable development in the 21st century 15 | % with elevated blood pressure *note: For Syria: labeled as 'high blood pressure', actual definition unknown (>=SBP 140 and/or DBP >=90) Data collected using WHO STEPS surveillance tools

16 ECOSOC Western Asia Ministerial Meeting, Doha, Qatar | 10-11 May 2009 Addressing noncommunicable diseases and injuries: major challenges to sustainable development in the 21st century 16 | % with elevated cholesterol (Plasma Cholesterol >= 5.2 mmol/L) Data collected using WHO STEPS surveillance tools

17 ECOSOC Western Asia Ministerial Meeting, Doha, Qatar | 10-11 May 2009 Addressing noncommunicable diseases and injuries: major challenges to sustainable development in the 21st century 17 | % with elevated fasting blood glucose (capillary blood glucose >=7.0 mmol/L) Data collected using WHO STEPS surveillance tools


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