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Camilla Stoltenberg Director General Norwegian I nstitute of P ublic Health Professor, MD, PhD

From «normal» health to PUBLIC HEALTH Health and W ealth in Palestine Palestinian Red Crescent Society HQ, Al Bireh 12 May 2014. Camilla Stoltenberg Director General Norwegian I nstitute of P ublic Health Professor, MD, PhD. … the full title is.

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Camilla Stoltenberg Director General Norwegian I nstitute of P ublic Health Professor, MD, PhD

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  1. From «normal» health to PUBLIC HEALTHHealth and Wealth in PalestinePalestinian Red CrescentSocietyHQ, Al Bireh12 May 2014 Camilla Stoltenberg Director General Norwegian InstituteofPublic Health Professor, MD, PhD

  2. …the full title is • Taking the step from “normal” health to public health for a nation • Challenges and opportunities

  3. Agenda • The step from “normal” health to public health • Why and how: has been addressed with excellence by the previous speakers • The big four • Risk factors for non-communicable diseases • A story from Norway on tobacco control • What role can a national institute of public health play? • A vision

  4. How canweshiftemphasisto publichealth? • Engagement • Non-governmental and governmental organisations, academia, private sector, population • Science • Data, scientific evidence • Law • Laws and regulations at a national and international level: Tobacco, International Health Regulations • Economy • Fiscal policies as a lever to curb non-communicable diseases and injuries

  5. The bigfourrisk factors for non-communicablediseases • Smoking • Unhealthy diet • Physical inactivity • Alcohol and other drugs

  6. Steps survey in Palestine2010-2011 MoH and WHO • 23% of Palestinians smoke tobacco daily • 43% of men and 3% of women • 79% are not engaged in vigorous physical activity • 76% are overweight and 43% are obese • 46% have elevated blood pressure • 11 % have diabetes. • 86% eat less than 5 servings of fruits and vegetables per day • Alcohol – not a problem • What about legal and illegal drugs?

  7. A story from Norway ontobaccocontrol1953 - 2014 • Laws and regulations • Attitudes and behaviour • Taxes

  8. Tobaccouse in Norway Men Women Percentageofthepopulation (men and women) between 16-74 yearsoldwhosmokedaily

  9. Tobaccousein Norway Daily Periodically Percentageofthepopulation 16-74 yearsoldwhosmokedaily or periodically

  10. Tobaccouse in Norway Daily Periodically Percentageofthepopulation 16-74 yearsoldwhousewettobaccodaily or periodically

  11. Selectedmilestones

  12. Selectedmilestones

  13. Anti tobaccolaw Tove Strand Minister ofSocialAffairs 1986-1989 Dagfinn Høybråten Minister of Health 1997-2000/2001-2004

  14. 2009: Excuseme, Dagfinn Høybråten Painting by Bjørn Algrim

  15. Whatrolecan a nationalpublichealthinstitute play?

  16. Aimsfor publichealthpoliciesin Norway • Norway shall be amongthethreecountries in theworldwiththehighestlifeexpectancy • Aiming at sharingthis rank with all otherpopulations • The populationshallexperience more lifeyears in goodhealth and well-being • Weshallcreate a societywhich promotes health for all and reduceshealthinequity

  17. Principles in publichealthworkActonpublichealth (2012)

  18. Institute of public health - Tasks • Emergency preparedness • Health analysis and research • Evidence based advice • Infrastructure for knowledge • Data: Registries, health studies • Communication and dissemination

  19. Health analysis and research • How many? Who? • How many are at risk, how many are suffering or dying, at what age? Who are they? • Prevalence and distribution of diseases, risk factors and health promotion • What are the causes and consequences? • What works? • Assessing effects of interventions, policies and events (“natural experiments”)

  20. A vision • Prevention of non-communicable diseases and injuries shall be as obvious and “normal” as for infectious diseases • Health promotion and prevention shall be as important as clinical treatment and care • Health shall be recognized in all policies

  21. Thank you

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