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Is a Healthy diet economically sustainable? The health effects of prevention policies

Is a Healthy diet economically sustainable? The health effects of prevention policies. Michele Cecchini OECD – Health Division. The Burden of Obesity on Health Systems. In any given moment, obese patients cost more. Source: Brunello et al., 2008 Bhattacharia & Sood , 2005 .

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Is a Healthy diet economically sustainable? The health effects of prevention policies

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  1. Is a Healthy diet economically sustainable?The health effects of prevention policies Michele Cecchini OECD – Health Division

  2. The Burden of Obesity on Health Systems In any given moment, obese patients cost more Source: Brunelloet al., 2008 Bhattacharia& Sood, 2005

  3. The OECD/WHO CDP Model Cancers Stroke Ischemic heart disease

  4. A Comprehensive & Affordable Prevention Package

  5. Expectations Must Be Realistic • Does prevention improve health? • Does it reduce health expenditure? • Does it improve health inequalities? • Is it cost-effective?

  6. Prevention Saves LivesLife Years Saved Every Year

  7. Prevention Keeps HealthyYears of Life Free of NCDs Cardiovascular diseases Cancers (lung, colorectal, breast)

  8. Prevention is a Good InvestmentImpact on Health Expenditure

  9. Cost-Effectiveness of Prevention After 20 years After 50 years

  10. Impact on InequalitiesFiscal measures in Europe Different social groups: • Different risk profiles: • Larger benefits in those most at risk (~) • Different responses to interventions: • Larger benefits with a greater response

  11. Key Policy Implications • Obesity and NCDs are global economic issues • Prices and regulations work best in emerging economies. Primary care doctors play a role in countries with stronger health systems • Comprehensive intersectoral prevention strategies are more efficient and generate larger health gains • We can afford to tackle obesity and prevention is good value for money

  12. Health Effects of a Healthy Diet10% of Energy from Saturated Fats Source: Lock et al., 2010

  13. OECD Work on Health Behaviours • OECD health working papers HWP 32, 45, 46, 48 • Paper in Lancet series on chronic diseases • Lancet paper on priority interventions • “Best buys” paper for the UN Summit on NCDs • OECD/Euro Observatory book

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