33981 - GLOBAL STRATEGIES FOR THE PREVENTION OF DIABETES...

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Unformatted text preview: GLOBAL STRATEGIES FOR THE PREVENTION OF DIABETES AND OTHER NONCOMMUNICABLE DISEASES Ala Alwan Assistant Director-General World Health Organization Workshop on Epidemiology of Diabetes and Other Noncommunicable Diseases ( Bibliotheca Alexandrina, 8 January 2009) World Health Organization Who we are • Specialized agency within the United Nations • Established in 1948 • 193 Member States • World Health Assembly and Executive Board as Governing Bodies • Headquarters in Geneva, Switzerland • 6 Regional Offices; 6 Regional Committees • 150 country offices • 5,431 professional staff WHO’s Core Functions • providing leadership on matters critical to health; • shaping the research agenda and stimulating the generation, translation and dissemination of valuable knowledge; • setting norms and standards; • articulating ethical and evidence-based policy options; • providing technical support and building sustainable institutional capacity; and • monitoring the health situation and assessing health trends. •A brief review of the global magnitude of NCDs and their risk factors •An outline of the global response – The Global Strategy for the Prevention and Control of NCDs and its implementation plan •Possible implications for national response otT The global disease profile is changing at an astonishingly fast rate, with serious implications for health and socio-economic development o tT The Noncommunicable Diseases Burden • Responsible for up to 60% of all deaths: 80% are in low and middle income countries; almost half before 70 • Major noncommunicable diseases: – CVDs, Diabetes, Cancer and Chronic Respiratory disease • Shared preventable risk factors: – Tobacco use, unhealthy diet and physical inactivity, harmful use of alcohol • Major inequalities between and within countries • NCDs are undermining development Noncommunicable diseases: Cardiovascular disease 30.2% Cancer 15.7% Diabetes 1.9% Other chronic diseases 15.7% Infectious diseases: HIV/AIDS 4.9% Tuberculosis 2.4% Malaria 1.5% Other Infectious Diseases 20.9% Injuries 9.3% Total: 58Million Deaths by cause in the world (WHO, 2004) Global Distribution of Death: Update for 2004 Launched 27 October 2008 EMR Mortality trends compared with other regions Adult mortality rates by major case group and region (2004 ) 0 2 4 6 8 10 12 Africa Europe South East Asia Eastern Mediterranean Americas Western Pacific High income Death rate per 1000 adults aged 15–59 years Cardiovascular diseases Cancers Other noncommunicable diseases Injuries HIVAIDS Other infectious and parasitic diseases Maternal and nutritional conditions Launched 27 October 2008 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 I ron deficiency High BMI Zinc deficiency Low fruit and vegetables Vitamin A deficiency Physical inactivity Occupational injury risks Lead exposure I llicit drugs Unsafe health care injections...
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33981 - GLOBAL STRATEGIES FOR THE PREVENTION OF DIABETES...

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