1. 2007 Pan American Health Organization.... ACTIVE CARIBBEAN WORKSHOP March 6 & 7, 2009, Bridgetown, Barbados State of Play in the Caribbean: Port of Spain NCD Summit Declaration / Caribbean Wellness Day 2008 Alafia Samuels, MD, MPH, PhD Advisor, Prevention & Control of NCDs ACTIVE CARIBBEAN WORKSHOP March 6 & 7, 2009, Bridgetown, Barbados State of Play in the Caribbean: Port of Spain NCD Summit Declaration / Caribbean Wellness Day 2008 Alafia Samuels, MD, MPH, PhD Advisor, Prevention & Control of NCDs

2. 2007 Pan American Health Organization www.who.int/chp

3. 2007 Pan American Health Organization Dying slowly, painfully and prematurely Almost half deaths are in people < 70 years

4. 2007 Pan American Health Organization Causes of chronic diseases Needs “all of society” to participate: Ministries of Government, private sector, civil society, NGOs, community organizations, faith-based organizations

5. 2007 Pan American Health Organization

6. 2007 Pan American Health Organization Physical Activity Study Household surveys done in summer: Jam, TRT and GUY Questionnaire included 24 hr activity recall and used to : –Describe activity levels by age, gender, SES and location –Determine the relationship of SES, BMI, location and age with PA Household surveys done in summer: Jam, TRT and GUY Questionnaire included 24 hr activity recall and used to : –Describe activity levels by age, gender, SES and location –Determine the relationship of SES, BMI, location and age with PA

7. 2007 Pan American Health Organization Sedentary Activity-GENDER

8. 2007 Pan American Health Organization Sedentary Activity by Area among Countries

9. 2007 Pan American Health Organization

10. 2007 Pan American Health Organization POS NCD Declaration: Eighteen months later

11. 2007 Pan American Health Organization Partnerships Partners Government agencies Private Sector Civil society Partners Government agencies Private Sector Civil society Settings Workplace Schools Community Faith-based Organizations

12. 2007 Pan American Health Organization Tobacco (POS # 3, 4) - FCTC -Tobacco taxes for sustainable financing -Legislation - FCTC -Tobacco taxes for sustainable financing -Legislation Signed, but not ratified: (up to Feb 2009) -The Bahamas -Cuba -Haiti -St. Kitts/Nevis -St. Vincent & Grenadines -USA

13. 2007 Pan American Health Organization Involvement of Private Sector, Media –CAIC Statement in support of NCD prevention and control issued Plan for Workplace Wellness program with all components - HIV, NCDs and Injuries. Caribbean Manufacturers to take a proactive role in reducing salt, sugar, trans fat and improving the labeling of all products Support for Caribbean Wellness Day –Manufacturers want meeting with CROSQ to set healthy standards for foods –CAIC Statement in support of NCD prevention and control issued Plan for Workplace Wellness program with all components - HIV, NCDs and Injuries. Caribbean Manufacturers to take a proactive role in reducing salt, sugar, trans fat and improving the labeling of all products Support for Caribbean Wellness Day –Manufacturers want meeting with CROSQ to set healthy standards for foods

14. 2007 Pan American Health Organization Civil Society Healthy Caribbean 2008 Caribbean Chronic Disease Conference A Wellness Revolution Event 16 – 18 th October 2008 CARIBBEAN CIVIL SOCIETY DECLARATION AND ACTION PLAN FOR TACKLING CHRONIC NON-COMMUNICABLE DISEASES (CNCDs). Healthy Caribbean 2008 Caribbean Chronic Disease Conference A Wellness Revolution Event 16 – 18 th October 2008 CARIBBEAN CIVIL SOCIETY DECLARATION AND ACTION PLAN FOR TACKLING CHRONIC NON-COMMUNICABLE DISEASES (CNCDs).

15. 2007 Pan American Health Organization NCD Summit Declaration # 5: Screening and integrated management: 80% by 2012 Identification of target population to estimate undiagnosed Involvement of health NGOs, civil society, including media, in prevention, screening, care, palliation and patient education Total Risk Approach recommended by CVD Experts Mtg –(10 year risk of a fatal or non-fatal cardiovascular event, by gender, age, smoking status, diabetes status, systolic blood pressure and total cholesterol) Identification of target population to estimate undiagnosed Involvement of health NGOs, civil society, including media, in prevention, screening, care, palliation and patient education Total Risk Approach recommended by CVD Experts Mtg –(10 year risk of a fatal or non-fatal cardiovascular event, by gender, age, smoking status, diabetes status, systolic blood pressure and total cholesterol)

16. 2007 Pan American Health Organization AMR B CARICOM

17. 2007 Pan American Health Organization Caribbean Priorities Tobacco Diet –Salt –Trans fat / cholesterol Treatment (blood pressure, cholesterol) Physical Activity Tobacco Diet –Salt –Trans fat / cholesterol Treatment (blood pressure, cholesterol) Physical Activity

18. 2007 Pan American Health Organization CARIBBEAN WELLNESS DAY 2008 LOVE THAT BODY

19. 2007 Pan American Health Organization Caribbean Wellness Day 13 th Sept 2008 (POS #6,10, 12,15) Caribbean branding: logo, slogan, theme, jingle, posters, Public Service Announcements for radio and TV Main target: Adults over 40 years who are currently doing little or no physical activity MAIN MESSAGES for this year: –No Tobacco – Half of regular users will die from tobacco –Exercise 30 minutes per day – Cut your heart attack risk in half –Less salt, less fat – Don’t add salt at the table –Check your Blood Pressure – The Silent Killer Caribbean branding: logo, slogan, theme, jingle, posters, Public Service Announcements for radio and TV Main target: Adults over 40 years who are currently doing little or no physical activity MAIN MESSAGES for this year: –No Tobacco – Half of regular users will die from tobacco –Exercise 30 minutes per day – Cut your heart attack risk in half –Less salt, less fat – Don’t add salt at the table –Check your Blood Pressure – The Silent Killer

20. 2007 Pan American Health Organization CWD Preparations 14 countries at PAHO Physical Activity Workshop May 2008 –Outlined plans for CWD in each country –Summary and guidelines sent to countries PAHO / CAIC (Caribbean Association of Industry & Commerce) meeting May 2008 –Designated Manufacturers Associations and Chambers of Commerce in countries to participate Joint CARICOM / PAHO secretariat 14 countries at PAHO Physical Activity Workshop May 2008 –Outlined plans for CWD in each country –Summary and guidelines sent to countries PAHO / CAIC (Caribbean Association of Industry & Commerce) meeting May 2008 –Designated Manufacturers Associations and Chambers of Commerce in countries to participate Joint CARICOM / PAHO secretariat

21. 2007 Pan American Health Organization CWD Prep in Countries CWD Focal Points named in most countries Inter-sectoral committee –including reps from the private sector and civil society Links with local media established CWD Focal Points named in most countries Inter-sectoral committee –including reps from the private sector and civil society Links with local media established

22. 2007 Pan American Health Organization PAHO PIN supports - logo

23. 2007 Pan American Health Organization Posters

24. 2007 Pan American Health Organization

25. 2007 Pan American Health Organization Regional Statements from: Dr. Carrington, DG, CARICOM Director, PAHO, Dr. Mirta Roses, who emphasized the 4 main messages for this year: –No Tobacco –Exercise 30 minutes per day –Less salt, less fat –Check your Blood Pressure Also view on YouTube at http://www.youtube.com/watch?v=O3aclgzOkBY Dr. Carrington, DG, CARICOM Director, PAHO, Dr. Mirta Roses, who emphasized the 4 main messages for this year: –No Tobacco –Exercise 30 minutes per day –Less salt, less fat –Check your Blood Pressure Also view on YouTube at http://www.youtube.com/watch?v=O3aclgzOkBY

26. 2007 Pan American Health Organization In member states: Almost every member state had events –Less so in Bahamas, Haiti, Turks & Caicos due to hurricane recovery Statements by Prime Ministers and Ministers of Health Press releases carried by local media Health screenings, and other health promotion activities Launch-pad for – increased physical activity, –healthy eating, –Lifestyle changes to stop the epidemic of NCDs Almost every member state had events –Less so in Bahamas, Haiti, Turks & Caicos due to hurricane recovery Statements by Prime Ministers and Ministers of Health Press releases carried by local media Health screenings, and other health promotion activities Launch-pad for – increased physical activity, –healthy eating, –Lifestyle changes to stop the epidemic of NCDs

27. 2007 Pan American Health Organization Belize Celebrated across the country, with activities in –Belize City: Hon Minister gave statement; screening at trade show –Toledo District: launched Diabetes Association Chapter; Family Walk; Signing of wellness contracts with patients –Dangriga Town: All activities were organized by multi- sectoral committees Celebrated across the country, with activities in –Belize City: Hon Minister gave statement; screening at trade show –Toledo District: launched Diabetes Association Chapter; Family Walk; Signing of wellness contracts with patients –Dangriga Town: All activities were organized by multi- sectoral committees

28. 2007 Pan American Health Organization

29. 2007 Pan American Health Organization