NCD in Uruguay Ministry of Health Non-communicable Diseases Program Dr Alvaro Niggemeyer MD

Population (2008) 3.334.052 Population density 18 persons per sq km Life expectancy of 75.25 years, 72% males, 79% males

Health System Ministry of Health runs the health policies including a Department for NCD. National Health System runs the care system in the country including 48 privates and public health providers. Cost for health system (in 2008): U$S 2.410 millions a year 7.5% GDP .

The role of the new NCD Department Developing health regulations relating to NCD Planning preventive and promotion actions Coordinate and make the surveillance of NCD activities

High disease burden for NCD NCD caused 70% of all deaths 33.8% cardiovascular disease 22.6% neoplasias NCD represents 60% of the cost of medical care.

High burden for NCD percercentage of years of life lost due to NCD

NCD risk factors prevalence The WHO STEPS survey in Uruguay revealed that risk factors were: Inadequate fruits and vegetable intake 85.7% Tobacco use 32.7% Low Physical activity 30% Obesity/overweight 59% Hypertension 34 % Diabetes 5.5% Fuente: 1ª Encuesta Nacional de Factores de Riesgo de ECNT (2006)

Uruguay leads The MPOWER Policy Package for Global Tobacco Control

Decree ban smoking in closed public areas came into effect on March 1, 2006. Success in Uruguay Decree ban smoking in closed public areas 9

Tobacco use decreased from 32.7% to 25% What were the results? Tobacco use decreased from 32.7% to 25% Global Adult Tobacco Survey (GATS)2009 11

17.1% Reduction of Myocardial Infarction CIET, Uruguay 2009 12

Challenges The great challenge is fighting against other risk factors promoting healthy lifestyle: Healthy diet Reduction of sodium in the diet Physical activity