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Dr. Daniel Lackland News from the World Hypertension League (WHL). In Official Relations with the International Society of Hypertension and the World Health Organization. No. 152, June, 2016 President’s Column The second quarter of 2016 has been an exciting and productive time for the WHL. In May, we recognized Professor Paul Whelton with the 2016 Excellence in Hypertension Prevention and Control at the Population Award with presentation at the American Society of Hypertension Scientific Meeting. The meeting in New York City pro- vided an opportunity to establish a working group focused on high blood pressure control on Madagascar. Professor Campbell and I par- ticipated in the World Health Assembly in Geneva. WHL is the non-government organi- zation (NGO) dedicated to hypertension control and prevention. The forum provided the opportunity to develop and enhance the relationships with the World Health Organiza- tion . The timing is perfect as we are at a pinnacle point for global hypertension needs focused on blood pressure awareness and measurement along with salt intake reduc- tion. The momentum in Geneva followed to Mexico City and the ‘World Congress of Cardi- ology and Cardiovascular Health’ and World Heart Federation. And WHL was also present at the European Society of Hypertension. In addition to these scientific and policy forums , the population global awareness success of World Hypertension Day was truly amazing. Our thanks to all for being a part of these high impact actions on global hypertension and health. Dr. Daniel Lackland President, WHL g Note from the editor This edition focusses on the continuing success of World Hypertension Day, a flagship event for the World Hyperten- sion League and its partner organizations in terms of improving public awareness of high blood pressure and the need for more effective prevention and treatment. An article on the Portuguese strategy for population salt reduction is on a similar theme. Although na- tions differ widely in cultural eating habits, food preparation and the main sources of salt intake there are elements common to most societies, including the acquired nature of a taste for salt. Seeking the “truth” in science is often an elu- sive objective but an article on the newly established ‘True Consortium’ aims to reduce ill-informed controversy on population salt targets that stem from bias or misinterpreta- tion of data, often driven by vested interests. Continued on page 2 Content Page President’s Colum 1 Note from the Editor 1 World Hypertension Day 2016 2 WHL Excellence and Notable Ach. Awards 4 Efforts of the Portuguese Society 6 Designing More Active Cities 7 WHL Arrives on the Social Media Scene 9 The inTernational consoRtium for qUality re- sEarch on Dietary Sodium/Salt (TRUE) 10 WHL Executive/Board/Council Convening in Seoul 10 WHL’s Newest Corporate Sponsor 11 WHL’s Newest Member 11 Links of Note 11 Dr. Lawrie Beilin

President’s Column Note from the editor - hipertenzija.org · Mexico Cardiovascular Re-search Institute, University of Guadala-jara ... already starting to plan for WHD 2017. We

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Dr.DanielLackland

NewsfromtheWorldHypertensionLeague(WHL).

InOfficialRelationswiththeInternationalSocietyofHypertensionandtheWorldHealthOrganization.

No.152,June,2016

President’sColumn

The second quarter of 2016has been an exciting andproductive time for theWHL.In May, we recognizedProfessor Paul Whelton withthe 2016 Excellence in

Hypertension Preventionand Control at the

Population Award with presentation at theAmerican Society of Hypertension ScientificMeeting. The meeting in New York City pro-vided an opportunity to establish a workinggroupfocusedonhighbloodpressurecontrolonMadagascar.ProfessorCampbellandIpar-ticipated in the World Health Assembly inGeneva. WHL is the non-government organi-zation (NGO) dedicated to hypertensioncontrol and prevention. The forum providedthe opportunity to develop and enhance therelationshipswiththeWorldHealthOrganiza-tion . The timing is perfect as we are at apinnacle point for global hypertension needsfocused on blood pressure awareness andmeasurement along with salt intake reduc-tion. The momentum in Geneva followed toMexicoCityandthe‘WorldCongressofCardi-ology and Cardiovascular Health’ and WorldHeartFederation.And WHLwasalsopresentat the European Society of Hypertension. Inadditiontothesescientificandpolicyforums,the population global awareness success ofWorld Hypertension Day was truly amazing.Ourthankstoallforbeingapartofthesehighimpact actions on global hypertension andhealth.Dr.DanielLacklandPresident,WHL g

Notefromtheeditor

This edition focusses on thecontinuing success of WorldHypertension Day, a flagshipeventfortheWorldHyperten-sion League and its partnerorganizations in terms ofimproving public awareness

ofhighbloodpressureandtheneedformoreeffectivepreventionandtreatment.AnarticleonthePortuguesestrategyforpopulationsaltreduction isonasimilar theme.Althoughna-tions differ widely in cultural eating habits,foodpreparationandthemainsourcesofsaltintake there are elements common to mostsocieties, including the acquired nature of atasteforsalt.Seekingthe“truth”inscienceisoftenanelu-sive objective but an article on the newlyestablished ‘TrueConsortium’aims to reduceill-informed controversy on population salttargets that stem frombias ormisinterpreta-tionofdata,oftendrivenbyvestedinterests.

Continuedonpage2

Content PagePresident’sColum 1NotefromtheEditor 1WorldHypertensionDay2016 2WHLExcellenceandNotableAch.Awards 4EffortsofthePortugueseSociety 6DesigningMoreActiveCities 7WHLArrivesontheSocialMediaScene 9TheinTernationalconsoRtiumforqUalityre-sEarchonDietarySodium/Salt(TRUE)

10

WHLExecutive/Board/CouncilConveninginSeoul

10

WHL’sNewestCorporateSponsor 11WHL’sNewestMember 11LinksofNote 11

Dr.LawrieBeilin

WHL NEWSLETTER 152/2016

2

Editor’sNoteContinued

The role of the ‘built environment’ in cardio-vascular disease and the potential role ofurbanplanning inpreventativehealth ishigh-lightedinavignettebyBillie—GilesCortifromMelbourne University. With the growth ofmega-cities urban sprawl and associated caruse and pollution worldwide, this is an areathatshouldbebroughttotheattentionofalllevelsofsociety involvedwithtownplanning,including the major building developers forwhompopulationhealthisnotthemainprior-ity.Other highlights include WHL recognition ofthe major contributors to hypertension pre-vention and control by special awards, andpreparations for WHL activities during theforthcoming International Society for Hyper-tensionScientificMeetinginSeoul.

g WorldHypertensionDay2016By:TheWHLGlobalOfficeThis year, the World Hypertension League(WHL)celebrationofWorldHypertensionDay(WHD)tookplacebetweenMay17thandMay24th.ForWHD2016,theWorldHypertensionLeague(WHL)inclosepartnershipwiththeIn-ternationalSocietyofHypertension(ISH)andthe American Heart Association (AHA) pro-moted the theme of ‘Know Your Numbers’with thegoalof increasingawarenessofhighbloodpressureand the risk forhypertension-related non-communicable diseases (NCDs).Thecampaignincludedmemberoutreach,so-cial media, and member events (bloodpressurescreenings,mediaevents,callstoac-tion and community awareness campaigns).And the celebrationswere someof themostsuccessfultodate!BloodPressureScreenings:Thisyear, inaddition to raisingawarenessonNCDs,WHL set a goal of 3 million individualblood pressure screenings. While not all ofour members and regional offices have re-ported yet,we arepleased to say that so fartherehavebeen5,404,422independentbloodpressure screenings that took place betweenApril 17th2016andMay24th2016. Wearethrilled that we were able to surpass our 3

millionBPscreeningsgoals!Andwearehappyto report that this is also higher than our2,446,193 obtained during WHD 2015! Thissuccess is due solely to the support of ourpartners,members, and other supporting or-ganizations. The reports so far includemeasurementsandcampaignsfrom25differ-ent countries including; Argentina, Australia,Barbados,Bulgaria,Cameroon,Canada,China,Croatia, Cuba, Ghana, India, Iran, Japan,Ma-laysia,Mexico,Nepal,Romania, Serbia, SouthAfrica,Sudan,Thailand,theUnitedStates,theUnited Kingdom, and Vietnam. Thanks to allwhoparticipatedandaremakingadifference!Alistofteams/groups/organizationswhohavereportedthusfarcanbefoundinthetablebe-low!

Country/Region OrganizationsInvolved Screenings/Activities

ArgentinaInstitutoCardiovascu-larLezica,SAHA

10,477ScreensCon-ducted

AustraliaAustraliaStrokeFoun-dation

56,193ScreeningsCon-ducted

Bangladesh KAMPSFreeScreeningsandDiscountDoctorVisits

BarbadosHeart&StrokeFoun-dationofBarbados,Inc.

263Screeningscon-ducted,busridestomajorattractionshostedwithinforma-tionabouthypertensionshared

Bulgaria

2,300ScreeningsCon-ducted,Conductedregistrationsandeventsinmajorcities

Cameroon 6,424ScreeningsCon-ducted

ChinaWHLRegionalOfficeBeijing,andPartners

202,549ScreeningsConducted

Croatia Pharmacies101ScreeningsCon-ducted

Cuba HeldDancesandEdu-cation

Ghana Lifefrom30626Screeningscon-ducted

India

TeamTazloc(AdivisionofUSVPrivateLimited,BSDMarg),MaxSuperSpecilityHospital,USVandWHLCollaborationBPCamps,Dr.Verma,Dr.Maheshwari,Dr.Singh

13,874ScreeningsCon-ducted

IranIsfahanCardiovascularResearchCenter

607ScreeningsCon-ducted

JapanJapaneseAssociationofHypertension

1,416ScreeningsCon-ducted

MalaysiaTheMalaysianSocietyofHypertension

2,865

Mexico

CardiovascularRe-searchInstitute,UniversityofGuadala-jara

90Screeningscon-ducted

WHL NEWSLETTER 152/2016

3

NorthAmerica

InCanada:HighlandCresthome,Har-bourstoneEnhancedCare,ColchesterEastHandsHealthCentre,GlenHanoverManor,NovaScotiaHealthAuthorityInUnitedStates:St.LouisDepartmentofPublicHealth,CasewayNRA,Meijer,KaiserPermanente,AmericanHeartAssociation,Af-finaHealth,WayneStateUniversityInBothCanadaandtheUS:Pharmasmart

5,102,875Screeningsconducted

Nepal Hospital493Screeningscon-ducted

RomaniaRomanianSocietyofHypertension

Pressconferencesin4majorcities

SerbiaInstituteforCardiovas-culardisease“Dedinje”;HISPA

156Screeningscon-ducted

SouthAfricaGanyeseDistrictHospi-tal,HART

1,313Screeningscon-ducted

SudanSudaneseSocietyofHypertension

800Screeningscon-ducted

ThailandThaiHypertensionSo-ciety

Mediareleasesandhealthscreeningscon-ducted

UnitedKingdom BristolCardioNomics177ScreeningsCon-ducted

VietnamVietnamSocietyofHy-pertension

1,000ScreeningsCon-ducted

ForaviewofhowWHD2016wascelebratedin specific areas throughout theworldpleasevisit:http://www.whleague.org/index.php/features/world-hypertension-day/world-hypertension-day-activities-2016.If any othermembers, partners, or organiza-tions completed WHD 2016 celebrations,[email protected] to re-port your activities. We would love to hearfromyou! WHD2016inPictures:

BloodPressureScreeningsHeldinArgentina

DancesandEducationEventsHeldinCuba

BloodPressureScreeningsHeldinGhana

BloodPressureScreeningsHeldinIndia

BloodPressureScreeningsHeldinJapan

BloodPressureScreeningsHeldatMeijerintheNorthAmerica(UnitedStates)

BloodPressureScreeningsHeldatWayneStateUniver-sityinNorthAmerica(UnitedStates)

Continuedonpage4

WHL NEWSLETTER 152/2016

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WorldHypertensionDay2016continued

BloodPressureScreeningsHeldinNepal

BloodPressureScreeningsandEducationConductedinNepal

BloodPressureScreeningsandOutreachinSudanMediaCampaign:One thing that was different and excitingaboutWHD 2016 was the presence it devel-opedonbothsocialmediaandatnewsoutletsworldwide. On social media, the WHL andothers celebrated WHD 2016 with thehashtags #knowyournumbers and #World-HypertensionDay. AndelsewhereWHD2016was found in several publications on oraroundMay17th2016. Toview thesepubli-cations visit:http://www.whleague.org/index.php/features/world-hypertension-day/world-hypertension-day-in-the-newsInhonorofWHD2016NiagaraFallswaslitupblue and red onMay 16th from 10:00 pm to10:15 pm ET (USA). This lighting was a col-laboration between WHL and the AmericanHeart Association (AHA). It was done in the

hopes of raising awareness for hypertensionandotherNCDs.

What’sNext:WHD2017:BuildingonthesuccessofWHD2016,wearealreadystartingtoplanforWHD2017.Wedonotknowtheexactdatesandhaveyettosetournextbloodpressurescreeninggoal.Aswedowewill keepyouupdated!Butonething is forsure,wewillworktobuildonourmomentum from this year and make WHD2017ourbestcelebrationyet! NOTE:InournextNewsletterissue,wewillin-clude an update with additional screeningsreportedandmoreonplanning2017.

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WHL2016ExcellenceandNotableAchievementAwardsBy:TheWHLGlobalOffice

InalliancewithWorldHypertensionDay2016,theWHLproudlyannounces the recipientsofthis year’s Distinguished Service, Excellence,andNotableAchievementAwardsinthecate-gories of: Hypertension Control at thePopulationlevel,DietarySaltReductionatthePopulation level, and inaugural Rising StarAward in Promotionof PublicHealth for Car-diovascular Disease Risk and HypertensionPrevention & Control. All of these awardswere developed to provide recognition to in-dividuals,organizationsandinterventionsthatmake tangible progress towards WHL’s Mis-sion&Mandateonthepreventionandcontrolof hypertension at the population level. Tothis year’s well-deserving awardees,CONGRATULATIONS!!

continuedonpage5

WHL NEWSLETTER 152/2016

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WHL2016AwardsContinued

Dr.WheltonReceiveshisExcellenceAwardfromDr.LacklandattheASHConference2016

WHLAwardRecipients–2016

ExcellenceinDietarySaltReductionatthePopulationLevel

ProfessorBruceNeal,MDSeniorDirector,FoodPolicyDivision-TheGeorgeInstitute,ChairoftheAustralianDivisionofWorldActiononSaltandHealth,ProfessorofMedicine-UniversityofSydney

Sydney,AustraliaExcellenceinHypertensionPreventionandControlatthe

PopulationLevelDr.PaulWhelton,MB,MD,MScShowChwanProfessorofGlobalPublicHealthTulaneUniversitySchoolofPublic

HealthandTropicalMedicineNewOrleans,Louisiana,USANotableAchievementinHypertensionPreventionand

ControlatthePopulationLevel

ProfessorAnujMaheshwariTheIndianSocietyofHypertension

VikasNagar,India

NotableAchievementinDietarySaltReductionatthe

PopulationLevel

ThePortugueseSocietyofHypertensionLisboa,Portugal

http://www.sphta.org.pt/pt/default.asp

RisingStarAwardinPromotionofPublicHealthforCardiovascularDiseaseRiskandHypertensionPreven-

tion&Control

ProfessorNarsinghVermaTheIndianSocietyof

HypertensionTamilnadu,India

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EffortsofthePortugueseSocietyofHypertensionTowardsReducingDietarySodiumConsumptioninPortugalBy: Pedro Guimarães Cunha (MD, PhD) andJoséMesquitaBastos(MD,PhD),onbehalfofthe Portuguese Society of HypertensionThePortugueseSocietyofHypertension(PSH)has been established not only as a scientificsocietyonthefield,butalsoasaLeaguefight-ing against high blood pressure and itsdeterminantsatapopulationlevel.Operating in a country with both one of thewesternEuropeanhigheststrokeincidenceaswellashighestsaltconsumption(10,7g/dayinourlastnationalsurveypublishedintheJour-nal of Hypertension in 2015), the PSH hasdedicateda considerableamountof itswork,sinceitsfoundation,inanefforttoreducesaltconsumption at a population level in onehand, and increased the awareness andtreatmentofhypertensionintheother. Overthelast10years,severalinitiativeshavebeen undertaken concerning salt reductionconsumption:ThePSHhasbeenworkingdirectlywithsomeoftheworld’s leadingexpertsonthefieldofsalt reduction, public health, nutrition, epi-demiology andmany other related fields, inorder to establish and periodically review aset of strategies best suitable to achievethese goals.

continuedonpage6

WHL NEWSLETTER 152/2016

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EffortsofthePortugueseSocietyContinued

a) Thelastmeetingwaspromotedin

November 2015 (the Salt Forum),andresultedinadocumentwithaset of strategies to develop until

2020, reducing even further saltconsumption. Several diplomaticmeetings have been undertaken

since thenwithkeyplayers in themanufacturing, processing anddistribution of food, as well as

with political and consumer de-fense institutions. As a result,morethan15oftheseinstitutions

have already signed an endorse-menttotheachievementofthesegoals in 2020 and to actively pro-

motethepoliciescontainedinthedocument;

b) On another playing field, the PSHhasbeenworkingwiththelegisla-tive and executive political

institutions of the country, push-ing for new compromises in thisarea and translating as much as

possible the content of the SaltForum intonationalpolicies;a re-cent document published by the

Portuguese Ministry of Healthdedicatedexclusivelytotheestab-lishmentofpolicies to reducesalt

consumption in the Portuguesepopulation, contains many of thepolicies defended by the PSH –

that participated as a scientificconsultant during the elaboration

ofthisdocument.c) Oneofthe initialachievementsof

thePSH, in2009,wastopromoteand secure the elaboration of alaw(passedinthePortuguesepar-

liament) that limited the contentof salt in bread (one of themainsources of salt in the Portuguese

diet at the time). Nowadays the

PSH has already signed a newagreementin2016withtherepre-sentatives of the bakery industry

to voluntarily review thepreviousestablishedmaximumsaltcontentin bread, and reduce it even fur-

ther. This process is nowunderway with bakers, nutrition-ists, food distributors and of

coursePSHrepresentatives.d) Education of younger generations

hasbeenanotherof thePSHcon-cerns. We have been developingseveral animated and theatrical

contents using known referencesand characters of the young chil-dren in Portugal to work as

ambassadors of the message ofhealthy lifestyles, including saltreduction. We have promoted

schoolprogramsandarecurrentlypushing for a change in the com-pulsory curricula of elementary

schools all over the country, insuch a way that they would in-clude information on salt

substitution.e) At the same time, we also have

beenworking inconsumereduca-tion. Not only has the PSH been

workingwiththelargestandmostinfluential private consumer’s de-fense institution in the country,

but it also has been moving for-ward the debate of including amore easy to understand label in

terms of salt content in foodgoods–defendingtheinclusionofa3-coloredlabelineachsolditem

(green for low salt content – redforhighsaltcontent).

continuedonpage7

WHL NEWSLETTER 152/2016

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EffortsofthePortugueseSocietyContinuedThe efforts of the PSH have been showingsomeresultsduringthelast10years.Wehaveobjectivelymeasuredtheevolutionofsaltconsumptioninthecountryoverthelastdec-ade, only to realize that it had decreased onaverage 1,2g/day/individual. This reductionalongsidewiththe increase inthepercentageof treated and controlled hypertensives (an-otherofthePSHinterventionfocus),hasbeenresponsibleforthereduction inthe incidenceof fatal strokes by 46% (12% of which hasbeenattributedtosaltreductionconsumptionalone).Muchmore has still to be done, and cardio-vascular diseases (especially stroke) are stillthemostprevalentdeathcauses inourcoun-try.The World Hypertension League award on“NotableAchievementforDietarySaltReduc-tionatapopulationlevel”attributedthisyearto thePSHhasbecome, farmore thana rec-ognition of the work developed, an addedresponsibility to pursue better conditions ofsurvival freeofcardiovasculardisease forourcountrymenandcountrywomen.

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DesigningMoreActiveCities:Inte-gratedThinkingforHealthyCitiesBy:Prof.BillieGiles-Corti,Director,McCaugheyVicHealthCommunityWellbeingUnit,CentreforHealthEquity,MelbourneUniversityWorldwidechronicdiseasearerising,account-ing for over 34 million deaths.1 High body-mass index has also increased in both devel-oped and developing countries, with chronicdisease anticipated to continue to rise if notcurbed.2Thesealarmingtrendsarepromptingcalls for an urgent ‘rethink’ of approaches toprevention.3,4InSeptember2011,ahighlevelmeetingoftheUnitedNations(UN)concludedthat the global economic burden of prevent-able chronic disease was so large, that ifuncurbed it would hamper social and eco-nomic development.5 The cost of treatingpreventable major chronic diseases - cardio-

vascular disease, diabetes II, cancer, obesityand increasingly dementia – in both the de-veloped and developing world, is immenseandgrowing. Manyofthesepreventabledis-eases are caused by, and share commonlifestyles risk factors: smoking, insufficientphysicalactivity,unhealthydiet,andtoomuchalcohol.The UN acknowledged that keeping peopleoutofthehealthsystemisbeyondthehealthsector: many of the solutions to preventingchronicdiseaseliewiththesectorsthatcreateunhealthy environments where people work,live, shop and play. While treasurers acrosstheglobewringtheirhandsinthefaceofbur-geoning health budgets, it is ironic thatconservative commentators still cry ‘nannystate’when governments attempt to addressamajorrootcause:i.e.,businessesthatprofitfrompromotingproductsthataredetrimentalto health. Unhealthy lifestyles are trivializedas ‘individual choice’ while the externalizedcosts of market failure are absorbed by taxpayersthroughgrowinghealthbudgets.Cityplanning isa case inpoint: Despiteovertwodecadesofresearchshowingthatpeopleliving in more walkable environments aremore likely towalk (and by definition, to re-ducetheirriskofchronicdisease),lowdensityhousingdevelopmentspoorlyservedbypublictransport, social infrastructure, shops andservices continue to be built on the urbanfringe of Australian cities.6 Unsuspectingresidents seeking ‘affordable’ housing, buyintothesefringedevelopments,oftenwaitingyears(ifnotdecades)forpromisedinfrastruc-turetoarrive.7 With limitedpublictransport,no-where to walk to, and inadequate cyclinginfrastructure residents quickly realize theirhousingchoicedoesn’tnecessarilyprovideaf-fordable‘living’:lengthyandcostlycommutestoemploymentarethenorm,withdrivingtheonly reasonable option.8 Time spent drivingincreases the risk of mortgage vulnerability,9aswellasweightgain,10obesity11andpoorermental health outcomes12 due to decreasingopportunities tobephysicallyandsociallyac-tive. The way we design communities canthereforehaveaprofoundimpactonphysicalandmentalhealth.

continuedonpage8

WHL NEWSLETTER 152/2016

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DesigningActiveCitiesContinuedThedevelopmentindustryoftenarguesinthemedia that themarket ‘chooses’ these fringedevelopments,andtheindustrydeliverswhatthe ‘market wants’. However, on the con-trary, for thosewith fewchoices, lowdensitydevelopmentpoorlyservedbyshops,servicesandpublic transport iswhat theyaregiven.13Even in car dependent Australian communi-ties, ‘ifwebuild, theywill come’: put simply,people living in communities designed forwalking, walk more.What’s more, there is alarge unmet latent demand for better de-signed communities: 62% of people living inlow walkable neighborhoods in Perth wouldprefer neighborhoodswhere they couldwalktolocalshopsandservices.14Theevidence isclearwalking ismore likely inwalkable communities with connected streetnetworks, higherdensityhousing,mixed landuses with a diversity of local destinations,footpathsandwellmanagedtraffic.Yetthereis a huge gap between what we know, andwhatwedeliver on the ground. While somemay belittle the humble walk, the OECD ar-gues that planning, transport and healthministershavearesponsibility toput inplacethe ‘legal, administrative and technicalframeworks’ to encourage walking.15 Thiscouldalsobesaidforsafecycling.In the 21st century, we wouldn’t dream ofbuildingcommunitieswithoutwaterandsani-tation: for the sake of good health and theenvironment, we should not be buildingneighborhoods unless they walkable and ac-cessible,withthebasiclocalservicesrequiredfor daily living and a multi-modal transportsystem linking residents to regional andmet-ropolitanemploymentandservices.What’s required? First, outer suburban de-velopment requires consistent urban designguidelinesthatmandateshigherdwellingden-sities, the provision of local mixed usedevelopmentandconnectedstreetnetworks;and that neighboring housing developmentsbeconnectedtoeachother.Second,keyelementsforsuccessfulaccessiblelocal communities, are the delivery of highqualitypublic transport linkingwalkablecom-munities with local destinations to

metropolitan and regional employment andservice hubs, aswell as the provision of safeconnected cycling infrastructure linking localcommunities to regional public transport andactivityhubs.Third,toachievehighqualitypublictransportand local shops and services requires higherdwellingdensityinfringedevelopmentsofcit-ies. There isgrowingevidencethatminimumdwellingdensitiesofaround35dwellingsperhectare is required to deliver better publictransport. At this level of density,more effi-cient public transport can be delivered, localshops and services become more viable andfixed infrastructure costs for utilities, foot-paths, and roadsarevirtuallyhalvedasmorepeople make use of the available infrastruc-ture. Thiswill require the provision ofmorediversified housing stock in outer suburbandevelopments, and barriers to building newhigher density housing stock must be over-come. This includes a review of the cost ofbuilding higher density housing, and the roleof thefinance industry inmaintaininga ‘busi-ness as usual’ approach to housingdevelopment.Four, the building of outer suburban devel-opmentneedstobesequencedtoensurethatthehousingisbuiltatthesametimeasthein-frastructure is delivered. Disincentives arerequired for developments who build out ofsequence. Forexample,developerscouldberequired to build basic levels of social infra-structuretosupportresidentstolivelocally iftheychoosetodevelopoutofsequence.Finally, yet importantly, toachieve this visionrequiresbi-partisanpolitical leadership tode-liver city plans, rather than governmentplans.16 All governmentsneed to commit to,andovercomebarrierstodeliveringcitieswithurbangrowthboundariesthatprotectagricul-tural land, and which deliver long-termintegrated planning of housing, transporta-tion, public facilities and services anddiversifiedlocaleconomies,particularlyinlessadvantaged areas. Political leadership mustsupport (and require) senior bureaucraticleadership that breaks down siloes withingovernmentinorderdeliverappropriateinfra-structureinAustraliancities.

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DesigningActiveCitiesContinuedThese ideas are not new: in the 70s, theUSstate ofOregon adopted such an approach,17now home to highly successful cities such asPortlandwithitsgenuinecommitmenttoa30yearcityplanproducingoutcomesunheardofelsewhereintheUS.None of this is rocket science: Yetwhilewecanputrocketsintospace,itappearsthatitisbeyondustobuildwalkablecommunitieswithaccess to local services, connected by publictransport and cycling to regional and metro-politan employment and services. As citiesglobally confronts the economic, social andenvironmental impacts of the burden ofchronic disease, population growth, trafficcongestion and climate change, we need tofocus on the co-benefits of delivering inte-grated city planning that creates healthy,liveable,andmoreequitable,environmentallysustainablecommunities.1. LozanoR,NaghaviM,ForemanK,etal.Globaland regionalmortality from235 causesofdeath for20age groups in 1990 and 2010: a systematic analysis fortheGlobal BurdenofDisease Study 2010. Lancet 2012;380:2095-128.2. LimSS,VosT,FlaxmanAD,etal.Acomparativerisk assessment of burden of disease and injuryattributable to67 risk factorsand risk factor clusters in21 regions, 1990-2010: a systematic analysis for theGlobalBurdenofDiseaseStudy2010.Lancet2012;380:2224-60.3. Das P, Horton R. Rethinking our approach tophysicalactivity.Lancet2012;380(9838):189-90.4. KleinertS,HortonR.Rethinkingandreframingobesity.TheLancet2015;inpress.5. United Nations. Sixty seventh session PoliticalDeclaration of the High Level meeting of the GeneralAssembly on the Prevention and control of non-communicablediseases.2011.

http://www.un.org/ga/search/view_doc.asp?symbol=A/66/L.1.6. AllenderS,CavillN,ParkerM,FosterC.'Tellussomethingwedon'talreadyknowordo!'-Theresponseofplanningandtransportprofessionals topublichealthguidanceonthebuiltenvironmentandphysicalactivity.JPublicHealthPolicy2009;30(1):102-16.7. HooperP,Giles-CortiB,KnuimanM.Evaluatingthe implementationandactive living impactsof a stategovernmentplanningpolicydesignedtocreatewalkableneighborhoodsinPerth,WesternAustralia.AmJHealthPromot2014;28(3Suppl):S5-S18.8. FalconerR,NewmanP,Giles-CortiB.Ispracticealigned with the principles? Implementing NewUrbanism in Perth, Western Australia. Transport Policy2010;17(5):287-94.

9. DodsonJ,SipeN.Shockingthesuburbs:Urbanlocation, home ownership and oil vulnerability in theAustraliancity.HousingStudies2008;23(3):377-401.10. Sugiyama T, Merom D, van der Ploeg HP,CorpuzG,BaumanA,OwenN.Prolongedsittingincars:prevalence, socio-demographic variations, and trends.PrevMed2012;55(4):315-8.11. Frank LD, Andresen MA, Schmid TL. Obesityrelationships with community design, physical activity,and timespent incars.AmJPrevMed2004;27(2):87-96.12. Putnam R. Bowling along: The collapse andrevival of American community. New York: Simon &Schuster;2000.13. Giles-Corti B, Knuiman M, Timperio A, et al.Evaluationoftheimplementationofastategovernmentcommunity design policy aimed at increasing localwalking:DesignissuesandbaselineresultsfromRESIDE,PerthWesternAustralia.PrevMed2008;46(1):46-54.14. Bull F, Hooper P, Foster S, B G-C. Livingliveable: The impact of the Liveable NeighbourhoodsPolicyonthehealthandwellbeingofPerthresidents. .Perth, Western Australia: The University of WesternAustralia,2015.15. OECD. International Transport Forum 2011,Pedestrian Survey, Urban Space and Health: summarydocument,2011.16. Giles-Corti B. Using soft and smart power tocreateahealthy, liveableandsustainablecity. In:SykesH,ed.Aloveofideas:FutureLeaders;2014.17. DeGrove J. Land growth and politics. Chicago,Ill:AmericanPlanningAssociation;1984.

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WHLArrivesontheSocialMediaScene By:WHLGlobalOfficeTheWHLishappytoannouncethattheorga-nizationhasjoinedTwitter.WHLcanbefoundat @WorldHyperLeag on Twitter. We thinkthis isagoodwaytoconnecttomorepeopleandgetothersmoreinvolvedinactivitiessuchasWorldHypertensionDay. Ifyourorganiza-tion has Twitter please follow the WHL andtheWHLwillfollowyouinreturn.And to have your WHD 2016 Activities in-cluded in our socialmedia campaign use thehashtags #knowyournumbers and #BPcheck.Weareexcitedasanorganizationtostartus-ingandconnectingwithsocialmedia.

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TheinTernationalconsoRtiumforqUalityresEarchonDietarySo-dium/Salt(TRUE)By:Dr.NormCampbellOne of the greatest threats to science is theuse of low quality methodology resulting innon-reproducible and controversial findings.Suchresearchhasstrongpotentialnot justtohinder forward advancement in scientific un-derstanding but the controversy generatedcan also impede the implementation of sci-ence for societal benefit. The threat seemsgreatest where there is financial gain withcommercial enterprises funding low qualityresearch and promoting the controversialfindings.Research on dietary salt is one of the areaswherelowqualitysciencehasgeneratedcon-siderable controversy and it is also coupledwithfinancialconflictsofinterestfromthesaltandfoodindustry(andtheirscientificconsult-ants/advisors). In response, a consortium ofhealthandscientificorganizationshasformedto develop minimum standards for the con-duct of clinical research on dietary salt.Organizationalmembersof the steering com-mittee (with representatives) include theAmericanHeartAssociation(StephenDaniels),Chinese Regional Office of theWorld Hyper-tension League (Liu Lisheng), HypertensionCanada (Janusz Kaczorowski), InternationalAssociationofNationalPublicHealthInstitutes(Antti Jula), International Council of Cardio-vascularPreventionandRehabilitation(AlisonAtrey), International Society of Hypertension(Rhian Touyz and Agustin Ramirez), Interna-tional Society ofNephrology (RicardoCorrea-Rotter), Journal of Clinical Hypertension (Mi-chael Weber), WHO Collaborating Centre forpopulation salt reduction (Jacqui Webster),Pan American Health Organization/ WorldHealthOrganizationTechnicalAdvisoryGrouponcardiovasculardiseasespreventionthroughpopulation wide dietary salt reduction(Branka Legetic),World Hypertension League(Norm Campbell (Chair)),World Stroke Orga-nization (Graeme Hankey) with the WorldHealthOrganization(TemoWaqanivalu)asanobservingorganization.

TheTRUEprocessplans to releaseaseriesofrecommendationsover thenext fewyears toguide granting agencies, investigators andjournals on minimum standards for the con-duct of dietary sodium clinical research. It ishoped the process will promote high qualityreproducible researchas thebasis fordietarysalt and public health recommendations andreducecontroversygeneratedbypoorqualityandbiasedmaterial.

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WHLExecutive,Board,andCouncilConveninginSeoul,Koreaat2016InternationalSocietyofHyperten-sionConferenceBy:WHLGlobalOfficeDearWHLmembers,colleagues,partners,andassociates: We wanted to alert you on theimportantWHL events being planned for the26thScientificMeetingoftheInternationalSo-ciety of Hypertension (http://ish2016.org/)Sept25–29,2016inSeoul,Korea. TheWHLcouncilmeeting is open to allWHLmemberswill be convening on Sunday Sept 25th from1:00-4:00 pm at the Coex (tentatively sched-uled for room R2, this will be confirmed assoonaspossibleviae-mail)andwillfollowtheWHL Executive and Board meeting occurringthat morning. The council meeting will in-clude presentations on World HypertensionDay 2016, WHL, awards, review of the by-laws, and more. Throughout the week, theWHL will also be displaying a booth in thevendor area which will be manned by ourleadershipinalliancewiththeJournalofClini-cal Hypertension (JCH), the WHL homejournal.During the conference, amongst the invitedspeakers, there will be presentations by Dr.NormCampbell,WHL Past-President, andDr.MichaelWeber,HeadEditorofJCH. We lookforwardtoseeingyouthere!

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TheWHLWelcomesAnotherCor-porateSponsorBy:TheWHLGlobalOfficeThe WHL welcomes Omron(http://www.omron.com/) as our latest cor-porate sponsor in 2016. Omron is a globalcorporationspecializing inautomatedsensingand control technologiesasa leader inbloodpressure screening and management solu-tions. We are truly excited to partner withOmron on hypertension screening, preven-tion,andcontrolnowandintothefuture.AsisthecasewithOmronandourotherspon-sors, we make every effort to ensure thesponsor funds are directed to the activity orpopulation target of choice. Sponsorship ap-plicationsmaybeviewedanddownloadedathttp://www.whleague.org/index.php/features/corporate-sponsors.Weencourageanycor-poration or individualwishing to support theWHLMission&Mandatetobecomeasponsoror supporter. Individuals may donate anymonetary amount while corporate sponsor-ships run $2500.00 USD per year. If you orknow anyone willing to be a WHL sponsor,please e-mail Kimbree or Mark [email protected].

JimLi,PhD,MBA,Omron’sExecutiveDirector,MedicalAffairs,withDr.DanLackland,WHLPresi-dent,attheMay2016ASHconference

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WHLWelcomesNewMemberBy:WHLGlobalOffice

The World Hypertension League would like towelcome theMoore Institute as it’s newestAs-sociate Member. The Moore Institute isassociated with Oregon Health & Science Uni-

versity. To learn more about The MooreInstitute Visit their website at:www.ohsu.edu/mooreinstitute.WHLishappytowelcometheMooreInstitute!

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LinksofNote

To seewhatactivities theWorldHypertensionLeaguehasengaged in forWorldHypertensionDay 2016 visit:http://www.whleague.org/index.php/features/world-hypertension-day/world-hypertension-day-activities-2016CheshireandMerseysidetakeupthechallengeof the WHL to develop hypertension controlstrategiesandlaunchastateofthearteffort,toview the strategy visit:http://www.champspublichealth.com/sites/default/files/FINAL%20BP%20Strategy%2017.5.16_0.pdfWHLmembersandnationalhypertensionsocie-ties may also be interested in another recentpaper developed in alliancewith theWHL andin keeping with our Mission & Mandate.“TheGlobalAllianceforChronicDiseasesSupports15Major Studies in Hypertension Prevention andControl in Low- and Middle-Income Coun-tries”isnowavailableandmaybedownloadedat:http://onlinelibrary.wiley.com/doi/10.1111/jch.12835/abstract TheWHLInconjunctionwithseveralotherorga-nizations has updated the Hypertension FactSheet.Thenewfactsheetcanbefoundat:http://onlinelibrary.wiley.com/doi/10.1111/jch.12840/abstract

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Calendar

26thEuropeanMeetingonHypertensionandCardiovascularProtection

TheEuropeanSocietyofHypertensionJune10-13,2016Paris,France

Information:http://www.esh2016.org/E-mail:[email protected]

1stCongressofCardiovascularPreventioninPre-Elderly

andElderlyIndividualsJune30-July2,2016Bratislava,Slovakia

Information:http://www.cardioelderly.org/E-mail:[email protected]

4thAsia-PacificGlobalSummit&ExpoonHealthcare

July18-20,2016Brisbane,Australia

Information:http://healthcare.global-summit.com/asia-pacific/

PulseofAsia-Seoul2016September24-26,2016

Seoul,KoreaInformation:

http://www.pulseasia.org/2016/contents/main/E-mail:[email protected]

HypertensionSeoul2016

The26thScientificMeetingoftheInternationalSocietyofHypertensionSeptember24-29,2016

Seoul,KoreaInformation:http://www.ish2016.org/

E-mail:[email protected]

TheWorldHealthSummit

October9-11,2016Berlin,Germany

Information: http://www.worldhealthsummit.org/

AmericanHeartAssociation’sAnnualScientific

Sessions2016November12-16

NewOrleans,LouisianaInformation:

http://professional.heart.org/professional/EducationMeet-

ings/Meetings/ScientificSessions/UCM_316900_Scientific-Sessions.jsp

MissionTheobjectivesof theWHLare topromote thedetection,controlandpreventionofarterialhypertensioninpopula-tions.TheWorldHypertension League (WHL) is a federa-tion of leagues, societies and other national bodiesdevoted to this goal. Individualmembership is not possi-ble. The WHL is in official relations with both theInternationalSocietyofHypertension(ISH),andtheWorldHealthOrganization(WHO).BoardOfficers:Dr.DanielT.Lackland(Charleston,USA)PresidentDr.MarceloOrias(Cordoba,Argentina),Vice-PresidentDr.NormanCampbell(Calgary,Canada),PastPresidentDr.Xin-HuaZhang(Beijing,China),SecretaryGeneralDr.PeterNilsson(Malmö,Sweden),TreasurerBoardMembers:Dr.KrassimiraHristova(Sofia,Bulgaria)Dr.DanielLemogoum(Douala,Cameroon)Dr.BaderAlmustafa(SaudiArabia)Dr.DorairajPrabhakaran(Delhi,India)InterimBoardMember:Dr.MarkGelfer(Vancouver,BC,Canada)SpecialAdvisortotheBoard:Dr.DarwinLabarthe(Chicago,USA)Dr.LiuLisheng(Beijing,China)ISHRepresentation:Dr.ErnestoSchiffrin(Montreal,Canada)Dr.RhianTouyz(Glasgow,UK)Secretariat:Dr.MarkNiebylski(Corvallis,MT,USA),CEOKimbreeRedburn,Pop.Health&EconomicsspecialistPhone: (+1-406)961-6844E-mail: [email protected]: http://www.whleague.orgEditorialOffice:EditorinChief:LawrenceBeilinEditorialAssistant:KimbreeRedburnE-mail:[email protected]:(+1-406)961-6844 TheWHLNewsletterispublishedquarterlybytheWorldHypertensionLeague(ISSN2077-7434).