Health 2020 a new policy for a new era WHO Europe Home

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and most particularly about the new European health policy Health 2020. All of us are here today because of our commitment to improving health We must. approach this goal at a time of very rapid change including demographic changes as. our societies age our increasingly privatized economies environmental pollution and. climate change wider inequities in the distribution of income and wealth and in access. to health and social care increased migration and urbanization recently growing. unemployment shortages in health care workers and changes in citizens expectations. Yes expectations have changed Health is increasingly seen as a human right a public. good and an asset for development And while health has improved it has not improved. enough given what we know and the technologies available to us Unfortunately the. European Region still has pockets of extreme ill health and poverty that need to be. urgently addressed, Since I took office as the WHO Regional Director for Europe in 2010 and with the. support of the WHO Regional Committee for Europe I have focused on a programme of. work to create a real momentum for better health for Europe in short better health for. all of the populations of our 53 Member States Such health improvement can have both. population and individual dimensions and I shall say a little about both today. I shall address the following issues, 1 the current health situation across the European Region. 2 the importance of new strategic thinking about health improvement thinking that. takes account of all that we now know about the determinants of health. 3 the vital importance of strengthening public health capacities and services across. the whole of the Region, 4 the need to strengthen our health systems overall with particular emphasis on. primary health care health promotion and disease prevention. 5 the role of health economics and health care costs how our systems can. contribute to health improvement as economic and social development while. providing quality health care and support to those that need diagnosis treatment. and rehabilitation,State of health across the European Region. 1948 WHO definition of health,A state of complete physical mental and social.
well being and not merely the absence of,disease or infirmity. WHO Constitution,Inequities between countries, Life expectancy in years for countries in the WHO European Region. Source European Health for All database online database. Kyrgyzstan,Addressing health Eur B C,Kazakhstan,inequities and the social Uzbekistan. Tajikistan,determinants Republic of Moldova,Russian Federation. Montenegro,EU members since 2004 or 2007,European Region.
While overall population health Slovakia,has improved serious Poland. inequalities exist depending on Malta,ethnicity gender socioeconomic United Kingdom. Netherlands,status educational status and EU,geographical area Israel. Switzerland,EU members before May 2004,One example is infant mortality Greece. shown on the right with 2005 France,Czech Republic.
WHO data Norway,Luxembourg,San Marino, Proportionate mortality by broad group of causes of death in the. European Region by country groups 2008,European Region EU 15 EU 12 CIS. Country groups, Circulatory system Malignant neoplasms External causes. Infectious disease Respiratory system Other causes. Laboratory confirmed polio cases and acute flaccid paralysis AFP cases by date of. paralysis onset and supplemental immunization activities SIAs Tajikistan 2010. SIA SIA SIA SIA,Round 1 Rnd 2 Rnd 3 Rnd 4,Mop up SIA. Source weekly AFP reporting to WHO Regional Office for Europe. I used a phrase just now better health in Europe That has to be our goal within WHO. The famous 1948 WHO definition states that health is a state of complete physical. mental and social well being and not merely the absence of disease or infirmity 1 We. have to give some substance to this fine ideal While we have made much progress at. the moment we are far from achieving this goal, Tomorrow during my talk in the final plenary I shall say more about the concept of.
well being Today I shall focus on more usual health indicators and the current burden. of disease across the European Region Let me start by looking at a few facts and. figures Overall European life expectancy at birth has increased by 5 years since 1980. and reached 75 years in 2010 Projections suggest it will increase to nearly 81 years by. 2050 Yet as I have said this improvement is far from uniform Across the Region large. health related inequalities persist between and within countries stratifying populations. according to ethnicity gender socioeconomic status educational status and. geographical area, Noncommunicable diseases represent over 80 of that burden across the European. Region We know so much more now than before about the nature scope and. underlying determinants of these health problems Yet unfortunately across the. European Region today there exists great variation in the commitment to health. improvement the recognition of the complexities of the determinants and causative. factors in the capacity of health systems both public health and health care and in the. resources that are available There have just been too little priority and commitment to. health for example investments in prevention remain very low accounting for just 1. of overall European health expenditure well below the average for the Organisation for. Preamble to the Constitution of the World Health Organization as adopted by the International. Health Conference New York 19 22 June 1946 signed on 22 July 1946 by the representatives of 61. States and entered into force on 7 April 1948, Economic Co operation and Development OECD countries. Then emerging and re emerging communicable diseases remain a priority concern in. many countries in the Region These diseases include HIV AIDS multidrug resistant. tuberculosis and the growing threat of antimicrobial resistance Also of note are. alarming outbreaks of potentially global significance such as pandemic influenza in. 2009 and last year the re emergence of poliomyelitis in Tajikistan and neighbouring. countries which threatened the Region s polio free status This is now happily restored. after a tremendous effort for which I commend the countries concerned as well as my. WHO colleagues most warmly External causes of death are also important particularly. for the countries in the Commonwealth of Independent States CIS where they are the. second most important cause of premature death, Disability adjusted life years DALYs provide another focus for assessing health since. the burden of disease is related not only to death but also to morbidity and disability For. example the latest revision of the estimated global burden of disease published in 2008. indicated unipolar depressive disorders and ischaemic heart disease as the top disease. entities This perspective illuminates mental health as a priority public health concern in. a way that mortality statistics alone would not Right now mental health accounts for. only some 5 9 of overall European health expenditure and I am delighted that the. WHO Regional Office for Europe is starting work on a new European regional strategy. for mental health,Risk factors,DALYs lost by cause Disability adjusted. Cardiovascular diseases 22 9,life years DALYs,Neuropsychiatric conditions 19 5.
Malignant neoplasms 11 4,Unintentional injuries 9 6. Digestive diseases 4 9, Respiratory diseases 4 5 Ranking 1st Unipolar depressive 13 7. Intentional injuries 4 3,Ranking 2nd Alcohol use disorders 6 2. Sense organ diseases 4 1, Infectious parasitic diseases 3 8 Ranking 7th Alzheimer and other 3 8. Musculoskeletal diseases 3 7,Ranking 11th Schizophrenia 2 3.
Respiratory infections 2 1,Ranking 12th Bipolar disorders 2 3. Perinatal conditions 1 8, The risk and behavioural factors relevant to the burden of noncommunicable diseases. are well known to you in this audience We know that action on just seven of these risk. factors high blood pressure high cholesterol high blood glucose overweight physical. inactivity tobacco smoking and alcohol abuse would reduce DALYs lost by nearly. 60 in the WHO European Region and 45 in high income European countries. Accordingly much more needs to be done to tackle the current burden of. noncommunicable diseases in a more integrated way encompassing these behavioural. determinants in order to reduce their incidence in all populations and the subsequent. costs for the health system On the positive side we have seen the development of. effective whole society interventions against tobacco consumption at the legislative. level such as the successful WHO Framework Convention of Tobacco Control FCTC. and the control of tobacco consumption in public places Yet we need more such. interventions that are evidence based if we are to bring this burden of noncommunicable. diseases under effective control The WHO Regional Office for Europe has accordingly. now launched new regional European action plans for the prevention and control of. noncommunicable diseases and to reduce the harmful use of alcohol. Social determinants and the new governance for health. WHO European review on social determinants,and the health divide. Provide evidence on the nature and magnitude of health inequities across the. Region and their relationship to social determinants. Investigate gaps in capacity and knowledge to improve health through action on. social determinants, Synthesize evidence on the most promising policy options and interventions for. addressing social determinants and reducing health inequities in diverse country. One topic that has seen great improvements in knowledge is the social determinants of. health The large inequities in health across the Region that I have mentioned arise from. inequalities in the lives people are able to lead in the social policies and programmes. that affect them in economic arrangements and in the quality of governance Although. individuals play a part many of the causes of lifestyle differences reside in the social. environment Social determinants also often affect whether people can access health care. services and the quality of care they receive, The most compelling point I will make today is that if the determinants of health stretch.
across the whole of our societies so must our interventions Health has to be seen in. strikingly new ways I have emphasized that health is a human right It must also be the. responsibility of societies and governments the product of intersectoral policies and. action and ultimately a universal responsibility Today there are so many more actors. who must be involved Alongside national governments are a plethora of regional and. local administrations the private sector nongovernmental organizations institutions. communities and individuals which all are and must be involved Health cannot be. produced by the health sector alone although that sector can and must make a major. contribution, Today societies expect a form of governance for health that is far more participatory for. citizens Citizens have high expectations reflecting an increased awareness of their. rights and choices Citizens want to be involved in their own health including when. decisions are made on disease management and treatment as well as their own care. particularly for chronic disease It is here that patient involvement in care has shown. positive effects in terms of outcomes,Health 2020,Strengthening of the. health systems including public health,Renew commitment to public health and. rejuvenate the work of the Regional Office in this. important area,Vision for Health 2020,A WHO European Region where all peoples are. enabled and supported in achieving their full health. potential and well being and in which countries,individually and jointly work towards reducing.
inequalities in health within the Region and beyond. Health 2020 values, Universality of the right to health and health care. Solidarity,Sustainability, Right to participate in decision making relating to personal. health and the health of the society in which people live. Proposed main goals of Health 2020, 1 Work together Harness the joint strength of the Regional Office. for Europe and Member States to further promote health and. 2 Create better health Further increase the number of years in. which people live in health healthy life years reduce health. inequities and deal with the impact of demographic changes. 3 Improve health governance Illustrate how the drivers of change. may affect health and how health itself is a driver of change by. ensuring that key actors and decision makers in all sectors are. aware of their responsibility for health and their potential role in. health promotion and protection,Proposed main goals of Health 2020 contd. 4 Set common strategic goals Support the development of policies and. strategies in countries at the appropriate level giving stakeholders and. potential partners a clear map of the way forward, 5 Accelerate knowledge sharing Increase the knowledge base for.
developing health policy by enhancing the capacity of health and other. professionals to adapt to the new approach to public health and the. demands of patient oriented health care in an ageing and multicultural. Presentation Health 2020 a new policy for a new era at the 14th European Health Forum Gastein 6 October 2011 Bad Hofgastein Austria This presentation makes the case for a big shift in our struggle for health and well being promoting a whole of government approach Introduction and thanks Slide 1 Zsuzsanna Jakab WHO Regional Director for Europe 14th European Health Forum Gastein 6

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