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Dr. Jeanette Pauline A. Arellano Chief, Non-Communicable Disease Section DOH - Regional Office 7. Epidemiologic Transition. Infectious Disease. MORTALITY. Lifestyle/NCDs. DEVELOPMENT. 3 million deaths in 2010 due to NCD. IN THE PHILIPPINES…. 10 Leading Causes of M O R B I D I T Y.
Dr. Jeanette Pauline A. ArellanoChief, Non-Communicable Disease SectionDOH - Regional Office 7
Epidemiologic Transition Infectious Disease MORTALITY Lifestyle/NCDs DEVELOPMENT
IN THE PHILIPPINES… 10 Leading Causes of M O R B I D I T Y 10 Leading Causes of M O R T A L I T Y 1. Acute lower RTI and Pneumonia 2. Bronchitis/Bronchiolitis 3. Acute Watery Diarrhea 4. Influenza 5. Hypertension 6. TB Respiratory 7. Diseases of the Heart 8. Malaria 9. Chickenpox 10. Dengue 1. Diseases of the Heart 2.Diseases of the Vascular System 3.Malignant neoplasm 4. Pneumonia 5. Accidents 6. Tuberculosis, all forms 7. Chronic Lower Respiratory Diseases 8. Diabetes Mellitus 9. Certain conditions originating in the Perinatal Period 10. Nephritis, Nephrotic Syndrome & Nephrosis Source: National Epidemiology Center, Department of Health
COMMON RISK FACTORS TOBACCO USE UNHEALTHY DIET PHYSICAL INACTIVITY ALCOHOL CONSUMPTION
OBESITY TREND 9-11 years old 1993: 2.4% 2005: 4.8% 2008: 4.6% OVERWEIGHT TREND 6-10 years old 2001: 0.8% 2005: 1.6% 2008: 1.6%
INCREASING CONSUMPTION OF ENERGY DENSE FOODS high in fats and sugars
Intake of fruits and vegetables has been on the downtrend because they are EXPENSIVE… Filipinos consume too much sodium as part of salt. Many people are unaware of how much salt they are consuming. High salt intake results in heightened blood pressure in all ages.
Almost the entire adult population has LOW LEVELS OF PHYSICAL ACTIVITY
11% of Filipinos (15-74 yo) are REGULAR DRINKERS at an AVERAGE OF 4 OR MORE DAYS IN A WEEK
10 Filipinos die by the hour due to tobacco-related diseases
What is the DOH Response to address the problem on non-communicable diseases?
GLOBAL: Physical inactivity has been identified as the fourth leading risk factor for global mortality causing an estimated 3.2 million deaths globally. (WHO) • Around 31% of adults aged 15 and over were insufficiently active (men 28% and women 34%). (WHO) • Nearly 30% of students spent three or more hours per day sitting and doing activities such as watching television, playing computer games or talking to friends. (WHO) • Less than a tenth of students surveyed were physically active for seven days for at least 60 minutes a day during the past week or during a typical week. (WHO) PHILPPINES: Most Filipino children not physically active during the school day, except in physical education classes. (NCBI)
Our Messages • Be Smart, Don’t Start • Quit Smoking • Make your home smoke-free • Support smoke-free public places • Advocate for the strict enforcement on the ban on tobacco advertising, promotion and sponsorship as well as the ban on selling of tobacco products to and by minors.
What we have accomplished Red Orchid Awards (Smoke-free Places) • LGUS • Government Facilities • DOH CHDs and Hospitals
Our Messages • Cut back salt, fat, sugar and even MSG in cooking and in eating • Eat more vegetables and fruits that are high in fiber • Don’t skip breakfast • Support and advocate for healthier menus in public eating places
Calorie Checklist Eat Low Calorie Foods (50-100 calories) Avoid High Calorie Foods (300-800 calories ) French fries Burgers Pork & beef Ice cream Doughnuts Processed foods Ice tea & softdrinks • Fish • Fruits • Vegetables • Chicken without skin • Cereals • Oatmeal • Water
Recommended Ideal Meal Proportions Common Filipino Diet Desired Filipino Diet
Our Messages • Do moderate physical activity, walk, dance, exercise or sports 30 minutes to 1 hour every day • Let children and adolescents do active play or sports • If you have health or medical conditions, seek doctor’s advise before engaging in vigorous exercises • Support and advocate for physical activity, exercise or sports in schools and workplaces.
Our Messages • Drink responsibly or don’t drink at all • If you drink, don’t drive • Advocate for the strict enforcement on the ban on advertising, selling and drinking alcohol products especially to minors and near schools
Administrative Order No. 2013-0005National Policy on the Unified Registry Systems of the DOH • Mandates all government and private hospitals including medical professional societies/associations to submit diagnosed or confirmed cases of chronic non-communicable diseases like cancer, diabetes, stroke, COPD, renal diseases, blindness, mental health, cardiovascular and others; injuries, violence, and disabilities on a regular basis to URSNCD.
Unified Disease Registry Systems of the DOH • Online National Electronic Injury Surveillance System (ONEISS) • Integrated Chronic Non-Communicable Disease Registry System (ICNCDRS) • Philippine Network for Injury Data Management System (PNIDMS) • Philippine Registry for Persons with Disabilities (PRPWD) • Violence Against Women and Children Registry System (VAWCRS)