NCDs A Caribbean Crisis Dr Christopher Tufton Hon
NCDs : A Caribbean Crisis Dr. Christopher Tufton Hon. Minister of Health, Jamaica
NCDs : Burden in The Caribbean 3 out of 4 people die from an NCD 40% Of NCD deaths are premature ( 30 -69 years) 77% 39, 460 NCD Deaths Of all deaths are from an NCD Cause of Death by NCD Type Other * Respiraatory Diseases Diabetes Mellitus Malignant Neoplasms Cardiovascular Diseases 0 2000 4000 6000 8000 No. of Deaths 10000 12000 14000 16000 18000
NCDs: Caribbean Highest Premature Mortality Unconditional Probability of dying from an NCD between ages of 30 - 70 Premature Mortality: - Caribbean = 19. 3% - -Region of Americas = 15. 6%
NCDs : Population Affected Chart Title 120 100 80 60 40 20 0 Antigua & Barbuda Bahamas Barbados Dominica Grenada Diabetes Guyana Hypertension Jamaica Saint. Kitts Saint Lucia Saint Vincent Suriname Trinidad and Nevis and The Tobago Grenadines Overweight & Obesity
NCDs : Economic Impact Trinidad & Tobago • US$1. 2 Billion or 4. 3% of GDP • Annual economic burden NCDs related to diabetes, hypertension & cancer Jamaica ( PAHO/WHO) • 17 Billion: Estimated loss in GDP due to NCDs & mental health conditions(2015 - 2030) • 18 times Jamaica’s total health spend in 2013 *Source : PAHO/WHO and Working Document for the Forty –Third Meeting of the Council for Trade and Economic Development (COTED), Georgetown, Guyana Nov. 2016
NCDs: WHO Progress Monitor Report 2015 ( Non- Latin Caribbean Region) COUNTRY NUMBER OF ‘FULLY ACHIEVED’ TARGETS BARBADOS 7 JAMAICA 7 SURINAME 6 TRINIDAD & TOBAGO 5 ST. KITTS & NEVIS 4 BAHAMA 3 BELIZE 3 GUYANA 3 ST. VINCENT & THE GRENADINES 3 ANTIGUA & BARBUDA 2 DOMINICA 2 GRENADA 2 ST. LUCIA 2 HAITI 0
NCDs: WHO Progress Monitor Report 2015 ( Non- Latin Caribbean Region)
NCDS: Opportunities • July 2016: • Thirty-Seventh Meeting of the Conference of CARICOM Heads of Government the Conference clear directive to move the CARICOM towards attainment of the WHO NCD Goals and Targets. • September 2016: • Caribbean Cooperation in Health IV (CCH IV) adopted by the Thirtieth Meeting of the COHSOD • November 2016: • 43 rd Meeting of the Council for Trade and Economic Development (COTED) approved "Inter-sectoral Action against Non-Communicable Diseases” and establishment of Regional Multi-sector Taskforce in collaboration with COHSOD
NCDs : A Call to Action In keeping with the decisions arising from international commitments on NCDs, I strongly call upon the Commonwealth Health Ministers to: 1. Re-commit to the Global NCD Agenda; 2. Establish Regional Multi-Sector Taskforce on NCDs; 3. Implement national legislation consistent with the provisions of the WHO FCTC and its guidelines; 4. Develop road-map to address childhood obesity among our school population; 5. Implement policies ( including fiscal ) to reduce consumption of tobacco, alcohol, sugar-sweetened beverages and energy dense nutrient-poor products; 6. Establish a regulatory regime for the compulsory food labelling of all commercially manufactured foods; 7. Strengthen health systems for NCD management with focus on primary health care and Universal Access.
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