Health and Global Policy InstituteyBreakfast Briefing
b29 November 2011
Judith WattSt t i C lt t t NCD AlliStrategic Consultant to NCD Alliance
www.ncdalliance.org
Good morning I will address three pointsGood morning ... I will address three points
• Why tackling non‐communicable diseases (NCDs) is a priority for health, for development, and for all of us
• What the NCD Alliance is, what we have done and what we plan for the future
• How Japan can become a global champion for preventing and controlling NCDsand controlling NCDs
What is an NCD?What is an NCD?
• I don’t need to tell you … because all of us have personal experience of NCDs
• All of us know someone who is battling cancer, or who is living with diabetes, or who is disabled because of a stroke or emphysema, or who died of a heart attack
• But we do need to explain why are we now grouping• But we do need to explain why are we now grouping these diseases together and calling for urgent action to prevent and control themp
• It is because they are an enormous threat to the world
Global Risks Landscape 2010World Economic ForumWorld Economic Forum
droughts
terrorism
And it is going to get a lot worse ...30
Intentional injuries
And it is going to get a lot worse ...
25
ns)
Other NCDs
Road traffic accidentsOther unintentionalIntentional injuries
15
20
s (m
illio
n
Cancers
Other NCDs
10Dea
th
CVD
5
HIV TB malaria
Other infectious
Mat//peri/nutritional
02004 2015 2030 2004 2015 2030 2004 2015 2030
High income Middle income Low income
HIV, TB, malaria
Projected NCD deaths in 2015 and 2030
Total deathsaround the world:58 million58 million
Total deathsaround the world:58 million58 million
Deaths from NCDs around the world:36 million
Total deathsaround the world:58 million58 million
Deaths from NCDs around the world:36 million
Deaths from NCDs in developing countries:developing countries:28 million
Total deathsaround the world:58 million58 million
Deaths from NCDs around the world:36 million
Deaths from NCDs in developing countries:developing countries:28 million
Deaths from NCDs in developing countries h b dthat can be prevented:14 million
4x4: 4 major diseases4x4: 4 major diseases
4x4: 4 major diseases x 4 major risk factors4x4: 4 major diseases x 4 major risk factors
Tobacco use will cause 6.4m deaths a year by 2015– 10% of all deaths10% of all deaths
Respiratory di
Cardiovascular di diseases
29%diseases29%
Tuberculosis1%
Cancers33%
Other
Diabetes2%
Other6%
Mathers CD, Loncar D (2006) Projections of global mortality and burden of disease from 2002 to 2030. PLoS Med 3(11): e442. doi:10. 1371/journal.pmed.0030442
Cancers Respiratory Cardiovascular Other diseases
Lung Chronic Coronary heart Gastric ulcerLung
Oral cavity
Pharynx
Chronic obstructive pulmonary disease (COPD)
Coronary heart disease (CHD)
Cerebrovasculardisease (Stroke)
Gastric ulcer
Cataract
Periodontitis
Larynx
OesophagusPancreas
Acute respiratory illnesses
Pneumonia
( )
Aortic aneurysm
Peripheral arterial disease
Duodenal ulcer
Crohn’s diseasePancreas
Urinary bladder
Renal pelvis
Poor asthma control
In adolescents:
disease Macular degeneration
Tobacco bl i
Kidney
Stomach
U i i
In adolescents:
Impaired lung growth
A th l t d
amblyopia
Osteoporosis
DiabetesUterine cervix
Myeloid leukaemia
Asthma-related symptoms (wheezing)
Respiratory
Tuberculosis
Reproductive problems:
Nasal cavities
Nasal sinuses
Liver
Respiratory effects in uterowith maternal smoking
problems:
Reduced fertility
Low birthweightLiver
Sudden Infant Death Syndrome
Speaking about NCDs at Speaking about NCDs at Davos in January 2011, DirectorGeneral of WHO,Director General of WHO,Dr Margaret Chan
"Let me propose aLet me propose a critical priority:tobacco tobaccotobacco, tobacco, tobacco we must fight it ”... we must fight it.
Speaking in 2009 about NCDs and development,UN SecretaryGeneral,Ban KiMoon
“Cancer, diabetes, and heartCancer, diabetes, and heart diseases are no longer the diseases of the wealthy.diseases of the wealthy.
Today, they hamper the people d th i f thand the economies of the
poorest populations even more th i f ti dithan infectious diseases.
This represents a public health emergency in slow motion.”
Enter the NCD Alliance
NCD Alliance NetworkNCD Alliance Network
• A network of more than 2000 NGOs in more than 170 countries
• Over 350 Common Interest Group Members• 20+ National NCD Alliances• Collaborations with top NCD academics, including:
• The Lancet NCD Action Group• Harvard University• London School of Hygiene and Tropical Medicine
• Regular liaison with WHO in Geneva and regions• New relationships with UNDP, DESA and other UN agencies
Targets widely consulted onTargets widely consulted on
NCD Alliance and Lancet NCD Action Group:Five priority actions for the NCD crisis
1 • Political leadership
p and
ance2 • Prevention
D Action Group
the NCD
Alli
3 • Treatment
he Lancet N
CD
4 • International co‐operation
Th
5 • Monitoring, reporting and accountability
L d hiP tiTreatment
Leadership• Establish a high‐level Partnership for NCD Prevention and Control
Prevention• Accelerate FCTC implementation
• Strengthen health‐care systems
• Integrate NCDs into successor goals to MDGs
• Commit to whole‐of‐government action –
• Reduce salt intake
• Reduce saturated and trans‐fat
• Increase access to quality, low‐cost medicines Commit to whole of government action
with civil society and appropriate private sector involvement
and trans fat intake
• Reduce sugar intake
and technologies:
o Combination drugs for CVDintake
• Reduce harmful use of alcohol
International cooperation• Promote synergies between programmes for NCDs and other global health priorities
o Insulin for diabetes
o Asthma • Increase opportunities for physical activity
for NCDs and other global health priorities
Invest in these lowcost strategies
inhalerso Anti‐cancer vaccines
Monitoring, reporting and accountability• Identify ambitious targets and a transparent reporting system
o Pain relief for end‐of‐life care
Convening Experts & Influencing Policy g p g y
Milestones
UN Resolution toCivil Society Hearing at UN (June 2011)
UN High‐Level Meeting
(September 2011)
Modalities Resolution
(December 2010)
UN Resolution to hold High‐Level Meeting on NCDs
(May 2010)
Launch of NCD Alliance
(May 2009)
Campaign for specific language and outcomesCampaign for High‐Level Meeting
NCDs – only the second health issue to come before the United Nations after AIDS in 2001before the United Nations, after AIDS in 2001
Immediate priorities for NCD AllianceImmediate priorities for NCD Alliance• Complete Strategic Review and new Strategic Plan• Refine position on targets and indicators, and monitoring framework
• Develop campaign plan for integration of NCD targets into post‐2015 development goalsD l i l f i i t di i• Develop campaign plan for improving access to medicines and technologies
• Develop options for global partnerships• Develop options for global partnerships• Progress tobacco control priorities, especially taxation campaigncampaign
• Identify NCD champion countries and Heads of State –could Japan be one?could Japan be one?
Japan: a global champion for NCDs?
• Prioritize NCD prevention and control in JapanA l i FCTC• Accelerate action on FCTC
• Create a national NCD Allianceld l d h l f• Build on current leadership in international assistance for
NCDs (recognized by Sri Lanka and El Salvador at HLM)J ’ t i ti l f i l i f NCD i t• Japan’s support is essential for inclusion of NCDs into post‐2015 successors to MDGs
• Leadership in process leading up to 2014 High Level• Leadership in process leading up to 2014 High‐Level Review
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