Towards a Global Strategy on Diet, Physical Activity and Health Dr - - PowerPoint PPT Presentation

World Health Organization

Towards a Global Strategy

• n Diet, Physical Activity

and Health

Dr Pekka Puska, Director Noncommunicable Disease Prevention and Health Promotion Department World Health Organization, Geneva

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Epidemiological: NCD overriding CD, & double burden of diseases in many developing countries. Demographic: Population ageing. Nutritional: Diets are rapidly changing and physical activity reduced. Urbanization: Great changes in lifestyle Globalisation: Increasing global influences.

The World Health is in Transition

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Injuries (9%) Noncommunicable conditions (58.5%) Communicable diseases, maternal and perinatal conditions and nutritional deficiencies (32.5%)

Total deaths: 56 554 000

Source: WHO, World Health Report 2002

Deaths by broad cause group 2001

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Deaths, by broad cause group and WHO Region, 2000

Communicable diseases, maternal and perinatal conditions and nutritional deficiencies

%

Injuries Noncommunicable conditions

AFR EMR EUR SEAR WPR AMR

25 50 75

Source: WHO, World Health Report 2001

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NCDs are to a great extent preventable diseases

• Medical evidence for prevention exists.
• Population-based prevention is the most

cost-effective and the only affordable option for major public health improvement in NCD rates.

• Major changes in population rates can take

place in a surprisingly short time.

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1000 2000 3000 4000 5000 6000 7000 8000 Occupational risk factors for injury Unsafe health care injections Vitamin A deficiency Zinc deficiency Urban air pollution Iron deficiency Indoor smoke from solid fuels Unsafe water, sanitation, and hygiene Alcohol Physical inactivity High Body Mass Index Fruit and vegetable intake Unsafe sex Underweight Cholesterol Tobacco Blood pressure

World

Deaths in 2000 attributable to selected leading risk factors

Number of deaths (000s)

Source: WHR 2002

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6 out of the 10 main risk factors relate to diet and physical activity

• Blood pressure
• Cholesterol
• Fruit and vegetable intake
• High BMI
• Physical Activity
• Alcohol

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Diet and risk of NCD

Eating healthily, maintaining normal weight, not smoking, and being physically active throughout the life span can prevent:

• Up to 80 % of cases of coronary heart

disease

• Up to 90 % of type 2 diabetes
• About one third of cancers

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Global strategy on diet, physical activity and health:

• ur mandate
• WHA resolution on a Global Strategy

for prevention and control of NCDs (2000)

• WHA discussion paper on health promotion

(2001)

• WHA resolution on diet, physical activity and

health: calls for preparation of Global Strategy(2002)

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WHO Strategy on Diet, Physical Activity and Health WHO Strategy on Diet, Physical Activity and Health WHA 2004 WHA 2004 EB Jan 2004 EB Jan 2004 Secretariat Secretariat

Reference group Reference group

Phase III

Preparation of consultation process and finalization of expert report Preparation of consultation process and finalization of expert report

Phase I

Consultation Process Consultation Process

Member states Member states Civil Society Civil Society Private sector Private sector

Phase II

UN Agencies UN Agencies Implementation at country level Implementation at country level

Phase VI

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The Regional Member State Consultations

SEARO 10 - 12 March 2003 New Delhi AFRO 18 - 21 March 2003 Harare EURO 2 - 4 April 2003 Copenhagen AMRO 21 - 24 April 2003 San José EMRO 30 Apr -2 May 2003 Cairo WPRO 9 - 11 June 2003 Kuala Lumpur more than 80 Member States participated

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Process with Stakeholders - private sector

• Dialogue with representatives of food, non-alcoholic

beverage, sport and insurance companies, individually and through International Business Leaders Forum

• World Economic Forum: WHO D-G met with executives

from food companies (Jan 03)

• WHO D-G Roundtable with executives from food, non-

alcoholic beverage, sport and insurance companies (May 03)

• Consultation with industry food, non-alcoholic beverage

and sport trade associations (June 03)

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Process with Stakeholders - civil society

• Dialogue with representatives of international CSOs and

NGOs; individually and through networks

• On-line discussion, arranged with Stakeholder Forum, to

solicit views from CSOs/NGOs on the Global Strategy (May-April 03)

• WHO D-G Roundtable with representatives of

international civil society organisations (May 03)

• Consultation with international CSOs/NGOs whose focus

includes chronic diseases, nutrition, PA (May 03)

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Process with Stakeholders - UN and Intergovernmental Agencies

• Dialogue with representatives of UN and other

agencies, individually and at international meetings

• Meeting of UN Standing Committee on Nutrition

(March 03)

• Consultation with UN and other agencies, with

representatives from FAO, IFPRI, IAEA, UNECE, UNESCO, UNDP, UNSCN, World Bank, and WFP(June 03)

• WHO/FAO Expert Report, WHO/FAO Fruit and

Vegetable Promotion Initiative, Codex

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August/ September 2003 October 2003 Middle or late November 2003 January 2004

57th World Health Assembly

May 2004

113th Executive Board Session

Incorporation of Member States’ comments, suggestions

Global Strategy provided to Member States within EB agenda item on NCD Prevention Preparation of all EB documents (WHO/GOV) Drafting the Global Strategy document (secretariat) Recommendations from Member States and other stakeholders

(Consultations of Spring 2003: http://www.who.int/hpr/gs.consultation.document.shtml)

Recommendations from Member States and other stakeholders

(Consultations of Spring 2003: http://www.who.int/hpr/gs.consultation.document.shtml)

Internal comments, and advice from Reference Group, Regional Offices

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Global Strategy - content

• Introduction
• The challenge
• The opportunity
• Goals and Objectives
• Evidence for Action
• Principles for Action
• Obligations and Responsibilities for Action

(WHO, Member States, International Partners, Civil Society/NGOs, Private Sector)

• Follow-up and Future Developments
• Conclusions

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Key topics the strategy addresses

• National strategies on diet and PA:healthy choices
• National dietary guidelines
• National PA guidelines
• Information environment: health claims, marketing,

labelling, nutrition education

• National food and agriculture policies: pricing, food

programmes

• Prevention in health services
• Surveillance, research and evaluation
• Institutional capacity
• Reference to international standards like CODEX

ALIMENTARIUS

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WHO aims at effective, evidence based strategies that

• are based on national policies,
• but address the reality of global

process.

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Implementation

• WHO/ROs to develop regional strategies
• WHO/HQ and RO to provide technical

support to countries in developing national diet & PA strategies

• WHO to continue to interact with all

stakeholders

• WHO to continue with strong advocacy

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It is important to have the strategy adopted, but that is not an aim itself. It should lead to effective implementation in countries and to successful reduction of NCD rates in countries and globally.

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