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PARADOX IN PARADISE
Dr Viliami Puloka
Secretariat of the Pacific Community
PACIFIC ISLANDS - WHERE?
Pacific Islands in top ten globally
source:

Global country ranking
in 2011

International Diabetes Federation 2011

Preva...
“PARADISE”
DOUBLE DISEASE BURDEN
DIABETES
INFANT
MORTALITY

TB

HEART
DISEASE

HIV/AIDS
and STI

Dengue

OBESITY

fever

Malaria

SMO...
NCD Burden in the Pacific
Age-Adjusted Mortality by Cause
of Death
% of COD
57
60

57

50
40

32

30

NCD

24
19

20

CD
I...
High rates of premature (<60 years) NCD deaths
Source: WHO (2011) Noncommunicable Diseases Country Profiles

Proportion of...
High rates of premature (<60 years) NCD deaths
Source: WHO (2011) Noncommunicable Diseases Country Profiles

Proportion of...
Multiple risk factors are feeding a large pipeline of future NCDs
in countries of Pacific (Source WHO 2012)
80

70

overwe...
RISK FACTORS FEEDING FUTURE NCD PIPELINE…….
Per cent of students aged 13-15 years overweight, 2010 and 2011

Tonga

Cook I...
NCDs already significant and risk
factors are feeding the future
pipeline
(Main Non-Communicable Diseases= Cardiovascular ...
NCD PATHWAY
NCDs are serious threats to global
prosperity
(World Economic Forum, 2011)

• Around 30% NCD mortality in low- and middlei...
Today is the Tomorrow you dream about
Yesterday!

Yourself,
is the only instrument you have
to deal with Life and
to contr...
HEALTHY ISLANDS-HEALTHY PEOPLE
Next Step 2014 presentation by Dr. Viliami Puloka from Secretariat of the Pacific Community (SPC)
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Next Step 2014 presentation by Dr. Viliami Puloka from Secretariat of the Pacific Community (SPC)

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  • Looking at the three most common NCD conditions, Diabetes, High blood Pressure and Obesity , the prevalence are among the highest in the world. Hypertension is the most common condition leading up to cardiac arrest which is the leading cause of death in the Pacific. This is the deadly three and they are pretty even for all the countries of the Pacific. We only present the data that has been published but all the countries have very high prevalence including Smoking, alcohol consumption. Level of physical activity and consumption of fruits and vegetables are very low. “The perfect recipe for NCD.”
  • Transcript of "Next Step 2014 presentation by Dr. Viliami Puloka from Secretariat of the Pacific Community (SPC)"

    1. 1. PARADOX IN PARADISE Dr Viliami Puloka Secretariat of the Pacific Community
    2. 2. PACIFIC ISLANDS - WHERE?
    3. 3. Pacific Islands in top ten globally source: Global country ranking in 2011 International Diabetes Federation 2011 Prevalence of diabetes in Estimated Global 2011 (% total population) Country Ranking in 2030 Estimated prevalence of diabetes in 2030 (% total population 25.7 1.Kiribati 26.3 2.Marshall Islands 22.2 2.Marshall Islands 23.0 3.Kuwait 21.1 3.Kuwait 21.2 4.Nauru 20.7 4.Tuvalu 20.8 5.Lebanon 20.2 5.Nauru 20.7 6.Qatar 20.2 6. Saudi Arabia 20.6 7. Saudi Arabia 20 7. Lebanon 20.4 8. Bahrain 19.9 8. Qatar 20.4 9. Tuvalu 19.5 9. Bahrain 20.2 10. United Arab Emirates 19.2 10. United Arab Emirates 19.8 1. Kiribati
    4. 4. “PARADISE”
    5. 5. DOUBLE DISEASE BURDEN DIABETES INFANT MORTALITY TB HEART DISEASE HIV/AIDS and STI Dengue OBESITY fever Malaria SMOKING LUNG DISEASES Typhoid NCD : TOO BIG TO IGNORE
    6. 6. NCD Burden in the Pacific Age-Adjusted Mortality by Cause of Death % of COD 57 60 57 50 40 32 30 NCD 24 19 20 CD Injury 10 10 0 PICTs WPRO Greatest Cause of Premature Mortality in the Pacific
    7. 7. High rates of premature (<60 years) NCD deaths Source: WHO (2011) Noncommunicable Diseases Country Profiles Proportion of male premature NCD deaths, 2008 Kiribati Nauru Marshall Islands Niue Fiji Cook Islands Vanuatu Solomon Islands Micronesia FS Tuvalu Samoa Lower Middle Income Average Globally (both sexes) Tonga 0 10 20 30 40 Proportion of premature NCD deaths 50 60 70
    8. 8. High rates of premature (<60 years) NCD deaths Source: WHO (2011) Noncommunicable Diseases Country Profiles Proportion of female premature NCD deaths, 2008 Nauru Marshall Islands Kiribati Vanuatu Solomon Islands Fiji Tuvalu Micronesia FS Tonga Cook Islands Lower Middle Income Average Globally (both sexes) Samoa Niue 0 10 20 30 40 50 Proportion of female premature NCD deaths 60 70
    9. 9. Multiple risk factors are feeding a large pipeline of future NCDs in countries of Pacific (Source WHO 2012) 80 70 overweight obesity 60 50 40 30 20 10 0 SMOKING ALCOHOL OVER EATING INACTIVITY
    10. 10. RISK FACTORS FEEDING FUTURE NCD PIPELINE……. Per cent of students aged 13-15 years overweight, 2010 and 2011 Tonga Cook Islands Niue Nauru Solomon Islands Fiji 0 10 20 30 40 50 Per cent of students Overweight at young ages Source: Global School Based Health Survey 2012 60 70
    11. 11. NCDs already significant and risk factors are feeding the future pipeline (Main Non-Communicable Diseases= Cardiovascular disease; Cancer; Diabetes; Chronic Respiratory Disease)
    12. 12. NCD PATHWAY
    13. 13. NCDs are serious threats to global prosperity (World Economic Forum, 2011) • Around 30% NCD mortality in low- and middleincome countries occur during working age (below the age of 60), compared to only 13% in high-income countries • NCDs reduce productivity and increase health-care costs • Health spending to control NCDs outpaces economic growth • NCDs lock millions of people into chronic poverty every year due to impact on household income and health care expenditure
    14. 14. Today is the Tomorrow you dream about Yesterday! Yourself, is the only instrument you have to deal with Life and to contribute to Life
    15. 15. HEALTHY ISLANDS-HEALTHY PEOPLE
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