The challenge of noncommunicable diseases for health in Europe: Implications for dietitians The challenge of noncommunicable diseases for health in Europe: Implications for dietitians 8 November 2013 Trudy Wijnhoven Technical Officer Nutrition, Physical Activity and Obesity Programme Division of Noncommunicable Diseases and Life-course
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The challenge of noncommunicable diseases for health in Europe: Implications for dietitians
The challenge of noncommunicable diseases for health in Europe: Implications for dietitians
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The challenge of
noncommunicable
diseases for health in
Europe: Implications for
dietitians
The challenge of noncommunicable diseases for health in Europe: Implications for dietitians
8 November 2013
Trudy Wijnhoven
Technical Officer
Nutrition, Physical Activity and Obesity Programme
Division of Noncommunicable Diseases and Life-course
Outline
1. Introduction to WHO
2. Policy and global monitoring
frameworks
3. Burden of noncommunicable
diseases
The challenge of noncommunicable diseases for health in Europe: Implications for dietitians
8 November 2013
4. Nutrition policy actions in the
European Region
5. Role of dietititans
The challenge of noncommunicable diseases for health in Europe: Implications for dietitians
8 November 2013
1. INTRODUCTION TO WHO
Structure
• Specialized agency within the Charter of the United Nations (1948)
• 194 Member States
• One WHO, but decentralized structure:
The challenge of noncommunicable diseases for health in Europe: Implications for dietitians
8 November 2013
• One WHO, but decentralized structure:
– Headquarters - Regional Offices - Country Offices
• Governing bodies:
– World Health Assembly - Executive Board
WHO Country and Regional
offices
The challenge of noncommunicable diseases for health in Europe: Implications for dietitians
8 November 2013
WHO is primarily responsible for:
• Providing leadership on global health matters
• Shaping the health research agenda
• Setting norms and standards
The challenge of noncommunicable diseases for health in Europe: Implications for dietitians
8 November 2013
• Setting norms and standards
• Articulating evidence-based policy options
• Providing technical support to countries
• Monitoring and assessing health trends
The challenge of noncommunicable diseases for health in Europe: Implications for dietitians
8 November 2013
2. POLICY AND GLOBAL
MONITORING FRAMEWORKS
Political declaration on NCDs:
Surveillance: Calls for a monitoring framework and global and national
targets and indicators.
Prevention: Calls on Member States to accelerate the implementation of
the WHO FCTC, the Global Strategy on Diet, Physical Activity and
Health, and the Global Strategy to Reduce the Harmful Use of Alcohol
and cost-effective interventions.
The challenge of noncommunicable diseases for health in Europe: Implications for dietitians
8 November 2013
and cost-effective interventions.
Management: Calls on Member States to strengthen health systems that
support primary care and prioritise early detection and treatment and
improve access to affordable essential medicines for NCDs.
Comprehensive global monitoring framework
The challenge of noncommunicable diseases for health in Europe: Implications for dietitians
8 November 2013
Nutrition, obesity and physical activity:major achievements but big challenges
European Charter on Counteracting
Obesity and the Food and Nutrition Policy
Action Plan
• Established and scaled-up monitoring and
surveillance systems
The challenge of noncommunicable diseases for health in Europe: Implications for dietitians
8 November 2013
surveillance systems
• 49 Member States developed or updated
national policies
• Several Member States evaluated
national policies
WHO European Ministerial Conference on Nutrition and NCD in the Context of Health 2020
RENEWED
MANDATE FOR
ACTION
The challenge of noncommunicable diseases for health in Europe: Implications for dietitians
8 November 2013
The challenge of noncommunicable diseases for health in Europe: Implications for dietitians
8 November 2013
3. BURDEN OF
NONCOMMUNICABLE
DISEASES
Noncommunicable diseases
and risk factors
The challenge of noncommunicable diseases for health in Europe: Implications for dietitians
8 November 2013
NCDs increasing….
The challenge of noncommunicable diseases for health in Europe: Implications for dietitians
8 November 2013
Source:
http://www.who.int/mediac
entre/factsheets/fs310/en/i
ndex.html
NCDs as leading causes of mortality
The challenge of noncommunicable diseases for health in Europe: Implications for dietitians
“Extensive empirical and trial evidence shows that substantial reductions in substantial reductions in mortality can occur within months of decreases in smoking, and within 1–3 years of dietary changes…”
GBD – attributable for 20 risk
factors as % DALY - 2010
15 out of 20 risk factors linked with nutrition and PA Source: Lim & al. 2012
Prevalence of overweight (%) among adult men (BMI ≥25.0 kg/m2)