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Magnitude and trends of noncommunicable diseases.

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Presentation on theme: "Magnitude and trends of noncommunicable diseases."— Presentation transcript:

1 Magnitude and trends of noncommunicable diseases

2 Distribution of deaths by leading cause groups (males and females, world, 2004)

3 NCDs cause premature deaths in LMICS

4 Projected deaths by cause and income (2004 to 2030) WHO HIV, TB, malaria Other infectious Mat//peri/nutritional CVD Cancers Other NCD Road traffic accidents Other unintentional Intentional injuries

5 Launched October 2008 Noncommunicable Diseases Burden of disease in disability adjusted life years (2004)

6 0%1%2%3%4%5%6%7%8%9%10% Underweight Unsafe sex High blood pressure Tobacco Alcohol Unsafe water, S&H High cholesterol Indoor smoke from solid fuels IIron deficiency High BMI Zinc deficiency Low fruit and vegetables Vitamin A deficiency Physical inactivity Occupational injury risks Lead exposure Illicit drugs Unsafe health care injections Lack of contraception Childhood sexual abuse Attributable DALYs (% total 1.44 billion) Low and middle income High income Noncommunicable Diseases Global burden of disease attributable top 20 risk factors (2002) World Health Report, 2002)

7 Noncommunicable Diseases Tobacco is a risk factor for 6 of the 8 leading causes of death (World Health Statistics, 2008)

8 Tobacco Rising production and consumption in developing countries

9 Smoking prevalence in Bangladesh (1995) Source: Sen, B & Hulme D, 2004 Tobacco: The poor and uneducated are the ones who smoke the most

10 Overweight and obesity in people over 15 selected countries

11 The epidemiological transition in this region is already well advanced; all countries are at risk irrespective of income and socioeconomic development

12 Adult mortality (2004)

13 Prevalence of tobacco use among males in the Eastern-Mediterranean Region Launched February 2008

14 Noncommunicable Diseases Adult Overweight and Obesity in Arab Countries

15 Noncommunicable Diseases Overweight among school children (13-15 yrs old)* % overweight or at risk of overweight** Djibouti12.3 Egypt20.6 Jordan16.8 Lebanon18.4 Libya21.7 United Arab Emirates 33.2 *Results from the Global School-based Student Health Survey ( **overweight or at risk of becoming overweight=above the 85 th percentile

16 Noncommunicable Diseases Age-adjusted estimates of diabetes prevalence in the Eastern-Mediterranean Region (Source: Comparative DM prevalence, table 1.12 and 1.13 of Diabetes Atlas) Adults (20-79)


18 Impact of increasing medical costs and the need for prevention Total Health Expenditure per capita ranges between US$ 325 to 2750 Out of pocket spending ranges between 18-23% THE Advanced epidemiological and demographic transitions are expected to result in a several fold increase in health care spending in Gulf Cooperation Countries in the coming 2 decades Prevention has to be taken seriously Sources: WHO WHR 2008,- WHO NHA database, WHO-EMRO, Mapping health care financing, EMR countries

19 Catastrophic Expenditures Studies in some Arab countries show that % of the population face catastrophic expenditures – meaning spending 40 % or more from their disposable income (excluding food), when a member of the family becomes sick millions individuals may face such situation every year % of the households are pushed into poverty when a member of the family becomes ill, resulting into 2.5 to 4 millions of poor individuals for the whole region (Source: B. Sabri – WHO/EMRO)

20 Proportion of family income devoted to diabetes care Source: Ramachandran A Diabetes Care 2007

21 In Conclusion: Barrier to Development CVDs and other NCDs Will Further Widen the Health Gap between Rich and Poor Countries They Are Killing and Disabling People at Their Peak Productivity They Will Slow Economic Growth Rates in Poor Countries

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