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. ACTIVE CARIBBEAN WORKSHOP March 6 & 7, 2009, Bridgetown, Barbados State of Play in the Caribbean: Port of Spain NCD Summit Declaration / Caribbean Wellness Day 2008 Alafia Samuels, MD, MPH, PhD Advisor, Prevention & Control of NCDs. www.who.int/chp.
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. . ACTIVE CARIBBEAN WORKSHOP March 6 & 7, 2009, Bridgetown, Barbados State of Play in the Caribbean: Port of Spain NCD Summit Declaration / Caribbean Wellness Day 2008 Alafia Samuels, MD, MPH, PhD Advisor, Prevention & Control of NCDs
Dying slowly, painfully and prematurely Almost half deaths arein people < 70 years
Causes of chronic diseases Needs “all of society” to participate: Ministries of Government, private sector, civil society, NGOs, community organizations, faith-based organizations
Physical Activity Study • Household surveys done in summer: Jam, TRT and GUY • Questionnaire included 24 hr activity recall and used to : • Describe activity levels by age, gender, SES and location • Determine the relationship of SES, BMI, location and age with PA
Partners Government agencies Private Sector Civil society Settings Workplace Schools Community Faith-based Organizations Partnerships
- FCTC Tobacco taxes for sustainable financing Legislation Signed, but not ratified: (up to Feb 2009) The Bahamas Cuba Haiti St. Kitts/Nevis St. Vincent & Grenadines USA Tobacco (POS # 3, 4)
Involvement of Private Sector, Media • CAIC Statement in support of NCD prevention and control issued • Plan for Workplace Wellness program with all components - HIV, NCDs and Injuries. • Caribbean Manufacturers to take a proactive role in reducing salt, sugar, trans fat and improving the labeling of all products • Support for Caribbean Wellness Day • Manufacturers want meeting with CROSQ to set healthy standards for foods
Civil Society Healthy Caribbean 2008Caribbean Chronic Disease Conference A Wellness Revolution Event 16 – 18th October 2008 CARIBBEAN CIVIL SOCIETY DECLARATION AND ACTION PLAN FOR TACKLING CHRONIC NON-COMMUNICABLE DISEASES (CNCDs).
NCD Summit Declaration # 5: Screening and integrated management: 80% by 2012 • Identification of target population to estimate undiagnosed • Involvement of health NGOs, civil society, including media, in prevention, screening, care, palliation and patient education • Total Risk Approach recommended by CVD Experts Mtg • (10 year risk of a fatal or non-fatal cardiovascular event, by gender, age, smoking status, diabetes status, systolic blood pressure and total cholesterol)
AMR B CARICOM
Caribbean Priorities • Tobacco • Diet • Salt • Trans fat / cholesterol • Treatment (blood pressure, cholesterol) • Physical Activity
CARIBBEAN WELLNESS DAY 2008 LOVE THAT BODY
Caribbean Wellness Day13th Sept 2008 (POS #6,10, 12,15) • Caribbean branding: logo, slogan, theme, jingle, posters, Public Service Announcements for radio and TV • Main target: Adults over 40 years who are currently doing little or no physical activity • MAIN MESSAGES for this year: • No Tobacco – Half of regular users will die from tobacco • Exercise 30 minutes per day – Cut your heart attack risk in half • Less salt, less fat – Don’t add salt at the table • Check your Blood Pressure – The Silent Killer
CWD Preparations • 14 countries at PAHO Physical Activity Workshop May 2008 • Outlined plans for CWD in each country • Summary and guidelines sent to countries • PAHO / CAIC (Caribbean Association of Industry & Commerce) meeting May 2008 • Designated Manufacturers Associations and Chambers of Commerce in countries to participate • Joint CARICOM / PAHO secretariat
CWD Prep in Countries • CWD Focal Points named in most countries • Inter-sectoral committee • including reps from the private sector and civil society • Links with local media established
Regional Statements from: • Dr. Carrington, DG, CARICOM • Director, PAHO, Dr. Mirta Roses, who emphasized the 4 main messages for this year: • No Tobacco • Exercise 30 minutes per day • Less salt, less fat • Check your Blood Pressure • Also view on YouTube at • http://www.youtube.com/watch?v=O3aclgzOkBY
In member states: • Almost every member state had events • Less so in Bahamas, Haiti, Turks & Caicos due to hurricane recovery • Statements by Prime Ministers and Ministers of Health • Press releases carried by local media • Health screenings, and other health promotion activities • Launch-pad for • increased physical activity, • healthy eating, • Lifestyle changes to stop the epidemic of NCDs
Belize • Celebrated across the country, with activities in • Belize City: Hon Minister gave statement; screening at trade show • Toledo District: launched Diabetes Association Chapter; Family Walk; Signing of wellness contracts with patients • Dangriga Town: All activities were organized by multi-sectoral committees