Health 2020, European Diabetes Leadership Forum

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25 April 2012, Copenhagen, Denmark - Most people with diabetes do not know that they have the condition, thus missing an essential first step in the ability to access treatment. We can ensure that more attention is paid to recognizing the condition and preparing clinical staff to effectively use all techniques for reducing complications, from blood glucose monitoring through to appropriate foot care.

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Health 2020, European Diabetes Leadership Forum

  1. 1. Health 2020Zsuzsanna JakabWHO Regional Director for Europe
  2. 2. European Diabetes Leadership Forum 2012 Date Slide no 2Priority area 1. Investing in health through a life-courseapproach and empowering people60 Prevalence of overweight, including obesity – boys (%) Based on the 2007 WHO growth reference for children and 49 47.150 adolescents aged 5–19 years 40.540 35.9 34.3 32.5 31.830 27.4 28 28.2 23.4 24.8 26.3 24 23 22.1 21.4 23.5 19.320100 6-year-olds 7-year-olds 8-year-olds 9-year-olds
  3. 3. European Diabetes Leadership Forum 2012 Date Slide no 3 Diabetes: a simplified framework for actionGeneral Overweig Impaired Not Diagnose WithPopulatio ht or Glucose Diagnose d Compli-n Obese Balance d Diabetes cations AdvancedHealthy DiseaseWithout Diabetes With Diabetes
  4. 4. European Diabetes Leadership Forum 2012 Date Slide no 4 Diabetes: a simplified framework for actionGeneral Overweig Impaired Not Diagnose WithPopulatio ht or Glucose Diagnose d Compli-n Balance d Diabetes-- Obese -- -- -- cationsLaws, -- Reduce Reduce Reducenorms, Maintain or incidence unknown incidence --standards reduce of diabetes of Maximize-- weight diabetes, -- complica- Advanced normalHealthyMaintain or -- such as by Screening tions functionreduce Social intensive and case- -- Disease --weight marketing; personal finding Strict Rehabilita--- Supportive advice and clinical tion andPromote environ- support manageme prosthetichealthy ments; nt of services Personal (as indiet and Finland) cardio-activity programm metabolic es riskWithout Diabetes With Diabetes
  5. 5. European Diabetes Leadership Forum 2012 Date Slide no 5Priority area 2. Tackling Europe’s major health challenges incommunicable and noncommunicable diseases (NCDs) Life expectancy at birth, in years • Address the social 80 determinants of health • Redress patterns of health inequities 75 • Ensure that continuous European Region EU members before May 2004 reduction of health EU members since May 2004 CIS inequities become a criterion in 70 CIS: Commonwealth of Independent States assessing health systems’ performance 65 1970 1980 1990 2000
  6. 6. European Diabetes Leadership Forum 2012 Date Slide no 6 Standardized death rates (SDRs) for circulatory disease, European Union (EU)
  7. 7. European Diabetes Leadership Forum 2012 Date Slide no 7 SDRs for circulatory disease, newly independent states
  8. 8. Priority area 3. Strengthening people-centred health systems, public health capacity and emergency preparedness- Increasing importance of care integrated across all levels- Primary care at the centre- Redefine the role of hospitals in a better balanced health system- WHO/Europe started to develop guidance on vision and clinical strategy on integrated care, in close collaboration with EU reflection process
  9. 9. European Diabetes Leadership Forum 2012 Date Slide no 9Essential public health operations1. Surveillance of population health and well- being2. Monitoring and response to health hazards and emergencies3. Health protection, including environmental, occupational, food safety and others Strengthening4. Health promotion, including action to address social determinants and health public health inequity capacities and5. Disease prevention, including early detection of illness services in Europe:6. Enssuring governance for health and a framework for wellbeing7. Ensuring a competent public health action workforce8. Ensuring organizational structures and financing Technical document9. Advocacy, communication and social mobilization for health Regional Committee10. Advancing public health research to inform policy and practice Baku
  10. 10. European Diabetes Leadership Forum 2012 Date Slide no 10Priority area 4. Creating supportive environments andresilient communities
  11. 11. European Diabetes Leadership Forum 2012 Date Slide no 11 The Political Declaration of theHigh-level Meeting of the General Assembly on the Prevention and Control of Non-communicable Diseases
  12. 12. European Diabetes Leadership Forum 2012 Date Slide no 12 Secondary EuropeanPlanning Health in Healthy and action all policies settings preventionoversight plan on Fiscal policies Cardio- NCDs metabolic risk WorkplacesNational plan assessment and schools and Marketing managementHealth infor- Salt mation Early Activesystem with detection of mobility social cancerdeterminants Trans-fat
  13. 13. “Best buys” package: population-basedapproaches• Smoke-free environments• Warning about the dangers of tobacco use• Bans on tobacco advertising• Raising taxes on tobacco• Raising taxes on alcohol• Restricting access to retailed alcohol• Bans on alcohol advertising• Reducing salt intake and salt content of food• Replacing trans-fat in food with polyunsaturated fat• Promoting public awareness about diet and physical activity
  14. 14. European Diabetes Leadership Forum 2012 Date Slide no 14 A call on the whole of society Global commitments Overall societal goals Interconnected forms of New strategic government relationships Citizens’ voice and participationSOCIAL DETERMINANTS EQUITYSUSTAINABILITY
  15. 15. European Diabetes Leadership Forum 2012 Date Slide no 15Call on the private sector to address• Marketing to children, while taking into account existing national legislation and policies• Reformulating and labelling food products to provide healthier options• Promoting healthy workplaces• Reducing salt• Improving access to and affordability of medicines and technologies
  16. 16. European Diabetes Leadership Forum 2012 Date Slide no 16Thank you

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