7 th World Ageing and Generations Congress. University of St. Gallen August 31, 2011

Transcription

1 7 th World Ageing and Generations Congress University of St. Gallen August 31, 2011

2 The Good News Global Health Community Committed to Action on NCDs. 2

3 World Economic Forum 2009 Report Non-communicable diseases are among the most severe threats to global economic development, more likely to be realized and potentially more detrimental than fiscal crises, natural disasters, or pandemic influenza. 3

4 Rate per 1,000 Rate of Chronic Conditions Men Women Source: NCHS, < Ages

5 Estimated number of people with diabetes (millions) Age as a Driver of NCDs: Diabetes 60 Developed Countries The number of people with diabetes in the world is expected to approximately double between 2000 and 2030, based solely on demographic changes. Source: Global Prevalence of Diabetes, Diabetes Care,

6 Age as a Driver of NCDs: CVD Projected Cumulative CVD Mortality (2000 to 2030) Source: American Heart Association, Fuster V et al. Circulation 2007;116:

7 % Prevalence of Sarcopenia Age as a Driver of NCDs: Sarcopenia Male Female 10 0 < >80 The prevalence of sarcopenia in the population above the age of 60 years varies between 10% and 60%. Source: Baumgartner et al. Am. J Epidemiol,

8 Cases per 1,000 Age as a Driver of NCD s: Alzheimer s and Dementia Under Source: National Center for Health Statistics,

9 NCDs Related to 21 st Century Transformational Change Non-communicable diseases are intricately linked to globalization, urbanization, and demographic and lifestyle transitions all ubiquitous forces. - Global Non-communicable Diseases Where Worlds Meet, New England Journal of Medicine 9

10 The Good News The global health community is committed to NCDs. The Bad News: AD/Aging Gap Driven by Political Agendas Missing Key Drivers of Aging and Alzheimer s Research and Patient Needs Unmet 1

11 UN Resolution on NCDs Underscoring the need for concerted action and a coordinated response to adequately address the challenges posed by non-communicable diseases, in particular the four most prominent noncommunicable diseases, namely, cardiovascular diseases, cancers, chronic respiratory diseases and diabetes,. Decides to convene a high-level meeting of the General Assembly in September 2011, with the participation of Heads of State and Government, on the prevention and control of non-communicable diseases 11

12 NCD Interest Explodes Four major risk factors that contribute to non-communicable diseases: tobacco use; diets high in fats, salt and sugar; the harmful use of alcohol; and physical inactivity. Seoul Declaration on Non-communicable Disease Prevention and Control in the Western Pacific Region, World Health Organization Six risk factors associated with non-communicable diseases as the leading global risk factors for death: high blood pressure, tobacco use, high blood glucose levels, physical inactivity, overweight or obesity, and high cholesterol levels. World Health Organization 2009 Trends also suggest that the major risk factors for non-communicable diseases hypertension, high glucose levels, obesity, and inactivity are on the rise, especially in developing countries. New England Journal of Medicine, 2010 NCDs share the common risk factors of tobacco use, unhealthy diet and physical inactivity. NCD Alliance 12

13 WHO Risk Factors: Potato Chips, Soda and Alcohol Risk Factor Deaths (millions) Percentage of Total High blood pressure Tobacco use High blood glucose level Physical inactivity Overweight and obesity High cholesterol level Unsafe sex Alcohol use Childhood underweight Indoor smoke from solid fuels

14 OECD Weighs-In: Tobacco, Environment and Foods Leading Risk Factors, High Income Countries Source: OECD Economics of Prevention,

15 Media Attention To Cost of NCDs YES, BUT It is projected that in the next 10 years, China, India, and Britain will lose $558 billion, $237 billion, and $33 billion, respectively, in national income as a result of largely preventable heart disease, strokes, and diabetes. In the United States, cardiovascular disease and diabetes together cost the country $750 billion annually. 15

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17 Transforming Our Thinking New Framing: Risk Factors Prevalence/Cost New Metric: Death Healthy and Active Aging New Model: Tobacco Polio or HIV/AIDs New Impact: Silo Holistic New Motivation: Political Health/Fiscal Sustainability 17

18 Landmark Report Reveals Massive Global Cost Of Alzheimer's: 1% Of Global GDP - And Growing World Alzheimer Report 2010 revealed worldwide costs of dementia to exceed US$604 billion. The number of people with dementia will double by 2030, and more than triple by The costs of caring for people with dementia are likely to rise even faster than the prevalence - especially in the developing world. Aligned to most profound socio-economic phenomenon of the 21 st century: Aging Populations 18

19 Building the Base Data and Research: 09/ 10 ADI Studies Policy Elites: "Alzheimer's Disease is the 21st-Century Fiscal Crisis November 2010 National Alzheimer s Plans: France to India, Australia to Japan, Korea to Sweden and now the U.S. through NAPA NGOs Represent a Global Voice and MDGs 19

20 Getting It Right Reporting and Editorial Pages Media Highlight the Truth Data and Analysis Fiscal and Economic Concerns Global Attention UN Process NCD Alliance On Behalf of Patients and Caregivers Governments and Stakeholders 20

21 Outcomes Document Finds Alzheimer s Note also with profound concern that non-communicable diseases are among the leading causes of preventable morbidity and of related disability Recognize that mental and neurological disorders, including Alzheimer s disease, are an important cause of morbidity and contribute to the global NCD burden... Recognize that...poverty, uneven distribution of wealth, lack of education, rapid urbanization and population ageing...are among the contributing factors to the rising incidence and prevalence of NCDs. Pursue comprehensive strengthening of health systems that recognizes the importance of the life course approach 21

22 Stay Tuned United Nations High-level Summit on Non-communicable Diseases September 19-20, 2011