Health 2020, European Diabetes Leadership Forum

Health 2020

Zsuzsanna Jakab

WHO Regional Director for Europe

Priority area 1. Investing in health through a life-courseapproach and empowering people

European Diabetes Leadership Forum 2012 Slide no 2Date

19.3

34.3

2823.4

32.528.2

21.4

31.8

24 24.8

40.5

23.522.1

35.9

26.3

49

2327.4

47.1

0

10

20

30

40

50

60

6-year-olds 7-year-olds 8-year-olds 9-year-olds

Prevalence of overweight, including obesity – boys (%)Based on the 2007 WHO growth reference for children and adolescents aged 5–19 years

Diabetes: a simplified framework for action


HealthyAdvancedDisease

General Population

Overweight or Obese

Impaired Glucose Balance

Not Diagnosed

Diagnosed Diabetes

With Compli-cations

Without DiabetesWith Diabetes

Diabetes: a simplified framework for action


HealthyAdvancedDisease

General Population --Laws, norms, standards--Maintain or reduce weight--Promote healthy diet and activity

Overweight or Obese--Maintain or reduce weight--Social marketing; Supportive environ-ments;Personal programmes

Impaired Glucose Balance--Reduce incidence of diabetes, such as byintensive personal advice and support(as in Finland)

Not Diagnosed--Reduce unknown diabetes--Screening and case-finding

Diagnosed Diabetes--Reduce incidence of complica-tions--Strict clinical management of cardio-metabolic risk

With Compli-cations

--Maximize normal function--Rehabilita-tion and prosthetic services

Without DiabetesWith Diabetes

Priority area 2. Tackling Europe’s major health challenges in communicable and noncommunicable diseases (NCDs)


65

70

75

80

1970 1980 1990 2000

European RegionEU members before May 2004 EU members since May 2004 CIS

Life expectancy at birth, in years• Address the social determinants of health

• Redress patterns of health inequities

• Ensure that continuous reduction of health inequities become a criterion in assessing health systems’ performance

CIS: Commonwealth of Independent States


Standardized death rates (SDRs) for circulatory disease, European Union (EU)


SDRs for circulatory disease, newly independent states

Priority area 3. Strengthening people-centred health systems, public health capacity and emergency preparedness

- Increasing importance of care integrated across all levels

- Primary care at the centre- Redefine the role of hospitals in

a better balanced health system- WHO/Europe started to develop

guidance on vision and clinical strategy on integrated care, in close collaboration with EU reflection process

Essential public health operations


1. Surveillance of population health and well-being

2. Monitoring and response to health hazards and emergencies

3. Health protection, including environmental, occupational, food safety and others

4. Health promotion, including action to address social determinants and health inequity

5. Disease prevention, including early detection of illness

6. Enssuring governance for health and wellbeing

7. Ensuring a competent public health workforce

8. Ensuring organizational structures and financing

9. Advocacy, communication and social mobilization for health

10. Advancing public health research to inform policy and practice

Strengthening public health

capacities and services in Europe:

a framework for action

Technical document

Regional Committee Baku

Priority area 4. Creating supportive environments and resilient communities


The Political Declaration of the High-level Meeting of the General Assembly

on the Prevention and Control of Non-communicable Diseases


Europeanaction

plan on NCDs


Planning and

oversight

National plan

Health infor-mation system

with social determinants

Health in all

policies

Fiscal policies

Marketing

Salt

Trans-fat

Healthy settings

Workplaces and schools

Active mobility

Secondary

prevention

Cardio-metabolic risk assessment

and management

Early detection of cancer

“Best buys” package: population-based approaches

• Smoke-free environments• Warning about the dangers of tobacco

use• Bans on tobacco advertising• Raising taxes on tobacco • Raising taxes on alcohol• Restricting access to retailed alcohol• Bans on alcohol advertising• Reducing salt intake and salt content

of food• Replacing trans-fat in food with

polyunsaturated fat• Promoting public awareness about

diet and physical activity

A call on the whole of society


Interconnected forms of government

New strategic

relationships

Citizens’ voice and participation

SOCIAL DETERMINANTS EQUITY SUSTAINABILITY

Overall societal goals

Global commitments

Call on the private sector to address

• Marketing to children, while taking into account existing national legislation and policies

• Reformulating and labelling food products to provide healthier options

• Promoting healthy workplaces• Reducing salt• Improving access to and affordability of

medicines and technologies


Thank you


Health 2020, European Diabetes Leadership Forum

Health & Medicine

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