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CARICOM Heads of Government Summit on Chronic Diseases. Presentation of Prime Minister Denzil Douglas. Overview of Presentation. Global situation with Chronic NCDs Caribbean situation and costs Caribbean Response Exploding common myths Review of effective interventions The Way Forward
Presentation of Prime Minister Denzil Douglas
The Economist, August 11th 2007
“Europeans have been exporting their maladies throughout history. They seem to be doing it again, but in a new way. In the past the problem was infection. Now illnesses associated with Western living standards are the fastest growing killers in poor and middle-income countries. Chronic disease has become the poor world’s greatest health problem”.
The Economist, August 11, 2007
Heart Disease, Stroke, Cancer, Diabetes, Chronic Respiratory Disease
Biological Risk Factors
Modifiable: overweight, high cholesterol, high blood sugar, high blood pressure
Non-modifiable: Age, Sex, and Genetics
Behavioral Risk Factors
Tobacco use, physical inactivity, unhealthy diet, alcohol abuse
Social and Environmental Determinants
Social, economic and political conditions such as income, living and working conditions, physical infrastructure, environment, education, agriculture, and access to health services
Globalization of food supply, urbanization, technology, migration
Injuries and violence
Injuries and violenceLeading Causes of Death in CARICOM Countries by Sex, 2004 (MINUS Jamaica)
Source: CAREC, based on country mortality reports
Source: Pan Am J Public Health 10(5), 2001; unpublished (CAMDI), Haiti (Diabetic Medicine); USA (Cowie, Diabetes Care)
Source A. Hennis, 2007
Barbados 27.2 %
Jamaica 24.0 %
St. Lucia 25.9 %
The Bahamas 37.5%
Control of blood pressure would reduce the death rates from Cardiovascular Disease by about 15-20%.
Fact:Non-communicable disease account for more than half the burden of disease and 80% of the deaths in the poorer countries which carry a double burden of disease.
Percentage of deaths by cause
Low- and Middle-income countries
Myth:NCDs are a problem only of the elderly
Fact:Half of these diseases occur in adults less than 70 years of age and the problems often begin in the young e.g., obesity
Myth:NCDs affect men more than women
Fact:NCDs affect women and men almost equally and globally, heart disease is the largest cause of death in women.
Myth:NCDs cannot be prevented
Fact:If the known risk factors are controlled, at least 80% of heart disease, stroke and diabetes and 40 % of cancers are preventable, and in addition there are cost-effective interventions available for control.
- 3.6 times more likely to die
- 2.5 times more likely to have a heart
Source: PAHO Survey of NCD National Response Capacity, 2005
Tobacco and alcohol
Improve dietary practices
In the case of cancer
Eg screening and vaccination to prevent
Promote screening for breast cancer
Monitoring and evaluation
First: We can utilize the policy instruments at our disposal
Second: We should establish partnerships
Third: We must take personal responsibility and lead by example