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WHO Food and Nutrition Action Plan. Dr Aileen Robertson Nutrition and Food Security Programme WHO Regional Office for Europe Copenhagen. 100. 80. 60. Percentage of all deaths. 40. 20. 0. 0–1. 1–4. 5–14. 15–24. 25–34. 35–44. 45–54. 55–64. 65–74. 75–84. 85+. A. g. e. g. r.
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WHO Food and Nutrition Action Plan Dr Aileen Robertson Nutrition and Food Security Programme WHO Regional Office for Europe Copenhagen
100 80 60 Percentage of all deaths 40 20 0 0–1 1–4 5–14 15–24 25–34 35–44 45–54 55–64 65–74 75–84 85+ A g e g r o u p s ( y e a r s ) Infectious and parasitic diseases Other diseases Cancer External causes Cardiovascular diseases Ill-defined conditions Respiratory diseases S o u r c e : H e a l t h i n E u r o p e 1 9 9 7 . W H O R e g i o n a l O f f i c e f o r E u r o p e , E p i d e m i o l o g y , s t a t i s t i c s a n d h e a l t h i n f o r m a t i o n ( E S I ) u n i t . Main causes of death by agein the European Region, mid-1990s
Ischaemic heart disease,0-64,per 100000 140 120 100 80 60 40 20 1970 1975 1980 1985 1990 1995 2000 2005 EUROPE NIS average EU average CEE average Prevalence of cardiovascular diseases
Cerebrovascular diseases, 0-64/100000 70 60 50 40 30 20 10 0 1970 1975 1980 1985 1990 1995 2000 2005 EUROPE NIS average EU average CEE average Prevalence of cerebrovascular diseases
Obesity • In Europe the prevalence of obesity reaches more than 30% in some adults and shows escalating rates in children, increasing the risk of cardiovascular diseases, certain cancers and diabetes. • Obesity is estimated to cost some health services 7% of their total health care budget. • Around one third of cardiovascular disease cases, the leading cause of death, is linked to unbalanced nutrition, and up to 30-40% of certain cancers.
Ischaemic heart disease in women, Finland Graph 1 Observed and predicted decline in mortality from ischaemic heart disease in women aged 35-64 in Finland
Food & Nutrition Policy Nutrition Food Safety Sustainable Food Supply Health21 Agenda21
A Food safety strategy – WHA 53.15 Based on THE WHOLE FOOD CHAIN PRODUCTION MANUFACTURING DISTRIBUTION RETAIL Cooking at home Mass Catering CONSUMPTION
A Nutrition Strategy based on a LIFE-CYCLE APPROACH Birth weight Elderly Child growth Women & Men Woman Pregnancy Adolescent growth
A Sustainable Food Supply Strategy To improve FOOD SECURITY • Policies to improve AVAILABILITY of & ACCESS to SAFE & NUTRITIOUS food & protect the environment • Emergencies • URBAN & Peri-urban Food & Nutrition Action Plan (urbanisation) • Health Impact Assessments e.g. of agriculture policies
Ensure complementarity of the 3 strategies through collaboration between different sectors: Public health Environmental services Agriculture Horticulture Food Industry Food retailers Education Tourism Voluntary sectors The Public
Coordination Mechanisms are vital NATIONAL LEVEL Food & Nutrition Coordination REGIONAL LEVEL Food & Nutrition Coordination LOCAL LEVEL Food & Nutrition Coordination PUBLIC HEALTH SERVICES
IMPLEMENTATION Tools 1. Guidelines FEEDING AND NUTRITION OF INFANTS AND YOUNG CHILDREN Guidelines for the WHO European Region, with emphasis on the former Soviet Countries Nutrition Policy, Infant Feeding and Food Security Programme
2. CINDI FOOD PYRAMID
IMPLEMENTATION • WHO EURO RC50 Resolution - 14 Sept 2000 • Member States (51) - Baseline information on most • Intersectoral Food & Nutrition • Policy for Decision-Makers • Evaluate impact of WHO Action Plan • Ministerial Conference 2005 • EU Resolution - Council of Ministers, 14 Dec 2000
Table 2: Countries with a food-based dietary guideline (FBDG)
IMPLEMENTATION Intersectoral Food & Nutrition Policy Development for Decision-Makers (3 day workshop for policy makers) • WHO/FAO/UNICEF • Member States: • S.E. Europe (Balkan Region) • Bulgaria, Poland, Hungary, Russia • Baltic/Nordic (all 8 countries) • Southern Europe and Turkey
Vegetable messages "It's time to leave the country" Adapted from an advert by Thomas Cook
Eat your veggies! I wish somebody would start a scare about “greens”
Nutrition and Food Security Web Site http://www.euro.who.int/Nutrition