Exporting Heart Disease to Developing Countries: India. Zeeshan Ali, Ph.D.

Transcription

1 Exporting Heart Disease to Developing Countries: India Zeeshan Ali, Ph.D.

2 Mortality Rate Heart disease is the number one cause of mortality. Accounts for one-fourth of all deaths in India. Source: Gupta R. Heart 2008;94(1):16-26

3 Disease Burden Estimates 1990 Disease Burden Estimates 2020 Source: Nutrition Transition in India, Ministry of Women and Child Welfare

4 Percentage 80 Percentage of First Heart Attack (Cumulative) <40 years <45 years <50 years <55 years Age groups Source: Southasianheartcenter.org

5 Years of Life Lost due to CVD in Populations Aged Years Portugal S. Africa USA Russia PPYLL in 2000 PPYLL in 2030 China India Number in Millions Source: Reddy K.S. J. Am. Coll. Cardiol. 2007;50:

6 Dietary Changes Easy access to high-fat, low-fiber, and highcholesterol meals. Increased consumption of commercially processed food. Decreased consumption of carbohydrates and increased consumption of fats. Source: Misra A. J. Diabetes 2011;3(4):

7 Numbers Fast Food Outlets in India: 2008 vs McDonalds Dominos KFC Pizza Hut

8 Meat and Dairy Products in Indian Diet

9 Million tons Chicken Production in India Year Source: Foreign Agricultural Service, USDA

10 Grams Per Capita Per Day Fat Intake in Urban and Rural India Rural 20 Urban Year Source: NSS Report No.560: Nutritional Intake in India,

11 National Action Plan and Monitoring Framework for Prevention and Control of NCDs Developed by WHO and Government of India, Targets for the year 2025: 25% reduction in premature mortality from NCDs. 10% reduction in physical inactivity. 25% reduction in raised blood pressure. 0% increase in diabetes and obesity.

12 National Program for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) Developed by Government of India, 2008 Strategies: Health promotion for the general population Education on dietary changes and physical activity at community level, school, and work place. Disease prevention for the high risk groups Early diagnosis and disease management to reduce morbidity and mortality

13 Community-Based Programs The Chennai Urban Population Study, India 1996 Mohan V. J. Assoc. Physicians India 2006;54: Community empowerment through public lectures and video clippings to promote physical activity. North Karelia WHO Project, Finland, Cholesterol-lowering campaigns in villages. Working with food manufactures to come out with low fat products.

14 Age adjusted mortality rate North Karelia WHO Project, Finland (Age years) Year CHD Mortality in all Finland and in North Karelia year old men per 100,000 population

15 Physicians Committee s Work in India 21-Day Health Challenge- Kickstart India Online Program Lecture Tour of India

16 21DayKickstartIndia.org

17 Celebrity Coaches

18 Traditional Food

19 Kickstart India 26,000

20 Kickstart Results 95% experienced significant changes in their diets. 50% lost weight during three weeks. Less than 1% reported that they would go back to their old eating habits.

21 Physicians Committee s Six-City Lecture Tour 2015 Bhopal, June 25 Hyderabad, June 26 Bangalore, June 29 Mumbai, July 1 Chennai, July 2 New Delhi, July 6

22 Learning Objectives: Manage, prevent, and even reverse chronic diseases. Maintain long-term weight control. Lower cholesterol and blood pressure.

23 Hindi Language Educational Resources

24 Collaborators in India: Sagar Institute of Science and Technology (SISTec), Bhopal Krishna Institute of Medical Sciences (KIMS), Hyderabad Manipal Health Enterprises Pvt. Ltd., Bangalore Delhi University Women's Association, New Delhi Andhra Social & Cultural Association, Chennai

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26 Partners in India Pramod Tripathi, M.B.B.S., founder of India s Freedom from Diabetes Clinic. Nandita Shah, L.C.E.H., founder and director of the nonprofit SHARAN a natural health organization that promotes a plant-based diet.

27 Media Coverage

28 We will continue building a healthy India!

29 Thank You! Zeeshan Ali, Ph.D. Kickstart India Program Specialist