Annual Progress Report 2010 Annual Work Plan 2011

Annual Progress Report 2010 Annual Work Plan 2011 Expert Group on Non-Communicable Diseases related to Lifestyles and Social and Work Environments (SIHLWA -> NCD-EG) PAC 7 Copenhagen, Denmark 28 October 2010 Rapporteur: NCD-EG Chair Mikko Vienonen NCD-EG ITA Hanna Koppelomäki

SIHLWA & NCD- Meetings in 2010: 1. SIHLWA-9 meeting March 23 - 25, Copenhagen (WHO-EURO) 2. NCD-1 Meeting 28 Sept, 2010, Helsinki (members from Finland, Latvia, Lithuania, Poland, Russia, WHO, NHV/NCM. By PAC-7 nomination from Norway) SIHLWA -> NCD Project in SPb: A&DPrev. Y -> “Healthy Choices” (Final Seminar 11 -12 Nov. 2010 in SPb)

NCD-EG Flagship Project Concepts 1. Project concept for: “Nutrition, physical activity and prevention of obesity and diabetes in schoolchildren 2. Project concept for: “Stop NCD-epidemic now!: Health policy and strategy support to combat NCD and hazardous and harmful lifestyle epidemic in Northern Dimension geographical area”

For NCD EG: Goal ? : Operational target : By 2013…? NONE?

Goal 1: The role and working methods of the NDPHS are strengthened Operational target 1. 1: By 2013, international/regional, national, sub-national and local health authorities or other actors have recognized the NDPHS as a renowned source of knowledge and expertise in the region and contacted it for cooperation and/or advice in their own planned activities (at least two actors from each level). Activities have been taken by the Partnership to further increase its visibility and wide recognition in the region, which are a prerequisite for the achievement of the above OT. These included, but were no limited, to: Interacting with relevant actors in the Northern Dimension area and keeping them informed about developments within the NDPHS as well as making presentations at national and international conferences, workshops and other events; Including provisions regarding the NDPHS in relevant high-level and other documents…

NCD-EG TOR 30 June 2010: • Facilitating lifestyle and social wellbeing and work environment related WHO and ILO Declarations and Conventions such as, e. g. , on obesity/nutrition, mental health, accidents & violence, and NCDs in general. • Advocating and lobbying for the improvement of public health and social well-being, provide and communicate “collective knowledge; ” • Improving general awareness and increasing positive attitudes towards NCD prevention, care and rehabilitation, • Promoting healthy lifestyles and non-communicable disease prevention oriented service systems and health sector reforms with attention to populations at risk and to take into account response capacity in rural and remote locations;

NCD TOR (continued)… 5. Contributing to the development of national policies that respond to the needs and requirements of the Partner Countries; 6. Mapping and identifying Member Countries’ needs for technical and financial support to scale-up national programmes, encourage requests for assistance; 7. With assistance from the NDPHS Secretariat, facilitating practical and project oriented activity and support efforts to provide technical assistance and disseminating best practices among the public and private stakeholders in terms of planning, implementing and monitoring various projects and programmes in the field of the Expert Group; 8. In collaboration with suitable implementing agencies, formulating and developing ideas for project proposals (including flagship project), facilitating the project application, and if funding is available following-up on their implementation.

Orchids or Dandelions? Core elements? Robust effects?

DIABETES PREVENTION STUDY/ FINLAND Cumulative incidence of T 2 D, % 50 Control 40 30 20 Intervention 10 Intervention ceased 0 0 Follow-up time, years 1 2 3 4 5 6 7 8 Lindström et al, Lancet 2006: 368; 1673 -79 10

Annual Work Plan 2011 Expert Group on Non-Communicable Diseases related to Lifestyles and Social and Work Environments (NCD -EG) PAC 7 Copenhagen, Denmark 28 October 2010 Rapporteurs NCD-EG Chair Mikko Vienonen NCD-EG ITA Hanna Koppelomäki

NCD-EG 2011 NCD EG’s Lead Partner: Ministry of Social Affairs and Health NCD EG’s Co-Lead Partner: Ministry of Health/ Lithuania Chair of NCD EG Dr Mikko Vienonen International Technical Advisor (ITA) of NCD EG Ms Hanna Koppelomäki Co-Chair (not yet nominated) Lithuania?

NCD EG 2011: We know already a lot about the epidemiological changes of unhealthy lifestyles and what will be the consequences to population health. The message is clear: We urgently need to scale up public health policies and action due to hazardous and harmful lifestyle of our populations leading into worsening epidemic of obesity, mental un-health, alcohol and tobacco related problems, accidents and violence. Unhealthy lifestyles are not a natural catastrophe but a man-created societal problem. Experience shows that the trend can also be reversed to the better by man-made policies and practical measures. It will require strong political action supported by integrated action by health-, social-, education- and other sectors. New innovation, holistic approach, and international collaboration will be needed, where the NDPHS NCD EG will act as catalyst through

1. Meetings: 1. 1 Two NCD EG meetings (tentatively March 2011 and September 2011). 1. 2 Ad hoc meetings, workshops, seminars and conferences: the overall purpose of seminars and conferences in 2011 should be to support the scaling up of NCD flagship-projects. Two project planning meetings are scheduled in Russia with the financial support of the Delegation of the European Union to Russia: 1) January 2011 (Kaliningrad ? ) and 2) March 2011 (SPb? )

NCD-EG Flagship Project Concepts 1. Project concept for: “Nutrition, physical activity and prevention of obesity and diabetes in schoolchildren 2. Project concept for: “Stop NCD-epidemic now!: Health policy and strategy support to combat NCD and hazardous and harmful lifestyle epidemic in Northern Dimension geographical area”

NCD EG Project preparation & planning support: SPECIFIC TERMS OF REFERENCE PROVIDING SUPPORT TO MEETINGS AIMED TO DEVELOP PROJECTS COMBATING NONCOMMUNICABLE DISEASES IN NORTHERN DIMENSION GEOGRAPHICAL AREA WITHIN THE FRAMEWORK OF THE NDPHS STRATEGY Delegation of the European Union to Russia Regional East Action Programme FWC BENEFICIARIES 2009 - LOT 5 Conferences Europe. Aid/127054/C/SER/multi

Further elaboration and refining of project “building blocks” (started already in 2010 October – December) such as: 1. Nutrition, obesity and diabetes: problems and prospects for practical intervention in our region (background work for NCD Flagship Project A preparation). 2. Forum of “wise men and women” on NCDs and healthy lifestyles: Exploring the possible role as change agent and operational feasibility. 3. Potential Years of Life Lost/ PYLL: process for identification of evidence based NCD priorities in our Northern Dimension member states and selected regions (e. g capital cities and selected other typical smaller areas). NCD cross-cutting.

Further elaboration and refining of project “building blocks” (started already in 2010 October – December) such as: 4. “Expert patient”, “citizen & patient involvement “health literacy”, and “salutogenesis” feasibility as concepts for NCD-project building blocks. 5. Life-at-Stake TV-programme format: feasibility in building up public awareness of individual responsibility in NCD prevention and promotion of own health. 6. Assessment of WHO and other international core agreements linking with NCD policy development where NCD Flagship Project-B could bring value added to the ongoing European Health Policy process. 7. Assessment of strengths and weaknesses of WHO Healthy Cities Network/ urban health programme in Northern Dimension Area: “Troyan horse” for strengthened NDPHS NCD action? Baltic Region Healthy Cities Association and Russian Association of Healthy Cities Network (21 Oct. 2010)

Important landmarks in 2011 requiring intensive preparation and post-meeting action through NCD EG could be: 1. NCD policy meeting in Russia planned for April 2011 2. WHO-EURO Regional Committee 61/ September 2011 3. PAC-8 side-event November 2011

Thank you for your attention PAC 7 Copenhagen, Denmark 28 October 2010 Rapporteur: NCD-EG Chair Mikko Vienonen NCD-EG ITA Hanna Koppelomäki