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Director. dr.etemad M.D-M.P.H-PHD candidate (epidemiology) N on C ommunicable D iseases Ministry of Health and medical education I.R.IRAN. Seminar on Public Health Aspects of NCD -March 7 to 12, 2011 Switzerland. IRAN … Switzerland. Switzerland. Caspian Sea. I.R.IRAN. Persian Golf.
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Director dr.etemadM.D-M.P.H-PHD candidate (epidemiology) NonCommunicableDiseases Ministry of Health and medical educationI.R.IRAN Seminar on Public Health Aspects of NCD-March 7 to 12, 2011 Switzerland
IRAN … Switzerland Switzerland Caspian Sea I.R.IRAN Persian Golf
NCD situation Steps for NCD Risk factors Care& Treatment Thalassemia, CH, PKU (Integrated) Diabetes (Rural, Urban) Cancer Registry, Road Trafic Oral Health CVD Pulmonary Diseases, Asthma Community based Genetic diseases program • 2006 • 2007 • 2008 • 2009 http://www.ncdinfobase.ir/english/docs.asp
Health Center Health House Village Road Satellite village Master Plan 2400 18000 CITY
main achievements in country • Thalassemia, CH, PKU • Cancer • Diabetes • NCD Risk Factors • Using experience in new designing
main lessons learnt • Introducing need in pop for : • Decrease Risk Factors • Attention to Care • Type & Place of pilot study • Cost analysis for each Integration • Meeting with collaborating Organs in order to advocacy
mainlessons learnt • Preference & Type of Interventions may differ between areas in a country • The all chains of each surveillance should be checked continuously • Two Cohort studies • 2days symposium for NCD(16 Organs)
Particularly challenges • NCDs has a sharp increase • Resource limitation and Rising costs for urban health care • Parallel efforts in implemental organization • Mass migration of population according to poverty, disaster, war and etc • Variety of ethnicity • High percentage of young people with high risk behavior • Poverty • Change in lifestyle • Increase in minor stress
Future Harm reduction New Program PKU Chronic pulmonary diseases Musculo skeletal • New order in Ministry of Health • New legislation in congress for harmful products; fuel, foods, …