DALY Attributable to Risk Factors by Age and
DALY Attributable to Risk Factors by Age and Gender 2009, Thailand WSH = Water Sanitation Health Source : Burden of disease in Thailand 2009, BOD working group 15
HT Crude Death 2543 -2553 HT No. of Death 2543 -2553 HT Indirect Age-Adjusted (2553) Regression Technique (Curve Estimation) HT Prediction* HT: I 10 – I 15 *Global burden of hypertension: analysis of worldwide data
รหสโรคทใชใน การศกษา รหส ICD-10 = I 10 – I 15 = Hypertensive diseases I 10 = Essential (primary hypertension) I 11 = Hypertensive heart disease I 12 = Hypertensive renal disease I 13 = Hypertensive heart disease & Hypertensive renal disease I 14 = Hypertension in pregnancy I 15 = Secondary hypertension
Age adjusted Death Number Crude death/100, 000
National Policies and Plan Response to Lifestyle Diseases Epidemic 2010, 2011 Diseases Specific Vertical Program Vertical program: Reorientation to Risks focused 1. Health Service Reoriented: Comprehensive risk screening communication & management Standardized & Proactive Screening & Promotion for Healthy Diet, PA & Stress Coping, communication and behavior modification Tobacco & Alcohol Reduction 2. Health system reform and support Diseases Management National Policy: Tobacco Control , Injury Control, Diet & PA, Alcohol Control for Health Public Policy Thailand Healthy Lifestyle Strategic Plan (draft) 2007 -2010 Healthy Thailand 9 th national Health Development Plan 2001 -2006 10 th national Health Development Plan 2007 -2011 National Overweight and Obesity Management Strategic Plan(2010 -2014) Supawan Manosoontorn: Bridging health promotion intervention policy with behavioral risk factor surveillance in Thailand, The 7 th World Alliance for Risk Factor Surveillance (WARFS) Global Thailand Healthy Lifestyle Strategic Plan (B. E. 2011 -2020) National Food Safety Strategic Plan (B. E. 2011 -2020)
Trend of mobidity/100, 000 from lifestyle disease and key health promotion intervention policy with behavioral risk factor surveillance in Thailand 160 3. 6 140 3. 6 120 3. 2 100 35. 6 Launch HT/DM/CA 80 Screening and Non 21. 6 pharmacologic care 60 40 20 0 37. 4 36. 1 4. 3 29. 5 Improve quality of DM/HT care 18. 7 21. 5 Input awareness and screening of CVD 22. 3 42. 0 screening Improve standard of HT/DM/CA 37. 5 30. 9 23. 0 Start CBI for comprehensive risk reduction 22. 5 21. 7 17. 3 and start national exercise campaign 17. 3 Push HT/DM awareness 3. 7 4. 4 2. 6 3. 0 15. 3 16. 1 19. 1 21. 3 2547 2548 2550 2553 Supawan Manosoontorn: Bridging BMI > 25 kg/m 2 BMI > 30 kg/m 2 health promotion intervention policy ������� with behavioral risk factor ������� surveillance in Thailand, The������ 7 th �������� World Alliance for Risk Factor ������������� Surveillance (WARFS) Global Conference, Toronto, Ontario, Canada, 16 -19 October 2011
กรอบแนวคดการปองกนควบค มโรค Prevention strategy Population’s disease status Effects Primary prevention Susceptible Reduced disease incidence Secondary prevention Asymptomatic Reduced prevalence/ consequence Tertiary prevention Symptomatic Reduced complication/ disability Methods for chronic disease prevention and control (Ross CB. , Patrick LR. And James RD. Chronic Disease Epidemiology and Control, p. 7)
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