2. WHO will celebrate its birthday on 7 April
2016 - World Health Day
The Day provides an opportunity for individuals
in every community to get involved in activities
that can lead to better health.
Each year a theme is selected that highlights a
priority area of public health.
. But this year, not with cake. The traditional
birthday cake will be replaced by healthier options,
like fruit, and a call to action to Tackle
3. Themes of last 5 yrs:
• 2015:from farm to plate, make food safe
• 2014: Small bite, big threat
• 2013: Blood Pressure – take control
• 2012:Good health add life to years
• 2011:Antimicrobial resistance
Why this theme was chosen
Because diabetes is on the rise – dramatically.
The number of adults in the world with diabetes has
nearly quadrupled since 1980 to 422 million adults
Simple lifestyle measures have been shown to be
effective in preventing or delaying the onset of
The goals of WHD 2016 are (1) scale up
prevention, (2) strengthen care, and (3) enhance
6. What is diabetes?
It’s a heterogeneous metabolic
disorder with common feature of
chronic hyperglycaemia with
disturbance of carbohydrate
,protein and lipid metabolism .
This could be due to
Absence of insulin
Reduction of insulin
Reduced receptor ability to use
There’s Type 1, Type 2, Gestational, Impaired Glucose
Tolerance (IGT) and Impaired Fasting Glycaemia (IFG).
7. Type 1 is where the pancreas doesn’t produce any insulin.
People with it need to have insulin every day. Scientists
don’t know what causes Type 1.
Type 2 is where the pancreas doesn’t produce enough insulin
or the body’s cells don’t react to insulin.(MOST COMMON)
It is usually caused by excess body weight and physical
inactivity, because the body isn’t using insulin effectively.
Gestational diabetes is a condition some pregnant women
suffer. It’s where blood glucose levels are higher than
normal, but not high enough to make them Type 2.
It can increase the risk of complications during pregnancy
and delivery. Women with it, and their children, also have
more chance of developing Type 2.
Impaired Glucose Tolerance (IGT) and Impaired Fasting
Glycaemia (IFG) are intermediate conditions in the transition
between normality and Type 2 diabetes.
10. Causative risk factors
Diagnosis-Prevention – Control
"People with diabetes can live long and
healthy lives if their disease is detected and
Dr Margaret Chan, WHO Director-General
11. Diagnosis and treatment
Only high group individuals are screened.
Early diagnosis can be accomplished through relatively inexpensive
testing of blood sugar by oral glucose tolerance test.
Also urine test for glucose
Interventions that are both cost-saving and feasible in developing
blood glucose control, particularly in type 1 diabetes. People with type 1
diabetes require insulin, people with type 2 diabetes can be treated
with oral medication, but may also require insulin;
blood pressure control; and
Other cost saving interventions include:
•screening and treatment for retinopathy (which causes blindness);
•blood lipid control (to regulate cholesterol levels);
•screening for early signs of diabetes-related kidney disease and
12. Primary prevention
type 1-basis of current knowledge
type 2-elimination of environmental risk factor
•Pressing need for primordial prevention
Normal body weight
By healthy nutritional habits
• type 2-sedentary life –style ,over nutrition ,obesity
Treatment aims : Maintain blood glucose level
Maintain ideal body weight
objective: Organize specialized clinics and units capable of
providing diagnostic and management skills of a high order
16. WHO response
WHO aims to stimulate and support the adoption of effective measures
for the surveillance, prevention and control of diabetes and its
complications, particularly in low and middle-income countries. To this
provides scientific guidelines for the prevention of major NCDs
develops norms and standards for diabetes diagnosis and care;
builds awareness on the global epidemic of diabetes, marking World
Diabetes Day (14 November);
The “WHO Global report on diabetes” provides an overview of the
diabetes burden, the interventions available to prevent and manage
diabetes, and recommendations for governments, individuals, the civil
society and the private sector.
The WHO “Global strategy on diet, physical activity and health”
complements WHO's diabetes work by focusing on population-wide
approaches to promote healthy diet and regular physical activity .
17. To help prevent type 2 diabetes and its complications,
people of all ages should:
• achieve and maintain healthy body weight;
• be physically active – at least 30 minutes of regular,
moderate-intensity activity on most days;
• eat a healthy diet of 3-5 servings of fruit and
vegetables a day and reduce sugar and saturated
fats intake; and
• avoid tobacco use – smoking increases the risk of
cardiovascular disease (adults with diabetes
historically have rates of CVD 2 to 3 times higher
than those of adults without diabetes).
Preventing Diabetes by who
18. Diabetes and the global NCD agenda
2011 UN Political
NCD Targets for
2025 – Halt the
rise in Diabetes
SDG target- One
21. ^ World Health Day, World Health Day (April 11, 2016). "WHO". www.who.int. WHO.
Retrieved April 11, 2016.
Jump up^ World Health Organization, World Health Day 2016: Diabetes. Geneva.
Accessed 16 March 2016.
References1.Huizinga MM, Rothman RL. Addressing the diabetespandemic: A comprehensive
approach. Indian J Med Res2006;124 : 481-4.2.Wild S, Roglic G, Green A, Sicree R, King
H.Global prevalence of diabetes: Estimates for the year 2000and projections for 2030.
Diabetes Care 2004; 27 : 1047-53.3.Sicree R, Shaw J, Zimmet P. Diabetes and impaired
glucosetolerance. In: Gan D, editor. Diabetes Atlas. InternationalDiabetes Federation. 3rd ed.
Belgium: InternationalDiabetes Federation; 2006 p. 15-103.4.Ahuja MMS. Epidemiological
studies on diabetes mellitus inIndia. In: Ahuja MMS, editor. Epidemiology of diabetes
indeveloping countries. New Delhi: Interprint; 1979 p. 29-38.5.Ramachandran A, Jali MV,
Mohan V, Snehalatha C,Viswanathan M. High prevalence of diabetes in an urbanpopulation in
south India. BMJ 1988; 297 : 587-90.6.Sridhar GR, Rao PV, Ahuja MMS. Epidemiology of
diabetesand its complications. In: RSSDI textbook of diabetesmellitus. Hyderabad: Research
Society for the Study ofDiabetes in India; 2002 p. 95-112.7.Rao PV, Ushabala P, Seshaiah V,
Ahuja MMS, Mather HM.The Eluru survey: prevalence of known diabetes in a ruralIndian
population. Diabetes Res Clin Pract 1989; 7 : 29-31.8.Ramachandran A, Snehalatha C,
Dharmaraj D, ViswanathanM. Prevalence of glucose intolerance in Asian Indians.Urban-rural
difference and significance of upper bodyadiposity.Diabetes Care 1992; 15: 1348-
55.9.Ramachandran A, Snehalatha C, Latha E, Vijay V,Viswanathan M. Rising prevalence of
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Notes de l'éditeur
The World Health Day is a global health awareness day celebrated every year, under the sponsorship of the World Health Organization (WHO)
What’s the history of World Health Day?
When the UN was formed in 1945, it was decided a global health organisation should be set up.
The World Health Organisation was born on April 7, 1948.
It was decided this anniversary should be marked with a day educating people on an important global health issue.
The first World Health Day was in 1950 and, since then, it has spread awareness on everything from food safety to blood pressure.
The day is also a celebration of the World Health Organisation itself.
seen as an opportunity by the organization to draw worldwide attention to a subject of major importance to global health each year
Good health add years
farm to plate
Rise is faster in low- and middle - income countries
What is diabetes?
It’s a lifelong condition that causes someone’s blood sugar (glucose) level to become too high.
There’s Type 1, Type 2, Gestational, Impaired Glucose Tolerance (IGT) and Impaired Fasting Glycaemia (IFG).
Insulin, a hormone made by the pancreas, is responsible for controlling the amount of glucose in the blood.
Type 1 is where the pancreas doesn’t produce any insulin.
People with it need to have insulin every day. Scientists don’t know what causes Type 1.
Type 2 is where the pancreas doesn’t produce enough insulin or the body’s cells don’t react to insulin.
It is usually caused by excess body weight and physical inactivity, because the body isn’t using insulin effectively. Type 2 is the most common form of diabetes.
Gestational diabetes is a condition some pregnant women suffer. It’s where blood glucose levels are higher than normal, but not high enough to make them Type 2.
It can increase the risk of complications during pregnancy and delivery. Women with it, and their children, also have more chance of developing Type 2.
Impaired Glucose Tolerance (IGT) and Impaired Fasting Glycaemia (IFG) are intermediate conditions in the transition between normality and Type 2 diabetes.