Non-Communicable Diseases: The Unheralded Global Epidemic_Meer_5.12.11


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  • Thanks to Charlotte Block for inviting and CORE for hosting Delighted to be here with Drs. Tsu and Dr. Kabore
  • WHO definition Others include: Mental illness Disabilities Allergies Injuries Burns
  • By 2020 responsible for 44 million worldwide. Growing fastest in Africa, South-East Asia and the Eastern Mediterranean, where they will increase by over 20%. The regions that are projected to have the greatest total number of NCD deaths in 2020 are South-East Asia (10.4 million deaths) and the Western Pacifi c (12.3 million deaths) From “WHO Global Status Report on NCDs 2010.”
  • Framework convention on Tobacco Control Inadequate exercise: for the first time in human history in 2010 more people lived in cities than outside of them. Nutrition: salt, sugar, fat
  • Genetics: just beginning to get data on this. Of particular relevance, clear linkages with risk of cervical cancer and some risk for breast cancer (source: national cancer institute) Environment: includes, for example, indoor air pollution. Begins in utero and continues throughout the life cycle. Lifestyles: massive movements from agrarian to urban (2009 first time in human history majority live in cities) accompanied by sedentary lifestyle Changes in diet and increased consumption of high fat, sugary, salty, processed foods
  • Total deaths from CV Disease, CL disease, diabetes, cancer are 32 million deaths. From HIV, malaria, TB are 4.3 million. With the exception of the African Region, NCD mortality exceeds that of communicable, maternal, perinatal and nutritional conditions combined.For men in the European Region, deaths from NCDs are estimated to be 13x higher than these other causes combined, and for men in the Western Pacifi c Region they are estimated to be 8x higher. Connections with infectious disease: examples human pappiloma virus and cervical cancer. Epstein-Barr virus and Burkett’s lymphoma, strep infectious and rheumatic heart disease. More from Drs. Davis-Tsu and Kabore 80 percent of NCDs now in the developing world and growing. Mowing down people in their most productive years. in low- and middle-income countries, 29% of NCD deaths occur among people under the age of 60, compared to 13% in high-income countries. Prevention can eliminate 50 percent of CV deaths, 1/3 to ½ of all cancers, up to 50 percent of adult-onset diabetes, and most chronic obstructive pulmonary disease. Stopping some infections that cause chronic diseases can be done as no-cost add ons to existing programs. Diabetes can be treated for pennies per day with insulin that has been around for 90 years.
  • IDF estimates that diabetes will cause USD378 billion in global healthcare spending in 2010 – equivalent to 12% of global healthcare expenditure. This is predicted to increase to USD490 billion by 2030. Between 2005 and 2015, WHO estimates that China, Russia and India will lose USD558 billion, USD303 billion and USD237 billion respectively in foregone national income as a result of largely preventable deaths from diabetes, heart disease and stroke. Studies estimate that US$84 billion of economic production will be lost due to heart disease, stroke and diabetes in 23 high burden developing countries between 2006 and 2015. Left prevented, NCDs can occupy an enormous percentage of Ministry of Health budgets.
  • First High Level Session at the UN General Assembly on a health issue since the Special Session on AIDS (2004) President Obama or Michelle Obama? If not, Kathleen Sibelius. Preparatory meetings all over the world Moscow Ministerial
  • Role of the private sector Dialogue4health blog Write to the White House Public awareness! 2010 Lancet reports that reliable cause-specific mortality data on NCDs are “scarce.”
  • Hope to do more on other global health topics soon.
  • Non-Communicable Diseases: The Unheralded Global Epidemic_Meer_5.12.11

    1. 1. The Unheralded Global Epidemic (Intro) Non Communicable Diseases: Jeffrey Meer Special Advisor for Global Health The CORE Group May 12, 2011 Baltimore, MD
    2. 2. What are NCDs? <ul><li>Cardiovascular Disease </li></ul><ul><li>Cancers </li></ul><ul><li>Diabetes </li></ul><ul><li>Chronic Obstructive Pulmonary Disease </li></ul>
    3. 3. Context <ul><li>NCDs are responsible for 63 percent of all deaths globally. </li></ul><ul><li>NCD deaths are projected to increase by 15% globally between 2010 and 2020 </li></ul>
    4. 4. Common Risk Factors <ul><li>Smoking Tobacco </li></ul><ul><li>Inappropriate use of alcohol </li></ul><ul><li>Inadequate exercise </li></ul><ul><li>Poor nutrition </li></ul>
    5. 5. What Else Affects NCDs? <ul><li>Genetics </li></ul><ul><li>Environment </li></ul><ul><li>Lifestyles </li></ul>
    6. 6. Myths about NCDs <ul><li>Much less common than infectious diseases (HIV, TB, malaria, diarrhea) </li></ul><ul><li>Unrelated to infectious diseases </li></ul><ul><li>Diseases of the rich and aged </li></ul><ul><li>Too expensive and complex to treat </li></ul><ul><li>Takes focus away from infectious diseases </li></ul>
    7. 7. Development Implications <ul><li>Premature death </li></ul><ul><li>Disability </li></ul><ul><li>Loss of productivity </li></ul><ul><li>Cost of treatment and care </li></ul>
    8. 8. United Nations High Level Session on NCDs <ul><li>Civil Society Listening Session June 16, 2011 New York, NY </li></ul><ul><li>September 19-20, 2011 New York, NY </li></ul>
    9. 9. What can be done? <ul><li>Advocacy </li></ul><ul><li>Data collection </li></ul><ul><li>Health literacy </li></ul><ul><li>Prevention, treatment and care </li></ul>
    10. 10. Thank You! <ul><li> </li></ul>