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HEALTH PROMOTING HOSPITALS
Dublin28-30 April 2005
WHO strategies on WHO strategies on Noncommunicable diseases and Noncommunicable diseases and
Chronic careChronic care
Jill FarringtonCoordinator, Noncommunicable Diseases
Division of Technical SupportWHO Regional Office for Europe
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HEALTH PROMOTING HOSPITALS
Dublin28-30 April 2005
OverviewOverview
Themes Relevant WHO strategies /initiatives European NCD strategy
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HEALTH PROMOTING HOSPITALS
Dublin28-30 April 2005
ThemesThemes
Chronic disease (lung)
Healthy lifestyles (tobacco, physical activity)
Empowerment of patient (self-management)
Settings for care (home, community, hospital)
Evidence-based interventions (Guidance)
Cost-effectiveness Outcomes (quality of
life) Integrated care Use of technology Determinants of
health (poverty)
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HEALTH PROMOTING HOSPITALS
Dublin28-30 April 2005
Innovative Care for Chronic ConditionsInnovative Care for Chronic Conditions
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HEALTH PROMOTING HOSPITALS
Dublin28-30 April 2005
Innovative Care for Chronic ConditionsInnovative Care for Chronic Conditions
Eight essential elements for taking action
1. Support a paradigm shift2. Manage the political environment3. Build integrated health care4. Align sectoral policies for health5. Use health care personnel more
effectively6. Centre care on the patient and family7. Support patients in their
communities8. Emphasise prevention
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HEALTH PROMOTING HOSPITALS
Dublin28-30 April 2005
Preparing the 21st century global Preparing the 21st century global healthcare workforcehealthcare workforce
Five basic competencies
1. Patient centred care
2. Partnering
3. Quality improvement
4. Information and communication technology
5. Public health perspective
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HEALTH PROMOTING HOSPITALS
Dublin28-30 April 2005
Seven leading conditions in Europe Seven leading conditions in Europe = 4.7 million deaths and 50.8 million DALYs= 4.7 million deaths and 50.8 million DALYs
1. Ischaemic heart disease
2. Unipolar depressive disorders
3. Cerebrovascular disease
4. Alcohol use disorders
5. Chronic pulmonary disease
6. Road traffic injury
7. Lung cancer
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HEALTH PROMOTING HOSPITALS
Dublin28-30 April 2005
Noncommunicable DiseasesNoncommunicable Diseases
THE public health challenge in Europe:
77% diseases burden; 86% mortality in 2002 Widening gaps within and between Member
States Worrying trends in risk factors Increasing burden on health systems,
economy and society Significant potential for health gain
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HEALTH PROMOTING HOSPITALS
Dublin28-30 April 2005
Cardiovascular diseases cause more than half of all Cardiovascular diseases cause more than half of all deaths in Europedeaths in Europe
<= 300
<= 240
<= 180
<= 120
0 - 60
No dataSDR per 100000
CVD mortality (up to 65 years) in the WHO European Region
Last available data EUROPE
126.93
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HEALTH PROMOTING HOSPITALS
Dublin28-30 April 2005
Seven leading risk factors account for most of the Seven leading risk factors account for most of the burden of disease in Europeburden of disease in Europe
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HEALTH PROMOTING HOSPITALS
Dublin28-30 April 2005
Contribution of main risk factors to main chronic diseases
Percentage contribution of each of the seven major risk factors to the disease burden of each of the seven major chronic diseases
Conditions Contribution in percent of individual risk factors
A B C D E F G
High BP
Tobacco Alcohol High cholesterol
Over-weight
Low fruit /veg. intake
Physical inactivity
1. Ischaemic heart disease 58 22 0.2 63 33 28 22
2. Unipolar depressive disorders 3
3. Cerebrovascular disease 72 22 0 27 23 12 9
4. Alcohol use disorders 100
5. Chronic pulmonary disease 69
6. Road traffic injury 38
7. Lung cancer 85 11
Source: forthcoming European Health Report 2005, adapted from Ezzati et al.
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HEALTH PROMOTING HOSPITALS
Dublin28-30 April 2005
Global strategy for the prevention and control of noncommunicable diseases 2000
Objectives
To map emerging epidemics NCD
To reduce exposure to common risk factors for NCD (tobacco, unhealthy diet, physical inactivity)
To strengthen health care for people with NCD (CVD, cancer, diabetes, chronic respiratory disease)
Key components
Surveillance
Promotion of health and prevention of disease burden
Health care interventions to manage disease
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HEALTH PROMOTING HOSPITALS
Dublin28-30 April 2005
Diet, Physical Activity, Tobacco
Global Strategy on Diet, Physical Activity &
Health 2004
Reducing risk factors Raising awareness and
understanding of positive impact
Developing policy Monitoring, research,
support
European Food and Nutrition Action Plan
2000-2005
Growing, buying and eating the right kinds of foods can reduce the risk of disease and simultaneously promote a sustainable environment Food safety Nutrition Food security
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HEALTH PROMOTING HOSPITALS
Dublin28-30 April 2005
Diet, Physical Activity, Tobacco
Framework Convention on Tobacco Control
Entered into force on 27 February 2005
Legally binding treaty setting international standards on tobacco price and tax increases, tobacco advertising, sponsorship and labelling, illicit trade etc
17 of the 65 states ratifying the FCTC so far are European
European Strategy on Tobacco Control 2002
Strategic framework Measures to reduce
demand for tobacco products
Measures to reduce the supply of tobacco products
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HEALTH PROMOTING HOSPITALS
Dublin28-30 April 2005
Why a European NCD strategy?Why a European NCD strategy?
Regional response to global strategies Europe has diversity and specificity Opportunity to reset the focus Both horizontal and vertical approaches
needed Moving towards a common goal: reducing the
burden from NCD Greater support to countries facing particular
challenges Facilitating mobilisation of resources beyond
health sector
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HEALTH PROMOTING HOSPITALS
Dublin28-30 April 2005
10 Principles for action10 Principles for action
Political commitment
Integrated approach Active role for
health system Patient centred care Citizen involvement
Mobilisation of relevant sectors
Reduction of health inequalities
Attention to the most vulnerable
Life course approach NCD policy as part of
the broader public health effort
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HEALTH PROMOTING HOSPITALS
Dublin28-30 April 2005
RC54 ResolutionRC54 Resolution
Comprehensive action-oriented Strong focus on implementation An integral part of the updated
HEALTH21 policy framework Take account of pre-existing
commitments of Member States & relevant strategies
In collaboration with Member States, intergovernmental agencies, NGOs and other relevant partners, including industry
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HEALTH PROMOTING HOSPITALS
Dublin28-30 April 2005
TimelineTimeline
1st meeting NCD national counterparts April 05Drafting group June 2005Drafting group October 2005
2nd meeting NCD national counterparts November 2005
Country consultation March 2006Strategy finalised June 2006
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HEALTH PROMOTING HOSPITALS
Dublin28-30 April 2005
WHO strategies on WHO strategies on Noncommunicable diseases and Noncommunicable diseases and
Chronic careChronic carewww.who.int
www.euro.who.int
Jill FarringtonCoordinator, Noncommunicable Diseases
Division of Technical SupportWHO Regional Office for Europe
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