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 |

Global Updates on Noncommunicable Diseases3 |

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

Global Updates on Noncommunicable Diseases4 |

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

Global Updates on Noncommunicable Diseases5 |

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

Global Updates on Noncommunicable Diseases6 |

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

Global Updates on Noncommunicable Diseases7 |

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.

Global Updates on Noncommunicable Diseases8 |

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

Why aren’t we drinking water instead?

Global Updates on Noncommunicable Diseases9 |

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

Why are children the target of food marketing?

Global Updates on Noncommunicable Diseases10 |

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

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

regularly exposed to deadly second-hand smoke

Global Updates on Noncommunicable Diseases11 |

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

Are our cities safe for daily physical activity?

How is the air?

Inqu

irer.n

et

Global Updates on Noncommunicable Diseases12 |

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

• Drunk driving causes 2.5 million deaths each year

• What happens to those who survive?

Global Updates on Noncommunicable Diseases13 |

PHL Epidemiological Transition

1954

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2008

0

100

200

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500

600

0

10

20

30

40

50

60

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80

90

100

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

Global Updates on Noncommunicable Diseases14 |

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

Global Updates on Noncommunicable Diseases15 |

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

Global Updates on Noncommunicable Diseases16 |

Global Updates on Noncommunicable Diseases17 |

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

Global Updates on Noncommunicable Diseases18 |

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

Global Updates on Noncommunicable Diseases19 |

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

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

Global Updates on Noncommunicable Diseases20 |

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

Global Updates on Noncommunicable Diseases21 |

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

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

Global Updates on Noncommunicable Diseases22 |

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

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

Global Updates on Noncommunicable Diseases23 |

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

Action for Healthier Families

Global Updates on Noncommunicable Diseases24 |

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?

Global Updates on Noncommunicable Diseases25 |

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

Global Updates on Noncommunicable Diseases26 |

How can we monitor progress?

Global Updates on Noncommunicable Diseases27 |

HEALTH AND THE ENVIRONMENTDivision of Noncommunicable Diseases and Health through the

Lifecourse

Thank youNCD@wpro.who.int