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Making the Case for Government Support ICO Advocates 5 th June 2010, Berlin

Making the Case for Government Support ICO Advocates 5 th June 2010, Berlin. Hugh R Taylor AC, MD Treasurer, International Council of Ophthalmology Vice President, International Agency for the Prevention of Blindness Professor of Indigenous Eye Health, University of Melbourne.

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Making the Case for Government Support ICO Advocates 5 th June 2010, Berlin

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  1. Making the Case for Government SupportICO Advocates5th June 2010, Berlin Hugh R Taylor AC, MD Treasurer, International Council of Ophthalmology Vice President, International Agency for the Prevention of Blindness Professor of Indigenous Eye Health, University of Melbourne

  2. Causes of Global Blindness 1995 45 million Cataract RefractiveErrors Trachoma Vit A Def Oncho DiabeticRetinopathy Glaucoma AMD and otherdiseases 10% 60% 15% 15%

  3. Global Blindness Projections, 1995 millions 100 90 75 60 50 50 40 38 30 25 25 0 1980 1990 2000 2010 2020

  4. Goal: The elimination of avoidable blindness by 2020, in order to give all people in the world, the right to sight

  5. VISION 2020 is all about Partnerships WHO Technical Assistance Capacity Building National Partners - National Vision 2020 Plans Sustainable program delivery

  6. “Vision 2020 is all third world stuff.” “What relevance is it to us?” “Look at all the things we can do now… …so blindness is not a problem in my country BUT Vision 2020 is the Right to Sight for all - not for allexcept Australians or Americans or Europeans…

  7. Visual Impairment and Blindness 40-49 Australia - 2004 50% Visual Impairment Blindness 40% 30% 20% 10% 0% 50-59 60-69 70-79 80-89 90+ Age Clear Insight 2004

  8. Prevalence of Vision Impairment, USA Vision Impairment Blindness Arch Ophthal 2004

  9. Years of Life Lost to Disability (YLD) Depression Dementia Asthma Osteoarthritis CHD Type 2 Diabetes Vision disorders Oral health Breast cancer Prostate cancer Melanoma HIV/AIDS 0% 2% 4% 6% 8% YLD as percent of total YLD www.cera.org.au

  10. Total Costs of Vision DisordersAustralia, 2004 Clear Insight 2004; www.cera.org.au

  11. Life Expectancy

  12. Vision Impairment and Blindness 2004 - 2024 800,000 Vision Impairment Blindness 600,000 400,000 200,000 0 2000 2004 2010 2014 2020 2024

  13. Blindness – Australia, 2004 Refractive Error Others 4% Neuro-ophthalmic 8% Retinitis Pigmentosa 3% 1.5% Macular Degeneration Diabetes and other Retinal 48% 10% 12% Cataract 14% Glaucoma

  14. Vision Impairment – Australia, 2004 AMD Glaucoma 10% 3% Cataract 14% Diabetic Retinopathy 2% 3% 2% Other Retinal 62% 4% Neuro-ophthalmic Refractive Error Other

  15. Three Quarters of Vision Loss in Unnecessary • It is preventable or treatable • It is caused • AMD • Cataract • Diabetic Retinopathy • Glaucoma • Refractive Error

  16. What do we need to do about it? 3 “Simple” Things • Prevent the things we can prevent • Treat the things we can treat • Solve the remaining problems

  17. 1. Prevent the Diseases We Can Prevent Eye health promotion initiatives to reduce avoidablevision loss Regular eye exams Protection of the eyes

  18. 2. Treat the Diseases We Can Treat Adequate funding for services for treatable conditions Cataract surgery Diabetic retinopathy screening Low vision support services

  19. 3. More Research to solve the present problems Adequate funding for research into causes of vision loss and blindness that at present cannot be prevented or treated AMD and Glaucoma

  20. Eye Care Intervention Package 3 “Simple” Things www.cera.org.au 2005

  21. National Eye Health Framework Key Areas for Action 1. Reducing the risk 2. Increasing early detection 3. Improving access to eye care services 4. Improving the systems and quality of care 5. Improving the evidence base 2006 $14m for 3 years for Australia 2008 $24m for Australia and $45m for Pacific Region 2009 $58m for Aboriginal eye and ear health $50m for Bionic Eye Research

  22. www.health.gov.au/internet/eyehealth2009

  23. What can we do to close the gap? • Think globally - act locally • For the developing world • Be aware • Be supportive or an advocate • Change your research • Become an Albert Schweitzer • For home • 3 “Simple” Things • glaucoma, diabetes, underserved • Advocacy

  24. What can we do? -- Advocacy • Good data are essential for effective advocacy • Need clear and concise presentations - key messages - targeted for audience • Need to speak in one voice • Talk often with policy leaders • Make sure policy implementers are kept informed • Use media contacts

  25. “Because I cannot do everything, I will not refuse to do something I can do”. Helen Keller The elimination of avoidable blindness is an achievable goal; it is something we can do.

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