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diabetes
Motherless since the age of six, Eyamo was left by his father and
relatives to fend for himself when the cost of his diabetes care
became too heavy a burden to bear. One night in his own home,
Eyamo fell into a coma. He was hungry but there was no food in the
house. Eyamo did not wake from his coma; he was only 16.
We are here today because of Eyamo and the millions like him.
Diabetes will kill four million people in the coming year. This puts a
heavy responsibility on my shoulders as the new president of the
International Diabetes Federation. I will need all your help.
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The numbers are alarming. The latest edition of the IDF Diabetes
Atlas—released in this venue just three days ago— gave us the
dismal news that some 285 million people live with diabetes today.
Low and middle-income countries continue to bear the brunt of the
disease.
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evidence-based diabetes education is available so that people with
diabetes play an informed and central role in their own care.
We will need to stop people before they start the diabetes journey.
We have to act early before people develop the disease.
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The compelling images of consumerism are a constant attraction.
Advertising jingles make up the soundtrack to our lives. Indeed, it
often seems that the marketers of calorific excess have all the best
tunes and have learned to speak in a seductive voice that promises
fun and attainable freedom.
It will not be easy to fight these forces, but it is a battle that we will
all have to fight. The choice is simple. Either we spend all our time
mopping the floor, or we get up and turn off the tap.
Turning around the diabetes epidemic will not be easy; it will not
happen overnight.
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right to live a full life has been denied through ignorance, lack of
resources and education, and inadequate health infrastructure.
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I would like to pause here to pay tribute to the groundbreaking
work of outgoing IDF President Martin Silink, my colleagues who
have served with me on the IDF Board of Management and
Executive Board over the past triennium, and the numerous
individual champions within the IDF family who have given us such
a legacy to build on.
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Looking forward, I believe that the coming triennium will be as
significant for diabetes as the last. Building on the UN Resolution,
we will continue the good work we are doing in successful
programmes such as our Life For A Child program that supports the
care of children with type 1 diabetes in 19 countries.
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IDF supports the WHO Non-communicable Diseases Action Plan,
2008-2013, which recognizes diabetes as a development issue.
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Most of the essential medicines needed are off-patent and cost just
pennies to produce. Funding essential medicines for non-
communicable diseases need not be expensive and can literally save
millions of lives and save millions from serious complications. Again,
we have seen support growing for this very recently.
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unaffordable or unusable in many low- and middle-income
countries.
Martin Silink tells the story of a man he met in Cambodia who told
him, “I wish I had AIDS and not diabetes.”
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The man made that remarkable statement because there was a
state-of-the-art clinic funded by international money in his area
with free treatment for HIV/AIDS patients but no treatment facility
for diabetes.
Here in the WHO budget, we see that all NCDs receive a fraction of
the money available to address the infectious diseases. And this
funding is shared between NCDs, mental health and injuries.
At IDF, we are therefore asking for diabetes and the other non-
communicable diseases to be integrated into existing health
systems, particularly at the primary care level.
This makes economic sense and is based on the principle that the
health system should treat the whole person, often with multiple
conditions, and not compartmentalize treatment by disease.
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need it. Our aim is to achieve sustainable health systems as called
for in United Nations Resolution 61/225, and to catalyse funding
that is committed to helping health systems develop sustainable,
cost-effective measures for prevention and care.
We know from many studies that certain social and ethnic groups
will be the hardest to reach with programmes for both treatment
and prevention. In each society, we cannot be effective unless we
understand the social determinants of health and access to
healthcare.
IDF policy and strategy will centre on the person with diabetes, and
those at risk. The success of our work must be measured by an
improved quality of life for the person with diabetes.
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IDF will work harder with our current partners and enlist new and
non-traditional partners to further national, regional and global
advocacy.
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powerhouse, my pillar of support, my friend and my spouse, Dora;
our four children and our families for being there for me.
When I look around this auditorium and see people wearing the
blue circle pin, I feel proud to be part of global movement that is
‘uniting for diabetes’. I hope we will all leave Montreal energized
and ready for the challenges ahead.
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