Non Communicable Diseases State of Qatar Dr Shaikha

Non Communicable Diseases State of Qatar Dr. Shaikha Abu Shaikha Acting head of NCD section

Outline • • • Introductio Background on Qatar Leading cause of death in Qatar Prevalence of risk factors in Qatar Strategies and plans Surveys

Introduction • Increase in chronic diseases is a major cause of morbidity and mortality globally • World Health Organization report 2004 suggests that chronic diseases represent: – approximately 60% of deaths – 47% of the global burden of disease – 75% of all deaths due to chronic diseases occur in developing countries.

Introduction (Cont. ) • According to the World Health Statistics annual report 2008: “the leading cause of death in many countries is non communicable diseases such as heart disease and stroke”

Introduction (Cont. ) • According to the annual report World Health Statistics 2008: "As populations age in middle-and low-income countries, the proportion of deaths due to non communicable diseases will rise significantly. "

State of Qatar • Demographic indicators: – One of the GCC countries – The population is 1. 449. 000 in 2008 • population under 15 years of age are 14. 53 • population over 65 is 1. 1 – Population growth of 463/1000 in 2007 – Crude birth rate 11. 8/1000 – Crude death rate is 1. 34/1000 in 2008.

State of Qatar (Cont. ) – Life expectancy at birth • male 77. 8 • female 77. 9 • total of 77. 8 in year 2008 – The total fertility rate 2. 4 among ages 15 to 49 years in 2008.

State of Qatar (Cont. ) • Economic indicators: – The Gross Domestic Product (GDP) per Capita is 246572 in 2007 – The per capita expenditure of national health authority and Hamad Medical Corporation (QRs) 4178 – With a total governmental health expenditure out of GDP 1. 8

State of Qatar (Cont. ) • Health service indicators: – Number of the hospital 9 in year 2008 with 2023 number of hospital beds. – Number of primary health care (governmental) are 22 and the private individual clinics 177. – The bed occupancy rate: • In Hamad general hospital 90% in al Amal hospital 76% and al khor hospital 60%

Leading cause of death in Qatar 1 - External causes such as transport accidents and traffic accidents 30/100000 2 - Diseases of the circulatory system 19. 4/100000 3 - Cancer 12. 1/100000 4 - Endocrinology and Nutrition 7/100000 5 - Respiratory 5. 3/100000

Prevalence of risk factors in Qatar Prevalence in female Prevalence in male High blood glucose 8. 5 8. 1 Hyperlipidemia 27. 2 23. 8 64 70 Physical inactivity 62. 3 49. 3 Smoking 2. 2 19. 9 High blood pressure 9. 9 18. 8 Asthma 4. 2 2. 3 vegetables and fruits 18. 7 19 obesity

Prevalence of asthma 4. 5 4 3. 5 3 2. 5 2 1. 5 1 0. 5 0 male female

Prevalence of vegetable and fruit intake 20 18 16 14 12 10 8 6 4 2 0 male female

Prevalence of high blood glucose 9 8 7 6 5 4 3 2 1 0 male female

Prevalence of hyperlipidemia 30 25 20 15 10 5 0 male female

Prevalence of over weight and obesity 80 70 60 50 40 30 20 10 0 male female

Prevalence of physical inactivity 70 60 50 40 30 20 10 0 male female

Prevalence of smoking 25 20 15 10 5 0 male female

Prevalence of high blood pressure 20 18 16 14 12 10 8 6 4 2 0 male female

Strategies and plans Tobacco control: • Develop national plan for tobacco control. • Set up the national strategy for tobacco control derived from the Gulf of tobacco control strategy (pending approval). • Enforcing the tobacco control Act No. (20) for the year 2002 • Modifying and add some items were referred to the Legal Affairs, which in turn raised the matter fully and to the point of jurisdiction.

Strategies and plans(Cont. ) Nutrition • Drafting nutrition national action plan and the functions of the National Committee of Nutrition. • Reviewing the draft Arab strategy to combat obesity and promote physical activity. Diabetes mellitus: • Drafted national strategy to combat diabetes derived from the strategic Gulf to combat diabetes.

Strategies and plans (Cont. ) Cardiovascular: • Proposed action plan for the year 2010 for cardiovascular disease, which has integrated an awareness program to combat the risk factors in the workplace and promote healthy lifestyles among employees. • GCC strategy to combat cardiovascular disease has been revised

Strategies and plans(Cont. ) Cancer: • Develop a national plan to combat cancer in cooperation with the World Health Organization. Surveillance: • Surveillance of non communicable disease draft has been developed to monitor chronic diseases.

Achievements • comprehensive public education campaigns to identify risk factors for diseases of cardiovascular and diabetes in public places and primary health care centers, workplaces, schools and universities as part of the celebrations. • Completion of the program healthy steps to Doha, which targeted students of the first and second intermediate of 3 schools and aims to promote healthy lifestyles of healthy food and physical activity methods and different ways

Achievements(Cont. ) • Launching the first phase of the chronic disease surveillance “the transition between the Supreme Counci lof health, primary health centers and private clinics”. • Raise awareness about the causes of cancer and the importance of early screening through information and awareness campaigns

The national health surveys: 1 - National Survey of the Gulf of oral health and dental 2010/2011 2 - WHO EMAN STEPWISE surveillance in 2011 3 - GYTS + GTSS in 2012 4 -National Nutrition Survey in 2012

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