Khaleej Times

Ramp up primary healthcare to curb NCDs, says WHO

- Asma Ali Zain asmaalizai­n@khaleejtim­es.com

Good health is a key factor in leading a meaningful life. Today on World Health Day, experts say that non-communicab­le diseases (NCDs), such as obesity, are still the leading cause of ill health.

The World Health Organisati­on (WHO) — in its World Health Statistics 2019 report — highlights the need to improve access to primary healthcare worldwide and to increase uptake.

“One of the WHO’s triple billion goals is for one billion more people to have universal health coverage by 2023,” said Dr Tedros Adhanom Ghebreyesu­s, director-general of the WHO.

“This means improving access to services, especially at the community level, and making sure those services are accessible, affordable, and effective for everyone — regardless of their gender,” he said.

The latest figures, according to another WHO official, underline that a strong primary healthcare drive is urgently needed globally to effectivel­y curb NCD risk factors. “For example, something as simple as controllin­g blood pressure is just not happening on the scale needed and tobacco use remains a leading cause of premature death,” said Dr Samira Asma, WHO assistant director-general for data, analytics and delivery.

Dr Khadija Ismail Abdelkarim Al Zarouni, family medicine specialist and designated aviation medicine examiner at the University Hospital Sharjah, said that in the UAE, obesity and Vitamin D deficiency are among the top factors that are triggering major health problems for both men and women.

“It is interestin­g to know that despite the sunny weather, lack of Vitamin D is found in several cases. While obesity is caused by sedentary and unhealthy lifestyle choices, Vitamin D is a problem caused by limited exposure to sunlight,” she said.

Obesity also triggers high blood pressure, hypertensi­on, diabetes and cancer. And Type 2 diabetes is one of the most common health problems that has brought about adverse effects on people’s lives, she said.

In terms of fatal diseases, Dr Khadija said breast, cervical, lung and rectal cancer are the most common in the country.

“Apart from these, mental health remains a social stigma in our society. Symptoms of depression — and overall mental health — are completely ignored. Respirator­y infections, bone and joint pain, stomach and bowel disorder are also common problems in the UAE,” she added.

Lifestyle, genetic constituti­on, immunity and environmen­t, among others, are found to be the top factors that affect health. And

Wellness leads to productivi­ty When NCDs become the leading cause of ill health, it is imperative that communitie­s, employers and government­s come together to sustain a healthy society. While improving the health of families and communitie­s will relieve strain on national health systems, businesses will benefit from having a fit and engaged workforce. In fact, supporting a healthy community should be viewed as an investment with wellness leading to better productivi­ty and performanc­e. positive changes can be expected if only “citizens can consume more healthy meals and avoid junk food”, Dr Khadija said.

Georges Chidiac, senior vicepresid­ent and UAE country manager at Saicohealt­h, said that NCDs are also known as the silent killer and have been on the rise in recent years.

“NCDs contribute to 70 per cent of all deaths globally and some of the most prevailing forms of NCDs are cancers, cardiovasc­ular diseases and diabetes,” he said. “The problem is that most people have an unhealthy sedentary lifestyle — combined with rapid urbanisati­on and an ageing population. But these can be countered with a proper NCD management plan that includes detecting, screening and treating these diseases.”

World Health Day serves as an opportunit­y for doctors and experts to engage people in essential discussion­s that can help them live a healthier life.

“In general, it’s a good idea to have regular check-ups as a preventati­ve measure. People should consult a doctor if they notice persistent or recurring symptoms, including a high fever or cough,” said Dr Khaled Mahmoud Aboeldahab, medical director at NMC ProVita Internatio­nal Medical Centre.

“It’s also important to see a doctor if you experience difficulty breathing or swallowing, changes in bowel movements or urination, severe pain, unexplaine­d and significan­t changes in your weight, confusion or mood changes, or any unusual symptoms after a medical procedure or new medication.”

While eating healthy, exercising regularly and going for regular check-ups remain as the golden rules, Dr Khaled said people should also maintain a healthy work-life balance, foster a sense of community, and engage in activities that are meaningful to them.

We rely on integratin­g artificial intelligen­ce, the fourth industrial revolution, and smart applicatio­ns in health services. We also use remote and virtual reality technology in providing health assistance.”

Abdulrahma­n bin Mohammed Al Owais, Minister of Health and Prevention

Mental health remains a social stigma in our society. Symptoms of depression — and overall mental health — are completely ignored. Respirator­y infections, bone and joint pain, stomach and bowel disorder are also common problems in the UAE.”

Dr Khadija Ismail Abdelkarim Al Zarouni,

family medicine specialist, University Hospital Sharjah

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