Non-communicable diseases such as cardiovascular diseases, cancer, diabetes and chronic lung disease cause over 60% of deaths globally each year. The main risk factors are tobacco use, physical inactivity, unhealthy diet and harmful use of alcohol. Non-communicable diseases disproportionately affect low and middle income countries. Urgent action is needed to promote healthy lifestyles and reduce risk factors through public education and policy measures in order to address this growing global health challenge.
Prof. DR. Dr. Rochmad Romdoni, SpJP(K), FINASIM, FIHA, FAsCC. 3rd Pekanbaru Cardiology Update, August 24th 2013. Pangeran Hotel Pekanbaru. Learn more at PerkiPekanbaru.com
NCD, Hypertension, Diabetes, Chronic Kidney Disease, heart disease, coronary artery disease
Noncommunicable diseases (NCDs), also known as chronic diseases, are not passed from person to person.
Noncommunicable diseases (NCDs), including heart disease, stroke, cancer, diabetes and chronic lung disease, are collectively responsible for 74% of all deaths worldwide. More than three-quarters of all NCD deaths, and 86% of the 17 million people who died prematurely, or before reaching 70 years of age, occur in low- and middle-income countries.
The epidemic of NCDs poses devastating health consequences for individuals, families and communities, and threatens to overwhelm health systems. The socioeconomic costs associated with NCDs make the prevention and control of these diseases a major development imperative for the 21st century.
My seminar Obesity by Hani
Obesity is a public health and policy problem because of its increase prevalence, costs and health effect. (WHO, 2012, National heart lung and blood institute. 2012)
. The risk factor for chronic disease are highly prevalence (Zindah, Belbeisi, Walke & Makdad 2008)
The obesity and the overweight are risk for number of chronic disease include diabetes cardio vascular disease and cancer (WHO,2010)
Prof. DR. Dr. Rochmad Romdoni, SpJP(K), FINASIM, FIHA, FAsCC. 3rd Pekanbaru Cardiology Update, August 24th 2013. Pangeran Hotel Pekanbaru. Learn more at PerkiPekanbaru.com
NCD, Hypertension, Diabetes, Chronic Kidney Disease, heart disease, coronary artery disease
Noncommunicable diseases (NCDs), also known as chronic diseases, are not passed from person to person.
Noncommunicable diseases (NCDs), including heart disease, stroke, cancer, diabetes and chronic lung disease, are collectively responsible for 74% of all deaths worldwide. More than three-quarters of all NCD deaths, and 86% of the 17 million people who died prematurely, or before reaching 70 years of age, occur in low- and middle-income countries.
The epidemic of NCDs poses devastating health consequences for individuals, families and communities, and threatens to overwhelm health systems. The socioeconomic costs associated with NCDs make the prevention and control of these diseases a major development imperative for the 21st century.
My seminar Obesity by Hani
Obesity is a public health and policy problem because of its increase prevalence, costs and health effect. (WHO, 2012, National heart lung and blood institute. 2012)
. The risk factor for chronic disease are highly prevalence (Zindah, Belbeisi, Walke & Makdad 2008)
The obesity and the overweight are risk for number of chronic disease include diabetes cardio vascular disease and cancer (WHO,2010)
The health hazards associated with obesity. Mortality morbidity
Complications related to obesity
type 2 diabetes.
high blood pressure.
heart disease and strokes.
certain types of cancer.
sleep apnea.
osteoarthritis.
fatty liver disease.
Understanding how intermittent fasting may not only help weight loss but have multiple other health benefits including life prolongation, preventing cancer and dementia
Diabetes is a chronic, metabolic disease characterized by elevated levels of blood glucose (or blood sugar), which leads over time to serious damage to the heart, blood vessels, eyes, kidneys and nerves. The most common is type 2 diabetes, usually in adults, which occurs when the body becomes resistant to insulin or doesn't make enough insulin. In the past 3 decades the prevalence of type 2 diabetes has risen dramatically in countries of all income levels. Type 1 diabetes, once known as juvenile diabetes or insulin-dependent diabetes, is a chronic condition in which the pancreas produces little or no insulin by itself. For people living with diabetes, access to affordable treatment, including insulin, is critical to their survival. There is a globally agreed target to halt the rise in diabetes and obesity by 2025.
The health hazards associated with obesity. Mortality morbidity
Complications related to obesity
type 2 diabetes.
high blood pressure.
heart disease and strokes.
certain types of cancer.
sleep apnea.
osteoarthritis.
fatty liver disease.
Understanding how intermittent fasting may not only help weight loss but have multiple other health benefits including life prolongation, preventing cancer and dementia
Diabetes is a chronic, metabolic disease characterized by elevated levels of blood glucose (or blood sugar), which leads over time to serious damage to the heart, blood vessels, eyes, kidneys and nerves. The most common is type 2 diabetes, usually in adults, which occurs when the body becomes resistant to insulin or doesn't make enough insulin. In the past 3 decades the prevalence of type 2 diabetes has risen dramatically in countries of all income levels. Type 1 diabetes, once known as juvenile diabetes or insulin-dependent diabetes, is a chronic condition in which the pancreas produces little or no insulin by itself. For people living with diabetes, access to affordable treatment, including insulin, is critical to their survival. There is a globally agreed target to halt the rise in diabetes and obesity by 2025.
Similar to noncommunicalbedisease-150721175002-lva1-app6891.pdf (20)
Ethnobotany and Ethnopharmacology:
Ethnobotany in herbal drug evaluation,
Impact of Ethnobotany in traditional medicine,
New development in herbals,
Bio-prospecting tools for drug discovery,
Role of Ethnopharmacology in drug evaluation,
Reverse Pharmacology.
Model Attribute Check Company Auto PropertyCeline George
In Odoo, the multi-company feature allows you to manage multiple companies within a single Odoo database instance. Each company can have its own configurations while still sharing common resources such as products, customers, and suppliers.
We all have good and bad thoughts from time to time and situation to situation. We are bombarded daily with spiraling thoughts(both negative and positive) creating all-consuming feel , making us difficult to manage with associated suffering. Good thoughts are like our Mob Signal (Positive thought) amidst noise(negative thought) in the atmosphere. Negative thoughts like noise outweigh positive thoughts. These thoughts often create unwanted confusion, trouble, stress and frustration in our mind as well as chaos in our physical world. Negative thoughts are also known as “distorted thinking”.
Students, digital devices and success - Andreas Schleicher - 27 May 2024..pptxEduSkills OECD
Andreas Schleicher presents at the OECD webinar ‘Digital devices in schools: detrimental distraction or secret to success?’ on 27 May 2024. The presentation was based on findings from PISA 2022 results and the webinar helped launch the PISA in Focus ‘Managing screen time: How to protect and equip students against distraction’ https://www.oecd-ilibrary.org/education/managing-screen-time_7c225af4-en and the OECD Education Policy Perspective ‘Students, digital devices and success’ can be found here - https://oe.cd/il/5yV
Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
For more information, visit-www.vavaclasses.com
The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
2. INTRODUCTION
Non communicable disease account for a
large and increasing burden of disease
worldwide. It is currently estimated that non
communicable disease accounts for
approximately 60% of global deaths and 43%
of global disease burden. This is projected to
increase to 73% of deaths and 60% of disease
burden by 2020.
4. Non-communicable diseases
are the leading killer today
and are on the increase.
Nearly 80% of these deaths
occurred in low- and middle-
income countries.
NCDs are the leading cause
of death in the world,
responsible for 63% of the 57
million deaths that occurred
in 2008.
GLOBAL STATUS OF NDCS
5. GLOBAL STATUS (cont
..(
The majority of these deaths -
36 million - were attributed to
cardiovascular diseases and
diabetes, cancers and chronic
respiratory diseases.
NCDs are largely preventable by
means of effective interventions
that tackle shared risk factors,
namely: tobacco use, unhealthy
diet, physical inactivity and
harmful use of alcohol.
6. NCDs are not only a health
problem but a development
challenge as well.
80% of premature heart
disease and stroke is
preventable.
13. Defined as abnormal or excessive fat accumulation
that presents a risk to health.
It is the most prevalent form of malnutrition.
It is one of the most significant contributors of ill
health.
Central fat distribution or abdominal fat
distribution or android obesity is more serious than
gynoid fat distribution.
OBESITY
14. •Obesity is growing problem across the globe.
•Worldwide, more than 300 million adults are
obese, according to (WHO).
•Obesity is the second-leading cause of
preventable death, surpassed only by smoking.
Global Status
15. Obesity is a major risk factor for a
number of serious health conditions,
including:
Coronary heart disease.
Cancer.
Diabetes.
Fatty liver disease.
Gallbladder disease.
High blood pressure..
Osteoarthritis.
Stroke.
Sleep apnea and other breathing problems.
16. BMI
• Body mass index or BMI is a
simple and widely used method
for estimating body fat mass.
• BMI is calculated by dividing the
subject's weight in kg by the
square of his or her height in
meter:
Assessment of Obesity
17. BMI Classification
Less than 18.5 Underweight
18.5–24.9 Normal weight
25.0–29.9 Overweight
30.0–34.9 Class I obesity
35.0–39.9 Class II obesity
18. WAIST CIRCUMFERENCE
•Your waist size is a clue to whether
you're at high risk for type 2 diabetes
high blood pressure, high cholesterol
and heart disease.
•To measure your waist
circumference, use a tape measure.
Start at the top of your hip bone, then
bring the tape measure all the way
around, level with your belly button.
19. For your best health,
your waist should
measure no more than
40 inches or ≥ 102 cm for
men, 35 inches or ≥ 88
cm for women
20. Waist-Hip Ratio
Waist–hip ratio (WHR) is the ratio
of the circumference of the waist
to that of the hip.
Measured simply at the smallest
circumference of the natural
waist, usually just above the belly
button, and the hip circumference
be measured at its widest part of
the buttocks or hip.
24. Hypertension is high blood pressure. Blood
pressure is the force of blood pushing
against the walls of arteries as it flows
through them.
DEFINITION
25. Global burden of hypertension
• The biggest increase in prevalence was expected to be
in developing (increase of 24%) and third world
countries (increase of 80%) as the rapidly take on the
more western lifestyle.
• Scientists are now claiming that 1 in 3 adults in the
world will have high blood pressure in 2025. By 2025,
the number will increase by about 60% to a total of
1.56 billion as the proportion of elderly people will
increase significantly.
26. 1. Primary
Chronic high blood pressure
without a source or
associated with any other
disease
Most common form of
hypertension
2. Secondary
Elevation of blood pressure
associated with another
disease such as kidney
disease
27. Genetics-some people are prone to hypertension simply based
off of their genetic makeup
Family History- your risk for high blood pressure/hypertension
increases if it is in your family history
Environment
Inactivity
Stress
Obesity
Alcohol
High Sodium Diet
Tobacco Use
Age
Causes
32. Risk factors for hypertension may be classified as:
NON-MODIFIABLE RISK FACTORS
(a) AGE: Blood pressure rises with age in both sexes and the
rise is grater in those with higher initial blood pressure.
(b) SEX: Early in life there is little evidence of a difference in
blood pressure between the sexes. However, at adolescence,
men display a higher average level. This difference is most
evident in young and middle aged adults.
(c) GENETIC FACTORS: There is considerable evidence that
blood pressure levels are determined in part by genetic factors.
(d) ETHNICITY: Population studies have consistently revealed
higher blood pressure levels in black communities
33. MODIFIABLE RISK FACTORS
)
a) Obesity: Epidemiological observations have identified obesity
as a risk factor for hypertension. The greater the weight gains
the grater the risk of high blood pressure
.
)
b) SALT INTAKE: There is an increasing body of evidence to the
effect that a high salt intake (i.e., 7-8 g per day) increases blood
pressure proportionately. Low sodium intake has been found to
lower the blood pressure
.
)
c ) SATURATED FAT: The evidences suggest that saturated fat
raises blood pressure as well as serum cholesterol
.
34. MODIFIABLE RISK FACTORS (cont..)
(d) DIETARY FIBRE: Several studies indicate that the risk
of CHD and hypertension is inversely related to the
consumption of dietary fibre. Most fibers reduce plasma
total cholesterol and LDL cholesterol.
(e) ALCOHOL: High alcohol intake is associated with an
increased risk of high blood pressure.
(f) PHYSICAL ACTIVITY: Physical activity by reducing
body weight may have an indirect effect on blood pressure.
35. )
g) ENVIRONMENTAL STRESS: The term hypertension itself
implies a disorder initiated by tension or stress. However, it is an
accepted fact that psychosocial factors operate through mental
processes, consciously or unconsciously to produce hypertension
.
)
h) SOCIO-ECONOMIC STATUS: In countries that are in post-
transitional stage of economic and epidemiological change,
consistently higher levels of blood pressure have been noted in
lower socio-economic groups
.
36. PREVENTION OF HYPERTENSION
The WHO has recommended the following approaches in the
prevention of hypertension
:
1
.
Primary Prevention
)
a) Population strategy
)
b) High- risk strategy
2
.
Secondary Prevention
.
37. PRIMARY PREVENTION
• Primary prevention has been defined as “all measures to
reduce the incidence of disease in a population by reducing
the risk of onset”. The earlier the prevention starts the
more likely it is to be effective.
a) POPULATION STRATEGY
The population approach is directed at the whole
population, irrespective of individual risk levels.
small reduction in the average blood pressure of
population would produce a large reduction in the
incidence of cardiovascular complications such as stroke
and CHD.
38. Population strategy (cont..)
The following non-pharmacotherapeutic interventions:
(a) NUTRITION: Dietary changes are of paramount
importance. These comprise:
(i) Reduction of salt intake to an average of not more
than 5 g per day
(ii) Moderate fat intake
(iii) The avoidance of a high alcohol intake, and
(iv) Restriction of energy intake appropriate to body needs
(b) WEIGHT REDUCTION: The prevention and correction of
over weight/obesity is a prudent way to reducing the risk of
hypertension and indirectly CHD.
39. (c) EXERCISE PROMOTION: The evidence that regular physical
activity leads to a fall in body weight, blood lipids and blood
pressure goes to suggest that regular physical activity should be
encouraged as part of the strategy for risk-factor control.
(d) BEHAVIOURAL CHANGES: Reduction of stress and smoking.
modification of personal life- style. yoga and meditation could be
profitable.
(e) HEALTH EDUCATION: The general public require preventive
advice on all risk factors and related health behaviour. The whole
community must be mobilized and made aware of the possibility
of primary prevention.
40. (b) HIGH-RISK STRATEGY
This is also part of primary prevention. The aim of
this approach is “to prevent the attainment of levels of
blood pressure at which the institution of treatment
would be considered”.
Detection of high-risk subjects should be encouraged
by the optimum use of clinical methods Since
hypertension tends to cluster in family history of
hypertension and “tracking” of blood pressure from
childhood may be used to identify individuals at risk
42. Cardiovascular disease refers to the class of
diseases that involve the heart or blood
vessels (arteries and veins). While the term
technically refers to any disease that affects
the cardiovascular system, it is usually used
to refer to those related to atherosclerosis
(arterial disease).
Definition
43. CVD are present in many forms and have
different categories and include:-
Hypertension (high blood pressure)
Coronary heart disease (heart attack)
Cerebrovascular disease (stroke)
Peripheral vascular disease
Heart failure
Rheumatic heart disease
Congenital heart disease
Cardiomyopathies
44. Global Burden of Cardiovascular
Disease
Number one cause of death globally and is projected to
remain the leading cause of death.
An estimated 17.5 million people died from cardiovascular
disease in 2005, representing 30 % of all global deaths.
Of these deaths, 7.6 million were due to heart attacks and 5.7
million were due to stroke.
45. Statistics, cont
Around 80% of these deaths occurred in low and
middle income countries (LMIC).
If appropriate action is not taken, by 2015, an
estimated 20 million people will die from
cardiovascular disease every year, mainly from heart
attacks and strokes. (WHO, 2005)
50. CHD is primarily a mass disease.
So, the strategy should be therefore mass approach.
Should focus mainly on control of risk factors.
Population Strategy
52. It involves preventing the emergence and spread of
CHD risk factors and life styles that have not yet
appeared or become endemic.
Prevention should be multifactorial because the
aetiology is multifactorial.
The aim should be to change the community as a
whole, not the individual subjects living in it.
PRIMORDIAL PREVENTION
55. Cardiovascular diseases and stroke are major
cause of illness, disability and death worldwide
which causes an increase in personal and
community health care costs. This really
requires a competent plan to address this
important and serious issue.
56.
57. Diabetes is a chronic disease that occurs when the
pancreas does not produce enough insulin, or
alternatively, when the body cannot effectively use the
insulin it produces. Insulin is a hormone that regulates
blood sugar
58. TYPES OF DIABETES
1) Type 1 Diabetes
usually diagnosed in childhood
affected by hereditary
sometimes there are no symptoms
frequently called the ‘insulin-needed’ group
Patients with type 1 diabetes need insulin daily to
survive
59. Types of diabetes (cont.…)
2)Type 2 Diabetes
most common.
usually occurs in adulthood.
Body is incapable of responding to insulin
Rates rising due to increased obesity and failure to
exercise and eat healthy
3) Gestational Diabetes
blood sugar levels are high during pregnancy in women
Women who give birth to children over 9 lbs.
high risk of type 2 diabetes and cardiovascular disease
60. Types of diabetes (cont.…)
4) Pre-diabetes
At least 79 million people are diagnosed with pre-diabetes
each year
above average blood glucose levels, not high enough to be
classified under type 1 or type 2 diabetes
long-term damage to body, including heart and circulatory
system .
Starts with unhealthy eating habits & inadequate exercise.
61. FPG 2-hr PG on OGTT
≥126 mg/dl
≥ 7 mmol/l
≥100 and <126
≥ 5.5 and < 7
mmol/l
<100
(5.5 mmol/l)
≥200
≥ 11.1 mmol/l
≥140 and <200
7.8 and < 11.1
mmol/l
<140
≥ 7.8 mmol/l
Glucose
Prediabetes
Normal
Diabetes Mellitus
Tolerance
Prediabetes
Diabetes Mellitus
Normal
mg/dL mg/dL
≥
65. Globally
•382 million people have
diabetes
•By 2035, this number will rise to
592 million
In Bangladesh
•8.4 million people had diabetes
in 2013
•8.4 million people are likely to
have diabetes in 2035
Global Barden
66. The global increase in diabetes will occur because of population
ageing and growth, and because of increasing trends towards
obesity, unhealthy diets and sedentary lifestyles.
Worldwide, 3.2 million deaths are attributable to diabetes every
year.
One in 20 deaths is attributable to diabetes; 8,700 deaths every
day; six deaths every minute.
At least one in ten deaths among adults between 35 and 64 years
old is attributable to diabetes
Global Barden (cont..)
67. Major risk factors
Family history
Obesity
Age (older than 45)
History of gestational diabetes
High cholesterol
Hypertension
68. Risk Factor For Type-1
Genetic predisposition
In an individual with a genetic predisposition,
an event such as virus or toxin triggers
autoimmune destruction of β-cells probably
over a period of several years.
69. Risk Factor For Type-2
Family History
Obesity
Habitual physical inactivity
Previously identified impaired glucose tolerance.
IGT or impaired fasting glucose (IFG)
Hypertension
Hyperlipidemia
70. PREVENTION
1) Primary Prevention
Lifestyle Changes Can Prevent Diabetes. Avoiding
stress, smoking can reduce the chance of DM.
Physical activity decreases insulin resistance and can aid
in both preventing type 2 diabetes mellitus and
managing the disease.
Dietary intake of saturated fat and decreased intake of
fibre can result in lowered insulin sensitivity and
impairment of glucose tolerance. In general, reduction in
the overall calories, reduced intake of saturated fats &
refined sugars and increased intake of grains, fruits and
vegetables would be of utility in preventing diabetes
71. PREVENTION (cont..)
2) Secondary Prevention
This would be through early diagnosis and prompt
treatment, mainly by way of screening programme.
It is done by population screening and selective random
screening.
Selective screening undertaken in groups of people known
to be at high risk, as those with family history, obese persons
(BMI > 25), aged more than 40 years in high prevalence
populations, women giving history of GDM, those with
history of IGT / IFG, or those with hypertension or
dyslipidaemia.
It reduces the complication of DM.
72. Triad of Treatment
Diet
Discipline(Exercise, life
style)
Drug(Medication)
Oral hypoglycemics
Insulins
76. Cancer
medical term: (malignant neoplasm) is a
class of diseases in which a group of
cells display uncontrolled growth,
invasion and sometimes metastasis
(spread to other locations in the body
via lymph or blood).
77. STATISTICS
>9.7 million cases are detected
each year
6.7 million people will die from
cancer
Cancer causes about 13% of all
deaths.
20.4 million people living with
cancer in the world today
2020 15 million people will die
from cancer
78. Lung, breast, colorectal, stomach and liver cancers
In high-income countries, the leading causes of cancer
deaths are lung cancer among men and breast cancer
among women.
In low- and middle-income countries cancer levels
vary according to the prevailing underlying risks.
STATISTICS (cont..)
79. What causes cancer?
Heredity
Immunity
Chemical
Physical
Viral
Bacterial
Lifestyle
80. Heredity
• Colorectal carcinoma
North America, Australia,
New Zealand
• Stomach cancer
Korea, Japan, and China
• Liver cancer
West and Central Africa
• Prostate cancer
Europe, North America,
and Oceania
85. Life style
Smoking
Single biggest cause of
cancer
25-40% smokers die in
middle age
9 in 10 lung cancers
Know to cause cancer
in 1950
86. Life style (cont..)
Obesity
- Highly caloric diet, rich in fat,
refined carbohydrates and animal
protein
- Low physical activity
Consequences:
- Cancer
- Diabetes
- Cardiovascular disease
- Hypertension
Age
Occupation
87. PREVENTION
1) Do not smoke; if you smoke, stop doing so. If you fail
to stop, do not smoke in the presence of non-smokers.
2)Avoid Obesity.
3) Undertake some brisk, physical activity every day.
4)Increase your daily intake and variety of vegetables
and fruits: eat at least five servings daily. Limit your
intake of foods containing fats from animal sources.
5) Avoid exposure to radiation and harmful chemical.
88.
89.
90. Prevention (cont..)
At least one third of the 10 million new cases of cancer
each year are preventable through reducing tobacco and
alcohol use, moderating diet and immunizing against
viral hepatitis B.
Early detection and prompt treatment where resources
allow can reduce incidence by a further one third.
Effective techniques are sufficiently well established to
permit comprehensive palliative care for the remaining
more advanced cases.
91. Common Screening test for Cancer
Breast Cancer: Self-examination of breast,
Mammography, FNAC of breast lump.
Cancer of Cervix: PAPS Smear, VIA(Vaginal Inspection
by acetic acid)
Prostatic Cancer: PSA test
Lung cancer: chest X-ray
Colon Cancer: Colonoscopy
92. WHO’s approach to cancer has four pillars:
Prevention,
Screening,
Early detection,
Treatment
Palliative care.
93.
94. Non-communicable diseases:
parameters for estimation of behavioral and
parameters for estimation of behavioral and
metabolic risk factors
metabolic risk factors
Current daily tobacco smoking: the percentage of the
population aged 15 or older who smoke tobacco on a daily
basis.
Physical inactivity: the percentage of the population aged 15
or older engaging in less than 30 minutes of moderate
activity per week or less than 20 minutes of vigorous activity
three times per week, or the equivalent.
Raised blood pressure: the percentage of the population
aged 25 or older having systolic blood pressure ≥ 140 mmHg
and/or diastolic blood pressure ≥90 mmHg or on medication
to lower blood pressure.
95. Non-communicable diseases:
parameters for estimation of behavioral and
metabolic risk factors
Raised blood glucose
Raised blood glucose: the percentage of the population aged
25 or older having a fasting plasma glucose value ≥ 5.5
mmol/L (100 mg/dl) or on medication for raised blood
glucose.
Overweight
Overweight: the percentage of the population aged 20 or
older having a body mass index (BMI) ≥ 25 kg/m2.
Obesity
Obesity: the percentage of the population aged 20 or older
having a body mass index (BMI) ≥30 kg/m2.
Raised cholesterol
Raised cholesterol: the percentage of the population aged 25
or older having a total cholesterol value ≥ 5.0 mmol/L (190
96. Prevention and Control of NCDs
Millions of deaths can be prevented by stronger
implementation of measures that exist today.
These include policies that promote government-wide
action against NCDs:
Stronger anti-tobacco control
Promoting healthier diets,
Physical activity,
Reducing harmful use of alcohol
Along with improving people's access to essential health
care.