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Dr. Tom Frieden

Director

Centers for Disease Control and PreventionUSA

What gets measured can get managed ...and measurement is the minimum

demonstration of commitment

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Criteria for targets Measurable (baseline and

status over time)

Ambitious interim and finaltargets

Achievable

Important

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Process for global NCD targets WHO established technical Taskforce on NCD targets

with international experts and WHO staff

Intensive work resulted in preliminary proposal which

was shared with Member States in web-basedconsultation

WHO will expand Taskforce and present new proposalfor global NCD targets to WHO governing bodies

Key is monitoring and accountability even more thanwith communicable diseases, control of NCDs dependsprimarily on good governance and political rather thanfinancial capital

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Premature mortality

from NCDs

25% relative reduction in mortality from cardiovascular

disease, cancer, chronic respiratory disease, and diabetes

Diabetes 10% relative reduction in prevalence of diabetes

Tobacco smoking 40% relative reduction in prevalence of current daily tobaccosmoking

Alcohol 10% relative reduction in per capita consumption of alcohol;

10% relative reduction in prevalence of heavy episodic

drinking

Dietary salt intake Reduction of mean population intake of salt to

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Prevention of heart attack

and stroke in primary care

80% coverage of multidrug therapy for people aged

30+ years with a 10-year risk of heart attack or

stroke 30% or existing cardiovascular disease

Cancer prevention in primary

care

70% of women age 30-49 screened for cervicalcancer at least once

25% increase in proportion of breast cancerdiagnosed early

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Invest and support development of accurate, timely

systems

Essential NCD surveillance includes

Vital statistics (with reliable cause of death)

Risk factors (e.g., GATS for tobacco; examination surveys)

Environmental exposures (e.g., nutrition, air quality)

Policy and implementation status Investment in capacity building (e.g., practical

epidemiology) and public health institutions

Surveillance systems are key

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Tobacco use can be controlled: Uruguay Had one of highest smoking rates

smoking in world

MPOWER policies led to one offastest reductions ever measured

P: 100% smoke-free

O: Support for cessation W: Pack warnings (80% front/ back)

E: Ad ban including deceptive terms

R: Tobacco taxes (66% retail price)

Data: 2006: WHO STEPS survey;

2009: Global Adult Tobacco Survey

1 in 4

smokers

quit

Adult smokingprevalence