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Where does Wellness Fit at the World Health Organization PowerPoint Presentation

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Description : This medical presentation on "Where does Wellness Fit at the World Health Organization" was delivered during Global Wellness Summit.

Tags : wellness, medical, healthcare, wellness, World Health Organization, WHO

Published on : Jul 19, 2020 | Views : 1625 | Downloads : 1

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Communications, transports, mobility, migrations, jobs and economics, trade Life expectancy, decrease in fertility, ageing, survival from diseases, vaccines, BUT also increased demand for energy, natural resources, food, water Prolonged dependency ratio of youngers, less flexible workforce, high demand on care and support services, shift from cure and survival into care and quality of (residual) life, creative minds and millennials or Y generation as well as centennials or Z generation 2
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Everywhere and nowhere 3
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Concept: Reference framework is SDGs within the UN family WHO has adopted its GPW13 and related budget as a consequence WHO is transforming radically: FIT for purpose WHO is intergovernmental: its governance decides and secretariat executes WHO is one HQ, six Regional offices, >150 Country offices, several GDOs, thousands of collaborating centres Countries come first in the planning process 5
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HOW WHAT WHERE TOOLS IMPLICATIONS 6
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77 indicators originate from household surveys «The Achilles heel of the Sustainable Development Goals (SDGs) is a lack of data» (Philip Setel) 7
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Each of the triple billion targets in the GPW 13 will be measured with composite indices: 8 the UHC billion will be measured with a UHC index; health emergencies billion, with a preparedness index; and healthier population billion, using a composite index of lives touched by specific interventions (simple aggregation and counts) and disability adjusted life years (DALYs averted into lives improved) http://who.int/about/what-we- do/GPW_13_Impact_Framework_Targets_and_Indicators_Alignment.xlsx Over-arching and comparable measure of progress reported by the healthy life expectancy (HALE) as a measure of success or failure of the Organization
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1 billion people enjoying better health and well-being Outcome 3.1. Determinants of health addressed leaving no one behind Outcome 3.2. Reduced risk factors through multi sectoral approaches Outcome 3.3. Health and well-being realized through Health in all policies and healthy settings interventions Healthier Populations Billion 9
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Reduced risk factors through multi sectoral approaches Health and well-being realized through Health in all policies and healthy settings interventions Determinants of health addressed leaving no one behind Mortality due to air pollution ↓ by 5% Mortality from climate-sensitive diseases↓ by 10% Access to safe drinking water for 1 billion more people Access to safe sanitation for 800 million more people Stunted children ↓ by 30% Wasting among children ↓ to <5% Children developmentally on track in health ↑ to 80% Children subject to violence ↓ by 20% Intimate partner violence ↓ to 15% Women making informed reproductive health decisions, etc. ↑ to 68% Current tobacco use ↓ by 25% Harmful use of alcohol ↓ by 7% Salt/sodium intake ↓ by 25% Eliminate industrially produced trans fats Halt and begin to reverse the rise of childhood overweight and obesity Insufficient physical activity ↓ by 7% Road traffic accidents ↓ by 20% Suicide mortality ↓ by 15% 10
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We have a problem 11
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Physical inactivity has been identified as the fourth leading risk factor for global mortality (6% of deaths globally). Levels of physical inactivity are rising in many countries with major implications for the general health of people worldwide and for the prevalence of NCDs such as cardiovascular disease, diabetes and cancer and their risk factors such as raised blood pressure, raised blood sugar and overweight. Physical inactivity is estimated as being the principal cause for: 21–25% of breast and colon cancer burden, 27% of diabetes and 30% of ischaemic heart disease burden. 22
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Physical inactivity is estimated to cost INT$ 54 billion in direct health care, of which 57% is incurred by the public sector and an additional INT$ 14 billion is attributable to lost productivity. Estimates from both high-income, as well as low- and middle-income countries (LMICs) indicate that between 1–3% of national health care expenditures are attributable to physical inactivity (1 to 3 billion E in Italy). 23
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We have some solutions 24
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Four major killers, cardiovascular diseases, cancers, chronic respiratory diseases, and diabetes are largely preventable through public policies that tackle five main risk factors: tobacco use, harmful use of alcohol, unhealthy diets, physical inactivity, and air pollution. The health sector pays the bill of other sectors’ revenues: many of the determinants of health and health inequities have social, environmental and economic origins that extend beyond the direct influence of the health sector and health policies Mental health is generally neglected, though expanding as it relates also to population ageing (dementia being among the top 10 global causes of death) People with severe mental disorders have a reduced life expectancy of 10 to 20 years, largely owing to untreated NCDs 25
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Income loss for NCDs in billion USD (1998 equivalent) Increasing physical movement at workplace benefits: Decrease of del 25-30% of absenteeism costs in 3-6 years Decrease of 26% of direct medical costs Decrease of 32% of disability related costs 6 USD return per invested dollar 27
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Global action plan, 2018-2030 29
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5–17 years old 31 HOW: Group physical activity including play, games, sports, transportation, recreation, physical education or planned exercise, in the context of family, school, and community activities. WHAT: Children and young people aged 5–17 years old should accumulate at least 60 minutes of moderate to vigorous- intensity physical activity daily. Physical activity of amounts greater than 60 minutes daily will provide additional health benefits. Most of daily physical activity should be aerobic. Vigorous-intensity activities should be incorporated, including those that strengthen muscle and bone, at least 3 times per week.
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18–64 years old 32 HOW: Recreational or leisure-time physical activity, transportation (e.g walking or cycling), occupational, household chores, play, games, sports or planned exercise, in the context of daily, family, and community activities. WHAT: 1. At least 150 minutes of moderate-intensity aerobic physical activity throughout the week, or at least 75 minutes of vigorous-intensity aerobic physical activity throughout the week, or an equivalent combination of moderate- and vigorous-intensity activity. 2. Aerobic activity should be performed in bouts of at least 10 minutes duration. 3. For additional health benefits, adults should increase their moderate- intensity aerobic physical activity to 300 minutes per week, or engage in 150 minutes of vigorous-intensity aerobic physical activity per week, or an equivalent combination of moderate- and vigorous-intensity activity. 4. Muscle-strengthening activities should be done involving major muscle groups on 2 or more days a week.
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33 65 years old and above HOW: As the previous group WHAT: At least 150 minutes of moderate-intensity aerobic physical activity throughout the week, or do at least 75 minutes of vigorous-intensity aerobic physical activity throughout the week, or an equivalent combination of moderate- and vigorous-intensity activity. Aerobic activity should be performed in bouts of at least 10 minutes duration. For additional health benefits, adults aged 65 years and above should increase their moderate intensity aerobic physical activity to 300 minutes per week, or engage in 150 minutes of vigorous intensity aerobic physical activity per week, or an equivalent combination of moderate- and vigorous intensity activity. Adults of this age group with poor mobility should perform physical activity to enhance balance and prevent falls on 3 or more days per week. Muscle-strengthening activities should be done involving major muscle groups, on 2 or more days a week. If impossible due to health conditions, they should be as physically active as their abilities and conditions allow.
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…And a possible way forward 36
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Beyond the GDP 37
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From health, to wellbeing to wellness to happiness: the long trip of evidence in support of policies and priority setting. 38 Health: the pre-requisite to survival (life expectancy) Fitness: for an individual purpose…living well and free from NCDs and accomplish life objectives Happiness: subjective and collective wellbeing, measured by a composite index of: GDP per capita, social support, healthy life expectancy, social freedom, generosity, and absence of corruption World Happiness Report 2018 - Editors: John F. Helliwell, Richard Layard, and Jeffrey D. Sachs
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Population-Weighted Distributions of Happiness, 2015–2017 39
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Health and wellness of the planet 40
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Planetary health is “the health of human civilization and the state of the natural systems on which it depends”: planet-wide environmental boundaries, beyond which humanity would go at its peril 41 Convention on Biological Diversity (CBD), 1992: Aichi Biodiversity Targets, 2010 International Health Regulations (IHR), 2005 Sendai Framework for Disaster Risk Reduction, 2015 Sustainable Development Goals (SDGs), 2015 United Nations Convention to Combat Desertification (UNCCD): Land Degradation Neutrality Targets, 1994 United Nations Environment: 10-Year Framework of Programs on Sustainable Consumption and Production Patterns (10YFP), 2012 United Nations Framework Convention on Climate Change (UNFCCC): Paris Climate Agreement, 2015 UNFCCC: Warsaw Framework for Reducing Emissions from Deforestation and Forest Degradation in Developing Countries (REDD+), 2013
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