Online Program

From Clinic to Food Production to City Planning: Building primary prevention of NCDs into Universal Health Systems in the Americas

Tuesday, November 3, 2015 : 8:30 a.m. - 8:50 a.m.

Lynn Silver, MD, MPH, Public Health Institute, Oakland, CA
Four underlying risk factors, unhealthy diet, tobacco use, harmful use of alcohol and physical inactivity underlie more than two thirds of all new cases of NCDs globally, and aggravate conditions of those already ill.  In Latin America and the Caribbean it has been estimated that annual mortality due to these risk factors exceeds a million attributable deaths annually.  These risks arise from changing patterns of production, consumption and behavior that result from transformations in our communities. The consequent burden of disease, in addition to causing enormous human suffering, poses major operational and financial challenges for assuring universal health care. Innovative approaches to addressing these risk factors, from incorporation into primary care to development of multi-sectoral policies and practices, are growing in the Americas. These range from advising patients on salt or supporting tobacco cessation in clinics to national regulatory approaches to salt reduction in Argentina and innovative dietary guidelines addressing processed food in Brazil. The Pan American Health Organization, with  a wide range of other partners, is working to strengthen systematic cooperation in the Americas on integration of primary prevention policy and practice on these four risk factors, into the design of national health systems, and their approach to noncommunicable disease. This presentation will seek to describe systematic approaches to integration and strengthening of stewardship and governance  capacity required to create the physical and social environments amenable to healthy choices.

Learning Areas:

Chronic disease management and prevention
Provision of health care to the public
Public health or related nursing
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Demonstrate innovative approaches to primary prevention of noncommunicable disease risk factors by health systems in the Americas. Identify challenges posed and approaches for universal health systems to effectively address the four leading NCD risk factors.

Keyword(s): Chronic Disease Prevention, System Involvement

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Dr. Silver is a pediatrician and Senior Advisor at Public Health Institute, NYC’s former Assistant Commissioner, professor of public health in Brazil, and visiting scholar at the Karolinska Institute. Since 2004, she has focused on NCD prevention through environmental transformation, leading NYC efforts such as trans fat and calorie labeling laws, salt reduction, and Active Design. She currently focuses on primary prevention of NCDs in the Americas, including supporting PAHO‘s efforts to strengthen regulatory capacity.
Any relevant financial relationships? Yes

Name of Organization Clinical/Research Area Type of relationship
Abbott Laboratories and Abbvie (NA, husband's former employer Note: I will not, nor ever have, promoted any product made by this company or any other and have no influence over their CE. and Stock Ownership

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.