Chronic non-communicable diseases, the leading cause of death worldwide

The second day of the symposium on chronic non-communicable diseases was held in Kosovo, hosted by the Ministry of Health and the National Institute of Public Health. In this symposium, some statistics were made known regarding those affected by heart diseases, diabetes, cancer, etc.

The Director of Science and Public Health at the World Heart Federation, Sean Taylor, while presenting the "State of the World Heart Report 2022", emphasized that there are about 100 million people living with cardiovascular disease in Europe, and that the number is increasing. becoming a challenge for health systems.

"There are 100 million people living with cardiovascular disease in Europe, this is in 2019, so there has been an increase of 99 percent and the number is increasing and this is a challenge for the health systems, because we always have more people who need treatment for cardiovascular disease. They need an improved health system and to enable them to pay for treatment...Half of the deaths are due to hypertension. So we have 2.3 million deaths and the main risk and death factor in general is hypertension... Another fact is air pollution, it is the second contributor to cardiovascular disease deaths, we have 4.8 million deaths from air pollution, we also have the index of high body mass that are contributory", Taylor said.

Meanwhile, the senior program manager at the World Diabetes Foundation, Mette Skar emphasized that globally there are about 435 million people living with diabetes and that this number is likely to increase to 700 million by 2035..

"Globally, 435 million people in the world are living with diabetes, and this is likely to increase to 700 million people by 2035. These 435 million people living with diabetes are in low- and middle-income countries and by 2045 this number will increase to 634 million. Managing diabetes is not expensive, but not treating it is really expensive. Diabetes is the leading cause of serious complications such as strokes, blindness, kidney disease, depression, cardiovascular disease and amputations. Even these complications are really expensive to treat... The problems caused by NCDs (Non-Communicable Diseases) I want to highlight some of the global responses to these challenges. NCDs have been part of the WHO agenda since the 80s, despite being the leading cause of mortality worldwide they have not received the same political or financial attention from the global health committee., Scar said.

While, through an online presentation, the Director of Policies at the European Cancer Organization, Richard Price emphasized that cancer care is a complex field and science has complexity because every day cancer brings new things and that, according to him, close cooperation is needed to succeeded.

He emphasized two of the main pillars on which their mission operates as the European Cancer Organization, which serves as a comprehensive federation of 42 European and international organizations in the field of cancer care.

"Our mission has two main pillars, the first is politics and advocacy, when we talk about the governmental level or the WHO and EU countries, we have different organizations which, sometimes from the governmental aspect, can be conflicting and confusing, but more or less our task is to raise politics to another level. To offer the societies together, to have the points, the common messages to respond to the needs that are important for us and the patients... We also have the second pillar, here we try to convey and facilitate on focused topics across the… So we've created 10 focus networks with focus topics in 2022, so the concept here is to bring together different expertise in cancer policy. So we have the prevention, we have the early detection of the screening network,” Price said.

Meanwhile, within the panel, when asked if Kosovo could benefit from funding from this organization, Price responded by saying that there are still no structures in place for funding from the EU in Kosovo, as far as cancer treatment is concerned.

The leader of the HAP project in Albania, Besim Nuri, also says that non-communicable chronic diseases make up the highest percentage of deaths, who emphasized that cardiovascular diseases are the main cause of death.

"You can see what are the main causes of diseases in Albania in the period 2018-2022, the main causes of death. We have cardiovascular diseases in the first place and it is an increasing trend, then there are tumors as the cause of death and then respiratory diseases... Mainly men die more from cardiovascular diseases and in this table you have the death data... There is a trend among young people for these diseases to decrease, then where is the problem why the general mortality increases, while the standardized decreases, there is a big problem in Albania and in many other developed countries, in Albania it is being installed in a significant way, which are the problems of demographic changes...The pyramid before 13 years has a wider base, there were more births, and today's pyramid is narrower, so the number of births has dropped significantly. Nuri said.

Also, in the framework of this symposium, the deputy director of Swiss TPH, Kaspar Wyss, spoke, while he talked about the control of non-communicable diseases from a world health perspective.

"The first pillar is very strong primary care, then it goes to the upper part which is the referral and hospitals part, on the right side you see how the allocation works in many states, where most of the resources go to hospitals , are used for hospital care. We as a community would prefer the focus of resource allocation to go to primary health care, then secondary...People today eat a much wider variety of foods than they did 50 years ago, which is something we would like from a care perspective. of health. A balanced diet with lots of fruits and lots of vegetables, and if we look back 50 years in history, we would certainly have a lot less choices in terms of food. On the other hand, we also see the tendency when we talk about the control of SJN, and the international market, we see that there is a lot of concern about the prevention of SJN". Wyss said.

Meanwhile, in this symposium, air pollution and its impact on health will be discussed, then hypertension, diabetes and malignant diseases./Mr. Zeneli/

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