1. Noncommunicable Diseases & Health Promotion ICCC4, Seoul | 4 November 2011 | 1 | CV Profiling NCD and their risk factor in WHO Western Pacific Region Cherian Varghese, Marie Clem Carlos, Hai-Rim Shin, Han Tieru & Leanne Riley World Health Organization

2. Noncommunicable Diseases & Health Promotion ICCC4, Seoul | 4 November 2011 | 2 | CV Modifiable causative risk factors Tobacco use Unhealthy diets Physical inactivity Harmful use of alcohol Noncommunicable diseases Heart disease and stroke Diabetes Cancer Chronic lung disease There are Four Major Groups of Noncommunicable Diseases Four major lifestyles related risk factors

3. Noncommunicable Diseases & Health Promotion ICCC4, Seoul | 4 November 2011 | 3 | CV Age-standardized death rate (per 100,000) from NCD, WPR, 2008 *Countries have a high degree of uncertainty because they are not based on national NCD mortality data. The estimates for these countries are based on a combination of country life tables, cause of death models, regional cause of death patterns, and WHO and UNAIDS program estimates for some major causes of death (not including NCDs). Source: WHO Global Status Report on Noncommunicable Diseases 2010

4. Noncommunicable Diseases & Health Promotion ICCC4, Seoul | 4 November 2011 | 4 | CV Percentage of all NCD Deaths under age 70, WPR, 2008 *Countries have a high degree of uncertainty because they are not based on national NCD mortality data. The estimates for these countries are based on a combination of country life tables, cause of death models, regional cause of death patterns, and WHO and UNAIDS program estimates for some major causes of death (not including NCDs). Source: WHO Global Status Report on Noncommunicable Diseases 2010

5. Noncommunicable Diseases & Health Promotion ICCC4, Seoul | 4 November 2011 | 5 | CV Source: WHO Global Status Report on Noncommunicable Diseases 2010 High-incomeLMIC and unclassified * Country data not available. Estimate based on a combination of country life tables, cause of death models, regional cause of death patterns, and WHO and UNAIDS program estimates for some major causes (not including chronic diseases). Age-standardized death rate (per 100,000) from Cancer, WPR, 2008

6. Noncommunicable Diseases & Health Promotion ICCC4, Seoul | 4 November 2011 | 6 | CV Most Frequent Cancers in Asia

7. Noncommunicable Diseases & Health Promotion ICCC4, Seoul | 4 November 2011 | 7 | CV

8. Noncommunicable Diseases & Health Promotion ICCC4, Seoul | 4 November 2011 | 8 | CV High-incomeLMIC and unclassified Age-standardized prevalence of daily tobacco smoking in adults aged 15+ years, comparable country estimates, WPR, 2008 Source: WHO Global Status Report on Noncommunicable Diseases 2010

9. Noncommunicable Diseases & Health Promotion ICCC4, Seoul | 4 November 2011 | 9 | CV Stages of Life 0-2 years 5-15 years 18-59 years 60+ years

10. Noncommunicable Diseases & Health Promotion ICCC4, Seoul | 4 November 2011 | 10 | CV High-incomeLMIC and unclassified Total adult (15+ years) per capita consumption of pure alcohol (litres) for both sexes, WPR, 2008 Source: WHO Global Status Report on Noncommunicable Diseases 2010

11. Noncommunicable Diseases & Health Promotion ICCC4, Seoul | 4 November 2011 | 11 | CV Control of Tobacco and Harmful use of Alcohol 10 % reduction in tobacco use by 2014 Tobacco taxation and Health Promotion Foundations Plain packaging- a pathbreaking approach Scaling up strategies to reduce harmful use of Alcohol

12. Noncommunicable Diseases & Health Promotion ICCC4, Seoul | 4 November 2011 | 12 | CV CHANGECHANGE

13. Noncommunicable Diseases & Health Promotion ICCC4, Seoul | 4 November 2011 | 13 | CV Source: WHO Global Status Report on Noncommunicable Diseases 2010 Age-standardized prevalence of insufficient physical activity in adults aged 15+ years, comparable country estimates, WPR, 2008 Note: Insufficient physical activity is defined as less than five times 30 minutes of moderate activity per week, or less than three times 20 minutes of vigorous activity per week, or equivalent. High-incomeLMIC and unclassified

14. Noncommunicable Diseases & Health Promotion ICCC4, Seoul | 4 November 2011 | 14 | CV Age-standardized prevalence of obesity in adults aged 20+ years, comparables estimates, WPR, 2008 Note: Obesity is defined as body mass index (BMI) ≥ 30 kg/m 2 Source: WHO Global Status Report on Noncommunicable Diseases 2010 High-incomeLMIC and unclassified

15. Noncommunicable Diseases & Health Promotion ICCC4, Seoul | 4 November 2011 | 15 | CV

16. Noncommunicable Diseases & Health Promotion ICCC4, Seoul | 4 November 2011 | 16 | CV Source: WHO Global Status Report on Noncommunicable Diseases 2010 Note: Raised cholesterol was defined, in these estimates, as 5.0 mmol/L or 190 mg/dl or higher. High-incomeLMIC and unclassified Age-standardized prevalence of raised total cholesterol in adults aged 25+ years, comparable country estimates, WPR, 2008

17. Noncommunicable Diseases & Health Promotion ICCC4, Seoul | 4 November 2011 | 17 | CV Eat 400 gms vegetables and fruits daily

18. Noncommunicable Diseases & Health Promotion ICCC4, Seoul | 4 November 2011 | 18 | CV Promotion of Healthy Diet and Physical Activity Healthier food options in schools, restaurants, hawker fare and workplaces Reduction of salt, sugar, saturated and trans-fats should be addressed Control of marketing of foods to children Active promotion of physical activity

19. Noncommunicable Diseases & Health Promotion ICCC4, Seoul | 4 November 2011 | 19 | CV Interventions to Affect Health

20. Noncommunicable Diseases & Health Promotion ICCC4, Seoul | 4 November 2011 | 20 | CV WHO NCD country capacity survey 2010 Policies for NCD risk factors High-income (N=12) LMIC and unclassified (N=23) Alcohol10 (83%)9 (39%) Unhealthy diet11 (92%)13 (57%) Physical inactivity 11 (92%)10 (43%) Tobacco11 (92%)18 (78%)

21. Noncommunicable Diseases & Health Promotion ICCC4, Seoul | 4 November 2011 | 21 | CV WHO NCD country capacity survey 2010 Policies for NCD risk factors High-income (N=12) LMIC and unclassified (N=23) Alcohol10 (83%)9 (39%) Unhealthy diet11 (92%)13 (57%) Physical inactivity 11 (92%)10 (43%) Tobacco11 (92%)18 (78%)

22. Noncommunicable Diseases & Health Promotion ICCC4, Seoul | 4 November 2011 | 22 | CV Population Based Multisectoral Actions for NCD Risk Reduction

23. Noncommunicable Diseases & Health Promotion ICCC4, Seoul | 4 November 2011 | 23 | CV Enabling environment Whole-of-Government approach  Strong policies to reduce availability of tobacco and alcohol  Control on advertisement of food to children  Reduce market pressures from influencing dietary choices  Make local fruits and vegetable available and affordable  Provide parks and cycle lanes to promote physical activity  Control fat, sugar and salt in mass manufactured products and restaurants  Equip health systems  Develop health promoting schools and workplaces

24. Noncommunicable Diseases & Health Promotion ICCC4, Seoul | 4 November 2011 | 24 | CV Age standardized prevalence of NCDs and risk factors in Singapore 1992-2004

25. Noncommunicable Diseases & Health Promotion ICCC4, Seoul | 4 November 2011 | 25 | CV EARLYEASY ENJOYABLE EVERYWHERE Healthy Lifestyle