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Global Diabetes Project HOPE: Addressing Diabetes Around the World Charlotte Block, MS, RD Program Officer – Chronic Disease Project HOPE CORE Group Spring Meeting May 12 th , 2011 Baltimore, MD
Agenda – Global Diabetes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Global Diabetes Burden: Large and growing Mexico 6.8 M (10.1%) Brazil 7.6 M (6%) China 43.2 M (4.5%) India 50.8 M (7.1%) Egypt 4.8 M (10.4%) Kenya 0.5 M (2.8%) South Africa 1.3M (4.5%) UAE 0.4 M (12.2%) Oman 0.2 M (11.1%) Indonesia 7 M (4.6%) USA 26.8 M (12.3%) UK 2.1 M (4.9%) Australia 1 M (7.2%) Japan 7 M (7.3%) Canada 2.9 M (11.6%) Russia 9.6 M (9%) Researched country Comparison country Source: IDF Diabetes Atlas 2010, MedMarket Diligence, LLC Diabetes and NCD Need
Global Diabetes Epidemic 2009
Top 10: Number of People with Diabetes 2010 and projected 2030 1 China   92.4 2. India   50.8
Major Causes? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Public Health and Economic Impact: A Cause for Action Population  incidence for diabetes grows 5.5% per year  without behavior-change interventions Currently high-risk or undiagnosed populations  develop late-stage complications  before detection Diagnosed  patients experience poor diabetes management  due to lack of human and intellectual capital Specialty Care Burden Preventable conditions develop into high-cost and complex burdens on primary-tertiary health systems High-Cost Medical Treatment Growth in high-cost treatments for amputations, blindness, renal failure, and co-morbidities such as CVD Lack of Population Productivity Diabetes caused 6.8% of all deaths in 2010 and will increase 5.5-12% per year in some regions Prevalence 438 M People Global Spend $561 billion Source: IDF World Diabetes Atlas – Economic Impacts of Diabetes Health systems  lack capacity and processes  to treat chronic conditions (acute-focused) Governments  lack effective programs and policies  to prevent increased incidence and severity of diabetes Public Health Impact Economic Impact
Saving Lives: Understanding the Many Faces of Diabetes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],“ Insulin is like air to me; I need it to live” “ Diabetes is my fate, so why should I change?” “ I’d rather have HIV than have diabetes”
Diabetes - Global Health Crisis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What Works? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diabetes Education ,[object Object],[object Object],[object Object],[object Object],[object Object]
Project HOPE: Diabetes Programs Mexico 2001-present India 2007-present China 1996-present New Mexico, USA 2010- present S. Africa pending Nicaragua 2010 - present
Qingdao Chengdu Xi’an   Beijing Guangzhou Hangzhou Shanghai Ruijin Shanghai Huashan Harbin Nanjin g China Diabetes Program (1996-Present) ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Mexico (2001 – Present) Layers of Obesity
[object Object],[object Object],[object Object],[object Object],[object Object],India Diabetes Educator Project (IDEP)
New Mexico – HABITS for LIFE ,[object Object],[object Object],[object Object],[object Object]
Gestational Diabetes ,[object Object],[object Object],[object Object]
Plans for the Future… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
For more information: Charlotte Block, MS, RD Program Officer - Chronic Disease/Nutrition [email_address] www.projecthope.org Thank You! Special thanks to consultant Emily Ewell

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Non-Communicable Diseases: The Unheralded Global Epidemic_Block_5.12.11

  • 1. Global Diabetes Project HOPE: Addressing Diabetes Around the World Charlotte Block, MS, RD Program Officer – Chronic Disease Project HOPE CORE Group Spring Meeting May 12 th , 2011 Baltimore, MD
  • 2.
  • 3. Global Diabetes Burden: Large and growing Mexico 6.8 M (10.1%) Brazil 7.6 M (6%) China 43.2 M (4.5%) India 50.8 M (7.1%) Egypt 4.8 M (10.4%) Kenya 0.5 M (2.8%) South Africa 1.3M (4.5%) UAE 0.4 M (12.2%) Oman 0.2 M (11.1%) Indonesia 7 M (4.6%) USA 26.8 M (12.3%) UK 2.1 M (4.9%) Australia 1 M (7.2%) Japan 7 M (7.3%) Canada 2.9 M (11.6%) Russia 9.6 M (9%) Researched country Comparison country Source: IDF Diabetes Atlas 2010, MedMarket Diligence, LLC Diabetes and NCD Need
  • 5. Top 10: Number of People with Diabetes 2010 and projected 2030 1 China 92.4 2. India 50.8
  • 6.
  • 7. Public Health and Economic Impact: A Cause for Action Population incidence for diabetes grows 5.5% per year without behavior-change interventions Currently high-risk or undiagnosed populations develop late-stage complications before detection Diagnosed patients experience poor diabetes management due to lack of human and intellectual capital Specialty Care Burden Preventable conditions develop into high-cost and complex burdens on primary-tertiary health systems High-Cost Medical Treatment Growth in high-cost treatments for amputations, blindness, renal failure, and co-morbidities such as CVD Lack of Population Productivity Diabetes caused 6.8% of all deaths in 2010 and will increase 5.5-12% per year in some regions Prevalence 438 M People Global Spend $561 billion Source: IDF World Diabetes Atlas – Economic Impacts of Diabetes Health systems lack capacity and processes to treat chronic conditions (acute-focused) Governments lack effective programs and policies to prevent increased incidence and severity of diabetes Public Health Impact Economic Impact
  • 8.
  • 9.
  • 10.
  • 11.
  • 12. Project HOPE: Diabetes Programs Mexico 2001-present India 2007-present China 1996-present New Mexico, USA 2010- present S. Africa pending Nicaragua 2010 - present
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19. For more information: Charlotte Block, MS, RD Program Officer - Chronic Disease/Nutrition [email_address] www.projecthope.org Thank You! Special thanks to consultant Emily Ewell

Notas do Editor

  1. Health care needs to be reoriented toward chronic disease. The need for patient involvement in self-care requires more education, motivation and support services. Lifestyle diseases can not only be treated at the individual level, but require a community perspective to foster an enabling environment.
  2. Obesity is the single greatest risk factor for diabetes. Childhood obesity rates must be confronted to stem the epidemic.
  3. Endline data is currently being processed to gauge the effectiveness of our school based “healthy habits” program. Annecdotal evidence to date is very promising – both clinically and in terms of creating healthier school and home environments.