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17th Meeting of Chief Medical Officers of Health

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... and produce significant premature death and disability and impose a heavy economic ... St. Lucia Trinidad and Tobago St. Kitts ... Situation Caribbean ... – PowerPoint PPT presentation

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Title: 17th Meeting of Chief Medical Officers of Health


1
  • 17th Meeting of Chief Medical Officers of
    Health
  • Castries, St. Lucia
  • 20th 21st April 2009
  • Prof. Trevor A. Hassell
  • Chair of HCC, Chair of NCN CDC

2
Summary Caribbean civil society encounter on
CNCDs
  • Background and context
  • the encounter/Conference
  • Outcomes
  • Achievements post conference
  • The way forward
  • Public Health Sector and Civil Society

3
The Extent of the Chronic Disease (CVD, Diabetes,
Cancer and Lung Disease) Problem
  • 35 million chronic disease deaths occurred in
    2005 out of a total 58 million deaths worldwide
  • 4 Caribbean countries have the highest prevalence
    of diabetes in the Americas (12 16)
  • HBP contributes to 45 of all heart and blood
    vessel diseases. Approximately 20 of adult
    Barbadians have HBP and fewer than 20 of these
    are well controlled
  • More than half of all adult Barbadian females,
    and more than quarter of males, are obese or
    overweight
  • Diabetes and HBP 8 of GDP in T T

4
The Situation
  • Chronic diseases occur in epidemic proportions
    world-wide, including in the Caribbean, and
    produce significant premature death and
    disability and impose a heavy economic burden
  • Risk factors (unhealthy diet, physical inactivity
    tobacco exposure) and risk conditions of
    obesity and hypertension are present in a very
    high of the population and are not being
    effectively tackled

5
Caribbean Initiatives and Reports
  • Caribbean Commission on Health and Development
    Report
  • Nassau Declaration, CARICOM Heads of Government,
    2001
  • Caribbean Charter for Health Promotion
  • Caribbean Cooperation in Health initiative 1,11,
    111
  • Caribbean Regional Plan for Prevention and
    Control of NCDs and Injuries, 2008-2012, PAHO
  • Heads of Government of CARICOM Summit and
    Declaration against CNCDs, 2007

6
Complementary approaches to chronic disease
prevention
Individual responsibility
Changes to the "toxic" environment
HEALTH CARE AND DOCTOR
POLICY ENACTMENT
COMMUNITY AND CIVIL SOCIETY
7
The Conference
  • Healthy Caribbean 2008 A Wellness Revolution
    Conference
  • 16 -18 October, 2008
  • Accra Beach Hotel Resort, Barbados

8
Purpose
  • To bring together a wide spectrum of partners
    from throughout the CARICOM countries civil
    society, the business community, educators and
    researchers, policy makers to plan civil
    societys response to the CNCD pandemic

9
Objectives
  • Provide a forum for cross section of
    representatives from various sectors of society
    to learn about CNCDs and consider how best to
    tackle them
  • Build capacity in important elements of civil
    society
  • Identify and promote evidence based best
    practices for addressing the CNCD epidemic in the
    Caribbean
  • Strengthen capacity of civil society to monitor
    implementation of the POS Summit Declaration
  • Consider resource mobilization

10
Agenda
  • Introduction
  • Civil society and the tools or instruments used
    by civil society
  • Risk Factors
  • Disease prevention and management
  • Celebrating Caribbean initiatives
  • Reflections and the way forward..the ACTIONthe
    REVOLUTION

11
Highlights
  • Opening of conference and feature address by the
    Hon. David Thompson, M.P., Prime Minister
  • InterAmerican Heart Foundation Award and Science
    of Peace lecture, Sir George Alleyne
  • Presentation of the 5th InterAmerican Journalism
    Contest Awards on Tobacco Control

12
Participants
  • Agriculture 3
  • Business 5
  • Education 3
  • Faith Based 4
  • Finance 7
  • Food Industry 2
  • Gov./Policy 13
  • H C Providers 11
  • Health Finance 3
  • Labour 5
  • Legal 1
  • Media 9
  • NGO/CNCD 35
  • Pharma 3
  • Reg./Pol 6
  • Service Clubs 3
  • Sports/PA 3
  • Urban Dev. 3
  • Youth 3
  • Anguilla
  • Antigua
  • Aruba
  • Bahamas
  • Barbados
  • Belize
  • BVI
  • Cayman islands
  • Dominica
  • Grenada
  • Guyana
  • Jamaica
  • Montserrat
  • St. Lucia
  • Trinidad and Tobago
  • St. Kitts

13
Faculty
  • USA 9
  • Brazil 1
  • Canada 1
  • United Kingdom 1
  • Guyana 1
  • Jamaica 3
  • Trinidad Tobago 4
  • Mexico 1
  • Barbados 6

14
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15
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16
Achievements post conference
  • Decision taken to establish a Caribbean civil
    Society CNCD coalition
  • Decision taken to establish an Organizing Task
    Force to set up the Coalition
  • Declaration
  • Action Plan
  • Technical conference report by CDRC

17
Achievements post conference
  • Website established www.healthycaribbean.org.
  • Organising Task Force set up and functioning
  • Healthy Caribbean coalition in embryonic form
  • Enewsletter
  • Active Caribbean Workshop

18
Visits to www.healthycaribbean.org.
Year Month Page view Unique visits
2008 November 428 215
2008 December 253 150
2009 January 289 193
2009 February 813 553
2009 March 935 603
TOTAL 2,718 1,714
19
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20
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21
Active Caribbean Workshop
  • March 6 7, 2009
  • Hosted by Faculty of Medical Sciences, UWI, Cave
    Hill
  • Partnering with CNCD Commission/Ministry of
    Health, CDB, PAHO
  • 90 participants, CARICOM wide, multi-sectoral
  • Output physical activity proposals being
    submitted to the CDB for funding

22
Action Plan Action Lines
  • Establishment of a Caribbean civil society CNCD
    Coalition/Network
  • Advocacy
  • Development of a communication strategy for and
    among Healthy Caribbean CNCD coalition
  • Healthy Caribbean CNCD public education programme
  • Support for Caribbean Wellness day

23
Action Plan Action Lines
  • Advocacy and support for CNCD risk factor
    reduction
  • Tobacco control and implementation of FCTC
  • Increased physical activity
  • Improved dietary intake including reduction of
    transfats and salt
  • Enhanced identification and management of CNCDs
  • Support of initiatives, plans and programmes at
    country and organization level

24
Establishment of A Caribbean Civil Society CNCD
Coalition
  • Undertaken by the Organising Task Force
  • Emphasis on advocacy and coalition building,
    public education and media campaigns, monitoring
    and evaluation, support for existing country
    level networks.
  • Many governance, finance, administrative
    decisions need to be taken including
    establishment of a small secretariat with seed
    funding

25
Advocacy
  • Recommendations made to PAHO for the HCC to
    assist with establishment of CNCD Commissions
  • Recommendation now made that the HCC be invited
    at take part in Caribbean meetings on CNCDs

26
Communication strategy
  • Production and dissemination of Declaration and
    Action Plan to Caribbean opinion leaders
  • Distribution of Conference report to conference
    attendees, invitees and others
  • Further development of HCC Website
  • Enewsletter
  • Regular email postings by Chair of the OTF

27
Public education
  • Posting of presentations given at HCC
    co-sponsored conference /workshops on the HCC
    unrestricted website
  • Development of an CNCD educational series on CMC
    TV

28
Support for Caribbean Wellness Day
  • Co-sponsorship of CWD in countries as appropriate
  • Promotion of CWD on website and in enewsletter
  • Encourage members of the coalition to actively
    support CWD
  • Encourage private sector to contribute to CWD

29
Support for countries and organisations
  • Respond to requests from members of the coalition
  • Chronic care model Montserrat, MOH
  • Source of funding for setting up OECS Health Desk
  • Assistance with banning of carbonated drinks in
    schools, St. Vincent

30
Advocacy and support for CNCD risk factor
reduction
  • Caribbean FCTC implementation report card
  • Support for a national population salt reduction
    and dietary improvement programme in Barbados
  • Support for Diabetes and Tobacco Conference due
    to be held in Jamaica 2010

31
Public Health Sector and Caribbean Civil Society
  • Propose forums within the Caribbean at which the
    HCC should be represented
  • Lobby for HCC to be represented on chronic
    disease Commissions
  • Funding for web manager and communications
    officer for the HCC US700.00/month
  • Production and distribution of Declaration and
    Action Plan to opinion leaders
  • Co-sponsor Caribbean wide radio/TV public
    education CNCD programme
  • Take action within respective ministries to
    ensure that CNCD Commissions receive revenue
    from increased taxes on tobacco products as
    recommended by the Heads of Government of CARICOM
  • Build capacity and enhance training to improve
    the health NGOs

32
Thank You
33
  • We are convinced that we can reduce the burden
    on CNCDs through the promotion comprehensive and
    integrated preventive and control strategies at
    the family
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