33651 - Diabetes and Other Non-Communicable Diseases EM...

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Diabetes and Other Non-Communicable Diseases / EM Regional Perspective Dr . Ibtihal Fadhil RA/ NCD/ Health promotion and Protection/ EMRO/WHO First BA Regional Workshop on the Epidemiology of Diabetes and Other Non-Communicable Diseases , Bibliotheca Alexandrina 5-13 January 2009
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Outline NCD regional situation NCD Risk factors The Regional strategic approach for NCD prevention and control NCD global strategy STEPS Survey The Regional cancer control strategy and Framework for country action DPAS strategy and regional framework for country action NCD integration in PHC Strengthen EMAN net work
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The Regional Situation In the WHO Region for the Eastern Mediterranean, Chronic Diseases (CVD, Cancer, Diabetes etc. .) account for 52% of all deaths and 47% of the disease burden in EMR during the year 2005 This burden is likely to rise to 60% in the year 2020. The conventional risk factors may explain 75% of chronic diseases.
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Cardiovascular Chronic Respiratory Disease Type 2 Diabetes Cancer Chronic Diseases result in percent of deaths 4 52 EMR Adult Population
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EMR/NCD RISK FACTORS Smoking 16-65% Hypertension 12-35% Diabetes 7-25% Over weight-obesity 40-70% Dyslipidemia 30-70% Physical Inactivity 80-90%
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Stepwise data from some EM countries Country Year of field work Diabetes % Hypertension % Overweight & Obesity % Iraq 2006 10.4 40.4 66.9 Jordan 2007 16 25.5 67.4 Saudi Arabia 2005 17.9 26 Syrian Arab Republic 2003 19.8 28.8 56.3 Kuwait 2005 16.7 24.6 81.2 Egypt 2005 16.5 33.4 76.4 Sudan 2005 19.2 23.6 53.9
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Stepwise data from some EM countries Country Year of field work Hyper- cholestrole mia % Smokin g % Low physical activity % Low intake of fresh fruit & vegetables % Iraq 2006 37.5 21.6 56.7 92.3 Jordan 2007 26.2 29 5.2 14.2 Saudi Arabia 2005 19.3 12.9 33.8 91.6 Syrian Arab Republic 2003 33.5 24.7 32.9 95.7 Kuwait 2005 42 15.7 91.5 89 Egypt 2005 24.2 21.8 50.4 79 Sudan 2005 19.8 12 86.8 1.7/day
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Prevalence of Smoking according to STEPwise Survey in EM countries 21.6 29 12.9 24.7 15.7 21.8 12 0 10 20 30 40 Iraq Jordan Saudi Arabia Syrian Arab Republic Kuwait Egypt Sudan %
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Prevalence of diabetes based on stepwise surveys Jordan: 12% Iraq: 10.4% Syria: 20.5% Saudi Arabia: 17.9% Iran: 10.3% No available data from other EM countries
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Prevalence of Diabetes in EMR 24.4 9.5 9.8 10.9 14.9 14.7 14.9 16.2 25.9 10.5 11.1 9.9 12.5 14.8 9.7 12.8 25.1 10 10.6 10.4 13.4 14.8 11.6 14.5 BAH EGY IRA IRQ JOR KUW LEB LIY Male Female Mean 11.1 15.7 21.5 7.4 16.2 11.8 26.2 3.5 10.6 3.4 14.9 19.2 2 8.5 11.3 21.5 15.3 20.4 4.6 8.2 12.4 11.6 10.8 23.7 3.4 MOR OMA PAK SAA SUD TUN UAE YEM SYR Male Female Mean
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33651 - Diabetes and Other Non-Communicable Diseases EM...

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