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PRESENTED BY VANESSA CHEE AND JACQUELINE  WILTSHIRE

Published on Mar 26, 2016

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PRESENTATION OUTLINE

PRESENTED BY VANESSA CHEE AND JACQUELINE  WILTSHIRE

pUBLIC HEALTH IN THE CARIBBEAN

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Launched in July 2013
Intergovernmental agency
Explain what Caricom is
Main priorities:
Chikungunya virus control
Ebola virus preparedness

Infectious diseases

  • Chikingunya Virus (Chik V)
  • Dengue fever
  • HIV

chik v

Chikungunya is a viral disease transmitted to humans by infected mosquitoes. In addition to fever and severe joint pain, produces other symptoms such as muscle aches, headaches, nausea, fatigue and rash.
Some clinical signs of the disease are the same as dengue, with which it can be confused in areas where this is common.
With no cure, treatment focuses on relieving symptoms.
A major risk factor is the proximity of housing to breeding sites for mosquitoes.
From 2004 chikungunya fever has reached epidemic proportions, and causes considerable suffering and morbidity.
The disease occurs in Africa, Asia and the Indian subcontinent. In recent decades the vectors of the disease has spread to Europe and the Americas. In 2007, first reported transmission of the disease in Europe, in a localized outbreak in northeastern Italy.

Non-communicable diseases

  • Diabetes
  • Heart disease
  • Hypertension
  • Obesity:women & children

port of spain declaration

  • 2007
  • Policy commitment to lowering obesity, diabetes and heart disease
http://www.caricom.org/jsp/pressreleases/pres212_07.jsp

DECLARATION OF PORT-OF -SPAIN:
UNITING TO STOP THE EPIDEMIC OF CHRONIC NCDs

We, the Heads of Government of the Caribbean Community (CARICOM), meeting at the Crowne Plaza Hotel, Port-of-Spain, Trinidad and Tobago on 15 September 2007 on the occasion of a special Regional Summit on Chronic Non-Communicable Diseases (NCDs);
Conscious of the collective actions which have in the past fuelled regional integration, the goal of which is to enhance the well-being of the citizens of our countries;

Recalling the Nassau Declaration (2001), that “the health of the Region is the wealth of Region”, which underscored the importance of health to development;

Inspired by the successes of our joint and several efforts that resulted in the Caribbean being the first Region in the world to eradicate poliomyelitis and measles;

Affirming the main recommendations of the Caribbean Commission on Health and Development which included strategies to prevent and control heart disease, stroke, diabetes, hypertension, obesity and cancer in the Region by addressing their causal risk factors of unhealthy diets, physical inactivity, tobacco use and alcohol abuse and strengthening our health services;

Impelled by a determination to reduce the suffering and burdens caused by NCDs on the citizens of our Region which is the one worst affected in the Americas;

Fully convinced that the burdens of NCDs can be reduced by comprehensive and integrated preventive and control strategies at the individual, family, community, national and regional levels and through collaborative programmes, partnerships and policies supported by governments, private sectors, NGOs and our other social, regional and international partners;

Declare -

• Our full support for the initiatives and mechanisms aimed at strengthening regional health institutions, to provide critical leadership required for implementing our agreed strategies for the reduction of the burden of Chronic, Non-Communicable Diseases as a central priority of the Caribbean Cooperation in Health Initiative Phase III (CCH III), being coordinated by the CARICOM Secretariat, with able support from the Pan American Health Organisation/World Health Organisation (PAHO/WHO) and other relevant partners;

• That we strongly encourage the establishment of National Commissions on NCDs or analogous bodies to plan and coordinate the comprehensive prevention and control of chronic NCDs;

• Our commitment to pursue immediately a legislative agenda for passage of the legal provisions related to the International Framework Convention on Tobacco Control; urge its immediate ratification in all States which have not already done so and support the immediate enactment of legislation to limit or eliminate smoking in public places, ban the sale, advertising and promotion of tobacco products to children, insist on effective warning labels and introduce such fiscal measures as will reduce accessibility of tobacco;

• That public revenue derived from tobacco, alcohol or other such products should be employed, inter alia for preventing chronic NCDs, promoting health and supporting the work of the Commissions;

• That our Ministries of Health, in collaboration with other sectors, will establish by mid-2008 comprehensive plans for the screening and management of chronic diseases and risk factors so that by 2012, 80% of people with NCDs would receive quality care and have access to preventive education based on regional guidelines;

• That we will mandate the re-introduction of physical education in our schools where necessary, provide incentives and resources to effect this policy and ensure that our education sectors promote programmes aimed at providing healthy school meals and promoting healthy eating;

• Our endorsement of the efforts of the Caribbean Food and Nutrition Institute (CFNI), Caribbean Agricultural Research and Development Institute (CARDI) and the regional inter-governmental agencies to enhance food security and our strong support for the elimination of trans-fats from the diet of our citizens, using the CFNI as a focal point for providing guidance and public education designed toward this end;

• Our support for the efforts of the Caribbean Regional Negotiating Machinery (CRNM) to pursue fair trade policies in all international trade negotiations thereby promoting greater use of indigenous agricultural products and foods by our populations and reducing the negative effects of globalisation on our food supply;

• Our support for mandating the labelling of foods or such measures as are necessary to indicate their nutritional content through the establishment of the appropriate regional capability;

• That we will promote policies and actions aimed at increasing physical activity in the entire population, e.g. at work sites, through sport, especially mass activities, as vehicles for improving the health of the population and conflict resolution and in this context we commit to increasing adequate public facilities such as parks and other recreational spaces to encourage physical activity by the widest cross-section of our citizens;

• Our commitment to take account of the gender dimension in all our programmes aimed at the prevention and control of NCDs;

• That we will provide incentives for comprehensive public education programmes in support of wellness, healthy life-style changes, improved self-management of NCDs and embrace the role of the media as a responsible partner in all our efforts to prevent and control NCDs;

• That we will establish, as a matter of urgency, the programmes necessary for research and surveillance of the risk factors for NCDs with the support of our Universities and the Caribbean Epidemiology Centre/Pan American Health Organisation (CAREC/PAHO);

• Our continuing support for CARICOM and PAHO as the joint Secretariat for the Caribbean Cooperation in Health (CCH) Initiative to be the entity responsible for revision of the regional plan for the prevention and control of NCDs, and the monitoring and evaluation of this Declaration.

We hereby declare the second Saturday in September “Caribbean Wellness Day,” in commemoration of this landmark Summit.

Public health issues

  • CRIME
  • Domestic Violence
  • Child Abuse
  • Water sanitation and availability
  • Food insecurity
  • Mental health

Addressing public health

  • Governments change
  • Civil servants remain
  • Inefficient resource allocation

Population

  • Varies by island
  • Influenced by history
  • Multi-ethnic groups

trinidad and tobago

  • Population
  • 60% Afro-Trinidadian
  • 40% Indo-Trinidadian
  • Chinese. Portuguese, Syrian
  • Inter-racial marriage is common
Get statistics on the public health issues fro Trinidad
Stats for diseases in the Caribbean

TRINIDAD AND TOBAGO

  • Annual GDP 24.6 billion usd$
  • 24.6 billion USD $
  • Top 66 high income countries globally
Trinidad and Tobago is one of the wealthiest and most developed nations in the Caribbean and is listed in the top 66 High Income countries in the world. In the Caribbean, it is one of the richest countries, with a per capita GDP of USD $28,400 (2009).

In November 2011, the OECD (Organisation for Economic
Co-operation and Development) removed Trinidad and Tobago from its list of Developing Countries.

Trinidad and Tobago has earned a reputation as an excellent investment site for international businesses and has one of the highest growth rates and per capita incomes in Latin America. Recent growth has been fueled by investments in liquefied natural gas (LNG), petrochemicals, and steel. Additional petrochemical, aluminum, and plastics projects are in various stages of planning. Trinidad and Tobago is the leading Caribbean producer of oil and gas, and its economy is heavily dependent upon these resources but it also supplies manufactured goods, notably food and beverages, as well as cement to the Caribbean region. Oil and gas account for about 40% of GDP and 80% of exports, but only 5% of employment.

Trinidad and Tobago

  • CRIME: gang violence, homicide
  • CHIK-V
  • DENGUE
  • Mental health: domestic violence, child abuse, crime

QUESTIONS?

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