Štáty začali ohľadom neprenosných ochorení (NCDs) konať, je však potrebné urýchliť úsilie na splnenie globálnych záväzkov | Medicínske právo
              

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Štáty začali ohľadom neprenosných ochorení (NCDs) konať, je však potrebné urýchliť úsilie na splnenie globálnych záväzkov


 | 23.7.2016 | komentárov: 439

18. júl 2016 | NEW YORK / ŽENEVA - Nová správa WHO (Svetovej zdravotníckej organizácie, ďalej len WHO) zdôrazňuje potrebu zintenzívniť vnútroštátne opatrenia na splnenie globálnych cieľov, ktoré vlády dohodli na ochranu pred ochoreniami srdca, rakovinou, cukrovkou a pľúcnymi chorobami. V celosvetovom meradle predstavujú tieto 4 neprenosné ochorenia (non communicable diseases, ďalej len NCDs) najčastejšiu príčinu úmrtia ľudí vo veku do 70 rokov, čo predstavuje veľkú hrozbu pre udržateľný rozvoj.

Obrazok

Celosvetový prieskum pod názvom „Posudzovanie národných kapacít pre prevenciu a kontrolu neprenosných chorôb“ poukazuje na to, že niektoré krajiny robia v tejto oblasti obdivuhodné pokroky. Mnohé krajiny zaviedli opatrenia na ochranu ľudí pred vystavením užívania tabaku, škodlivou konzumáciou alkoholu, nezdravou stravou a nedostatkom telesnej aktivity. Niektoré z nich
vytvorili nové možnosti financovania na vybudovanie silných systémov verejného zdravotníctva prostredníctvom zdanenia tabakových výrobkov. Doktor Oleg Chestnov, asistent generálneho riaditeľa pre NCDs a duševné choroby pri WHO, uviedol, že vzhľadom na slabý pokrok v stredných a chudobnejších krajinách hrozí, že napokon nebude naplnený Cieľ 2030 – Program trvalo udržateľného rozvoja (SDG) zameraný na zníženie predčasnej úmrtnosti spôsobenej NCDs o 30%.

Zistenia
Nová správa WHO sleduje pokrok v rámci 4 časovo obmedzených záväzkov dohodnutých v roku 2014, zameraných na posilnenie schopnosti krajín vysporiadať sa s NCDs. Tie majú stanoviť národné ciele pre zredukovanie NCDs, vypracovať vnútroštátne multi-sektorové politiky a plány na dosiahnutie týchto národných cieľov, znížiť expozíciu faktorov ohrozujúcich ľudí neprenosnými ochoreniami a tiež
posilniť systémy zdravotnej starostlivosti v oblasti NCDs. K dnešnému dňu, 60 % krajín stanovilo národné časovo obmedzené ciele pre ukazovatele NCDs a až 92 % z nich (z týchto krajín), začlenili NCDs do svojich národných zdravotných plánov. Najrozšírenejšou fiškálnou intervenciou/zásahom je zdanenie tabaku, pričom 87 % krajín oznámilo, že už zaviedlo spotrebnú daň z tabakových výrobkov.
Druhým najrozšírenejším zásahom je zdanenie alkoholu, kde 80 % krajín hlási tento typ intervencie. Cukrom sladené nápoje (18 % krajín) a potraviny s vysokým obsahom tuku, cukru a soli (8% krajín) predstavujú tretí a štvrtý najrozšírenejší fiškálny zásah.

Požadované kľúčové opatrenia:
 Katalytické financovanie prosterdníctovm tuzemských bilaterálnych (dvojstranných) a multilaterálnych (viacstranných) dohôd na rozvíjanie základnej prevencie NCDs a kontrolné programy v krajinách s nízkymi a strednými príjmami k posilneniu kapacít pre primárnu
prevenciu, vyšetrenia a dohľad.
 Väčšia pozornosť venovaná tvorbe politík v sektoroch mimo zdravotníctva, ktoré majú vplyv na NCDs, ako sú obchod a marketing týkajúci sa nezdravých alebo škodlivých produktov.
 Potreba silnejších multisektorálnych mechanizmov riadenia na uskutočnenie rozvojových cieľov SDG zameraných na NCDs prostredníctvom krokov celej vlády a spoločnosti.
 Rozšírenejšia operacionalizácia národných plánov týkajúcich sa NCDs, najmä plánov venovaných nezdravej strave.
 Väčšie rozšírenie zavedenia kontrolných systémov pre spustenie národných prieskumov
rizikových faktorov minimálne každých 5 rokov na sledovanie cieľov, indikátorov a pokrokov.
 Zaistenie zdravotných systémov môže reagovať na potreby zdravotnej starostlivosti o osoby trpiace NCDs, poskytovaním základných služieb ako je detekcia, liečba a starostlivosť o osoby s rakovinou. Testovacie programy na rakovinu by sa mali stať systematickejšími a mali by osloviť viac ľudí v núdzi.
 Lepší prístup pre ľudí, ktorí trpia konečným štádiom NCDs na paliatívnu starostlivosť v systéme verejného zdravia, najmä v primárnej zdravotnej starostlivosti v komunite alebo domácej starostlivosti.

V roku 2012 prišlo v dôsledku týchto neprenosných chorôb (NCDs) o život 38 miliónov ľudí, z ktorých 16 miliónov (42 %) zomrelo predčasne, t. j. pre dovŕšením 70.roku života. Viac ako 80 % z týchto ľudí (38 mil.) pochádzalo z rozvojových krajín.

Proces OSN týkajúci sa NCDs
Prvé vysoké Valné zhromaždenie OSN (General Assembly high-level meeting) zamerané na NCDs sa uskutočnilo v roku 2011 a vyústilo do prijatia politickej deklarácie, ktorá prevenciu a kontrolu NCDs posunula na vysokú úroveň rozvojovej agendy. Druhé takéto stretnutie na vysokej úrovni sa uskutočnilo v roku 2014, kde sa krajiny zaviazali k založeniu národných cieľov NCD na rok 2015.

V roku 2018 sa bude konať tretie vysoké Valné zhromaždenie OSN za účelom zhodnotenia národných pokrokov pri dosahovaní dobrovoľných globálnych cieľov do roku 2025. Cieľ NCDs na zníženie predčasných úmrtí na ochorenia NCDs o 30 % do roku 2030 bol tiež zahrnutý do Programu trvalo udržateľného rozvoja (SDG).



Zdroj: http://who.int/mediacentre/news/notes/2016/noncommunicable-diseases- global-
commitments/en/




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