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TOWARDS A GLOBAL DIET AND PHYSICAL ACTIVITY STRATEGY. APPROACH - PROGRESS - CHALLENGES DEREK YACH EXECUTIVE DIRECTOR NONCOMMUNICABLE DISEASES AND MENTAL HEALTH. THE PROBLEM. UNHEALTHY DIETS AND PHYSICAL INACTIVITY ARE MAJOR CONSTRIBUTORS TO THE BURDEN OF DISEASE WORLDWIDE WHAT’S NEW?.

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towards a global diet and physical activity strategy

TOWARDS A GLOBAL DIET AND PHYSICAL ACTIVITY STRATEGY

APPROACH - PROGRESS - CHALLENGES

DEREK YACH

EXECUTIVE DIRECTOR

NONCOMMUNICABLE DISEASES AND MENTAL HEALTH

the problem
THE PROBLEM
  • UNHEALTHY DIETS AND PHYSICAL INACTIVITY ARE MAJOR CONSTRIBUTORS TO THE BURDEN OF DISEASE WORLDWIDE
  • WHAT’S NEW?
global prevalence of diabetes current estimates
Global prevalence of diabetes current estimates
  • Number of people with diabetes:
    • 177 million (154 million projected)
  • Top 10 countries (number of people with diabetes):
    • India, China, USA, Indonesia, Russia, Japan, UAE, Pakistan, Brazil, Italy

Source: WHO/EIP Global Burden of Disease

global prevalence of underweight and obesity in adults for year 2000 by level of development
Global prevalence of underweight and obesity in adults for year 2000by level of development

Prevalence (%)

BMI = Body Mass Index

Source: WHO, SDE/NHD, 2000

ncd related mortality
NCD related mortality
  • In the mid-90s in South Africa 17% of all death were due to CVD, in China 34% and in Russia 55% *
  • Between 2000 and 2020 deaths due to cancer will increase from 2.6 to 3.5 million in developed countries and from 3.6 to 6.3 million in developing countries#

*Global Cardiovascular Infobase

# WHO National Cancer Control Programmes, 2002

ncd risk factors
NCD risk factors
  • The behavioural factors lead to high blood pressure & hypertension, blood glucose intolerance & diabetes, elevated blood cholesterol & hypercholesterol anaemia, overweight and obesity.
major risks for death

Low income countries

Middle income countries

High incomecountries

Underweight

High blood pressure

Tobacco

Unsafe sex

Tobacco

(men)

High blood pressure

High blood pressure

Alcohol abuse

High cholesterol

Tobacco (men)

Low fruit consumption & high cholesterol

High BMI

MAJOR RISKS FOR DEATH
ncds are to a great extent preventable diseases
NCDs are to a great extent preventable diseases
  • 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
diet and risk of ncd
Diet and risk of NCD
  • Healthy diet, maintaining normal weight and adequate physical activity throughout the life span are the most effective ways of preventing NCD
  • Simple changes in lifestyles can powerfully prevent chronic diseases and promote health
who response
WHO RESPONSE
  • Science: WHO/FAO expert report; World Health Report- Risks to Health 2002
  • WHA resolutions - WHO Global Strategy
  • DG statements
  • Advocacy: World Health Day 2002, process for Global Strategy
  • Stakeholder involvement
who fao expert consultation report example comments
WHO/FAO expert consultation report - example comments
  • Physical activity is the key to obesity
  • Its not the soft drinks
  • Breastfeeding is bad for breast cancer in baboons
  • Reduced salt threatens iodine programs
  • What about the nuts, spices…?
our mandate
OUR MANDATE

World Health Assembly 2002:

Resolution 55.23 on diet, physical activity and

health: calls for preparation of Global Strategy

slide13

“High blood pressure and high blood cholesterol, strongly linked to cardiovascular and cerebrovascular diseases, are also closely related to excessive consumption of fatty, sugary, salty foods. They become even more dangerous when combined with deadly forces of tobacco and excessive alcohol consumption.

Obesity, a result of unhealthy consumption, is itself a serious health risk”

Dr Gro Harlem Brundtland, Director General

55th World Health Assembly, Geneva

slide14

I shall also reinvigorate WHO’s work on diet, food safety and human nutrition – linking basic research with efforts to tackle specific nutrient deficiencies in populations and the promotion of good health through optimal diets.

Dr Gro Harlem Brundtland, Director General

55th World Health Assembly, Geneva

slide15

WHO Strategy on Diet, Physical Activity and Health

WHA 2004

Phase III

EB Jan 2004

Reference

group

Secretariat

Consultation Process

UN

agencies

Phase II

Member

states

Civil

Society

Private

sector

Preparation of consultation process and finalization of expert report

Phase I

stakeholder involvement
STAKEHOLDER INVOLVEMENT
  • CLIMATE TO TALK
  • DEFINE JOINT ACTIONS FOR GOOD
  • ACKNOWLEDGE THAT SOME AREAS WILL TAKE A LONG TIME
  • ADDRESS GLOBAL DIVERSITY
challenges
CHALLENGES
  • NGO’s AND PRIVATE SECTOR’s AGENDA IS VAGUE
  • SCIENCE DISPUTED: MEDIA CONTROVERSY DOMINATES
  • COMPLEX TRADE-OFFS
  • LONG TIME TO SEE RESULTS
challenges to ngos
CHALLENGES TO NGOs
  • MORE COHERENT “DEMANDS”
  • OPEN DECLARATION OF INTERESTS
  • GLOBALLY APPLICABLE MESSAGES
  • ACKNOWLEDGE COMPLEXITY AND TRADE-OFFS
  • BROADER ALLIANCE OF NGOs