WHO-IUMSP Seminar on Public Health Aspect of NCD, Lausanne, 10-18 August 2010

1. WHO-IUMSP Seminar on Public Health Aspect of NCD, Lausanne, 10-18 August 2010 “ National Strategy for the Prevention and control of Noncommunicable Diseases. Argentina. 2010” Dr. Bruno Linetzky

2. National Strategy for the Prevention and control of NCD: Lines of action Health Services Surveillance Health Promotion Argentina Saludable Health services reorientation NRFS 2009 Semianual NCD report Web site development Registries Policies NRFS sub-sample with physical and chemical measures 1.Alimentación saludable 2.Actividad física 3.Anti tabaco 1.Healthy Nutrition 2. Physical Activity 3. Tobacco Control CPG for primary care -Global Risk -Diabetes -Smoking -Kidney disease Promotion Regulation Healthy Environment Clinical records Follow up sheet Monitoring sheet Brochures for patients Posters in the waiting room Remediar + redes NACER FESP

3. Situation of NCD • Response to NCD a) Population Level b) High Risk approach • Successes and difficulties • Future plans

4. Age adjusted mortality by specific group of causes

5. National Risk Factor Survey 2005

6. 200 160 120 80 40 0 Use of Hospital Admissions for surveillance Partial Restriction Provincia de Santa Fe Ciudad de Buenos Aires Númbero de internaciones (Síndromes coronarios agudos) 100% smoke free law 2005 2006 2007

7. Situation of NCD • Response to NCD a) Population Level b) High Risk approach • Successes and difficulties • Future plans

8. Action lines Promotion of healthy lifestyles. Education and social communication Information to costumers . Regulation of the supply of products and services. Regulation oh the production, commerce, services and consumption through: legislative, fiscal, agreements, financial incentives and y human resources training. Prohibition (tobacco) and regulation (food and beverages) of publicity, sponsorship and promotion of products Promotion of healthy environments. Smoke free environments Improving environments for physical activity Healthy institutions and companies, healthy schools and universities, healthy municipalities, etc.

9. “-salt +life” Campaign • Salt Reduction is a highly cost-effective measure (OMS) • 3 gr of salt reduction in diet would lower cardiovascular mortality by 10% • 1 gr reduction could be achieved by lowering salt in bread products, that explain 25% of salt consumption in our country. That could lower 20.000 cardio and cerebrovascular events x year and 2000 deaths.

10. Situation of NCD • Response to NCD a) Population Level b) High Risk approach • Successes and difficulties • Future plans

11. GUIA de Practica Clínica Nacional de prevención de la Enfermedad Renal para el Primer Nivel de Atención

13. Situation of NCD • Response to NCD a) Population Level b) High Risk approach • Successes and difficulties • Future plans

14. Succeses • Laws and regulation of tobacco control in several jurisdictions • Laws and Diabetes programs in each province. Drugs supply • Advances in process of changing Argentine food code to replace trans fat and reduce sodium • Agreements with bakers union and technological institution to reduce salt in bread • Development of national CPG for primary care level • Improvement in institutional capacity • Network and intersectorial work

15. Difficulties • Tobacco industry pressure • Legislative priorities • Governmental priorities

16. Challenges • Change trends in some risk factors • Strengthen institutional capacities in NCD control at national, provincial and municipal level • Reorient health services • Improve intersectorial action • Enhance regulations • FCTC!!!