Plenary1 m cecchini

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Plenary1 m cecchini

  1. 1. How Do We Maximize the Health and Economic Benefits of Prevention? Franco Sassi, PhD Michele Cecchini, MD, MSc Health Division
  2. 2. Obesity: a Growing Problem
  3. 3. Inequalities in Overweight Education Level
  4. 4. Expectations Must Be Realistic <ul><li>Does prevention improve health? </li></ul><ul><li>Does it reduce health expenditure? </li></ul><ul><li>Does it improve health inequalities? </li></ul><ul><li>Is it cost-effective? </li></ul>
  5. 5. Interventions Health education and health promotion Regulation and fiscal measures Primary-care based interventions Mass media campaigns Fiscal measures (fruit and vegetables and foods high in fat) Physician counselling of individuals at risk School-based interventions Government regulation or industry self-regulation of food advertising to children Intensive physician and dietician counselling of individuals at risk Worksite interventions Compulsory food labelling
  6. 6. Prevention Does Save Lives… 1 LY/DALY every 115/121 people 1 LY/DALY every 12/10 people
  7. 7. Health Outcomes over Time England
  8. 8. … But Does Not Always Save Money!
  9. 9. Impact on Inequalities Worksite interventions Fiscal measures
  10. 10. Prevention is a Good Long-Term Investment
  11. 11. The Key to Success <ul><li>Governments should adopt “horizontal” approaches </li></ul><ul><li>Multi-stakeholder approach </li></ul><ul><li>Effective prevention strategies must combine complementary strengths </li></ul><ul><ul><li>population approaches </li></ul></ul><ul><ul><li>individual (high-risk) approaches </li></ul></ul>
  12. 12. Prevention is Everyone’s Business International Organizations Civil society Private industry Interest groups Government Academia Ministry of Agriculture Ministry of Health Ministry of Education Ministry of Transport
  13. 13. A Multi-Stakeholder Approach Reducing Trans Fat in Korea <ul><li>Collaboration between industry, universities, research institutes and government </li></ul><ul><li>Content of trans fat to be compulsory on the label of child food products </li></ul><ul><li>Government (KFDA) provides R&D support for the industry </li></ul>
  14. 14. Policy Implications <ul><li>Prevention is an effective and cost-effective way to improve population health </li></ul><ul><li>Prevention can decrease health expenditure and improve inequalities, but not to a major degree </li></ul><ul><li>Comprehensive strategies combining population and individual approaches provide best results </li></ul><ul><li>Involvement of relevant stakeholders is key to the success of prevention </li></ul>
  15. 15. OECD Work on Prevention <ul><li>Obesity and the economics of prevention: fit not fat </li></ul><ul><li>OECD health working papers HWP 32, 45, 46, 48 </li></ul><ul><li>Paper in Lancet series on chronic diseases </li></ul>www.oecd.org/health/fitnotfat [email_address]

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