Western Pacific Updates on Noncommunicable Diseases - a presentation delivered by Dr Albert Francis Domingo (Consultant, WHO Regional Office for the Western Pacific) at the Philippines' DOH NCRO Operational Planning Workshop for Local Strategic Plans on Noncommunicable Diseases Prevention and Control Programs, 2-4 December 2015. (Adapted from an earlier presentation by Dr Susan Mercado, Director, DNH/WPRO.)

1. Albert Francis E. Domingo MD MSc
Noncommunicable Diseases and Health Promotion
Division of NCD and Health through the Life-Course
2 December 2015

2. Global Updates on Noncommunicable Diseases2 |

3. Global Updates on Noncommunicable Diseases3 |
The burden of NCDs is significant and increasing.
• Major NCDs (CVD, DM, CA, CRD)
account for more than 80% of all deaths
in the Western Pacific
• Risk factors are showing in children

4. Global Updates on Noncommunicable Diseases4 |
The risk factors are behavioural, and our surroundings are not helping.

5. Global Updates on Noncommunicable Diseases5 |
The risk factors are behavioural, and our surroundings are not helping.

6. Global Updates on Noncommunicable Diseases6 |
The risk factors are behavioural, and our surroundings are not helping.

7. Global Updates on Noncommunicable Diseases7 |
The risk factors are behavioural, and our surroundings are not helping.
IARC Monograph:
• Processed meat
Group 1 - sufficient
evidence to be
carcinogenic to humans
• Red meat
Group 2A – probably
carcinogenic to humans
The issue is CANCER.

8. Global Updates on Noncommunicable Diseases8 |
The risk factors are behavioural, and our surroundings are not helping.
Why aren’t we drinking
water instead?

9. Global Updates on Noncommunicable Diseases9 |
The risk factors are behavioural, and our surroundings are not helping.
Why are children the
target of food marketing?

10. Global Updates on Noncommunicable Diseases10 |
The risk factors are behavioural, and our surroundings are not helping.
• 50% of males are smokers
• Half of all women and children are
regularly exposed to deadly second-
hand smoke

11. Global Updates on Noncommunicable Diseases11 |
The risk factors are behavioural, and our surroundings are not helping.
Are our cities safe for
daily physical activity?
How is the air?
Inquirer.net

12. Global Updates on Noncommunicable Diseases12 |
The risk factors are behavioural, and our surroundings are not helping.
• Drunk driving
causes 2.5 million
deaths each year
• What happens to
those who survive?

13. Global Updates on Noncommunicable Diseases13 |
PHL Epidemiological Transition
0
10
20
30
40
50
60
70
80
90
100
110
0
100
200
300
400
500
600
1954 '57 '60 '63 '66 '69 '72 '75 '78 '81 '84 '87 '90 '93 '96 '99 '02 '05 2008
Deathsper100,000population
(non-communicablediseases)
Deathsper100,000population
(communicablediseases)
Year
Communicable Diseases Malignant Neoplasm Diseases of the Heart
Source: Philippine Health Statistics, various years

14. Global Updates on Noncommunicable Diseases14 |
Overview of the Global Effort
Governance Risk factors Health systems Surveillance
UN Agencies
(coordinated through
the UN Task Force on
NCDs)
WHO
Secretariat
(through Programme
Budget
2016-2017)
Member
States and
non-State
actors
(coordinated through
the WHO GCM/NCD)
Development and implementation of national NCD responses
• Normative work
• Technical assistance
• Technical assistance
(beyond the health
sector)
• Advocacy
• Network
• Forum
Components of national NCD responses

15. Global Updates on Noncommunicable Diseases15 |
In the Western Pacific Region
Objectives:
1. Raise the priority accorded to the
prevention and control of NCDs
2. Strengthen national (local) capacity,
leadership, governance,
multisectoral action and partnerships
3. Reduce modifiable risk factors
through creation of health-promoting
environments
4. Strengthen and orient health
systems through people-centred
primary health care and universal
health coverage
5. Promote and support national
capacity for high-quality research
and development
6. Monitor (local) trends and
determinants

16. Global Updates on Noncommunicable Diseases16 |

17. Global Updates on Noncommunicable Diseases17 |
What’s going on in our part of the world?

18. Global Updates on Noncommunicable Diseases18 |
Sin tax is anti-cancer tax (Philippines, 2012)

19. Global Updates on Noncommunicable Diseases19 |
Sin tax is anti-cancer tax (Philippines, 2012)
What’s going on in our part of the world?

20. Global Updates on Noncommunicable Diseases20 |
What’s going on in our part of the world?

21. Global Updates on Noncommunicable Diseases21 |
What’s going on in our part of the world?
mHealth for NCD
Launched by WHO and the
International Telecommunication
Union (ITU) in 2012
• Help combat NCDs through
text messaging and apps
• Pilot site is in the Philippines

22. Global Updates on Noncommunicable Diseases22 |
What’s going on in our part of the world?
Regional Framework
for Urban Health in the
Western Pacific (2016-
2021)

23. Global Updates on Noncommunicable Diseases23 |
What’s going on in our part of the world?
Action for Healthier Families

24. Global Updates on Noncommunicable Diseases24 |
The Continuum of Care
Health
Risk
exposure
Risk
contact
Latent
disease/inj
ury
Early
disease/
injury
Disease
progression
Advanced
disease/injur
y
Chronic
disease
Impairment
or Death
Primary Prevention:
Reduce risk exposure
Secondary
Prevention:
Detection and
intervene early
Tertiary Prevention:
Reduce progress or
complications of
established disease
Governance/Stewardship
Interventions
When do we intervene?

25. Global Updates on Noncommunicable Diseases25 |
How do we implement? (Options in the PHL Context)

26. Global Updates on Noncommunicable Diseases26 |
How can we monitor progress?

27. Global Updates on Noncommunicable Diseases27 |
HEALTH AND THE ENVIRONMENT
Division of Noncommunicable Diseases and Health through the
Lifecourse
Thank you
NCD@wpro.who.int