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In the Name of God, the Compassionate, the Merciful Address by

DR HUSSEIN A. GEZAIRY REGIONAL DIRECTOR

WHO EASTERN MEDITERRANEAN REGION to the

CONSULTATIVE MEETING ON DEVELOPING THE REGIONAL NCD ACTION PLAN

SHARM ELSHEIKH, EGYPT, 11–13 April 2010

Dear Colleagues, Ladies and Gentlemen,

It gives me great pleasure to welcome you to this consultative meeting to develop the action plan for Noncommunicable Diseases in the Eastern Mediterranean Region.

Noncommunicable diseases are the major causes of mortality and morbidity, globally, and in our Region. The magnitude and growth of noncommunicable diseases are one of the key health challenges in the 21st century, threatening socioeconomic development, as well as the life and health of millions of people.

Worldwide, approximately 35 million deaths, or 60%, were due to chronic causes. When taken together with injuries, these are responsible for about 70% of all deaths, 80% of which occur in low- and middle-income countries.

This burden is predicted to worsen in the coming years. WHO projects a global increase in mortality of a further 17% by 2020, meaning that 41 million people will die of chronic disease.

In the Region, over 50% of the disease burden is due to noncommunicable diseases and it is expected that this burden will rise to 60% by 2020.

We also know that the main contributors to the increasing prevalence of noncommunicable diseases are shared preventable risk factors related to lifestyle changes.

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Smoking alone is estimated to be responsible for 22% of cardiovascular diseases in the Region, for some cancers and for the majority of chronic respiratory diseases.

Ladies and Gentlemen,

For this reason, there is clearly a need for urgent action. But the focus should be on evidence-based, cost-effective affordable interventions.

During the last 10 years, the road map to achieve effective noncommunicable diseases prevention and control was developed. The Global Noncommunicable Disease Strategy and Plan of Action provide guidance and direction for effective planning and implementation of the noncommunicable disease programmes by all Member States. The action plan translates the broad directions recommended by the global strategy into six objectives, and outlines possible interventions to be implemented at the regional and country levels with three sets of action under each objective directed to Member States, WHO and international partners.

The plan builds on the implementation of the WHO Framework Convention on Tobacco Control, adopted by the World Health Assembly in 2003 (resolution WHA56.1), and the Global Strategy on Diet, Physical Activity and Health, endorsed by the Health Assembly in 2004 (resolution WHA57.17). The plan also focuses on other noncommunicable disease risk factors, such as the harmful use of alcohol.

The actions for the Secretariat set out in the plan are aligned with Strategic Objectives 3 and 6 in the Medium-Term Strategic Plan 2008–2013, which provide details of expected results, targets and indicators for the Organization’s work on prevention and control of noncommunicable diseases.

I am confident that Dr Alaa Alwan, Assistant Director General, will shed more light on the six objectives and key interventions.

Ladies and Gentlemen,

The main objective of this meeting is to focus on the priority interventions for the Region and develop the regional action plan based on practical cost-effective and evidence-based interventions that suit our Member States and can be adopted on a regional basis, using the Global Action Plan (2008–2013) as a guideline.

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Many efforts have already been undertaken in several Member States. WHO is collaborating with countries of the Region to implement the noncommunicable disease strategy and the Global Strategy on Diet, Physical Activity and Health, focusing on the most cost- effective, yet culturally relevant, approaches; efficient utilization of primary health care services, strengthening of community-based intervention; and strengthening partnership and intersectoral collaboration.

I am confident that during this meeting the exchange of views and ideas will provide valuable information in order to develop an effective regional noncommunicable disease action plan and strengthen implementation of noncommunicable disease programmes in Member States.

I wish you every success in your deliberations and a happy and comfortable stay in Sharm El Sheikh.

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