Swiss National

Strategy on NCDs

View from

WHO

Gauden GaleaDirector

NCDs and Life-course

WHO/Europe

The Mandate

By 2015, consider setting national targets for NCDs

By 2015, consider developing national multisectoral policies and plans

By 2016, implement best buys to reduce risk factors for NCDs

By 2016, implement best buys to enable health systems to respond

2014 Outcome Document

Four time-bound commitments

European NCD Action Plan (2012-2016)

Planning and oversight

National plan

Health information system with

social determinants

disaggregation

Health in all policies

Fiscal policies

Marketing

Salt

Trans-fat

Healthy settings

Workplaces and schools

Active mobility

Secondary prevention

Cardio-metabolic risk assessment

and management

Early detection of cancer

Challenges

Current Tobacco Use in EuropeNo room for complacency

WHO RegionMale

prevalence

Female

prevalenceBoth sexes

EUR 38% 19% 28%

WPR 47% 3% 25%

EMR 38% 4% 22%

AMR 26% 16% 20%

SEAR 34% 4% 19%

AFR 22% 7% 15%

Global 36% 8% 22%

Overweight and Obesity in WHO/Europe

Total alcohol per capita consumption(15+ years; in litres of pure alcohol), 2010

WHO. Global status report on alcohol and health (2014) >>

22 Nov 201425 Oct 2014

Health in All Policies

Trade in All Policies

Source: EC AV Services -- Press conference by Tonio Borg

Source >> Source >>

European Member States in the 11 years since WHO

Framework Convention on Tobacco Control (FCTC)

Overview Policy Actions Implementation

53 WHO/Europe Member States – 2012/13

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Measures to affect food prices

Labelling - signposting

Reformulation - less sugar and salt

Promote Active Travel for school-children

Marketing HFSS foods to children - restrictions

Salt reduction initiatives

School Fruit Scheme (SFS) or similar

Programs in schools (inc. vending machines)

Baby Friendly Hospital Initiative

Physical Activity Policy incl. Guidelines

Breastfeeding promotion and protection policies

Food Based Dietary Guidelines

Labelling - nutritional information

No Action Partially implemented Fully implemented

Changes in alcohol policy areas over 2006 - 2011 (N=30)

Switzerland

Draft Strategy Characteristics

• Integrated, comprehensive (even MSD)

• Evidence-based

• Prevention oriented

• Life-course approach

• Health systems strengthening

• Equity focus and Vulnerable groups

• Process: consultative, participatory

• …

Italy

Switzerland

Germany

France

SDR, diseases of circulatory system(Ages 0–64, per 100 000)

Italy

Switzerland

Germany

France

SDR, symptoms, signs, ill-defined(All ages, per 100 000)

Salt and Trans Fats

Trans Fats

“There is significant

momentum across the Region

to take action on trans fats.

Denmark, Austria, Hungary,

Iceland, Norway and

Switzerland have set similar

limits that virtually ban trans

fats from food products.”

Innovations

By 2015, consider setting national targets for NCDs

By 2015, consider developing national multisectoral policies and plans

By 2016, implement best buys to reduce risk factors for NCDs

By 2016, implement best buys to enable health systems to respond

2014 Outcome Document

Four time-bound commitments

• Cancer deaths

• Smoking Rates

• Low birth weight

babies

• Early childhood

development

scores

• Access to

Palliative care

• Tobacco prices

• Marketing of

alcohol

• Safe and decent

work

• Disaggregate

• Link

• Over time

• Disaggregate

• Link

• Over time

• Access to

Palliative care

• Tobacco prices

• Marketing of

alcohol

• Safe and decent

work

• Cancer deaths

• Smoking Rates

• Low birth weight

babies

• Early childhood

development

scores

DigitalTrailshttp://villevivante.ch

Case study:

Disparity Reduction in Clalit

Slide by Ran Balicer, Clalit (2012)

Used with permission

>60% reduction in disparities

in 7 in-focus indicators, in 3 years

Slide by Ran Balicer, Clalit (2012)

Used with permission

Health System Challenges & Opportunities

…

Dr. Gauden GaleaDirector

gga@euro.who.int

Division of Noncommunicable Diseases & Life-course

WHO Regional Office for Europe, Copenhagen

http://www.euro.who.int/nutrition

Acknowledgements to:

Enrique Loyola

Frederiek Mantingh

Joao Breda

Kristina Mauer-Stender

Lars Moller

Ran Balicer

Jill Farrington