1 Annual Meeting of the CARMEN bservatory on Chronic Non-Communicable Disease Policy: Mobilising for Action Recent Meetings and Summaries C. James Hospedales Jefe, Enfermedades Crónicas, OPS/OMS

2 Overview March 2007 PO Meeting, Toronto November 2007 CARMEN, Bahamas Other developments –PAHO Strategic Plan 2008-12 –CARICOM Summit & Dominica Summit –National capacity survey 2007-08 –Chile Summit/Cumbre –Guatemala: Acuerdo Ministerial “April month” –Trans Fat Task Force 2008-09 –Strategy on Cancer Cervix; Diabetes and Obesity paper, PAHO Directing Council –SICA/RESSCAD Sub-regional plan cancer –PAHO Partners’ Forum for Chronic Disease –Ibero-American Summit, El Salvador –Summit of the Americas; CHOGM – T&T

3 Here we are, On Planet Earth; Montreal, Canada; Americas Region.

4 CARMEN Red 2008 Miembros Miembros Argentina, Anguilla, Aruba, Bolivia, Brazil, Canada, Colombia, Costa Rica, Cuba, Curacao, Chile, El Salvador, Guatemala, Mexico, Nicaragua, Panama, Paraguay, Peru, Puerto Rico, St Kitts/Nevis, St Lucia, St Vincent&Gren, Trin&Tobago, Uruguay Prospective Members Honduras, Suriname, Venez Special Projects USA-Mexico (border) CARMEN English-speaking) Collaborating members Collaborating members SLU,USF,NHLBI,CDC,PHAC AMNET, RAFA,ILSI,F&V,IDB

5 Estrategia regional y plan de acción para un enfoque integrado sobre la prevención y el control de las enfermedades crónicas incluyendo alimentario y actividad fisica

6 Política y Abogacia Vigilancia Promocion y Prevencion Manejo Integrado de las Enfermedades 1 2 3 LINEAS DE ACCION

7 Policy & Advocacy To ensure and promote the development and implementation of effective, integrated, sustainable, and evidence- based public policies on chronic disease, their risk factors, and determinants. Strengthen NCD public policy development, implementation & evaluation

8 Review of Effective Interventions Laws and Regulations Tax and Price Interventions Improving the built environment for physical activity Advocacy, communication and information Community based interventions School based interventions Workplace interventions Screening - CVD, diabetes, HBP, some cancers Clinical prevention – focus on overall risk Disease Management Rehabilitation Palliative care

9 Policy Observatory Meeting, March 2007: VISION Successfully promotes inter-sectoral collaboration on healthy policies in both public and private domains, in health and non-health sectors. In the process, countries in the Americas become leaders in reversing the chronic disease epidemic The Policy Observatory becomes a trusted source of information about integrated, evidence-based NCD policies

10 Policy Observatory Meeting, March 2007 General Themes –Research: extend frame to include policy implementation and outcome assessment, inter- country networks –Monitoring: common integrated frame for NCD policy, combine with in-depth study of specific subjects –Policy dialogues and Advocacy: stage national and international workshops/meetings, develop dialogue mechanisms, outreach to other partners –Capacity building: for policy development and analysis in countries, identify existing strengths and promote interaction/sharing

11 Policy Observatory Meeting, March 2007 Cross Cutting issues –Expanding Escuela CARMEN –CARMEN NCD Info-Base –Forming partnerships with other institutions –Resource mobilization

12 Red CARMEN Reunion 2007, Bahamas

13 CARMEN Biannual Meeting, Bahamas 2007 What countries said they wanted: Andean –Meeting of Andean Ministries of health to reach agreement for action –local level policies, TFA, fruits and vegetables, food labeling, relative prices, alternative crops, enforce tobacco laws, physical activity (spaces, security barrier), school education policies that contribute to healthy lifestyle diet, costs and impacts of premature death and disability

14 CARMEN Biannual Meeting, Bahamas 2007 Central America, Hispanic Caribbean, Mex/US border –Communication campaigns –share laws or decrees –exchange experiences –use border forum on diabetes –promote “Move America” in these countries –Engage civil society

15 CARMEN Biannual Meeting, Bahamas 2007 Southern Cone –Put Chronic Diseases on MERCOSUR Agenda –Support Argentina to ratify FCTC –Policy analysis and decision making course –Physical activity –Fruits and vegetables, TFAs, salt –Tobacco

16 Other developments –PAHO Strategic Plan 2008-12 –CARICOM Summit & National summits –Chile Summit/Cumbre –Mercosur/South Cone –Trans Fat Task Force

17 SUMMIT OF THE CARICOM HEADS OF GOVERNMENT ON CHRONIC DISEASES SEPT 2007

18 PM Jamaica

19 SUMMIT ON NUTRITION AND HEALTH, AND NCDs SUMMIT ON NUTRITION AND HEALTH, AND NCDs VALPARAISO, CHILE, MARZO 25, 2008 New food contents labelling laws proposed

20 PAHO Trans Fat Task force meeting with Private Sector, Sept 2007

21 THANK YOU! GRACIAS!

22 EL EQUIPO CONTRA ECNT EN OPS/WASHINGTON, CON LA DRA. ROSES

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24 El CARMEN coat significa Comprehensivo, integrado filosofia Todos los componentes claves esta representado en lo mismo lugar: –STEPs – Vigilancia –Tobacco control –Dieta y actividad fisica –Alcohol control –Tratamiento –Cancer, Diabetes, Enfermedades cardiovasculares El color naranja es el color internacional que represente ECNT