next step 2014 presentation by dr. timothy armstrong from world health organization (who)
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Physical Activity, Sport, and Non-Communicable Disease
Dr Timothy ArmstrongPrevention of Noncommunicable Diseases Department
The World Health Organization (WHO)• Specialized agency within the Charter of the United Nations
(1948)
• 194 Member State• One WHO, but decentralized structure
• Governing bodies– World Health Assembly– Executive Board
WHO's objective: Attainment by all peoples of the highest possible level of health
WHO Regional Offices
WHO is primarily responsible for:
• providing leadership on global health matters, • shaping the health research agenda, • setting norms and standards, • articulating evidence-based policy options, • providing technical support to countries and • monitoring and assessing health trends
I Why are governments seeing NCDs as the new
frontier in the fight to improve public health and socio-economic development?
In all developing countries, and by any metric, NCDs now account for a large enough share of premature deaths and poverty to merit a concerted and coordinated government-led public policy response.
WHO Global NCD Action Plan 2013-2020, including 9 global targets and 25 indicators
2000
2003
2004
2008
Global Strategy for the Prevention and Control of Noncommunicable Diseases
Global Strategy on Diet, Physical Activity and Health
2008-2013 Action Plan on the Global Strategy for the Prevention and Control of NCDs
2010
2009
2011
Global Strategy to Reduce the Harmful Use of Alcohol
WHO Global Status Report on NCDs
UN Political Declaration on NCDs2013
Moscow Declaration
2025 Attainment of the 9 global targets for NCDs by 2025
2014 UN General Assembly Comprehensive Review 2014 on NCDs
Communicable, maternal, perinatal and nutritional conditions NCDs < 60 Injuries
0
10 M
20 M
30 M
40 M
50 M
60 M
28%
16%47%
9%
Global burden of NCDs (millions of deaths in 2008)
NCDs > 60
36 m. deaths due to NCDs (63% of global deaths)
Tobacco useUnhealthy dietsPhysical inactivityHarmful use of alcohol
Heart disease and stroke
Diabetes
CancerChronic lung disease
Noncommunicable disease and risk factors
Huge disparities exist across countries in relation to the probability of death from an NCD between the ages of 30-69
US$ 170B is the overall cost for all developing countries to scale up action by implementing a set of interventions between 2011 and 2025, identified as priority actions by WHO
US$ 7Tis the cumulative lost output in developing countries associated with NCDs between 2011-2025
The cost of inaction in developing countries over the next 15 years is enormous (compared to the cost of action)
Reports are available at www.who.int/ncd
The General Assembly adopted by consensus the resolution titled "Political Declaration of the High-level Meeting of the
General Assembly on the Prevention and Control of Non-communicable Diseases" (document A/66/L.1).
Obesity SymposiumBrocher FoundationGeneva, 1 –2 July 2013
The WHO Global NCD Action Plan 2013-2020unites governments, international partners and WHO around a common agenda
Vision:A world free of the avoidable burden of NCDs
Goal:To reduce the preventable and avoidable burden of morbidity, mortality and disability due to NCDs by means of multisectoral collaboration and cooperation at national, regional and global levels
Vision:A world free of the avoidable burden of NCDs
Goal:To reduce the preventable and avoidable burden of morbidity, mortality and disability due to NCDs by means of multisectoral collaboration and cooperation at national, regional and global levels
Obesity SymposiumBrocher FoundationGeneva, 1 –2 July 2013
Objective 1To raise the
priority accorded to the prevention
and control of NCDs in global,
regional and national agendas and
internationally agreed
development goals, through strengthened international cooperation
and advocacy
Objective 4To strengthen
and orient health systems to address the prevention and
control of NCDs and
the underlying social
determinants through
people-centred primary health
care and universal
healthcoverage
Objective 4To strengthen
and orient health systems to address the prevention and
control of NCDs and
the underlying social
determinants through
people-centred primary health
care and universal
health coverage
Objective 5To promote and support
national capacity for high-quality research and development
for the prevention and
control ofNCDs
Objective 5To promote and support
national capacity for high-quality research and development
for the prevention and
control of NCDs
Objective 2To strengthen
national capacity, leadership,
governance, multisectoral
action and partnerships to
accelerate country response
for the prevention and control of NCDs
Objective 3To reduce
modifiable risk factors for NCDs and underlying
social determinants
through creation of
health-promoting environments
Objective 6To monitor the
trends and determinants of
NCDs and evaluate progress
in their prevention
and control
The WHO Global NCD Action Plan 2013-2020 has six objectiveswith recommended actions for Member States, international partners and WHO
Formal Meeting of Member States to conclude the work on the comprehensive global monitoring framework including indicators and
a set of voluntary targets for the prevention and control of NCDs
2013-2020 NCD Global Action Plan • Actions are to advance the implementation of the
Global Strategy on Diet, Physical Activity and Health and other relevant strategies with a focus on policies and actions across multiple settings and emphasis on a life course approach.
• Interventions to increase participation in physical activity in the entire population for which favorable cost effectiveness data are emerging should be promoted.
• Aim: progress in achieving the voluntary global targets
WHO Global Recommendations on Physical Activity (2010)WHO Global Recommendations on Physical Activity (2010)
Partnership for action Partnership for action
" …agree to work together in our respective countries and areas to accelerate the implementation of national NCD strategies with particular focus on strengthening joint initiatives to increase participation in sport."
Partnership for action