25 April 2012, Copenhagen, Denmark - Most people with diabetes do not know that they have the condition, thus missing an essential first step in the ability to access treatment. We can ensure that more attention is paid to recognizing the condition and preparing clinical staff to effectively use all techniques for reducing complications, from blood glucose monitoring through to appropriate foot care.

1. Health 2020
Zsuzsanna Jakab
WHO Regional Director for Europe

2. European Diabetes Leadership Forum 2012 Date Slide no 2
Priority area 1. Investing in health through a life-course
approach and empowering people
60
Prevalence of overweight, including obesity – boys (%)
Based on the 2007 WHO growth reference for children and 49 47.1
50
adolescents aged 5–19 years
40.5
40 35.9
34.3
32.5 31.8
30 27.4 28 28.2
23.4 24.8 26.3
24 23
22.1 21.4 23.5
19.3
20
10
0
6-year-olds 7-year-olds 8-year-olds 9-year-olds

3. European Diabetes Leadership Forum 2012 Date Slide no 3
Diabetes: a simplified framework for action
General Overweig Impaired Not Diagnose With
Populatio ht or Glucose Diagnose d Compli-
n Obese Balance d Diabetes cations
Advanced
Healthy
Disease
Without Diabetes With Diabetes

4. European Diabetes Leadership Forum 2012 Date Slide no 4
Diabetes: a simplified framework for action
General Overweig Impaired Not Diagnose With
Populatio ht or Glucose Diagnose d Compli-
n Balance d Diabetes
-- Obese -- -- -- cations
Laws, -- Reduce Reduce Reduce
norms, Maintain or incidence unknown incidence --
standards reduce of diabetes of Maximize
-- weight diabetes, -- complica- Advanced
normal
Healthy
Maintain or -- such as by Screening tions function
reduce Social intensive and case- -- Disease
--
weight marketing; personal finding Strict Rehabilita-
-- Supportive advice and clinical tion and
Promote environ- support manageme prosthetic
healthy ments; nt of services
Personal (as in
diet and Finland) cardio-
activity programm metabolic
es risk
Without Diabetes With Diabetes

5. European Diabetes Leadership Forum 2012 Date Slide no 5
Priority area 2. Tackling Europe’s major health challenges in
communicable and noncommunicable diseases (NCDs)
Life expectancy at birth, in years
• Address the social 80
determinants of
health
• Redress patterns
of health inequities 75
• Ensure that
continuous European Region
EU members before May 2004
reduction of health EU members since May 2004
CIS
inequities become
a criterion in 70 CIS: Commonwealth of
Independent States
assessing health
systems’
performance
65
1970 1980 1990 2000

6. European Diabetes Leadership Forum 2012 Date Slide no 6
Standardized
death rates
(SDRs) for
circulatory
disease,
European
Union (EU)

7. European Diabetes Leadership Forum 2012 Date Slide no 7
SDRs for
circulatory
disease,
newly
independent
states

8. Priority area 3. Strengthening people-centred health systems,
public health capacity and emergency preparedness
- Increasing importance of care
integrated across all levels
- Primary care at the centre
- Redefine the role of hospitals in
a better balanced health system
- WHO/Europe started to develop
guidance on vision and clinical
strategy on integrated care, in
close collaboration with EU
reflection process

9. European Diabetes Leadership Forum 2012 Date Slide no 9
Essential public health operations
1. Surveillance of population health and well-
being
2. Monitoring and response to health hazards
and emergencies
3. Health protection, including environmental,
occupational, food safety and others Strengthening
4. Health promotion, including action to
address social determinants and health public health
inequity capacities and
5. Disease prevention, including early detection
of illness services in Europe:
6. Enssuring governance for health and a framework for
wellbeing
7. Ensuring a competent public health action
workforce
8. Ensuring organizational structures and
financing Technical document
9. Advocacy, communication and social
mobilization for health Regional Committee
10. Advancing public health research to inform
policy and practice Baku

10. European Diabetes Leadership Forum 2012 Date Slide no 10
Priority area 4. Creating supportive environments and
resilient communities

11. European Diabetes Leadership Forum 2012 Date Slide no 11
The Political Declaration of the
High-level Meeting of the General Assembly
on the Prevention and Control
of Non-communicable Diseases

12. European Diabetes Leadership Forum 2012 Date Slide no 12
Secondary European
Planning
Health in Healthy
and action
all policies settings prevention
oversight
plan on
Fiscal policies Cardio-
NCDs
metabolic risk
Workplaces
National plan assessment
and schools
and
Marketing management
Health infor- Salt
mation Early
Active
system with detection of
mobility
social cancer
determinants Trans-fat

13. “Best buys” package: population-based
approaches
• Smoke-free environments
• Warning about the dangers of
tobacco use
• Bans on tobacco advertising
• Raising taxes on tobacco
• Raising taxes on alcohol
• Restricting access to retailed alcohol
• Bans on alcohol advertising
• Reducing salt intake and salt content
of food
• Replacing trans-fat in food with
polyunsaturated fat
• Promoting public awareness about
diet and physical activity

14. European Diabetes Leadership Forum 2012 Date Slide no 14
A call on the whole of society
Global commitments
Overall societal goals
Interconnected
forms of
New strategic
government relationships
Citizens’
voice and participation
SOCIAL DETERMINANTS EQUITY
SUSTAINABILITY

15. European Diabetes Leadership Forum 2012 Date Slide no 15
Call on the private sector to address
• Marketing to children, while taking into
account existing national legislation and
policies
• Reformulating and labelling food products to
provide healthier options
• Promoting healthy workplaces
• Reducing salt
• Improving access to and affordability of
medicines and technologies

16. European Diabetes Leadership Forum 2012 Date Slide no 16
Thank you