Nutrition & Food Security Programme WHO Food and Nutrition Action Plan Dr Aileen Robertson Nutrition and Food Security Programme WHO Regional Office for

Nutrition & Food Security Programme

WHO Food and Nutrition WHO Food and Nutrition Action PlanAction Plan

Dr Aileen RobertsonDr Aileen Robertson

Nutrition and Food Security Nutrition and Food Security ProgrammeProgramme

WHO Regional Office for EuropeWHO Regional Office for Europe

CopenhagenCopenhagen



Main causes of death by ageMain causes of death by agein the European Region, mid-1990sin the European Region, mid-1990s

0–1 1–4 5–14 15–24 25–34 35–44 45–54 55–64 65–74 75–84 85+0

20

40

60

80

100

Infectious and parasitic diseases

Cancer

Cardiovascular diseases

Respiratory diseases

Other diseases

External causes

Ill-defined conditions

Age groups (years)

Source: Health in Europe 1997. WHO Regional Office for Europe, Epidemiology, statistics and health information (ESI) unit.

Perc

enta

ge o

f all

death

s


Prevalence of cardiovascular Prevalence of cardiovascular diseasesdiseases

20

40

60

80

100

120

140

1970 1975 1980 1985 1990 1995 2000 2005

EUROPE EU average CEE average

NIS average

Ischaemic heart disease,0-64,per 100000


Prevalence of cerebrovascular diseasesPrevalence of cerebrovascular diseases

0

10

20

30

40

50

60

70

1970 1975 1980 1985 1990 1995 2000 2005

EUROPE EU average CEE average

NIS average

Cerebrovascular diseases, 0-64/100000


BMI in males, 19-64 yrs, WHO European BMI in males, 19-64 yrs, WHO European countriescountries

9

1

1

3

3

2

16

2

71

52

48

38

48

38

45

17

14

39

41

41

35

43

21

49

6

8

11

13

14

17

18

25

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Central Asian republics

Nordic countries

Western Europe

Commonwealth Indep. States

Central & Eastern Europe

Baltic countries

Southeast Europe

Southern Europe

Underw eight (BMI < 18.5) Normal w eight (BMI 18.5 - 24.9) Overw eight (BMI 25-29.9) Obese (BMI = or > 30)


ObesityObesity In Europe the prevalence of obesity In Europe the prevalence of obesity

reaches more than 30% in some adults reaches more than 30% in some adults and shows escalating rates in children, and shows escalating rates in children, increasing the risk of cardiovascular increasing the risk of cardiovascular diseases, certain cancers and diabetes.diseases, certain cancers and diabetes.

Obesity is estimated to cost some Obesity is estimated to cost some health services 7% of their total health health services 7% of their total health care budget.care budget.

Around one third of cardiovascular Around one third of cardiovascular disease cases, the leading cause of disease cases, the leading cause of death, is linked to unbalanced nutrition, death, is linked to unbalanced nutrition, and up to 30-40% of certain cancers.and up to 30-40% of certain cancers.


Ischaemic heart disease in women, Ischaemic heart disease in women, FinlandFinland

Graph 1

Observed and predicted decline in mortality from ischaemic heart disease in women aged 35-64 in Finland


Foo

d S

afet

y

Nu

trit

ion

Su

stai

nab

le

Foo

d S

up

ply


PRODUCTION

MANUFACTURING

DISTRIBUTION

Cooking at

home

MassCatering

RETAIL

CONSUMPTION

A Food safety strategy – WHA 53.15A Food safety strategy – WHA 53.15Based on THE WHOLE FOOD CHAINBased on THE WHOLE FOOD CHAIN


A Nutrition StrategyA Nutrition Strategy based on a LIFE-CYCLE APPROACHbased on a LIFE-CYCLE APPROACH

Woman

Adolescentgrowth

Pregnancy

Elderly

Child growth

Women& Men

Birthweight


A Sustainable Food Supply StrategyA Sustainable Food Supply StrategyTo improve FOOD SECURITYTo improve FOOD SECURITY

Policies to improve AVAILABILITY of & ACCESS to SAFE & NUTRITIOUS food & protect the environment

Emergencies

URBAN & Peri-urban Food & Nutrition Action Plan (urbanisation)

Health Impact Assessments e.g. of agriculture policies


Public healthEnvironmental services AgricultureHorticultureFood IndustryFood retailersEducationTourismVoluntary sectorsThe Public

Ensure complementarity of the 3 Ensure complementarity of the 3 strategiesstrategies

through collaboration between different through collaboration between different sectors:sectors:


NATIONAL LEVEL Food & NutritionCoordination

REGIONAL LEVEL Food & NutritionCoordination

LOCAL LEVEL Food & NutritionCoordination

PUBLIC HEALTH SERVICES

Coordination Mechanisms are vitalCoordination Mechanisms are vital


IMPLEMENTATION Tools 1. IMPLEMENTATION Tools 1. GuidelinesGuidelines

FEEDING AND NUTRITION OF INFANTS AND YOUNG CHILDRENGuidelines for the WHO European Region, with emphasis on the former Soviet CountriesNutrition

Policy, Infant Feeding and Food Security Programme


CINDI FOOD PYRAMID

2. 2.


IMPLEMENTATIONIMPLEMENTATIONWHO EURO RC50 Resolution - WHO EURO RC50 Resolution -

14 Sept 2000 14 Sept 2000 Member States (51) - Member States (51) -

BaselineBaseline information on mostinformation on mostIntersectoral Food & Nutrition Intersectoral Food & Nutrition Policy for Decision-MakersPolicy for Decision-MakersEvaluate impact of Evaluate impact of WHOWHO

Action PlanAction PlanMinisterial Conference 2005Ministerial Conference 2005EU Resolution - EU Resolution - Council of Council of Ministers, 14 Dec 2000Ministers, 14 Dec 2000


Table 1: Countries with a nutrition policyTable 1: Countries with a nutrition policyCountry by subregion

Food and nutrition policy in

1994/1995

Total 1994/1995

Food and nutrition policy in 1998/99

Total 1998/1999

Total 24/50 48% 29/50 58%Nordic countries (5)

5/5 100% 4/5 80%

Baltic countries (3)

3/3 100% 2/3 66%

Central and Eastern Europe (6)

4/6 66% 4/6 66%

Western Europe (9)

4/9 44% 5/9 56%

Central Asian republics (5)

2/5 40% 3/5 60%

Southern Europe (10)

3/10 30% 4/10 40%

Commonwealth of Independent States (7)

2/7 29% 3/7 43%

Southeast Europe (5)

1/5 20% 4/5 80%


Table 2: Countries with a food-based Table 2: Countries with a food-based dietary guideline (FBDG)dietary guideline (FBDG)

Country by subregion

Government-endorsed,

national FBDG

National FBDG in preparation or

finished but not yet endorsed by

government

Total

Total 24/48 8/48 66%

Nordic countries (5) 4/5 1/5 100%

Baltic countries (3) 1/3 2/3 100%

Central and Eastern Europe (6)

5/6 1/6 100%

Southern Europe (8) 6/8 1/8 88%

Western Europe (9) 5/9 2/9 78%

Southeast Europe (5)

1/5 1/5 40%

Commonwealth of Independent States (7)

2/7 0/7 29%

Central Asian republics (5)

0/5 0/5 0%


IMPLEMENTATIONIMPLEMENTATIONIntersectoral Food & Nutrition Intersectoral Food & Nutrition

Policy Development for Decision-Policy Development for Decision-MakersMakers

(3 day workshop for policy makers)(3 day workshop for policy makers)

WHO/FAO/UNICEFWHO/FAO/UNICEF

Member States:Member States:•S.E. Europe S.E. Europe (Balkan Region)

•Bulgaria, Poland, Hungary, RussiaBulgaria, Poland, Hungary, Russia•Baltic/Nordic (all 8 countries) Baltic/Nordic (all 8 countries) •Southern Europe and TurkeySouthern Europe and Turkey


Vegetable messagesVegetable messages

Adapted from an advert by Thomas Cook


Eat your veggies!

I wish somebody

would start a scare about

“greens”


Nutrition and Food Nutrition and Food SecuritySecurityWeb SiteWeb Site

http://www.euro.who.int/Nutrition

Documents

Nutrition & Food Security Programme WHO Food and Nutrition Action Plan Dr Aileen Robertson Nutrition and Food Security Programme WHO Regional Office for