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Nutrition_ Health and Chronic Diseases - OECD

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					Nutrition, Health and
Chronic Diseases
Franco Sassi PhD
OECD, Health Division

3rd OECD Food Chain Network meeting
Paris, 25-26 October 2012
UN High-level Meeting on NCDs
Leading Risk Factors for Health
Attributable Mortality, 2004




  Source: WHO, 2009
    Deaths from NCDs
    Worldwide, by Income Group

60,000,000

50,000,000

40,000,000

30,000,000

20,000,000

10,000,000

         0
         2004                                  2015                       2030
  High income     Higer-middle income        Lower-middle income   Low income

       Source: WHO estimates and projections, 2008
The Obesity Epidemic




 Source: OECD Obesity Update, 2012
      Obesity: a Global Epidemic

• In Brazil, obesity tripled    India
  in men and doubled in
                                China
  women in 30 years; in
  India, up to 40% are         Russia
  overweight in urban areas
                                OECD
• Diabetes in China is now
  as common as in the US        Brazil

                               S Africa
• Obesity accounts for less
  than 1% of GDP in most         UK
  OECD countries, over 1%
  in the US and up to 4% in    Mexico
  China                                   0%   20%   40%        60%        80%
                                                           % of adult population
Overweight and Obesity in Children
   The Cost of Obesity

      France

    Australia

    Germany

      Canada

New Zealand

    Portugal

           US

                0%        1%        2%        3%         4%   5%   6%   7%
                                 % of healthcare budget

Sources: Roux & Donaldson, 2004; Konnopka et al., 2011
What Can Prevention Achieve?
                   An Affordable Prevention Package
               5
                                                                                    4.5

               4


               3
US$ per head




               2
                                                                        1.2
               1

                      0.4
               0
                     India        China         Brazil     South      Russian       Mexico
                                                          Africa     Federation
               Tobacco use                               Alcohol use
               Unhealthy diet and physical inactivity    High blood pressure & cholesterol
   Where Do We Go from Here?

• Search for more causes?
• Many causal factors irreversible and likely
  to have increased welfare, overall
• Need to search solutions that work:
  – Effective at individual level
  – Meaningful impact at population level
  – Cost-effective
  – Positive impact on health disparities
   What Solutions?

• Increasing choice
• Information, education, influencing
  established preferences (nudging)
• Raising prices on unhealthy choices
• Banning unhealthy behaviours
     Prevention is Everyone’s Business



                Government                           Ministry of
                                                      Health

International
Organizations               Civil Society   Ministry of      Ministry of
                                            Education        Transport

                                                    Ministry of
                                                    Agriculture
  Private
 Industries                  Academia

                 Interest
                  Groups
   What are We Here for?

• Breaking barriers
  – Listening to each other
  – Opening our minds to different perspectives
• Improving our understanding of:
  – What is at stake
  – What works
  – What solutions are viable

				
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posted:6/13/2014
language:English
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