1. 3rd NCD FLAG-PRO planning meeting Kaliningrad, 3 October 2011 FLAG-PRO A & B

2. 3rd NCD FLAG-PRO planning meeting Kaliningrad, 3 October 2011 FLAG-PRO A & B Status Report Presenter: 1)Dr Mikko Vienonen, Chairman of Expert Group on Non-Communicable Diseases related to Lifestyles and Social and Work Environments 2)Ms Katja Lahikainen, Coordinator, Northern Dimension Institute, Lappeenranta/ Finland

4. 1. First Global Ministerial Conference on Healthy Lifestyles and Noncommunicable Disease Control (Moscow, 28-29 April 2011) Moscow Declaration: http://apps.who.int/gb/ebwha/pdf_files/WHA64/A64_R11-en.pdf 2. High-level Meeting of United Nations General Assembly on prevention and control of noncommunicable diseases New York, 19-20 September 2011

5. First Global Ministerial Conference on Healthy Lifestyles and Noncommunicable Disease Control (Moscow, 2011) Recommended ”best buys” Unhealthy Diet· Reduce salt intake in food · Replace trans fat with polyunsaturated · Promote public awareness about diet and physical activity (via mass media) Cardiovascular disease (CVD) and diabetes · Provide councelling and multi-drug therapy (including blood sugar control for diabetes mellitus) for people with medium-high risk of developing heart attacks and strokes (including those who have established CVD) · Treat attacks (myocardial infarction) with aspirin Cancer· Hepatitis B immunization beginning at birth to prevent liver cancer · Screening and treatment of pre-cancerous lesions to prevent cervical cancer

6. First Global Ministerial Conference on Healthy Lifestyles and Noncommunicable Disease Control (Moscow, 2011) Recommended ”best buys” (CONTINUED) Tobacco use· Raise taxes on tobacco · Protect people from tobacco smoke · Warn about the dangers of tobacco · Enforce bans on tobacco advertising Harmful use of alcohol · Raise taxes on alcohol · Restrict access to retail alcohol · Enforce bans on alcohol advertising

7. We all agree: we MUST TACKLE urgent catastrophes ! CHERNOBYL TSUNAMI THAILAND … JAPAN… UTØYA

8. WHY? SLOW-MOTION CATASTROPHIES DON’T CREATE OUTRAGE. FAST-MOTION CATASTROPHIES CREATE OUTRAGE.

9. FLAGSHIP-A PROJECT IN PREPARATION

17. Lifestyle counceling of high-risk people: EVIDENCE BASED! 1.Weight loss > 5 %:a 2. Fat in diet< 30 % 3. Saturated fat <10%, unsaturated fat 20-25% 4. Fibre 15 g/1000 kcal 5. Physical activity > 30 min/day 6. Salt <5grams per day 7. vitamin-D how much?

18. higher weightlower weight over weight   normal weight   Stategy 1. Shift the whole polulation towards more normal weight= Population approach Strategy 2. Focus on those who are already overweight = Risk approach N of people Strategy of overweight and obesity prevention: population approach

19. PREVENTION OF OVER-WEIGHT, REDUCING SALT INTAKE & SECURING VITAMIN- D INTAKE AMONG SCHOOL-CHILDREN

24. FLAGSHIP-B PROJECT IN PREPARATION

26. Good National Health Policy Documents already exist. Why not implemented? How many more do we still need?

30. RESULTS ! EFFECTIVE AND EFFICIENT IMPLEMENTATION OF NATIONAL NCD PREVENTION STRATEGIES

39. “PYLL” Mikko Vienonen m.vienonen@kolumbus.fi Potential Years of Life Lost “PYLL” A MAP FOR HEALTH OF THE POPULATION FROM SHADOW TO LIGHT

40. Let’s start ! Давайте ! NCD PREVENTION Flagship A & B Kaliningrad 03/10/11