NCDs – A Global Challenge

• The plague reduced the world population from an estimated 450 million down to 350 – 375 million in the 14th century.

• Spanish Flu is the caused of death of 20 – 50 million in 1918 and 1919.

• 800 died because of SARS in 2002 and 2003.

• Last pandemic influenza (H1N1) caused more than14.000 deaths in 2009.

• NCDs account for 63% of all deaths.

• NCDs, primarily cardiovascular diseases, cancers, chronic respiratory diseases anddiabetes, kill more than 36 million peopleeach year.

More than 9 million of all deaths attributed to NCDs occur before the age of 60.

NCDs affect women

and men almost equally.

NCDs are largely preventable.

• NCDs are preventable through effective interventions that tackle shared risk factors, namely:

• tobacco use,

• unhealthy diet,

• physical inactivity and

• harmful use of alcohol.

Physical inactivity

• Physical inactivity is the fourth leading risk factor for global mortality

• Globally, six percent of deaths are attributed to physical inactivity.

• Moreover, physical inactivity is the main cause for approximately 21–25% of breast and colon cancers, 27% of diabetes and 30% of ischaemic heart disease burden.

Obesity and overweight

• Worldwide obesity has nearly doubled since 1980.

• 35% of adults aged 20 and over were overweight in 2008, and 11% were obese.

• Obesity is preventable.

Alcohol

• The harmful use of alcohol results in 2.5 million deaths each year.

• 320.000 young people between the age of 15 and 29 die from alcohol-related causes.

• Alcohol is the world’s third largest risk factor for disease burden; it is the leading risk factor in the Western Pacific and the Americas and the second largest in Europe.

Tobacco

• Tobacco kills nearly 6 million people each year.

• More than 600.000 deaths are the result of non-smokers being exposed to second-hand smoke.

• Unless urgent action is taken, the annual death toll could rise to more than eight million by 2030.

M-POWER

• Monitor: Monitor tobacco use and prevention policies

• Protect: Protect people from tobacco smoke

• Offer : Offer help to quit tobacco use

• Warn : Warn about the dangers of tobacco

• Enforce: Enforce bans on tobacco advertising, promotion and sponsorship

• Raise: Raise taxes on tobacco

0

10

20

30

40

50

60

70

(%

)

Female 13,5 19,4 16,6 15,2 13,1

Male 57,8 52,9 50,6 47,9 41,4

Total 33,6 33,7 33,4 31,2 27

1993 2004 2006 2008 2012

Source: 1993 MOH Survey,

2004 MOH National Burden of Disease Research 2006 Family Research Foundation and TSI Family Structure Survey2008 Global Adult Tobacco Survey (MOH, TSI, WHO, CDC)2012 Global Adult Tobacco Survey (MOH, TSI, WHO, CDC)

TOBACCO USE TREND (TURKEY)(1993-2012)

15

Raising public awareness on the harms of tobacco and tobacco products.

Public Opinions:94,0% working people have the right to be protected from smoke 93,8% State has to protect its citizens from smoking86,7% new law is acceptable

HOW WE MANAGED?Public Support

RAISE AWARENESS

There is only one real solution: