ACTIVE CARIBBEAN WORKSHOP March 6 & 7, 2009, Bridgetown, Barbados State of Play in the Caribbean:

2007

Pan AmericanHealthOrganization

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ACTIVE CARIBBEAN WORKSHOPMarch 6 & 7, 2009, Bridgetown,

Barbados

State of Play in the Caribbean: Port of Spain NCD Summit

Declaration / Caribbean Wellness Day 2008

Alafia Samuels, MD, MPH, PhDAdvisor, Prevention & Control of NCDs

ACTIVE CARIBBEAN WORKSHOPMarch 6 & 7, 2009, Bridgetown,

Barbados

State of Play in the Caribbean: Port of Spain NCD Summit

Declaration / Caribbean Wellness Day 2008

Alafia Samuels, MD, MPH, PhDAdvisor, Prevention & Control of NCDs

2007


www.who.int/chp

2007


Dying slowly, painfully and prematurely

Almost half deaths arein people < 70 years

2007


Causes of chronic diseasesCauses of chronic diseases

Needs “all of society” to participate:Ministries of Government, private sector, civil

society, NGOs, community organizations, faith-based organizations

Needs “all of society” to participate:Ministries of Government, private sector, civil

society, NGOs, community organizations, faith-based organizations

2007


0

10

20

30

40

50

60

Pre

vale

nce

(%

)

1970s 1980s 1990s

YEARS

Trends in Adult Overweight/Obesityin the Caribbean

Male

Female

0

10

20

30

40

50

60

Pre

vale

nce

(%

)

1970s 1980s 1990s

YEARS

Trends in Adult Overweight/Obesityin the Caribbean

Male

Female

2007


Physical Activity StudyPhysical Activity Study

• Household surveys done in summer: Jam, TRT and GUY

• Questionnaire included 24 hr activity recall and used to :

– Describe activity levels by age, gender, SES and location

– Determine the relationship of SES, BMI, location and age with PA

• Household surveys done in summer: Jam, TRT and GUY

• Questionnaire included 24 hr activity recall and used to :

– Describe activity levels by age, gender, SES and location

– Determine the relationship of SES, BMI, location and age with PA

2007


42

444648505254

56

Male Female

Trinidad

Jamaica

Sedentary Activity-GENDERSedentary Activity-GENDER

2007

Pan AmericanHealthOrganization Sedentary Activity by Area

among CountriesSedentary Activity by Area

among Countries

0

10

20

30

40

50

60

Urban Rural KMA

Trinidad

Jamaica

2007


2007


POS NCD Declaration: Eighteen months laterPOS NCD Declaration: Eighteen months later

2007


PartnershipsPartnerships

Partners• Government

agencies• Private Sector• Civil society

Partners• Government

agencies• Private Sector• Civil society

Settings• Workplace• Schools• Community• Faith-based

Organizations

Settings• Workplace• Schools• Community• Faith-based

Organizations

2007


Tobacco (POS # 3, 4)Tobacco (POS # 3, 4)

- FCTC- Tobacco taxes

for sustainable financing

- Legislation

- FCTC- Tobacco taxes

for sustainable financing

- Legislation

Signed, but not ratified:

(up to Feb 2009) - The Bahamas- Cuba- Haiti - St. Kitts/Nevis- St. Vincent &

Grenadines - USA

Signed, but not ratified:

(up to Feb 2009) - The Bahamas- Cuba- Haiti - St. Kitts/Nevis- St. Vincent &

Grenadines - USA

2007

Pan AmericanHealthOrganizationInvolvement of Private Sector, MediaInvolvement of Private Sector, Media

•

– CAIC Statement in support of NCD prevention and control issued• Plan for Workplace Wellness program with all

components - HIV, NCDs and Injuries.• Caribbean Manufacturers to take a proactive

role in reducing salt, sugar, trans fat and improving the labeling of all products

• Support for Caribbean Wellness Day

– Manufacturers want meeting with CROSQ to set healthy standards for foods

•

– CAIC Statement in support of NCD prevention and control issued• Plan for Workplace Wellness program with all

components - HIV, NCDs and Injuries.• Caribbean Manufacturers to take a proactive

role in reducing salt, sugar, trans fat and improving the labeling of all products

• Support for Caribbean Wellness Day

– Manufacturers want meeting with CROSQ to set healthy standards for foods

2007


Civil SocietyCivil Society

Healthy Caribbean 2008Caribbean Chronic Disease Conference

A Wellness Revolution Event 16 – 18th October 2008

CARIBBEAN CIVIL SOCIETY DECLARATION ANDACTION PLAN FOR

TACKLING CHRONIC NON-COMMUNICABLE DISEASES (CNCDs).

Healthy Caribbean 2008Caribbean Chronic Disease Conference

A Wellness Revolution Event 16 – 18th October 2008

CARIBBEAN CIVIL SOCIETY DECLARATION ANDACTION PLAN FOR

TACKLING CHRONIC NON-COMMUNICABLE DISEASES (CNCDs).

2007


NCD Summit Declaration # 5: Screening and integrated

management: 80% by 2012

NCD Summit Declaration # 5: Screening and integrated

management: 80% by 2012• Identification of target population to estimate

undiagnosed

• Involvement of health NGOs, civil society, including media, in prevention, screening, care, palliation and patient education

• Total Risk Approach recommended by CVD Experts Mtg

– (10 year risk of a fatal or non-fatal cardiovascular event, by gender, age, smoking status, diabetes status, systolic blood pressure and total cholesterol)

• Identification of target population to estimate undiagnosed

• Involvement of health NGOs, civil society, including media, in prevention, screening, care, palliation and patient education

• Total Risk Approach recommended by CVD Experts Mtg

– (10 year risk of a fatal or non-fatal cardiovascular event, by gender, age, smoking status, diabetes status, systolic blood pressure and total cholesterol)

2007


AMR BCARICOM

2007


Caribbean PrioritiesCaribbean Priorities

• Tobacco• Diet

– Salt– Trans fat / cholesterol

• Treatment (blood pressure, cholesterol)

• Physical Activity

• Tobacco• Diet

– Salt– Trans fat / cholesterol

• Treatment (blood pressure, cholesterol)

• Physical Activity

2007


CARIBBEAN WELLNESS DAY 2008CARIBBEAN WELLNESS DAY 2008

LOVE THAT BODYLOVE THAT BODY

2007

Pan AmericanHealthOrganization Caribbean Wellness Day

13th Sept 2008 (POS #6,10, 12,15)

Caribbean Wellness Day 13th Sept 2008 (POS #6,10, 12,15)

• Caribbean branding: logo, slogan, theme, jingle, posters, Public Service Announcements for radio and TV

• Main target: Adults over 40 years who are currently doing little or no physical activity

• MAIN MESSAGES for this year:

– No Tobacco – Half of regular users will die from tobacco

– Exercise 30 minutes per day – Cut your heart attack risk in half

– Less salt, less fat – Don’t add salt at the table

– Check your Blood Pressure – The Silent Killer

• Caribbean branding: logo, slogan, theme, jingle, posters, Public Service Announcements for radio and TV

• Main target: Adults over 40 years who are currently doing little or no physical activity

• MAIN MESSAGES for this year:

– No Tobacco – Half of regular users will die from tobacco

– Exercise 30 minutes per day – Cut your heart attack risk in half

– Less salt, less fat – Don’t add salt at the table

– Check your Blood Pressure – The Silent Killer

2007


CWD PreparationsCWD Preparations

• 14 countries at PAHO Physical Activity Workshop May 2008

– Outlined plans for CWD in each country– Summary and guidelines sent to countries

• PAHO / CAIC (Caribbean Association of Industry & Commerce) meeting May 2008

– Designated Manufacturers Associations and Chambers of Commerce in countries to participate

• Joint CARICOM / PAHO secretariat

• 14 countries at PAHO Physical Activity Workshop May 2008

– Outlined plans for CWD in each country– Summary and guidelines sent to countries

• PAHO / CAIC (Caribbean Association of Industry & Commerce) meeting May 2008

– Designated Manufacturers Associations and Chambers of Commerce in countries to participate

• Joint CARICOM / PAHO secretariat

2007


CWD Prep in CountriesCWD Prep in Countries

• CWD Focal Points named in most countries

• Inter-sectoral committee

– including reps from the private sector and civil society

• Links with local media established

• CWD Focal Points named in most countries

• Inter-sectoral committee

– including reps from the private sector and civil society

• Links with local media established

2007


PAHO PIN supports - logoPAHO PIN supports - logo

2007


PostersPosters

2007


2007


Regional Statements from:Regional Statements from:

• Dr. Carrington, DG, CARICOM

• Director, PAHO, Dr. Mirta Roses, who emphasized the 4 main messages for this year:

– No Tobacco– Exercise 30 minutes per day– Less salt, less fat– Check your Blood Pressure

• Also view on YouTube at•

http://www.youtube.com/watch?v=O3aclgzOkBY

• Dr. Carrington, DG, CARICOM

• Director, PAHO, Dr. Mirta Roses, who emphasized the 4 main messages for this year:

– No Tobacco– Exercise 30 minutes per day– Less salt, less fat– Check your Blood Pressure

• Also view on YouTube at•

http://www.youtube.com/watch?v=O3aclgzOkBY

2007


In member states:In member states:

• Almost every member state had events

– Less so in Bahamas, Haiti, Turks & Caicos due to hurricane recovery

• Statements by Prime Ministers and Ministers of Health• Press releases carried by local media• Health screenings, and other health promotion

activities • Launch-pad for

– increased physical activity, – healthy eating, – Lifestyle changes to stop the epidemic of

NCDs

• Almost every member state had events

– Less so in Bahamas, Haiti, Turks & Caicos due to hurricane recovery

• Statements by Prime Ministers and Ministers of Health• Press releases carried by local media• Health screenings, and other health promotion

activities • Launch-pad for

– increased physical activity, – healthy eating, – Lifestyle changes to stop the epidemic of

NCDs

2007


BelizeBelize

• Celebrated across the country, with activities in

– Belize City: Hon Minister gave statement; screening at trade show

– Toledo District: launched Diabetes Association Chapter; Family Walk; Signing of wellness contracts with patients

– Dangriga Town:

All activities were organized by multi-sectoral committees

• Celebrated across the country, with activities in

– Belize City: Hon Minister gave statement; screening at trade show

– Toledo District: launched Diabetes Association Chapter; Family Walk; Signing of wellness contracts with patients

– Dangriga Town:

All activities were organized by multi-sectoral committees

2007


2007


Documents

ACTIVE CARIBBEAN WORKSHOP March 6 & 7, 2009, Bridgetown, Barbados State of Play in the Caribbean: