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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 Michele Cecchini OECD – Health Division
The Burden of Obesity on Health Systems In any given moment, obese patients cost more Source: Brunelloet al., 2008 Bhattacharia& Sood, 2005
The OECD/WHO CDP Model Cancers Stroke Ischemic heart disease
Expectations Must Be Realistic • Does prevention improve health? • Does it reduce health expenditure? • Does it improve health inequalities? • Is it cost-effective?
Prevention Keeps HealthyYears of Life Free of NCDs Cardiovascular diseases Cancers (lung, colorectal, breast)
Cost-Effectiveness of Prevention After 20 years After 50 years
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
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
Health Effects of a Healthy Diet10% of Energy from Saturated Fats Source: Lock et al., 2010
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