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CARDIOVASCULARDISEASES CANCERS …

200 8-2 013 ActionPl anfor the Gl ob al St rat eg y for thePrevention and Cont rol ofNoncommunicab le Di seas esCAR DI OVAS CUL AR DISEASESCANCERSCH RONI C RESPI RA TORYDISEASESDI ABE TES World Hea lth Or gani zati on 2008Al l rights reserved. Public ations oftheWorldHeal thOrganizationcanbeobtained fromWHOP ress, World HealthOrganization,20 AvenueAppia,12 11 Geneva27,Switzerland(tel.:+412279 1 326 4; fa x: +4122 7914857; e-mail: ts forpermission to re produceortransla teWHOpubl ic ations whetherforsaleorfornoncommercialdistribu ti on sh ou ld bead dr ess ed to WHO Press,at th e aboveaddress(fax:+412279 1 480 6; e- nationsemplo ye d andth e pr esentationof themateria l in thispublicationdonot implytheexpre ssionof anyopinionwhatsoeve r onth e partof theWorld HealthOrganization co nce rn -ingtheleg al statusof anycountry,territo))

Foreword ii Introduction iv Action Plan for the Global Strategy for the Prevention and Control of Noncommunicable Diseases World Health Assembly document A61/8 …

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Transcription of CARDIOVASCULARDISEASES CANCERS …

1 200 8-2 013 ActionPl anfor the Gl ob al St rat eg y for thePrevention and Cont rol ofNoncommunicab le Di seas esCAR DI OVAS CUL AR DISEASESCANCERSCH RONI C RESPI RA TORYDISEASESDI ABE TES World Hea lth Or gani zati on 2008Al l rights reserved. Public ations oftheWorldHeal thOrganizationcanbeobtained fromWHOP ress, World HealthOrganization,20 AvenueAppia,12 11 Geneva27,Switzerland(tel.:+412279 1 326 4; fa x: +4122 7914857; e-mail: ts forpermission to re produceortransla teWHOpubl ic ations whetherforsaleorfornoncommercialdistribu ti on sh ou ld bead dr ess ed to WHO Press,at th e aboveaddress(fax:+412279 1 480 6; e- nationsemplo ye d andth e pr esentationof themateria l in thispublicationdonot implytheexpre ssionof anyopinionwhatsoeve r onth e partof theWorld HealthOrganization co nce rn -ingtheleg al statusof anycountry,territory, cityorareaorofitsauthorities, orconcernin g thede limitation ofitsfrontiersorboundaries.))

2 Dotted linesonmapsrepresentapproximatebo rderlinesfo r whichthere may notye t befullag re ement .Thementionofsp ecificcompanies orofcertainmanufacturers products doesnotimplythattheyareendorsedor rec ommended bytheWorld HealthOrganizationin preferencetoothers ofa similar na turethatar e not ,thena mes of proprietaryproduct s are distinguishedbyinitialcapitalletters .Al l re asona bl e pre cautionshavebeentakenbyth e WorldHealthOrganizationto verifyth e in for-mation containedin , th e publishedmateria l is beingdistributed with-outwarrantyofanykind,either sponsibilityfortheinterpretationanduseof themateria l lieswiththereader.

3 In no ev en t shall theWorld HealthOrganizationbeliable fo r da magesar ont cove r photos:ChrisdeBode- April Po jmar- GiacomoFrigerio- MarkoKokicDe si gn and layout:Blossom It al y - lo diiIntroduc tionivAc tionPlanfortheGlobalStrategyfo r th e Pre ven tionandControlof noncommunicable Di seasesWorld HealthAs semblydo cumentA61/8 (A pril 2008)1 Resol utionof the61stWorldHea lthAss embly2008:Prev en tionandCo ntrolof Nonco mmunic ableDiseases :Imple men tationof th e GlobalStrategyWorld HealthAs semblyresol ution (May 2008)21Gl ob al Strat eg y forthePreven ti onandCon trol of Nonc ommunica bl e Di se ase sWorld Heal thAs semblydo cumentA53/14(March 2000)23 Resol utionof the53rdWorl d HealthAssembly2000.

4 Pr ev en tionandCo ntrolof Non co mmunic ableDiseasesWorld Heal thAs semblyresol ution (May 2000)31i20 08 -2 01 3 Act io n Pla n for theGlo ba l Strat eg y for thePr eve ntionand ControlofNo ncommu nicable DiseasesOneTwoThreeFou rFo re wor diiToday, noncommunicable diseas es(NCDs),mainl y cardiovascular dis-eases , ca ncers,diabe tesand chronic respiratorydiseases, representaleadingthreat to human fourdi seasesaretheworld' s biggestkil lers,causinganes timat ed35 milliondeathseachyear - 60%of all deaths globally - with80%in low-andmiddle-incomeco diseasesar e pre ve ntable.

5 Upto 80%of heartdisease,stroke,andtype2 diabetes andovera th irdof cancer s could bepreventedbyelimina tingsh aredriskfactors, mainly tobacco use,unhealthydiet, physical inactiv ityandtheharmfuluseof al ad dressed,themortalityanddiseas e bur denfromthesehe althprobl emswill continueto increas e. WHOprojects that, globally, NCDde athswil l increaseby17%over thenext ten yea will be se eninth e Africanregion(27%)andtheEasternMedite rr aneanre gion (2 5%).Thehighestabsolut e numberofde athswilloccu r in theWestern Pacifican d South-East andknowledge toad dr essthese cost-effectiv e st ra tegies existto preventan d controlth is , high-leve l commitmen t an d concreteac tionareoftenmissingatthenationallevel.

6 NCDpr eve ntionandcontrolpro-gr ammesremain dra matically under-fundedat th e na tional andgl ob -alle ve lsandhave bee n leftoffth e globalde ve impactingthepoorestpe opleinlow-incomepartsofth eworld andimposinga heavyburden onsocioeconomicdevelopment,NCDprevention is currentlyabsentfromtheMille nnium DevelopmentGoals. Howev er,inall low-andmiddle-income countriesan d byanymeasure,NCDsac co unt fora largeen oughshareof th e diseaseburdenof thepo or tomeri t a seri ouspolic y re ngclosely withMembe r States, WHOhas , th ere fo re,developedthis Acti on Plan toprevent NCDsfromoccurri ngand tohelpthemil-li onswhoarealreadyaffectedtocopewithth eseli fel is Ac ti on Pl an,en dorse d at theSi xt y-first World Hea lthAssemblyinMay 2008,is basedonth e so undvisionof th e GlobalStrategyforthePreven tion an d Con trol of Non co mmunic abl e Di se ases.

7 EndorsedattheFift y-thirdWorldHeal thAss embl y inMay alsoaimstobuild on theWHOF ramework Con ve ntion onTobacc o Co ntrol andtheWHOG lobalStrategyonDiet, Physi ca l Ac tivity an d provides MemberState s, WHO,andth e international communitywi tha ro admaptoes ta bl is h andstrengthen in iti ati ve s forthesurveil-la nce, prevention an d mana ge ment of NCDs .Furthermore,th e Plan highlightsth e pressingneed toinvestin NCDpreven ti onasanintegralpart ofsusta in abl e soc io ec onomic develop-ment .NCDprev enti onisanAll -Gove rnmentresponsib il it ns iderablymoregainscanbeac hie ve d byinfl ue nc ingpoliciesofno n-healthse ctors th anbyhealthpolic ie s al on e.

8 All stakeholderswi llne edtoin tensi fy andharmon izeth ei r efforts toave rt th esepreven table condi ti on s and tosav e millions fromsufferingneedlesslyan d dy Ala Alw anAssistant Dir ec tor -Gen er alNon com mun icabl e Dise ase s and Men tal He althWorld Heal th Org anizationTACKLINGTHE WORLD'SBI GGESTKILLERSANDADDRESSI NGKEY CHALLE NGESTOGLOBALDEV ELOPMENTINTHE21stCENTURY We kn ow what work s, we knowwhatit costsand we knowth at all cou ntr ies are at risk. We havean ActionPlan to aver tmil lion s of pr em ature deathsand helppr omotea bet te rqua lit y of lif e for mil lions more.

9 "iiiIn troductionivThisdocumentis writ tenprimarily forth e communityof internati onalde ve lo pmentpa rtners, aswell asthose in govern men t andcivilsocie-ty co ncerned withurg entactionto ad dress therap id ly increasing bur-de n of noncommunicable diseases(NCDs) in low- andmiddle-incomecount rie s anditsse riousimplicationsforpoverty reductionandeco-nomicde ve cu ment:- makes thecasefo r urg entactionbetween 2008-2013 which, whenpe rformed collectiv elyinaccordan cewiththeAc tionPlanforth eGlobalSt ra teg y fo r thePr eventionan d control of NCDs,willta cklethegrowingpublichealthbur provides theActionPlan's politicalframework en dorsedin May2008bydelega tionsfr omal l 193 Member States, in cl udin g requir ementstoreportongl obal pr ogr essin pre se nt s theov er ridingGl obalStrategy forthePre ventionandControlofNCDswhichur ge s MemberStatesto deve lopnationalpoli-cyframeworks,establishpr ogrammes.

10 Sh are th eirex periencesan dbuildcapacitytoad dre ss ,theimportanc e of addressingNCDshasgained increa sedrec ognitionover th e past dec creasinglydomin atinghealthcare needs inlow-an d middle-incomeco alStrategy' s po liticalframework,endorsedinMay2000,asked theWHO Director -G eneralto continuegiving priority to thepre-ve nt io n andcontro l of NCDs,withsp ecialempha sis onde ve lopingcount rie s. Tothisend,theGlobal Strategyha s th reemainobjecti ves:- to maptheemergingep idemicsof noncommunicablediseasesandtoanalysetheir so cial, economic,be haviouralan d political determi-nants with pa rticularre ferencetopooran d disad va ntagedpopula-tions,in or dertopr ov id e guidan ceforpolicy, leg is la tiveandfinancialmeasures rel atedto thedevelopmentof anenviron mentsupportiveofcontrol.


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