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OUTLINE OF PRESENTATION

THE POS DECLARATION HEALTHY CARIBBEAN 2012 Dr. Fitzroy J. Henry CARIBBEAN FOOD AND NUTRITION INSTITUTE (PAHO/WHO) RALLYING FOR ACTION ON NCD Kingston, Jamaica May 28-29, 2012. OUTLINE OF PRESENTATION. POS - PROGRESS POS - CHALLENGES POS - ROLE OF CIVIL SOCIETY.

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OUTLINE OF PRESENTATION

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  1. THE POS DECLARATION HEALTHY CARIBBEAN 2012Dr. Fitzroy J. HenryCARIBBEAN FOOD AND NUTRITION INSTITUTE(PAHO/WHO)RALLYING FOR ACTION ON NCDKingston, JamaicaMay 28-29, 2012

  2. OUTLINE OF PRESENTATION POS - PROGRESS POS - CHALLENGES POS - ROLE OF CIVIL SOCIETY

  3. POS ProgressIndicator Status by theme • Commitment • Tobacco • Nutrition • Physical Activity • Education/Promotion • Surveillance • Treatment

  4. SUMMARY OF PROGRESS • Barbados, number one country to fully implement many of the plans (76%) • Other countries with high implementation include Jamaica, Guyana and Trinidad and Tobago • The least complying countries to the recommendations are Haiti, Anguilla and Turks & Caicos

  5. POS Declaration:essentialbut not sufficient

  6. POS – NCD CHALLENGES

  7. Highest Female (15yr+) Overwt/Obesity in the world (WHO 2011)

  8. 1980 (%) Heart Disease - 20 Cancer - 12 Stroke - 11 Injuries - 8 Hypertension - 6 ARI - 5 Diabetes - 4 Obesity Related = 53% 2000 (%) Heart Disease - 16 Cancer - 15 Stroke - 10 Diabetes - 10 Injuries - 7 HIV/AIDS - 6 Hypertension - 6 Obesity Related = 57% Main Causes of Death in the Caribbean

  9. ADULT OVERWEIGHT/OBESITY TRENDS IN THE CARIBBEAN

  10. Mortality from Coronary Heart Disease in Norway

  11. POLICY GOALS - Norway • Decrease fat from 40% to 35% through gradual alteration • Decrease supply of fats replaced by foods containing starch, cereals and potatoes • Limit the proportion of sugar in the energy supply

  12. POLICY MEASURES TO ACHIEVE GOALS(Norwegian Ministry of Agriculture, 1975) • Setting consumer and producer price and income subsidies jointly in nutritionally justifiable ways • Ensuring low prices for food grain, skimmed and low-fat milk, vegetables and potatoes • Avoidance of low prices for sugar, butter & margarine • Regulating food processing, labelling and marketing to promote provision and sale of healthy foods • Public and professional education and information

  13. Nutrients at Dietary Wholesale Level (Per Person Per Day)

  14. Food Consumption at Wholesale Level (Kg Per Person Per year)

  15. Mortality from Coronary Heart Disease in Norway

  16. POS – NCD CHALLENGES • REFINED STRATEGY • COST OF INTERVENTION

  17. GIVEN THE CHALLENGES PRIORITIZE THE APPROACH:- MORE EMPHASIS - To target Obesity/NCDs thru strategies on Food Availability, Accessibility & Consumption Focus on Public Policies – Regulation, Standards and (dis) incentives

  18. POS – NCD CONTROLROLE OF KEY ACTORS • INTERNATIONAL • NATIONAL • PRIVATE SECTOR • CIVIL SOCIETY

  19. TRANS FATS – CIVIL SOCIETY ACTION USA TODAY Who would make it?

  20. KEY ACTIONS TO COMBAT NCDs OBESITY PREVENTION - WHO SHOULD DO WHAT?

  21. KEY ACTIONS TO COMBAT NCDs OBESITY PREVENTION - WHO SHOULD DO WHAT?

  22. KEY ACTIONS TO COMBAT NCDs ALCOHOL - WHO SHOULD DO WHAT?

  23. KEY ACTIONS TO COMBAT NCDs TOBACCO - WHO SHOULD DO WHAT?

  24. SUMMARY POS: PROGRESS - ACHIEVEMENTS POS: CHALLENGES - COST & APPROACH POS: KEY ROLE OF CIVIL SOCIETY

  25. THANK YOU

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