1. Physical Activity, Sport, and Non-Communicable Disease
Dr Timothy Armstrong
Prevention of Noncommunicable Diseases Department

2. The World Health Organization (WHO)
• Specialized agency within the Charter of the United Nations
(1948)
• 194 Member State
• One WHO, but decentralized structure
• Governing bodies
– World Health Assembly
– Executive Board
WHO's objective:
Attainment by all peoples of the highest possible level of health

3. WHO Regional Offices

4. WHO is primarily responsible for:
•
•
•
•
•
•
providing leadership on global health matters,
shaping the health research agenda,
setting norms and standards,
articulating evidence-based policy options,
providing technical support to countries and
monitoring and assessing health trends

5. 
I
Why are governments seeing NCDs as the new
frontier in the fight to improve public health and
socio-economic development?
In all developing countries, and by any metric, NCDs
now account for a large enough share of premature
deaths and poverty to merit a concerted and
coordinated government-led public policy response.

6. 2000
Global Strategy for the Prevention and Control of
Noncommunicable Diseases
2003
Global Strategy on Diet,
Physical Activity and Health
2004
2008-2013 Action Plan on the Global Strategy for the
Prevention and Control of NCDs
2008
Global Strategy to Reduce the
Harmful Use of Alcohol
2009
WHO Global Status
Report on NCDs
2010
2011
Moscow Declaration
2013
2014
2025
UN Political Declaration on NCDs
UN General Assembly
Comprehensive Review 2014 on NCDs
Attainment of the 9 global targets
for NCDs by 2025
WHO Global NCD Action Plan
2013-2020, including 9 global
targets and 25 indicators

7. Global burden of NCDs (millions of deaths in 2008)
M 60
M 50
( m. deaths due to NCDs (63% of global deaths 36
M 40
9%
28%
M 30
M 20
M 10
47%
16%
0
Communicable, maternal, perinatal and nutritional conditions
NCDs < 60
NCDs > 60
Injuries

8. Noncommunicable disease and risk factors
Tobacco use
Unhealthy diets
Physical inactivity
Harmful use of
alcohol
Heart disease and
stroke




Diabetes




Cancer




Chronic lung
disease


9. Huge disparities exist across countries in relation to the probability of death from
an NCD between the ages of 30-69

10. The cost of inaction in developing countries over the next 15 years is
( enormous (compared to the cost of action
US$ 7T
US$ 170B
is the cumulative lost
output in developing
countries associated
with NCDs between
2011-2025
is the overall cost for all
developing countries to
scale up action by
implementing a set of
interventions between
2011 and 2025, identified
as priority actions by
WHO
Reports are available at www.who.int/ncd

11. The General Assembly adopted by consensus the resolution
titled "Political Declaration of the High-level Meeting of the
General Assembly on the Prevention and Control of Noncommunicable Diseases" (document A/66/L.1).

12. The WHO Global NCD Action Plan 2013-2020
unites governments, international partners and WHO around a common agenda
Vision:
A world free of the avoidable
burden of NCDs
Goal:
To reduce the preventable and
avoidable burden of morbidity,
mortality and disability due to
NCDs by means of
multisectoral collaboration and
cooperation at national,
regional and global levels
Obesity Symposium
Brocher Foundation
Geneva, 1 –2 July 2013

13. The WHO Global NCD Action Plan 2013-2020 has six objectives
with recommended actions for Member States, international partners and WHO
Objective 1
To raise the
priority accorded
to the prevention
and control of
NCDs in global,
regional
and national
agendas and
internationally
agreed
development
goals, through
strengthened
international
cooperation
and advocacy
Obesity Symposium
Brocher Foundation
Geneva, 1 –2 July 2013
Objective 2
To strengthen
national capacity,
leadership,
governance,
multisectoral
action and
partnerships to
accelerate
country response
for the
prevention and
control of NCDs
Objective 3
To reduce
modifiable risk
factors for NCDs
and underlying
social
determinants
through
creation of
health-promoting
environments
Objective 44
Objective
To strengthen
To strengthen
and orient
and orient
health systems
health systems
to address the
to address the
prevention and
prevention and
control of
control of
NCDs and
NCDs and
the underlying
the underlying
social
social
determinants
determinants
through
through
people-centred
people-centred
primary health
primary health
care and
care and
universal
universal
health
health
coverage
coverage
Objective 55
Objective
To promote
To promote
and support
and support
national
national
capacity for
capacity for
high-quality
high-quality
research and
research and
development
development
for the
for the
prevention and
prevention and
control of
control of
NCDs
NCDs
Objective 6
To monitor the
trends and
determinants of
NCDs and
evaluate progress
in their
prevention
and control

14. Formal Meeting of Member States to conclude the
work on the comprehensive global monitoring framework including indicators and
a set of voluntary targets for the prevention and control of NCDs

15. 2013-2020 NCD Global Action Plan
• Actions are to advance the implementation of the
Global Strategy on Diet, Physical Activity and Health
and other relevant strategies with a focus on policies
and actions across multiple settings and emphasis on
a life course approach.
• Interventions to increase participation in physical
activity in the entire population for which favorable
cost effectiveness data are emerging should be
promoted.
• Aim: progress in achieving the voluntary global targets

16. WHO Global Recommendations on Physical Activity (2010)

17. Partnership for action
" …agree to work together in our respective
countries and areas to accelerate the
implementation of national NCD strategies
with particular focus on strengthening joint
initiatives to increase participation in sport."

18. Partnership for action