1. World Health Day 2016

2. Objectives Increase awareness about the rise in diabetes, and its staggering burden and consequences, in particular in low- and middle-income countries Trigger a set of specific, effective and affordable actions to tackle diabetes; these will include steps to prevent diabetes and diagnose, treat and care for people with diabetes Launch the first Global report on diabetes Engage all relevant stakeholders including, governments, health-care providers, people with diabetes and those who care for them, civil society, food producers, and manufacturers and suppliers of medicines and technology 2

3. Why is diabetes the theme for World Health Day 2016? Diabetes is a major public health problem, by the burden it imposes on individuals, health systems and national economies Diabetes prevalence is steadily increasing and is growing most rapidly in low- and middle-income countries A large proportion of diabetes cases are preventable Diabetes is treatable, and it can be controlled and managed to prevent complications Efforts to prevent and treat diabetes will be important to achieve the global Sustainable Development Goal 3 target of reducing premature mortality from noncommunicable diseases by one-third by 2030 3

4. What is diabetes? A chronic, progressive condition that occurs either when the pancreas does not produce enough insulin (a hormone that regulates blood sugar, or glucose), or when the body cannot effectively use the insulin it produces Persistent raised blood glucose may, over time, lead to complications in many parts of the body and can increase the overall risk of dying prematurely If not controlled, diabetes can cause blindness, kidney failure, lower limb amputation and other long-term consequences that impact significantly on quality of life 4

5. Regional campaign materials 5

6. WHO Global report on diabetes First global report on diabetes Describes the burden and consequences of diabetes and advocates for stronger health systems to ensure improved surveillance, enhanced prevention and more effective management of diabetes 6

7. New diabetes country profiles Summarize on one page: National diabetes burden mortality related to diabetes prevalence trends current prevalence of risk factors associated with noncommunicable diseases National response to diabetes policies, guidelines and monitoring availability of medicines, basic technologies and procedures in the public health sector 7

8. The prevalence of diabetes has doubled since 1980 and is growing most rapidly in low- and middle-income countries In 2014, 422 million people in the world had diabetes A prevalence of 8.5% among the adult population Caused 1.5 million deaths in 2012, 43% under the age of 70 80% of these deaths in low- and middle-income countries Diabetes will be the 7th leading cause of death by 2030 8

9. WHO Eastern Mediterranean Region has experienced the greatest rise in diabetes prevalence 9 WHO Region Prevalence (%)Number (millions) 1980201419802014 African3.1%7.1%425 American5.0%8.3%1862 Eastern Mediterranean 5.9%13.7%643 European5.3%7.3%3364 South-eat Asian4.1%8.6%1796 Western Pacific4.4%8.4%29131 Non Member States 5.6%8.4%12 Total4.7%8.5%108422 and is now the WHO region with the highest prevalence

10. Age-standardized prevalence of diabetes by country in the Eastern Mediterranean Region, 2014 10

11. Scaling up prevention and control of diabetes within an integrated NCD response Diabetes is an integral component of the overall response to noncommunicable diseases (NCDs) Commitments made through the Sustainable Development Goals – to reduce premature NCD mortality by one-third by 2030, to achieve universal health coverage – will require focused attention to diabetes prevention and management Global and regional roadmaps of national commitments to address diabetes are set out in the 2011 UN Political Declaration on NCDs, the 2014 UN Outcome Document on NCDs and the Regional Framework for Action 11

12. 12 Governance Risk factors Health systemsSurveillance 2011 UN Political Declaration on NCDs WHO Global NCD Action Plan 2013-2020 WHO Regional NCD Action Plans 2014 UN Outcome Document on NCDs Sustainable Development Goals The Global NCD vision: Getting to 2030 Components of national NCD responses 2018 Four time-bound commitments 2025 milestone: 9 voluntary global NCD targets 2030 milestone: NCD-related targets in the SDGs 2025 2030 By 2030, reduce by one third premature mortality from NCDs

13. Key recommendations to scale up diabetes national response 1.Accord greater priority to NCD prevention and control, including diabetes 2.Strengthen national capacity to accelerate country response 3.Create, sustain and expand health-promoting environments to reduce modifiable risk factors 4.Strengthen and orient health systems to address diabetes 5.Promote high-quality research and development 6.Monitor trends and determinants, evaluate progress 13