Non-Communicable Diseases Control Program ____________________________ _____ K R Thankappan MD, MPH Additional Professor and Head Achutha Menon Centre for Health Science Studies Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum
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Non-Communicable Diseases Control Program _________________________________ K R Thankappan MD, MPH Additional Professor and Head Achutha Menon Centre for.
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Non-Communicable Diseases Control Program
_________________________________
K R Thankappan MD, MPH Additional Professor and Head
Achutha Menon Centre for Health Science StudiesSree Chitra Tirunal Institute for Medical Sciences and
Technology, Trivandrum
Injuries (9.1%)
Noncommunicableconditions (59.8%)
Death, by broad cause group, 1999
Communicable diseases, maternal and perinatal
conditions and nutritional deficiencies (31.1%)
Source: WHO Report 2000
Injuries (13.9%)
Noncommunicableconditions (43.2%)
Global burden of diseasein disability-adjusted life years (DALYs), 1999
Communicable diseases, maternal and perinatal
conditions and nutritional deficiencies (42.8%)
Source: WHO Report 2000
Deaths, by broad cause group and WHO Region, 1999
AFR EMR EURSEAR WPR AMR
25
50
75
%
Communicable diseases, maternal and perinatal conditions and nutritional deficiencies
Noncommunicableconditions
Injuries
Source: WHO 2000
DALYS, by broad cause group and WHO Region, 1999
AFR EMR EURSEAR WPR AMR
DALY = Disability adjusted life-year
Communicable diseases, maternal and perinatal conditions and nutritional deficiencies
Noncommunicableconditions
Injuries
25
50
75%
Source: WHO 2000
Source: WHO, Evidence, Information and Policy, 2000
1990 2020
DALY = Disability-Adjusted Life Year
Communicable diseases, maternal and perinatal conditions and nutritional
deficiencies
Noncommunicable conditions
Neuropsychiatric disorders
Injuries
43
14
22
21
49
27
15
9
% %
DALYs, by broad cause group 1990 - 2020in developing countries (baseline scenario)
Low- and middle-income countries suffer the greatest impact on non-communicable diseases
77% of the total number of deaths attributable to NCDs
occurred in developing countries
85% of the global NCD disease burden borne by low- and middle-income countries
Source: WHO:, 2000
Malaria (69)HIV/AIDS (360)
Tuberculosis (723)
Diarrhoeal diseases (978)
Injuries (1301)
Noncommunicableconditions (7370)
Maternal conditions (158)Childhood diseases (542)
Respiratory infections (1523)
Distribution of causes of deathin South-East Asia, 1999 (000s)
More than 50% of disease burden in India is due to NCDs
Many National Programs for Communicable diseases
How to address
Monitoring of Risk factors
Tobacco UseDiet (Fruits and Vegetables)Body Mass IndexPhysical activityBlood SugarBlood Lipid levels
Disease Specific Program
CancerDiabetes
Bronchial AsthmaHypertension?
Need to develop a Program
Sentinel Health Monitoring Centres
AssamDelhi
Kerala MaharashtraTamil Nadu
Address Risk factors and determinants
at community level Inter-sectoral coordination
Legislation
For example Tobacco ControlAlcohol
Diet, salt restrictionExercise
Global strategy for Diet and Physical activity
Primary Health Care System
Need to re-orient focusTraining of health workers
Monitoring of blood pressure and urine sugar can be done at grass
root levelHealth education programs
Capacity Building
Manpower -PH specialistsNew Public Health Schools Social Science componentsMPH-SCTIMST, AllahabadPGI Chandigarh, CMC Vellore, EHAExpand the current MD programsFETP Programs- MAE at NIE