degenerative disease cluster-mommy chuchie

8/8/2019 degenerative disease cluster-mommy chuchie

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WELCOME!WELCOME!WELCOME!WELCOME!Degenerative Disease ClusterDegenerative Disease Cluster(Noncommunicable Disease)(Noncommunicable Disease)

Vivian H. Recalde, RNVivian H. Recalde, RNNurse IIINurse III


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Diabetes Prevalence in adults aged 20 years andover was estimated to be 4.0% in 1996 and is

expected to rise to 5.5 % by 2025. 75% of thesepeople will live in developing countries.

COPD- In 2000, WHO estimated 2.74 milliondeaths worldwide from COPD. Ranked 12th as a

burden disease in 1990; by 2020, it is projected torank fifth.

Cigarette smokingis the primary cause ofCOPD WHO estimates 1.1 billion smokers worldwide,

increasing to 1.6 billion by 2025. In low-and-middle-income countries, rates are increasing at an alarmingrate.


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Cancer- as of 1998, cancer was the

4th

leading cause of mortality.Among the ten leading sites of

cancer for both sexes in 1998, lungwas 1st, then breast, liver and cervixcancer.

For females, the leading site ofcancer was still breast and cervix:

for males, lung and liver.


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Epidemiology of NCDs: How serious is theproblem?

A. The Global Picture

Cardiovasculardiseases(CVD) anddiabetes aremajorcausesof prematuredeaths, morbidityanddisability in mostcountries.

Approximately 10 million of the total 15 millionCVD deaths each year occur in developingcountries.

Stroke- In the US, it is the 3rd leading cause of

death after diseases of the heart and all formsof cancer.


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Diabetes Mellitus (DM) was the 8th leading

cause of death as of 1998, prior to 1994, DMwas not even included among 10 leading causesof mortality

COPD and allied condition were the 7th leading

cause of death as of 1998. Asthma was estimated to have a prevalence of

16-17% in children (ISAAN Study), 1994) andabout 10% in adults.

A major portion of the deaths maybeattributed to alcohol intoxication.


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Leading Causes of Mortality,

Quezon Province, 20041-2005

2001 2002 2003 2005

CAUSES Rank Rank Rank Rank

Cardiovascular 1 1 1 1

Pheumonia 2 2 2 2

HPN 5 8 5

CANCER 2 4 3 4

PTB 4 5 4 5

Accident 7 10 8 8

COPD 6 7 7 6

Congenital Anomaly 15 13 13

Wounds 9 8 9CVA 8 3 6 3


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Factor that influence theincreasing trend of NCDs worlwide:

Increasinglifeexpectancy- moreolderpersons->morepeopleexperiencingchronicdisease

Increasingurbanizationrapid migrationfrom

ruralto urbanareas-> overpopulationinurbanareas->poverty, environmentalpollution;proliferationofconveniences->poornutritionandsedentarylifestyle.

Withglobalization- Increased inindustrialization,

increased tradeinmanyproductsincludingfoodstuffs& tobacco products.


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National Cardiovascular DiseasePrevention and Control (NCD

PC)

VISION

A Nation of Filipinos with healthy lifestyle and habits, living andworking in clean and safe environment, and with access toadequate medical care for cardiovascular diseases

OBJECTIVES

Reduction in morbidity and mortality from CVD

Reduction of the ____________________ individual, the family

and the community improvement in the productivity and quality oflife or CVD areas.


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Public Health SignificanceofNoncommunicable Diseases (NCDs)

All countries in the region are experiencing a shift incauses of death and disability, from infectiousdiseases to NCDs.

CVDs and DM, are now becoming the major causes ofdeath.

The burden of these disease is high and impacts notonly on health but also on the economic, social &political dimensions.

Aside from premature deaths, NCDs lead to disability& poor quality of life resulting in high economic andsocial costs not only to the individual & his family, but

to society in general.


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All these factors have a profound impact on the

lifestyles of people

diets have changed, levelsof physical activity have reduced, and access toalcohol and tobacco has increased.

Health care cost of treatment & rehabilitation

is also increasing, national insurance system isnot adequate.

* There is, therefore, a need to direct public

health efforts towardPRE

VENTI

ON ratherthan CURE.*


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STRATEGIES

1. PrimordialPrevention______________________________

_____________________________________________________________________

2. Primary Prevention (High Risk Strategy)

3. Secondary Prevention (Clinical Management and Careof CVD cases).

4. Tertiary Prevention (Management of Communication)

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degenerative disease cluster-mommy chuchie