The document establishes a framework for reducing morbidity and mortality of NCDs within the context of the broader Nigerian health system.
Speaking at the event, the Minister of Health, Isaac Adewole, said the document became necessary because Nigeria needs to take urgent steps in tackling NCDs in the country before it becomes a national threat.
NCDs are diseases that are not transmissible directly from one person to another. These diseases include cardiovascular disorders, respiratory disorders, diabetes, cancers, chronic kidney diseases, osteoarthritis, osteoporosis, Alzheimer and others.
Mr Adewole said NCDs can no longer be referred to as a rich man’s disease because even the poor are beginning to have the disease. This, he attributed to the change in lifestyle such as smoking of tobacco, inhaling second-hand smokes, an unhealthy dietary pattern such as high salt and sugar intake, high intake of saturated fats and physical inactivity (increasing sedimentary lifestyle or too much sitting).
“NCDs need conscious effort to do away with. The risk of someone dying of NCD is one in five. Sitting for too long is dangerous, please try to always walk around, he said.
Mr Adewole citing statistics from the World Health Organisation said though NCDs are regarded as the number one cause of death globally, this is not the case in Nigeria.
He said a WHO report in 2016 indicated that globally 41 million deaths out of the 57 million deaths, or 71 percent were attributed to NCDs with 15 million of these deaths termed as premature deaths.
Mr Adewole said communicable diseases caused the most deaths, with 63 percent as compared to cardiovascular diseases which are 11 percent, cancer of all kind, four percent, chronic respiratory diseases two percent and diabetes two percent.
“… That is why for us we say we are carrying a double burden of disease in Nigeria. We are still fighting that war on communicable diseases and have not succeeded; now we have non-communicable joining it. We have to manage the problem and this can mainly be done by prevention. To do so we need a multisectoral approach, that involvement from the ministries of labor, education, agriculture, and other sectors,” he said
The increasing burden of NCDs in Nigeria has been attributed to urbanization, change in lifestyles and behaviors. The change in lifestyle and behaviors are responsible for the metabolic (but modifiable) risk factors that give rise to the major NCDs.
These modifiable risk factors include tobacco use, harmful use of alcohol, physical inactivity and unhealthy diets such as excessive consumption of red meat, salt saturated fat, refined sugars in food and drinks.
Commending the government effort to tackle NCDs head-on in the country, WHO head of Non-Communicable Diseases, Rex Mpazanje, said this has become necessary because low and middle-income countries are disproportionally affected by NCDs. He said the low and middle-income countries in which Nigeria also falls contribute 78 percent of all the NCD deaths and 85 percent of premature deaths.
Premature deaths are under age 70 years and this translates to economic losses for the countries as the major workforce falls within the under 70 age group.
Mr Mpazanje who represented the WHO Officer In Charge of the Nigerian office, Peter Clement, said the high rising prevalence, morbidity and mortality of NCDs worldwide can be largely prevented and controlled through collective and multisectoral action by all member states and other relevant stakeholders at local national, regional and global levels.
He said four main NCDs responsible for over 80 percent of the deaths are cardiovascular diseases (heart attack and stroke) cancer, Chronic Respiratory Diseases (Chronic Obstructive Pulmonary diseases and Asthma) and Diabetes.
“These four main NCDs share four common main risk factors: tobacco use, use of alcohol, physical inactivity and unhealthy diet”, he said.
“Control of NCDs was also included in the 2030 agenda with a specific target towards reaching the sustainable development goals,” he added.
Seven most common Non Communicable Diseases (NCDs)
1. Hypertension
2. Diabetes
3. Fibroid
4. Stroke
5. Chronic Obstructive Pulmonary Disease (COPD)
6. Chronic Kidney disease
7. Cancer of all types
Seven common risk factors for NCDs
1. Tobacco use
2. Indiscriminate alcohol intake
3. Unhealthy dietary pattern ( eating much junk food, sugar, high salt intake, eating saturated fat, or fatty foods).
5. Living in a toxic environment
6. Air pollution
7. Inhaling of second-hand smokes
Source: Premiumtimes