NCDs in Context Global Regional National Gauden Galea

NCDs in Context Global / Regional / National Gauden Galea Director, NCD and Promoting Health through the Life-Course, WHO/Europe gga@euro. who. int

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90 91 92 93 94 95 96 97 98 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 Source: Misfinancing global health: a case for transparency in disbursements and decision making. The Lancet D Sridhar, R Batniji 27 September 2008, 372: 9644, 1185 - 1191

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90 91 92 93 94 95 96 97 98 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 Policy community cohesion Leadership Guiding institutions Civil society mobilisation Internal frame: policy community agreement External frame: public portrayals Policy windows Global governance structure Credible indicators Severity Effective interventions

Never Too Big to Ignore?

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Have we Arrived ?

Dying Too Young st in 21 Century Europe

The Impact of Premature Mortality Source

~ 340 ~ 245

~ 50

~110

~17

Premature Mortality from NCDs in Europe Probability of dying at exact ages 30 -70 from major NCDs Source: WHO/Europe Mortality Database

Premature Mortality from NCDs in Europe Probability of dying at exact ages 30 -70 from major NCDs Male Female Total Source: WHO/Europe Mortality Database

Mortality Rates by Main NCDs in Europe (2007 -2012, last available year) Source: WHO/Europe Mortality Database

Total alcohol per capita consumption (15+ years; in litres of pure alcohol; 2010) Source: Global status report on alcohol and health 2014

Prevalence of Current Tobacco Smoking (15+ years; males; 2012) Source: Global Tobacco Control Report 2015

Age-standardised road traffic injury mortality rates by quintiles, WHO European Region 2013 • The leading cause of death in young people aged 5 -29 years • 12 countries have reported more deaths in 2013 than in 2010 • 84 580 deaths: 8. 6% decrease in road crash deaths since 2010 (failing to reach Target of 50% reduction by 2020) European facts and Global status report on road safety 2015

Lifecourse Priority Working age men in Eastern Europe and Central Asia die from Cardiovascular Diseases and Injury primarily due to alcohol and tobacco and badly managed cardio-metabolic risk

From Health to Wealth (and back) Labor Productivity Health Labor Supply Economy Education Saving and Investment Source: Dying too Young (World Bank), adapted from Bloom, Canning and Jamison (2004)

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Country Package National NCD Plan UN DAF Domestic budget National Targets National health system assessment • WHO-STEPS • Cancer registry • COSI/GYTS/HBSC. . . • • • Assessment of the inequalities in NCD • WHO-FCTC compliance • Global and regional mandates on alcohol • Global and regional action plans on nutrition and physical activity • PEN (no "screening") • M&E System • Links: Life-course, mental health, injury

Thank You Co-produced with: Enrique Loyola Ivo Rakovac Kristina Mauer-Stender Dinesh Sethi Joao Breda Lars Moller Jill Farrington Rimma Kuznetsova