Your SlideShare is downloading. ×
Srinath Reddy, World Heart Federation "Global Burden of NCDs and Risk Factors"
Upcoming SlideShare
Loading in...5
×

Thanks for flagging this SlideShare!

Oops! An error has occurred.

×
Saving this for later? Get the SlideShare app to save on your phone or tablet. Read anywhere, anytime – even offline.
Text the download link to your phone
Standard text messaging rates apply

Srinath Reddy, World Heart Federation "Global Burden of NCDs and Risk Factors"

371

Published on

Science Forum 2013 (www.scienceforum13.org) …

Science Forum 2013 (www.scienceforum13.org)
Breakout Session 2: Non Communicable Diseases
Dr. Srinath Reddy main presentation

Published in: Health & Medicine
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total Views
371
On Slideshare
0
From Embeds
0
Number of Embeds
3
Actions
Shares
0
Downloads
11
Comments
0
Likes
0
Embeds 0
No embeds

Report content
Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
No notes for slide

Transcript

  • 1. Prof. K Srinath Reddy President, Public Health Foundation of India President, World Heart Federation Prof. K Srinath Reddy President, Public Health Foundation of India President, World Heart Federation Global Burden of NCDs And Risk factors Global Burden of NCDs And Risk factors
  • 2. GBD 2010 Lancet 2012 • Total = 52.8 Million Deaths NCDs = 34.5 Million • Communicable, Maternal, Neonatal and Nutritional causes = 24.9% (Down From 34.1% in 1990) • Non-Communicable Diseases =65.3% (Up From 57% in 1990) Mortality
  • 3. Projected global numbers of deaths by cause for high, middle and low income countries (WHO, 2008)
  • 4. The Rising NCD Challenge In Developing Regions Including Younger Populations Source: World Bank, 2011 High-Income Countries
  • 5. Cardiovascular disease (Age-standardized death rate per 100 000, males) Cardiovascular disease (Age-standardized death rate per 100 000, males) Yach D., 2009 723-1030 347-390 391-426 391-426 427-464 542-722 723-1030 138-205 206-281 282-346 347-390 391-426 427-464 465-541 542-722 723-1030 No Data
  • 6. Is NCD an issue for poor countries? YES!Is NCD an issue for poor countries? YES! Source: Beaglehole R, Bonita R, Alleyne G, et al for the Lancet NCD Action group UN HLM on NCDs: Addressing four questions. Lancet 2011; POL June 13 2011
  • 7. GBD 2010 Lancet 2012 Risk Factors (Top Contributors to DALYs) 1. High Blood Pressure 2. Smoking (excluding SHS) 3. Alcohol Use 4. Household Air Pollution 5. Low Fruit 6. High Body Mass Index 7. High Fasting Plasma Glucose 8. Childhood Underweight 9. Ambient PM Pollution 10 Physical Inactivity Diet & Physical Inactivity Cluster Responsible For Largest Global Disease Burden
  • 8. Stages of Health Transition Stage I Age of Pestilence and Famine Stage II Age of Receding Pandemics Stage III Age of ‘Man Made’ Degenerative Diseases Stage IV Age of Delayed Degenerative Diseases Stage V Age of Social Upheaval and Health Regression Stage VI Era of Environmental Degradation Omran (1971) Olshansky and Ault (1986) Yusuf and Reddy (2001) Thakker and Reddy (2008) Sub Saharan Africa Rural India Urban India Russia Latin America
  • 9. The Nutrition Transition in Developing Countries The Nutrition Transition in Developing Countries Shift in diet structure – towards a high fat and refined sugar Western Diet Accelerating rate of change in diet Shift in activity patterns Link between diet and activity changes and increases in obesity Shift in diet structure – towards a high fat and refined sugar Western Diet Accelerating rate of change in diet Shift in activity patterns Link between diet and activity changes and increases in obesity Popkin, 2001
  • 10. OVERWEIGHT – OBESITY : GLOBAL PROFILE • 1 billion adults are currently overweight (BMI 25-29.9 Kg/m²), and a further 475 million are obese • Applying Asia-specific cut-off points for the definition of obesity (BMI>28 kg/m2), number of obese adults globally is over 600 million • Globally, up to 200 million school children are either overweight or obese; of those 40-50 million are classified as obese. IASO/IOTF (2010)
  • 11. Low birth weight and its consequences Low birth weight and its consequences Rebound Adiposity Hypertension Coronary heart disease Atherosclero sis, Stroke Type II Diabetes, Insulin resistance Adult lung function ? Cancer
  • 12. NCDs: Economic ImpactNCDs: Economic Impact NCDs accounted for five of the six top causes of economic loss in 2008 Heart disease : $752bn Stroke: $298bn Diabetes: $204bn NCDs accounted for five of the six top causes of economic loss in 2008 Heart disease : $752bn Stroke: $298bn Diabetes: $204bn NCDs cost developing countries between 0.02% to 6.77% of GDP; this economic burden is more than that caused by Malaria (1960’s) or AIDS (1990’s) - IOM Report 2010 NCDs will lead to a loss of 30 Trillion Dollars globally up to 2030 representing 48% of global GDP in 2010 – Harvard + WEF Study 2011
  • 13. UN-WHO GOAL 25 By 25

×