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Dr. Jeffrey L. Sturchio President & CEO Global Health Council Journalist to Journalist Training National Press Foundation June 12, 2011
Non-communicable diseases
Non-communicable diseases (NCDs) are the leading cause of death and disability worldwide; they account for 60 percent of all deaths globally People living in developing countries are more likely to develop and die prematurely from chronic disease
Have limited access to comprehensive health services for NCDs Live in countries that do not have effective policies for NCDs (tobacco, alcohol, air pollution, etc.)
In addition to their devastating impact on health, NCDs have a major socio-economic impact on individuals, families, communities, and countries There is an urgent need to raise the profile of NCDs on the international development agenda The burden of chronic disease will account for over 75 percent of deaths by 2030
The World Economic Forum named NCDs the third largest economic risk facing the globe in 2010
Many of the risk factors associated with NCDs are related to modifiable behaviors
SOURCE: Geneau R, Stuckler D, McKee M, et al. Raising the priority of preventing chronic diseases: a political process. Lancet 2010; 376: 1689-98.
Cardiovascular Diseases
The leading cause of death worldwide, accounting for 17 million deaths in 2005 Of these, 7.2 million were due to heart attacks and 5.7 million due to stroke Include coronary heart disease (heart attacks), cerebrovascular disease, raised blood pressure (hypertension), peripheral artery disease, rheumatic heart disease, congenital heart disease, and heart failure If current trends continue, WHO estimates that 23.6 million people will dies from cardiovascular disease by 2030
Cancers
A leading cause of death group worldwide, accounting for 7.4 million deaths in 2004 The global cancer burden has doubled in the past 30 years; by 2020, the cancer burden of 2000 is expected to double again More that 70 percent of cancers occur in low- and middleincome countries The leading type of cancer is lung cancer, accounting for 1.3 million deaths per year In less developed countries, the leading type of cancer for men is lung cancer, followed by liver cancer; the leading type for women is breast cancer followed by cervical cancer
Diabetes
Worldwide, over 220 people had diabetes in 2004 Nearly 80 percent of diabetes deaths occur in low- and middle-income countries WHO estimates that diabetes deaths will double between 2005 and 2030 Causes kidney failure, diabetic retinopathy, and diabetic neuropathy; increases the risk of heart disease and stroke 43 million pre-school children worldwide are obese or overweight
60 per cent of the world s total deaths are due to noncommunicable diseases, many of which are preventable
90 per cent of people dying prematurely from NCDs live in developing countries
NCDs are among the top ten causes of causes of death in every income group
Without action, Africa will witness the largest increase in deaths from NCDs in 2015 (compared to 2004). South East Asia and the Western Pacific will have the highest absolute number of deaths.
National policies and legislation to limit the use of harmful substances, such as tobacco, alcohol, and unhealthy foods
Behavior change campaigns to educate about the risks of chronic disease and encourage positive, healthy behaviors Strengthening of health systems and additional prevention, screening, treatment, and care services targeted to chronic disease
Currently, there is no OECD/DAC Reporting System code to track funds for NCDs In low- and middle-income countries, many governments are increasing domestic expenditures for health, but investment in chronic disease is lacking However, between 2001 and 2008 donor funding to developing countries for NCDs increased by over 600 percent. This suggests a growing recognition and willingness to address the increasing burden of NCDs.
NCD Alliance
Key dates
WHO/ UNDESA Regional Summit Consultations South-East Asia (14-17 Feb, Dhaka, Bangladesh) Americas (24-25 February, Mexico City, Mexico) Western Pacific (25-27 March, Seoul, South Korea) Africa: TBD NCD Alliance Side Event: 55th Session of the Commission on the Status of Women, 22 Feb 4 Mar, New York Partners in Health / NCD Alliance Conference on NCDs of the Bottom Billion, 2-3 March, Harvard University Oxford Health Alliance Annual Meeting on NCDs, 14-15 April 2011, Oxford, UK NCDnet Global Forum, 27 April, Moscow Russia Ministerial Conference on NCDs, 28-29 April, Moscow 64th World Health Assembly, 16-25 May, Geneva Global Health Council Annual Conference (Theme: NCDs), 13-17 June, Washington, DC UN civil society consultation, June 16 UN High-Level Meeting, 19-20 September 2011 in New York Three Roundtable Sessions
Health System Strengthening 6) Medicines & Vaccines (E) R&D for innovative medicines for NCDs Affordable & accessible treatment Other 7) Patient diagnosis & Treatment (E,F) Leveraging primary care infrastructure Innovative delivery models Other 8) Healthcare professional training (D,F,G) Building networks On-line training Internships Other 9) Patient monitoring & follow-up (D,G) Remote check-ups Disease management Other 10) Governance (I)
A. Food/beverage, food service & agriculture C. Employers E. Pharmaceuticals G. Information &/Communications Technologies (ICTs) I. Cross-industry
B. Sporting Goods D. Health Insurers & healthcare providers F. Medical devices & diagnostics H. Media J. Other