Western Pacific Updates on Noncommunicable Diseases

Albert Francis E. Domingo MD MScNoncommunicable Diseases and Health PromotionDivision of NCD and Health through the Life-Course

2 December 2015

Western Pacific Updates onNoncommunicable Diseases

Global Updates on Noncommunicable Diseases2 |


The burden of NCDs is significant and increasing.

• Major NCDs (CVD, DM, CA, CRD) account for more than 80% of all deaths in the Western Pacific

• Risk factors are showing in children


The risk factors are behavioural, and our surroundings are not helping.



IARC Monograph:

• Processed meat

Group 1 - sufficient evidence to be carcinogenic to humans

• Red meat

Group 2A – probably carcinogenic to humans

The issue is CANCER.



Why aren’t we drinking water instead?



Why are children the target of food marketing?



• 50% of males are smokers• Half of all women and children are

regularly exposed to deadly second-hand smoke



Are our cities safe for daily physical activity?

How is the air?

Inqu

irer.n

et



• Drunk driving causes 2.5 million deaths each year

• What happens to those who survive?


PHL Epidemiological Transition

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2008

0

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110

Communicable Diseases Malignant Neoplasm Diseases of the Heart

Year

Dea

ths

per 1

00,0

00 p

opul

atio

n (c

omm

unic

able

dis

ease

s)D

eaths per 100,000 population (non-com

municable diseases)

Source: Philippine Health Statistics, various years


Overview of the Global Effort

Governance Risk factors Health systems Surveillance

UN Agencies (coordinated through the UN Task Force on

NCDs)

WHO Secretariat

(through Programme Budget

2016-2017)

Member States and non-State

actors(coordinated through the WHO GCM/NCD)

Development and implementation of national NCD responses

• Normative work• Technical assistance

• Technical assistance (beyond the health sector)

• Advocacy• Network• Forum

Components of national NCD responses


In the Western Pacific Region

Objectives:

1. Raise the priority accorded to the prevention and control of NCDs

2. Strengthen national (local) capacity, leadership, governance, multisectoral action and partnerships

3. Reduce modifiable risk factors through creation of health-promoting environments

4. Strengthen and orient health systems through people-centred primary health care and universal health coverage

5. Promote and support national capacity for high-quality research and development

6. Monitor (local) trends and determinants


What’s going on in our part of the world?


Sin tax is anti-cancer tax (Philippines, 2012)



mHealth for NCD

Launched by WHO and the International Telecommunication Union (ITU) in 2012

• Help combat NCDs through text messaging and apps

• Pilot site is in the Philippines



Regional Framework for Urban Health in the Western Pacific (2016-2021)



Action for Healthier Families


The Continuum of Care

Health Risk exposure

Risk contact

Latent disease/inj

ury

Early disease/

injuryDisease

progression

Advanced disease/injur

y

Chronic disease

Impairmentor Death

Primary Prevention: Reduce risk exposure

Secondary Prevention:

Detection and intervene early

Tertiary Prevention:Reduce progress or

complications of established disease

Governance / Stew

ardship

Interventions

When do we intervene?


How do we implement? (Options in the PHL Context)


How can we monitor progress?


HEALTH AND THE ENVIRONMENTDivision of Noncommunicable Diseases and Health through the

Lifecourse

Thank [email protected]

Western Pacific Updates on Noncommunicable Diseases

Health & Medicine

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