EG on Non-Communicable Diseases related to Lifestyles and Social and Work Environments

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1 EG on Non-Communicable Diseases related to Lifestyles and Social and Work Environments [Finland (Lead Partner), Latvia, Lithuania (Co-Lead Partner), Norway, Poland, Russian Federation and WHO have nominated representatives and alternates]

2 NCD EG meetings in 2011 NCD-2: 24 March Saint Petersburg PAC-8 side-event (NCDs and alcohol): proposals provided Proposal for the revision of NDPHS goals and operational targets PLANNED: NCD-3: 3-4 October Kaliningrad FLAG-PRO-1 planning meeting March in Saint Petersburg FLAGSHIP PROJECT A: PREVENTION OF OVERWEIGHT AND OBESITY IN SCHOOLCHILDREN(ages 7-15) in Northern Dimension geographical area FLAGSHIP PROJECT B: STOP NCD-EPIDEMIC NOW! Health policy and strategy support to combat NCD epidemic in Northern Dimension geographical area IN PIPELINE: FLAG-PRO-2 planning meeting13-15 June in Kaliningrad

3 Enquiry at NCD-2: What criteria are important for you to want your country to join a Flagship project? (Scoring 0 5)

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5 f) Goal 7: The impact in the ND countries on society and individuals of hazardous and harmful use of alcohol and illicit drugs is reduced g) Goal 8: Pricing, access to and advertising of alcoholic beverages is changed to direction, which supports the reduction of hazardous and harmful use of alcohol h) Goal 9: Tobacco use and exposure to tobacco smoke is prevented and reduced in the ND area NCD EG ad hoc PROJECT PREPARATION AND APPLICATION Feb - March EU Delegation/ Moscow: Non-State Actors and Local Authorities Programme for the Baltic Sea Region (within the framework of priorities of the Northern Dimension) Healthier People: Management of Change through Monitoring and Action PROJECT Grant application submitted (Finland, Estonia, Russian Federation / SPb) [ ] Budget line: , Reference: Europe Aid/ /L/ACT/RU Deadline for submission of concept notes: 10 March 2011 Concept approved in May -> Full project application prepared -> SENT 8 June a) PYLL-potential years of life lost analysis b) practical intervention on main problems (ALC, TOB, OBESITY ACCIDENTS?)

6 NCD-EG two groups further elaborating on: FLAGSHIP-A Project on healthy nutrition, prevention and correction of obesity, diabetes-type-2 primary prevention, and physical activity promotion among school-aged children and youth [only?] FLAGSHIP-B Project on health policy and strategy facilitation for NDP countries ( Stop NCD-epidemic now!: Health policy and strategy support to combat NCD and hazardous and harmful lifestyle epidemic in Northern Dimension geographical area ) WHERE AND WHY DID THESE IDEAS COME FROM?

7 Newly diagnosed middle-aged type-2 diabetics 15-prognosis not so long ago 15-mortality (%) type-2 diabetics Men Women Total mortality (%) p< p< Diabetes Control Diabetes Control Total mortality in diabetic and control subjects by sex from the time of diagnosis to the 5-year ( ), 10-year ( + ), and 15-year follow-up (total height of the bar). Niskanen L, et al. Diabetes Care 1998; 21:

8 Lifestyle counceling of high-risk people: EVIDENCE BASED! 1.Weight loss > 5 %:a 2. Fat in diest< 30 % 3. Saturated fat <10%, undaturated fat 20-25% 4. Fibre 15 g/1000 kcal 5. Physical activity > 30 min/day

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10 They say, it is never too late to start

11 Baltic Sea Region Food-pyramid

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13 Хорошиеполитические документы по здоровью в России СУЩЕСТВУЮТ Сколько еще документов нам нужно?

14 4 глобальные эпидемии, которым не уделяется должное внимание Ожирение Табак Алкоголь и наркотики Несчастные случаи и насилие

15 Potential Years of Life Lost PYLL A MAP FOR HEALTH OF THE POPULATION Mikko Vienonen m.vienonen@kolumbus.fi PYLL FROM SHADOW TO LIGHT

16 Goal 7, Goal 8, Goal 9 FLAGSHIP PROJECT B: Stop NCD-epidemic now! Health policy and strategy support to combat NCD epidemic in Northern Dimension geographical area OUTPUTS (4 WORK-PACKAGES) 1.1 Network for exchange of good practices on implementing NCD strategies 1.2 Guidelines about structure to implement NCD at national / regional / local level 2.1 Analytical tools for local and regional authorities especially cost effectiveness of interventions 2.2 Directory of interventions that work / produce sustainable behavioural change 3.1 Monitoring and measurement tool that illustrate size and impact of NCD problem 4.1 Ongoing engagement of Parliamentarians, local decision makers on NCD issue 4.2 Platform for NGOs / stakeholders to share ideas and experience

17 We are in the same boat! It helps, if the rowers have the same goal!

18 Strategy of over-weight and obesity prevention: population approach N of people Stategy 1. Shift the whole polulation towards more normal weight= Population approach over weight normal weight Strategy 2. Focus on those who are already overweight = Risk approach lower weight higher weight

19 (спасательний жилет)

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21 ANDORRA 9 11 March 2011 Первоесовещание Европейского форума по политике здравоохранения для государственных должностных лиц высшего звена Андорра-ла-Велла, Андорра, 9 11 марта 2011 г. МОСКВА Апреля 2011 г. First global ministerial conference on healthy lifestyles and noncommunicable disease control April 2011, Moscow, the Russian Federation Moscow conference puts global focus on NCDs. NCD EG Chair to participate

22 NCD EG sees PAC-8 side event in Moscow 24 November as an important step in the process of HEALTH 2020 and its implementation in the NDP area, and therefore NCD EG will provide all possible support and expertise for the preparation of this event. Crucial to have more active collaboration and involvement of WHO-EURO with us

23 NCD EG DILEMMA NCD EG Flagship-A Project Concept PREVENTION OF OVERWEIGHT AND OBESITY IN SCHOOLCHILDREN(ages 7-15) in Northern Dimension geographical area to be or not to be? NDPHS Strategy and EUSBSR Action Plan have NCD goals and operational targets only for alcohol & tobacco lifestyle related NCDs

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26 [To be discussed later under item under agenda it 7.2] SUGGESTED NEW GOAL & OPERATIONAL TARGET GOAL 12: The impact in the ND countries of all main causes/risk factors of lifestyle related NCDs (in addition to alcohol, tobacco and substance abuse) is reduced Operational target 12.1: By 2012 the Partnership will have developed a 1-2 regional flagship project(s) on NCD prevention in cooperation with relevant actors. Indicator 12a: Project application(s) submitted to donors for funding. Operational target 12.2: By 2014 the the above mentioned project(s) will have been implemented in coordination with other international actors active in this thematic area, such as EU, WHO/EURO and ILO Indicator(s) 12.2A: Relevant indicator(s) used by donors and implementing agencies will be used. Required expertise on the NDPHS side is currently available in the NCD Expert Group

27 PAC-8 8 (Partnership( Annual Conference,) Nov 2011 Saint Petersburg Ministry of Health and Social Development of the Russian Federation The 8th Ministerial Partnership Annual Conference (PAC 8) and its side-event will take place on November 24-25, 2011 in Saint- Petersburg, Russia. Taking into account the First Global Ministerial Conference on Healthy Lifestyles and Noncommunicable Disease (NCD) Control that will be held in Moscow on April, 2011 and that is jointly organized by the Russian Federation and the WHO it is proposed to address the NCD issue during the NDPHS PAC 8 side-event with a focus on alcohol abuse.

28 continued : The aim of the Global Ministerial Conference is to support Member States in developing and strengthening policies and programmes that promote healthy lifestyles and prevent noncommunicable diseases. Having in mind that the NDPHS partner countries have its peculiarities in different spheres of life, in particular regarding substance abuse, such support could also be provided by means of PAC 8 side-event aimed at the Northern Dimension area. The Russian Federation proposes to hold a Conference on NCD (the PAC side-event) with a focus on alcohol abuse. We expect to have speeches and presentations on the issue made by the NDPHS NCD EG, ASA EG, and ADPY TG as well as by respective invited guests/organizations. During the event we would like to learn about most successful practices seen from different prospective and stakeholders. The intended outcome of the PAC 8 will be a Declaration which would state the importance and necessity for taking proper actions in order to reduce alcohol consumption in our countries. Yours sincerely, Oleg Chestnov

29 What does this PAC-8 side-event scope and purpose mean to NCD EG? From NCD EG point of view the scope of PACp8 side event is difficult, because it so explicitly focuses on alcohol abuse only. Already if the wording had provided on alcohol use in general, it would have made our involvement easier. NOTE: most of harm and disease caused by alcohol is does not happen to abusers but to normal users. N.B. NCD-Chairs suggestion to Secretariat and Chair-Country Russia after Chair & ITA mtg 1/3 was to focus on NCDs (reflecting the pan-european process) and elaborating what challenges this upcoming new Health 2020 gives to ND NCD prevention in general and alcohol in particular.

30 Cont. What does this PAC-8 side-event scope and purpose mean to NCD EG? Quickly thinking, we might be able to provide information what is the impact of alcohol USE on cancer, heart disease, brain damage, HIV/STDs, FAS, depression, suicide, obesity etc, which are not commonly first thought as alcohol induced problems. We might be able to demostrate through PYLL ( potential years of life lost ) the huge loss of human potential/capital and impact to national economy due to alcohol. We might be able to reflect innovative process concerning the FLAGSHIP-B (and EU/SPb Healthier People project. Views from Flagship-B team? WHAT ARE YOUR VIEWS AND SUGGESTIONS? What would be outcome:declaration, Charter? ASK CALL ASA

31 Developing NCD Thematic reports

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33 Regarding the Partnership in Public Health and Social Well-being, to 1. give priority to the implementation of the NDPHS Strategy and ensure their active engagement and sufficient financial resources. 2. take determined action based on scientific knowledge and exchange best practices to promote healthy lifestyles in order to avoid early mortality and chronic conditions leading to the loss of human and economic potential. 3. work forcefully to prevent alcohol related harm, diseases and accidents as use of alcohol represents the biggest health challenge in the Northern Dimension area. 4. increase cooperation on controlling access to alcohol products. 5. take due note of the threat to social well-being caused by high unemployment, particularly among the young, and look at the possibilities to increase the cooperation to fight this problem. 6. include into the Partnership to secure and promote the traditional livelihoods in the Northern Dimension area. 7. cooperate closely with the human health groups working under the auspices of the Arctic Council, and the indigenous peoples, where the synergies from existing work are utilized to provide for better human health in harmony with cultural values. 8. improve the labeling of healthy food products and work towards limiting the use of trans fat in food.

34 Let s start! Давайте! NCD FLAGSHIP-A FLAGSHIP-B Kaliningrad 13-15/6/11