Physical Activity, Sport, and Non-Communicable Disease

Dr Timothy ArmstrongPrevention of Noncommunicable Diseases Department

The World Health Organization (WHO)• Specialized agency within the Charter of the United Nations

(1948)

• 194 Member State• One WHO, but decentralized structure

• Governing bodies– World Health Assembly– Executive Board

WHO's objective: Attainment by all peoples of the highest possible level of health

WHO Regional Offices

WHO is primarily responsible for:

• providing leadership on global health matters, • shaping the health research agenda, • setting norms and standards, • articulating evidence-based policy options, • providing technical support to countries and • monitoring and assessing health trends

I Why are governments seeing NCDs as the new

frontier in the fight to improve public health and socio-economic development?

In all developing countries, and by any metric, NCDs now account for a large enough share of premature deaths and poverty to merit a concerted and coordinated government-led public policy response.

WHO Global NCD Action Plan 2013-2020, including 9 global targets and 25 indicators

2000

2003

2004

2008

Global Strategy for the Prevention and Control of Noncommunicable Diseases

Global Strategy on Diet, Physical Activity and Health

2008-2013 Action Plan on the Global Strategy for the Prevention and Control of NCDs

2010

2009

2011

Global Strategy to Reduce the Harmful Use of Alcohol

WHO Global Status Report on NCDs

UN Political Declaration on NCDs2013

Moscow Declaration

2025 Attainment of the 9 global targets for NCDs by 2025

2014 UN General Assembly Comprehensive Review 2014 on NCDs

Communicable, maternal, perinatal and nutritional conditions NCDs < 60 Injuries

0

10 M

20 M

30 M

40 M

50 M

60 M

28%

16%47%

9%

Global burden of NCDs (millions of deaths in 2008)

NCDs > 60

36 m. deaths due to NCDs (63% of global deaths)

Tobacco useUnhealthy dietsPhysical inactivityHarmful use of alcohol

Heart disease and stroke

Diabetes

CancerChronic lung disease

Noncommunicable disease and risk factors

Huge disparities exist across countries in relation to the probability of death from an NCD between the ages of 30-69

US$ 170B is the overall cost for all developing countries to scale up action by implementing a set of interventions between 2011 and 2025, identified as priority actions by WHO

US$ 7Tis the cumulative lost output in developing countries associated with NCDs between 2011-2025

The cost of inaction in developing countries over the next 15 years is enormous (compared to the cost of action)

Reports are available at www.who.int/ncd

The General Assembly adopted by consensus the resolution titled "Political Declaration of the High-level Meeting of the

General Assembly on the Prevention and Control of Non-communicable Diseases" (document A/66/L.1).

Obesity SymposiumBrocher FoundationGeneva, 1 –2 July 2013

The WHO Global NCD Action Plan 2013-2020unites governments, international partners and WHO around a common agenda

Vision:A world free of the avoidable burden of NCDs

Goal:To reduce the preventable and avoidable burden of morbidity, mortality and disability due to NCDs by means of multisectoral collaboration and cooperation at national, regional and global levels

Vision:A world free of the avoidable burden of NCDs

Goal:To reduce the preventable and avoidable burden of morbidity, mortality and disability due to NCDs by means of multisectoral collaboration and cooperation at national, regional and global levels

Obesity SymposiumBrocher FoundationGeneva, 1 –2 July 2013

Objective 1To raise the

priority accorded to the prevention

and control of NCDs in global,

regional and national agendas and

internationally agreed

development goals, through strengthened international cooperation

and advocacy

Objective 4To strengthen

and orient health systems to address the prevention and

control of NCDs and

the underlying social

determinants through

people-centred primary health

care and universal

healthcoverage

Objective 4To strengthen

and orient health systems to address the prevention and

control of NCDs and

the underlying social

determinants through

people-centred primary health

care and universal

health coverage

Objective 5To promote and support

national capacity for high-quality research and development

for the prevention and

control ofNCDs

Objective 5To promote and support

national capacity for high-quality research and development

for the prevention and

control of NCDs

Objective 2To strengthen

national capacity, leadership,

governance, multisectoral

action and partnerships to

accelerate country response

for the prevention and control of NCDs

Objective 3To reduce

modifiable risk factors for NCDs and underlying

social determinants

through creation of

health-promoting environments

Objective 6To monitor the

trends and determinants of

NCDs and evaluate progress

in their prevention

and control

The WHO Global NCD Action Plan 2013-2020 has six objectiveswith recommended actions for Member States, international partners and WHO

Formal Meeting of Member States to conclude the work on the comprehensive global monitoring framework including indicators and

a set of voluntary targets for the prevention and control of NCDs

2013-2020 NCD Global Action Plan • Actions are to advance the implementation of the

Global Strategy on Diet, Physical Activity and Health and other relevant strategies with a focus on policies and actions across multiple settings and emphasis on a life course approach.

• Interventions to increase participation in physical activity in the entire population for which favorable cost effectiveness data are emerging should be promoted.

• Aim: progress in achieving the voluntary global targets

WHO Global Recommendations on Physical Activity (2010)WHO Global Recommendations on Physical Activity (2010)

Partnership for action Partnership for action

" …agree to work together in our respective countries and areas to accelerate the implementation of national NCD strategies with particular focus on strengthening joint initiatives to increase participation in sport."

Partnership for action