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Dr Ala AlwanAssistant Director-General
Non-communicable Diseases and Mental Health
Chronic lung disease
Cancer
Diabetes
Heart disease and stroke
Noncom
municable diseases
Harmful use of alcohol
Physical inactivity
Unhealthy diets
Tobacco use
Modifiable causative risk factors
Non-communicable Diseases (NCDs)
Dr Ala AlwanAssistant Director-General
Non-communicable Diseases and Mental Health
In all developing countries, cancers now account for a large enough share of premature deaths and poverty to merit an urgent and coordinated public policy response.
In all developing countries, cancers now account for a large enough share of premature deaths and poverty to merit an urgent and coordinated public policy response.
234
2005 2015 2030
2.1
5.5million
2.3
6.7million
2.5
8.9million
0
2
4
6
8
10
12
()
Low- and middle income countriesHigh-income countries
Source:
Deaths from cancers
Dr Ala AlwanAssistant Director-General
Non-communicable Diseases and Mental Health
Cancer in India
Source: Mahal et al 2010
Dr Ala AlwanAssistant Director-General
Non-communicable Diseases and Mental Health
More than 8 million people die each year before the age of 60in developing countries from non-communicable diseases
More than 8 million people die each year before the age of 60in developing countries from non-communicable diseases
Increased exposure to risk factors
Cancers and other non-communicable diseases
Limited access to effective and equitable health-care services
Populations in low- and middle-income countriesPopulations in low- and middle-income countries
Globalization of trade and marketingRapid urbanizationPopulation ageing
Poverty
Globalization of trade and marketingRapid urbanizationPopulation ageing
Poverty
Why are developing countries more affected?
Dr Ala AlwanAssistant Director-General
Non-communicable Diseases and Mental Health
Smoking prevalence (2004)
0
5
10
15
20
25
30
35
40
45
Low-income countries
Lower-middleIncome
Upper-middle-income
High-income
Lowest household income quintiles
Highest household income quintiles
The poorest people in developing countries smoke most
Why are the poorest in developing countries most affected?
Dr Ala AlwanAssistant Director-General
Non-communicable Diseases and Mental Health
We have the right vision and feasible solutions to:
• prevent up to 1.7 million premature deaths from cancers in developing countries per year
• treat another 1.7 million if detected early
• provide palliative care for the remainder
1 34
Dr Ala AlwanAssistant Director-General
Non-communicable Diseases and Mental Health
WHO Framework
Convention on Tobacco Control
Global Strategy to Reduce the Harmful Use
of Alcohol
Global Strategy on
Healthy Diets, Physical
Activity and Health
Global Strategy for the Prevention and Control of NCDs
Dr Ala AlwanAssistant Director-General
Non-communicable Diseases and Mental Health
12 4
Policy makers and programme managers in developing countries are increasingly challenged to formulate effective cancer strategies to address prevention, early detection, treatment and palliative care.
But their requests to include cancer in global development initiatives and related investment decisions remain largely unanswered by international development agencies.
Dr Ala AlwanAssistant Director-General
Non-communicable Diseases and Mental Health
0.010.06
0.1
0.42
0.92
0.93
3.9
0.060.210.220.230.24
0.330.450.53
0.81.141.16
1.331.65
US$7.4
0 1 2 3 4 5 6 US$7 Billion
Water Education
ater Resources Protection
River Development
Waste Management
sic Drinking Water Supply
Water Resources Policy
Water Supply/Sanitation
Health Education
Medical Education
Medical Research
Basic Health Infrastructure
Medical Services
Basic Nutrition
TB Control
Family Planning
Malaria Control
Basic Health Care
Reproductive Health Care
nfectious Disease Control
Health Policy
HIV/AIDS
• Total Health ODA in 2007: $22.1 billion
• Health ODA for cancer: minimal
• Total Health ODA in 2007: $22.1 billion
• Health ODA for cancer: minimal
(Source: Kaiser Family Foundation, 23 July 2009, based on OECD/D
Global commitments to public health (2007) (measured in Official Development Assistance)
Dr Ala AlwanAssistant Director-General
Non-communicable Diseases and Mental Health
123Integrated prevention of NCDs share common risk factors
Chronic lung disease
Cancer
Diabetes
Heart disease and stroke
Noncom
municable diseases
Harmful use of alcohol
Physical inactivity
Unhealthy diets
Tobacco use
Modifiable causative risk factors
Dr Ala AlwanAssistant Director-General
Non-communicable Diseases and Mental Health
Six objectives:1. Raising the priority accorded to NCDs in
development work at global and national levels, and integrating prevention and control of NCDsinto policies across all government departments
2. Establishing and strengthening national policies and programmes
3. Reducing and preventing risk factors 4. Prioritizing research on prevention and health care5. Strengthening partnerships6. Monitoring NCD trends and assessing progress
made at country level
Mobilizing a global responseBuilding on a clear roadmap for Member States, partners and WHO
Dr Ala AlwanAssistant Director-General
Non-communicable Diseases and Mental Health
ECOSOC Ministerial Declaration
Doha Declaration
on NCDs
Raising the priority of NCDs in development work
obje
ctiv
e
UN General Assembly Resolution A/RES/64/265UN General Assembly
Resolution A/RES/64/265
Dr Ala AlwanAssistant Director-General
Non-communicable Diseases and Mental Health
• Decides to convene a high-level meeting of the General Assembly in September 2011, with the participation of Heads of State and Government, on the prevention and control of non-communicable diseases;
• Also decides to hold consultations on the scope, modalities, format and organization of the high-level meeting of the General Assembly on the prevention and control of non-communicable diseases, with a view to concluding consultations, preferably before the end of 2010;
• Encourages Member States to include in their discussions at the High-level Plenary Meeting of the sixty-fifth session of the General Assembly on the review of the Millennium Development Goals, to be held in September 2010, the rising incidence and the socio-economic impact of the high prevalence of non-communicable diseases worldwide;
• Requests the Secretary-General to submit a report to the General Assembly at its sixty-fifth session in collaboration with Member States, the World Health Organization and the relevant funds, programmes and specialized agencies of the United Nations system, on the global status of non-communicable diseases, with a particular focus on the developmental challenges faced by developing countries.
United Nations General Assembly resolution A/RES/64/265
Raising the priority of NCDs in development work
obje
ctiv
e
Dr Ala AlwanAssistant Director-General
Non-communicable Diseases and Mental Health
• NCD Summit (New York, 19 September 2011)• Consultative process leading towards the NCD Summit 2011:
– First Global Ministerial Meeting on NCDs and Healthy Lifestyles (Moscow, 28-29 April 2011).
– UN Regional Commissions (ECLAC, ESCWA, UNECA, UNECE, ESCAP)– Interactive hearings organized by WHO and UNDESA
• Reports:– WHO Global Status Report on NCDs (first quarter 2011)– UN Secretary-General's Report on NCDs (second quarter 2011)
United Nations General Assembly resolution A/RES/64/265
Raising the priority of NCDs in development work
obje
ctiv
e
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