scope, objectives and agenda
DESCRIPTION
Dr Ala Alwan Assistant Director-General Noncommunicable Diseases and Mental Health World Health Organization. Scope, Objectives and Agenda. Noncommunicable Diseases and Injuries Magnitude. Four major noncommunicable diseases (NCDs): Cardiovascular diseases Diabetes Cancers - PowerPoint PPT PresentationTRANSCRIPT
Dr Ala AlwanAssistant Director-General
Noncommunicable Diseases and Mental HealthWorld Health Organization
Scope, Objectives and Agenda
ECOSOC/UNESCWA/WHO Western Asia Ministerial MeetingAddressing noncommunicable diseases and injuries(Doha, Qatar, 10-11 May 2009)
Noncommunicable Diseases and Injuries Magnitude
• Four major noncommunicable diseases (NCDs):– Cardiovascular diseases– Diabetes– Cancers– Chronic respiratory diseases
• Four shared modifiable risk factors:– Tobacco use– Unhealthy diet– Physical inactivity– Harmful use of alcohol
• 60% of deaths globally – 70% if injuries are included -80% in developing countries• 40-50% are premature• Magnitude has a major socio-economic impact on developing countries
NCDs and injuries are still excluded from global discussions on development
ECOSOC/UNESCWA/WHO Western Asia Ministerial MeetingAddressing noncommunicable diseases and injuries(Doha, Qatar, 10-11 May 2009)
Injuries
• Cause 10% of all deaths and 16% of all disability
• Road traffic crashes alone are the leading cause of death for young people aged 10-24 years
ECOSOC/UNESCWA/WHO Western Asia Ministerial MeetingAddressing noncommunicable diseases and injuries(Doha, Qatar, 10-11 May 2009)
Global Risk Assessment 2009World Economic Forum
Asset price collapseRetrenchment from globalization
Oil and gas price spike
NCDs
Flu pandemicFiscal crisis
Food crisis
Infectious disease
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ECOSOC/UNESCWA/WHO Western Asia Ministerial MeetingAddressing noncommunicable diseases and injuries(Doha, Qatar, 10-11 May 2009)
Noncommunicable Diseases & InjuriesProjected global deaths (2030)
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2
4
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8
10
12
2000 2005 2010 2015 2020 2025 2030
De
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mil
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Cancers
Stroke
Road trafficaccidents
HIV/AIDSTB
Malaria
Acute respiratoryinfections
Ischaemic heart disease
Perinatal
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ECOSOC/UNESCWA/WHO Western Asia Ministerial MeetingAddressing noncommunicable diseases and injuries(Doha, Qatar, 10-11 May 2009)
2005 2006-2015 (cumulative)
Geographical regions (WHO classification)
Total deaths
(millions)
NCD deaths
(millions)
NCD deaths
(millions)
Trend: Death from infectious
disease
Trend: Death from NCD
Africa 10.8 2.5 28 +6% +27%
Americas 6.2 4.8 53 -8% +17%
Eastern Mediterranean
4.3 2.2 25 -10% +25%
Europe 9.8 8.5 88 +7% +4%
South-East Asia 14.7 8.0 89 -16% +21%
Western Pacific 12.4 9.7 105 +1 +20%
Total 58.2 35.7 388 -3% +17%
Noncommunicable DiseasesDeath trends (2015)
WHO projects that over the next 10 years, the largest increase in deaths from cardiovascular disease, cancer, respiratory disease and diabetes will occur in low- and middle-income countries.
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ECOSOC/UNESCWA/WHO Western Asia Ministerial MeetingAddressing noncommunicable diseases and injuries(Doha, Qatar, 10-11 May 2009)
All smoking prevalence
05
1015202530354045
Low income Low er-middleincome
Upper-middle income High income
%
Q1 Q2 Q3 Q4 Q5
Source: World Health Survey 2006
Range: from Q1 = poorest quintile to Q5 = Highest income quintile
Noncommunicable DiseasesThe poorest people in developing countries are the ones who smoke the most
ECOSOC/UNESCWA/WHO Western Asia Ministerial MeetingAddressing noncommunicable diseases and injuries(Doha, Qatar, 10-11 May 2009)
Noncommunicable DiseasesMacro-economic impact
Lost national income from premature deaths due to heart disease, stroke and diabetes
2005 2006-2015 (cumulative)
CountriesLost national income
(billions)Lost national income
(billions)
Brazil 3 49
China 18 558
India 9 237
Nigeria 0.4 8
Pakistan 1 31
Russian Federation 11 303
Tanzania 0.1 3
WHO: "Heart disease, stroke and diabetes alone are estimated to reduce GDP between 1 to 5% per year in developing countries experiencing rapid economic growth"
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ECOSOC/UNESCWA/WHO Western Asia Ministerial MeetingAddressing noncommunicable diseases and injuries(Doha, Qatar, 10-11 May 2009)
Noncommunicable DiseasesThe vicious cycle of poverty and NCDs
ECOSOC/UNESCWA/WHO Western Asia Ministerial MeetingAddressing noncommunicable diseases and injuries(Doha, Qatar, 10-11 May 2009)
NCDs are emerging as a serious threat to Arab countries
and are undermining development
ECOSOC/UNESCWA/WHO Western Asia Ministerial MeetingAddressing noncommunicable diseases and injuries(Doha, Qatar, 10-11 May 2009)
Cardiovascular diseases (27%)
Infectious and parasitic diseases (17%)
Respiratory infections (10%)Perinatal conditions (10%)
Malignant neoplasms (7%)
Respiratory diseases (4%)
Unintentional injuries (7%)
Digestive diseases (4%)
Intentional injuries (4%)
Neuropsychiatric disorders (2%)
Total deaths: 4.3 million• Noncommunicable conditions: 50%• Communicable diseases*: 39%• Injuries: 11%
Total deaths: 4.3 million• Noncommunicable conditions: 50%• Communicable diseases*: 39%• Injuries: 11%
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*Including maternal and perinatal conditions and nutritional deficiencies
Diabetes (2%)
Noncommunicable DiseasesMagnitude in the Middle East
ECOSOC/UNESCWA/WHO Western Asia Ministerial MeetingAddressing noncommunicable diseases and injuries(Doha, Qatar, 10-11 May 2009)
Top-10 countries in diabetes prevalence in the world(2007)
Rank and country Age- adjusted prevalence of diabetes in 20-79 yr age group (%)
1. Nauru 30.7
2. United Arab Emirates 19.5
3. Saudi Arabia 16.7
4. Bahrain 15.2
5. Kuwait 14.4
6. Oman 13.1
7. Tonga 12.9
8. Mauritius 11.1
9. Egypt 11.0
10. Mexico 10.6
ECOSOC/UNESCWA/WHO Western Asia Ministerial MeetingAddressing noncommunicable diseases and injuries(Doha, Qatar, 10-11 May 2009)
NCDs and injuries are preventableWe know what works
We have cost-effective interventions:
•Tobacco control interventions
•Measures to improve healthy dietary and physical activity patterns
•Early detection and effective treatment of cancer
•Treatment of hypertension, diabetes
•Treatment of heart disease and stroke
•Intersectoral injury prevention measures
ECOSOC/UNESCWA/WHO Western Asia Ministerial MeetingAddressing noncommunicable diseases and injuries(Doha, Qatar, 10-11 May 2009)
The global response to address noncommunicable diseases
ECOSOC/UNESCWA/WHO Western Asia Ministerial MeetingAddressing noncommunicable diseases and injuries(Doha, Qatar, 10-11 May 2009)
1. Integrating NCD prevention into the development agenda, and into policies across all government departments
2. Establishing/strengthening national policies and programmes
3. Reducing/preventing risk factors
4. Prioritizing research on prevention and health care
5. Strengthening partnerships
6. Monitoring NCD trends and assessing progress made at country level
Under each of the 6 objectives, there are sets of actions for member states, WHO Secretariat and international partners.
2008-2013 Action Plan for the Global StrategySix Objectives of the Action Plan
ECOSOC/UNESCWA/WHO Western Asia Ministerial MeetingAddressing noncommunicable diseases and injuries(Doha, Qatar, 10-11 May 2009)
Noncommunicable DiseasesThe NCD gap in the development agenda
(Health ODA* Commitments 2006 by major subsector)
$0.00
$0.10
$0.20
$0.30
$1.00
$2.00
$2.70
$0.00
$0.08
$0.10
$0.20
$0.20
$0.60
$0.70
$1.30
$1.80
$1.93
$2.10
$4.75
Water Education/ Training
Water resources protection
Waste management/ disposal
River development
Basic drinking water supply & sanitation
Water Policy/ Management
Water supply/ sanitation-large systems
Health Education
Health Training
Basic Nutrition
Family Planning
Medical Services
Medical Research
Basic Health Infrastructure
Reproductive Health Care
Basic Health Care
Health Policy/ Management
Infectious Disease Control
STD & HIV/ AIDS ControlUS$ Billions
Total = $20.9 billion
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ECOSOC/UNESCWA/WHO Western Asia Ministerial MeetingAddressing noncommunicable diseases and injuries(Doha, Qatar, 10-11 May 2009)
… … MDGs … failed to identify noncommunicable conditions, in spite of the fact that these diseases account for fully 70% of the global mortality… most of the morbidity and mortality caused are preventable … a serious omission … I propose we seriously consider an MDG+, which would set goals for the
NCCs, as we have done for other … challenges .
President of the 61st World Health Assembly
ECOSOC/UNESCWA/WHO Western Asia Ministerial MeetingAddressing noncommunicable diseases and injuries(Doha, Qatar, 10-11 May 2009)
Objective 1: To raise the priority accorded to noncommunicable diseases in development work at global and national level
Global NCD Action Plan 2008-2013Milestones
• Regional Ministerial Meeting on Health Literacy (Beijing, 29-30 April 2009)
• Regional Ministerial Meeting on NCDs, Poverty and Development (Qatar, 10-11 May 2009)
• ECOSOC High Level Segment on Global Health (Geneva, 6-8 July 2009)
ECOSOC/UNESCWA/WHO Western Asia Ministerial MeetingAddressing noncommunicable diseases and injuries(Doha, Qatar, 10-11 May 2009)
What do we want to achieve from this meeting?
• Review the magnitude and trends of NCDs and injuries with special emphasis on socio-economic impact
• Discuss successful approaches and interventions to address NCDs and injuries and identify cost-effective measures to improve access of the poor and vulnerable populations to proper health care
• Discuss ways and means of integrating the prevention of NCDs and injuries into national, regional and global development initiatives
ECOSOC/UNESCWA/WHO Western Asia Ministerial MeetingAddressing noncommunicable diseases and injuries(Doha, Qatar, 10-11 May 2009)
What do we want to achieve from this meeting?...
• Recommend key actions for countries to incorporate NCD prevention into poverty reduction strategies and relevant social and economic policies
• Recommend mechanisms to involve all government departments to ensure that NCD and injury prevention receives a cross-sectoral response
A Call for action by the international community and development agencies to respond to the needs of countries in scaling up action against NCDs and injuries