next step 2014 presentation by dr. viliami puloka from secretariat of the pacific community (spc)
TRANSCRIPT
PARADOX IN PARADISE
Dr Viliami PulokaSecretariat of the Pacific Community
PACIFIC ISLANDS - WHERE?
Pacific Islands in top ten globally
source: International Diabetes Federation 2011
Global country ranking in 2011
Prevalence of diabetes in 2011 (% total population)
Estimated Global Country Ranking in 2030
Estimated prevalence of diabetes in 2030 (% total population
1. Kiribati 25.7 1.Kiribati 26.3
2.Marshall Islands 22.2 2.Marshall Islands 23.0
3.Kuwait 21.1 3.Kuwait 21.2
4.Nauru 20.7 4.Tuvalu 20.8
5.Lebanon 20.2 5.Nauru 20.7
6.Qatar 20.2 6. Saudi Arabia 20.6
7. Saudi Arabia 20 7. Lebanon 20.4
8. Bahrain 19.9 8. Qatar 20.4
9. Tuvalu 19.5 9. Bahrain 20.2
10. United Arab Emirates
19.2 10. United Arab Emirates
19.8
“PARADISE”
DOUBLE DISEASE BURDEN
TBINFANT MORTALITY
Dengue fever
NCD : TOO BIG TO IGNORE
HIV/AIDS and STI
Malaria Typhoid
DIABETES
HEART DISEASE
SMOKING LUNG DISEASES
OBESITY
NCD Burden in the Pacific
PICTs WPRO0
10
20
30
40
50
6057.0769230769231 57
32.4615384615384
24
10.4615384615385
19
Age-Adjusted Mortality by Cause of Death
NCDCDInjury
% of COD
Greatest Cause of Premature Mortality in the Pacific
High rates of premature (<60 years) NCD deaths Source: WHO (2011) Noncommunicable Diseases Country Profiles
Tonga
Lower Middle Income Average Globally (both sexes)
Samoa
Tuvalu
Micronesia FS
Solomon Islands
Vanuatu
Cook Islands
Fiji
Niue
Marshall Islands
Nauru
Kiribati
0 10 20 30 40 50 60 70
Proportion of male premature NCD deaths, 2008
Proportion of premature NCD deaths
High rates of premature (<60 years) NCD deaths Source: WHO (2011) Noncommunicable Diseases Country Profiles
Niue
Samoa
Lower Middle Income Average Globally (both sexes)
Cook Islands
Tonga
Micronesia FS
Tuvalu
Fiji
Solomon Islands
Vanuatu
Kiribati
Marshall Islands
Nauru
0 10 20 30 40 50 60 70
Proportion of female premature NCD deaths, 2008
Proportion of female premature NCD deaths
Multiple risk factors are feeding a large pipeline of future NCDs in countries of Pacific (Source WHO 2012)
0
10
20
30
40
50
60
70
80overweight
obesity
SMOKING ALCOHOL OVER EATING INACTIVITY
Overweight at young agesSource: Global School Based Health Survey 2012
Fiji
Solomon Islands
Nauru
Niue
Cook Islands
Tonga
0 10 20 30 40 50 60 70
Per cent of students aged 13-15 years overweight, 2010 and 2011
Per cent of students
RISK FACTORS FEEDING FUTURE NCD PIPELINE…….
NCDs already significant and risk factors are feeding the future
pipeline(Main Non-Communicable Diseases= Cardiovascular disease; Cancer; Diabetes;
Chronic Respiratory Disease)
NCD PATHWAY
NCDs are serious threats to global prosperity (World Economic Forum, 2011)
• Around 30% NCD mortality in low- and middle-income countries occur during working age (below the age of 60), compared to only 13% in high-income countries
• NCDs reduce productivity and increase health-care costs
• Health spending to control NCDs outpaces economic growth
• NCDs lock millions of people into chronic poverty every year due to impact on household income and health care expenditure
Today is the Tomorrow you dream about Yesterday!
Yourself, is the only instrument you have
to deal with Life and to contribute to Life
HEALTHY ISLANDS-HEALTHY PEOPLE