Transcript The Global Alliance against Chronic Respiratory Diseases

GARD/NCD Action Plan &
2011 UN Summit on NCDs
Niels H. Chavannes MD PhD
Associate Professor LUMC
GARD Planning Committee Member
Global Alliance against Chronic Respiratory Diseases
www.who.int/gard
What is the global burden
of chronic respiratory diseases?
4 000 000
PEOPLE DIED FROM
CHRONIC
RESPIRATORY
DISEASES
IN 2005
Global Alliance against Chronic Respiratory Diseases
www.who.int/gard
What is the global burden
of chronic respiratory diseases?
Hundreds of millions of people have
chronic respiratory diseases
•
•
•
including 300 million people with asthma,
210 million people with chronic obstructive
pulmonary disease (COPD)
and millions of others with pulmonary
hypertension, occupational disease, allergic
rhinitis, and other chronic respiratory
diseases, which are often undiagnosed.
Global Alliance against Chronic Respiratory Diseases
www.who.int/gard
WHO global strategy on noncommunicable
diseases 2008-2013 (World Health Assembly, 2008)
1.
2.
3.
4.
5.
To raise the priority accorded to noncommunicable disease in
development work at global and national levels, and to integrate
prevention and control of such diseases into policies across all
government departments.
To establish and strengthen national policies and plans for the
prevention and control of noncommunicable diseases.
To promote interventions to reduce the main shared modifiable
risk factors for noncommunicable diseases: tobacco use,
unhealthy diets, physical inactivity and harmful use of alcohol.
To promote research for the prevention and control of
noncommunicable diseases.
To promote partnerships for the prevention and control of
noncommunicable diseases.
Global Alliance against Chronic Respiratory Diseases
www.who.int/gard
What does the Alliance focus on?
• Focus on the following areas:
– Surveillance of chronic respiratory diseases
and their risk factors
– Advocacy for action
– Health promotion and prevention
– Diagnosis of chronic respiratory diseases
– Control of chronic respiratory diseases and
drug accessibility
– Paediatric asthma
Global Alliance against Chronic Respiratory Diseases
www.who.int/gard
Prioritized Research Agenda1
• Effective interventions can control CRD, and
reduce morbidity and mortality
• Dissemination of relevant information and
training of primary healthcare providers
should be part of the research program
• ..strengthening of health systems through
education and optimal use of resources
• A global fund for CRD research in LMICs
should be developed
1Eur
Global Alliance against Chronic Respiratory Diseases
www.who.int/gard
Respir J 2010
NCD Action Plan 2008-13
Global Strategy for the Prevention and
Control of Noncommunicable Diseases
• Working in partnership to prevent and
control the 4 noncommunicable diseases
— cardiovascular diseases, diabetes,
cancers and chronic respiratory diseases
and the 4 shared risk factors — tobacco
use, physical inactivity, unhealthy diets
and the harmful use of alcohol
© World Health Organization 2008
Global Alliance against Chronic Respiratory Diseases
www.who.int/gard
NCD Action Plan 2008-13
• Implement programmes that tackle the
social determinants of noncommunicable
diseases with particular reference to the
following:
– health in early childhood
– the health of the urban poor
– fair financing
– equitable access to primary health care
Global Alliance against Chronic Respiratory Diseases
www.who.int/gard
NCD Action Plan 2008-13
• Reorientation and strengthening of health
systems, enabling them to respond more
effectively and equitably to the health-care
needs of people with chronic diseases
• Incorporate evidence-based, cost-effective
primary and secondary prevention
interventions into the health system with
emphasis on primary health care
Global Alliance against Chronic Respiratory Diseases
www.who.int/gard
“The 2001 HIV/AIDS Political Declaration created a
shared vision between Member States, drove global and
national follow-up action, and catalysed an effective use
and coordination of resources
The 2011 UN High-level Summit on NCDs is our once-ina-generation opportunity to secure a similar level of
global political mobilisation for NCDs”
Global Alliance against Chronic Respiratory Diseases
www.who.int/gard
Global Alliance against Chronic Respiratory Diseases
www.who.int/gard
Tobacco tax increase
Global Alliance against Chronic Respiratory Diseases
www.who.int/gard
Goal and Priority Targets for
NCDs Outcomes Document
• Overarching goal: Reduce NCD death
rates by at least 2% per annum*[1]
•
[1]This target and others indicated by * are Proposals on NCD targets from a WHO
Technical Working Group and, if adopted, will use 2010 as a baseline
Global Alliance against Chronic Respiratory Diseases
www.who.int/gard
Leadership
• Include NCDs in the global development goals that
succeed the Millennium Development Goals in 2015
• Establish a ‘Stop NCDs Partnership’ within the UN
system to coordinate follow-up action on UN Summit
commitments working with governments, NGOs and the
private sector
• Establish a UN Decade of Action on NCDs 2012–2022 to
implement the Outcomes Document and ensure that by
2016, 85% of the world’s population have access to
information, education and services to reduce their
vulnerability to NCDs
Global Alliance against Chronic Respiratory Diseases
www.who.int/gard
Prevention
• Accelerate the effective implementation of the
Framework Convention on Tobacco Control
• Establish effective population-wide prevention,
early detection, screening and awarenessraising programmes for NCDs targeting high-risk
populations by 2020
• Develop and implement policies for urban
design to include safe open spaces and
encourage walking, cycling and other physical
activities.
Global Alliance against Chronic Respiratory Diseases
www.who.int/gard
Diagnostics and treatment
• Ensure universal access to affordable highquality essential NCD medicines and medical
technologies including, but not limited to:
– Good-quality, affordable asthma inhalers by 2012
• By 2013 develop and implement strategies to
address NCD treatment and care in
emergencies, natural disasters and conflicts
Global Alliance against Chronic Respiratory Diseases
www.who.int/gard
Health systems
• By 2015, establish and strengthen national
health information systems (including registries)
for monitoring and evaluation of NCDs and risk
factors and morbidity/mortality statistics by
cause
• By 2016, 60% and by 2020 80% of countries to
develop strategies to integrate health-system
management of NCDs, especially at primary
health care levels
• Strengthen national and community-based
health systems to ensure continuity of care and
support through to effective referral by 2020
Global Alliance against Chronic Respiratory Diseases
www.who.int/gard
Resources
• Allocate sufficient funds to the United Nations and
member states to support the implementation of the UN
Summit Outcomes Document
• Develop and implement innovative financing
mechanisms for NCDs at global and country level
• Leverage existing essential medicine procurement
mechanisms and develop new solutions to provide
access to affordable NCD medicines and technologies
• Increase the percentage of national health budgets
allocated to NCDs
Global Alliance against Chronic Respiratory Diseases
www.who.int/gard
Research
• Encourage, increase and accelerate
research on NCD causes and cures,
including longitudinal research into the
‘early origins’ of NCDs
• Encourage operational research on
prevention, treatment and management of
NCDs
Global Alliance against Chronic Respiratory Diseases
www.who.int/gard
Monitoring and follow-up
• By 2012, establish a high-level Commission on
Accountability for Action on NCDs with
representatives from government, donors, multilateral institutions, civil society and the private
sector to ensure ongoing monitoring of
commitments from the UN Summit
• Every year devote time at the UN General
Assembly to review a report from the Secretary
General on progress, and conduct a high-level
review of progress in 2016
Global Alliance against Chronic Respiratory Diseases
www.who.int/gard