Chronic Non Communicable Diseases Control in Guyana
description
Transcript of Chronic Non Communicable Diseases Control in Guyana
Chronic Non Communicable Diseases Control in Guyana
Dr. Shamdeo PersaudChief Medical Officer
Ministry of Health, GUYANA
Chronic Non Communicable Diseases Diseases that are cause mainly due to 4 behavioral
risk factors: Tobacco Use Harmful Use of Alcohol Unhealthy Diet Physical Inactivity
Examples of main chronic diseases that cause death and disability: Cardiovascular diseases, Cancers, Diabetes, Hypertension and Chronic Lung Diseases
Ministry of Health, GUYANA
Risk Factors for Chronic Diseases: Un-modifiable
Family History Age Ethnicity Gender
Ministry of Health, GUYANA
Risk Factors - Modifiable Tobacco Use
Risk from direct consumption Risk from exposure to second hand smoke Causes deaths and diseases
Lung cancers Other cancers Infections such as Tuberculosis Cardiovascular diseases
Ministry of Health, GUYANA
Risk Factors: Modifiable
Physical Inactivity Insufficient physical activity is the leading cause of
disease related mortality 20-30% increased risk of death
Physical activity: 30 minutes of moderate physical activity on most days of the week Key in energy expenditure and weight balance Decreases the risk of
Ischaemic heart disease by 30% Diabetes by 27% Breast and colon cancers by 21-25% Stroke and hypertension Depression
Ministry of Health, GUYANA
Risk Factors: Modifiable
Harmful use of alcohol Major risk factor for premature death and
disability Causing:
Cancer Liver Disease Cardivascular disease Alcohol related road traffic deaths Violence Mental illness
Situation Population: 768,000 Diverse ethnicity Growing Economy
Developed habits Fast Foods Less walking Increased use of vehicles Conveniences Television etc.
Ministry of Health, GUYANA
SituationTobacco: Current adult smoking prevalence: 16%
Men = 30% Women = 3%
Current youth tobacco use: 18%Alcohol Current adult prevalence: Estimated 36% Proportion of students who drank at least one drink
in the past 30 days: 39.2% Proportion of students who had their first drink
before age 14 years: 79%
Ministry of Health, GUYANA
SituationPhysical activity
Over 60 percent of the population is sedentary
Percentage of students who were physically active for 1 hour on five or more days during the past week: 21.3%
Percentage of students who spent more than 3 hours per day doing sitting activities: 35.6%
Ministry of Health, GUYANA
Ministry of Health, GUYANA
Cancer – Number of Deaths due to Cancer from 2004 – 2010
No. of Deaths
by Neoplas
m
Year2004
2005 2006 2007 2008 200
92010
*426
453 406 453 469 511 536
Ministry of Health, GUYANA
Cancer deaths by GenderNo. of deaths
by Neoplasms by gender
Year
2004 2005 2006 2007 2008 2009 2010
Male
207 223 197 198 221 247 -
Female
219 230 209 255 248 265 -
Total
426 453 406 453 469 511* 536**
Ministry of Health, GUYANA
Cancer TypesRanking of top cancers Prostate (male) 38% Breast (female) 23% Cervical (female) 21% Stomach, Colon, other bowel (both sex)
9% Liver - 3% Lung - 2 % All Other – 4%
Ministry of Health, GUYANA
Diabetes Diabetes –
Estimated Prevalence – 6.2% of population Approximately 47,000 persons living with
diabetes Average of 11 % (31,000) of population
over 30 years Incidence – 2,000 new cases annually Types of Diabetes
Type 1 (Insulin Dependant) – 8% Type 2 (non-Insulin Dependant) - 92 %
Ministry of Health, GUYANA
Hypertensive Disorders Prevalence – 18% of the Population over 30
years – 52,000 Incidence – 9,000 new cases reported annually Major contributing cause of
Strokes in persons over 40 Heart Attacks Disability and under productivity
Together with Diabetes – 64,000 persons 13% (99,000) with either or both
Ministry of Health, GUYANA
Cardiovascular and heart diseases Strokes
Hemorrhagic – 1,901 cases annually Thrombo-embolism (Clots) – 896 cases
annually Heart Attacks – 2,012 cases Blood vessel disease
Atherosclerosis – 3,129 reported Aneurysms - 0.7 %
Ministry of Health, GUYANA
Priorities for Action and Response Multi-sectoral response
Chronic Non Communicable Disease Commission Comprising stakeholders
International agencies: PAHO, UN Agencies Line Ministries and other Governmental Agencies Non Governmental Organizations
Chaired by Minister of Health Meets quarterly Develop a multi-year work plan and Strategy
Ministry of Health, GUYANA
Priorities for Action and Response Mass Media
Television shows: “Pulse Beat” on NCN channel 11 “Your Health the Nation’s Wealth” on NCN channel 11 “Changing Course” on Drug Demand Reduction,
every Radio programme: Doctor on Call, Let’s Talk about
DAT (Drugs, Alcohol and Tobacco) Radio series Merundoi incorporated CNCDs Advertisement Print, TV and Radio Social media??
Ministry of Health, GUYANA
Priorities for Action and Response Promotion of Healthy Lifestyle Changes
Weight No More Tracking 12 overweight and obese women over 12
weeks as they modified their lifestyles to be healthier Health Walks Health Fairs Interpersonal communication and direct
education at all health facilities, workplace, school and community groups
Ministry of Health, GUYANA
Priorities for Action and Response Screening
VIA for cervical cancer Breast Self Examination education Prostate and other cancers Body Mass Index (BMI) Waist circumference Blood pressure Blood glucose Lipids and cholesterol
1. Risk Reduction: Screening in community and workplace
Ministry of Health, GUYANA
Priorities for Action and Response Information, Education and Communication
on CNCDs
Television and print advertisements Posters Pamphlets Brochures Fliers
Ministry of Health, GUYANA
Priorities for Action and Response Disease Management
Integrated PHC clinics Standardized clinical guidelines for Heart Disease,
Hypertension, Diabetes, Cancers and Asthma Diabetes, cancer and other Registers Foot, eye, kidney and heart care programs Testing: glucometers for blood glucose
measurements, HbA1c, lipid, PSA, Renal Function, heart scans, angiogram, CT, MRI
Nutrition and Lifestyle counseling
You are an equal partner with your health care team
Prepare yourself for each clinic visit by writing any important information you need to share with your doctor or any questions you may have to ask.
Know what health goals you and your team have set
Ministry of Health, GUYANA
Priorities for Action and Response
Surveillance Introduction of NCD Morbidity Reporting system (S3) Data Base development (MIS) Mortality Data system Registries Monitoring and Evaluation Indicators
Core Data and periodic surveillance Minimum data set (CHRPHA) Steps Surveys
Ministry of Health, GUYANA
Priorities for Action and Response
Surveys: Demographic Health Survey 2009 Global School Health Survey 2004, 2010 Global Youth Tobacco Survey 2000, 2004, 2010 Global School Personnel Survey 2010 Global Health Professional Student Survey 2009 GENACIS Survey on Alcohol 2009 Emergency Room Survey on Alcohol and Injuries
2011 Behavioural Surveillance Survey 2004 and 2008 BMI Registers Food Consumption Survey Physical Activity Survey
Ministry of Health, GUYANA
Priorities for Action and Response Training
Pre service training: Health care workers: Doctors, nurses and medex Screening and Brief Intervention for Alcohol Motivational Interviewing for Substance Use Mental Health – anxiety, depression, suicide
University of Guyana and Teacher’s Training College Drug Demand Reduction, including alcohol Tobacco control CNCDs
Ministry of Health, GUYANA
Priorities for Action and Response Policies, Legislation and Regulation
Draft legislation for tobacco control Smoke Free spaces Labeling and advertizing
Regulation of “fast food” (Salt, Sugar, Fats) Policy on school canteen, Dorms, feeding
programs Health Family Basket of foods – Zero Rated Safe open spaces for physical activities Other Health Public Policies
Ministry of Health, GUYANA
Thank You Questions?Comments!