Integrated Risk Factor and CNCD Management

   Technical Documents


Technical Documents

Mobilizing for Dietary Salt Reduction Policies and Strategies in the Americas: Expert & Country Consultation (Miami, Florida, 13–14 January 2009)
The purpose of this meeting was to document the policies and initiatives in the Americas Region aimed at reducing dietary salt to prevent and control chronic noncommunicable diseases (CNCDs), feature relevant country and regional experiences, and reach a consensus on initiatives that can advance dietary salt reduction in the Americas and identify next steps for each. This page provides all conference and background documentation, including the conclusions and recommendations, executive summary, agenda, and related links.(16/Jan/2009)
In English       HTML(9.83k)  
en español     HTML(11.76k)  

AMNET Workshop: Health Analysis and Decision-Making, with Special Emphasis on Chronic Noncommunicable Disease (San Salvador, El Salvador, 12–15 November 2008)
This mini-workshop--a joint activity of the CARMEN Policy and the CARMEN School, held at America's Network for Chronic Disease Surveillance (AMNET)--was an introduction to the issue of public policies and decision-making with emphasis on health, within the context of surveillance, prevention, control of chronic noncommunicable diseases (CNCDs). This page offers a summary in English and access to conference documentation in Spanish (plus a link to an earlier such course with documentation in English). (15/Nov/2008)
In English       HTML(6.68k)  
en español     HTML(6.66k)  

Healthy Caribbean 2008: Chronic Disease Prevention Civil Society Conference (Barbados, 16–18 October 2008)
The objective of this meeting was to plan the response of civil society to the chronic disease epidemic in the Caribbean, in light of the Declaration of Port-of-Spain that resulted from the CARICOM Summit held in September 2007. The plan for civil society is a deliverable that falls under a PAHO/IAHF letter of agreement. This meeting was complementary to the one on the Caribbean Private-Sector Response to CNCDs held in Trinidad in June 2008.(16/Oct/2008)
In English       HTML(6.53k)  
en español     HTML(7.52k)  

CD48.R2 - WHO Framework Convention on Tobacco Control: Opportunities and Challenges for its Implementation in the Americas
CD48.R2 - WHO Framework Convention on Tobacco Control: Opportunities and Challenges for its Implementation in the Americas(30/Sep/2008)
In English       CD48.R2  
en español     CD48.R2  
en Français    CD48.R2  
em Português CD48.R2  

Regional Strategy on an Integrated Approach to the Prevention and Control of Chronic Diseases Including Diet, Physical Activity, and Health
Chronic diseases are the major cause of death in all the countries of the Americas. This strategy was created to deal with this new epidemic: It Strategy is comprehensive, requiring a combination of interventions for the population and individuals. It is integrated, spanning prevention and control strategies focusing on the major chronic diseases and cross-cutting risk factors (especially diet, physical activity, tobacco, and alcohol). Finally, it is intersectoral, because most of the major determinants of the chronic-disease burden lie outside the health sector. This page offers an executive summary and access to the full text in PAHO publication format, as well as related initiatives.(4/Sep/2008)
In English       HTML(6.92k)   PDF(1669.81k)  
en español     HTML(7.68k)   PDF(1662.37k)  
en Français    PDF(754.25k)  
em Português PDF(625.47k)  

CD48/8 - Regional Strategy for Improving Adolescent and Youth Health
CD48/8, Regional Strategy for Improving Adolescent and Youth Health(21/Aug/2008)
In English       PDF(244.31k)  
en español     PDF(175.23k)  
en Français    PDF(190.52k)  
em Português PDF(244.52k)  

CD48/12 -WHO Framework Convention on Tobacco Control: Opportunities and Challenges for its Implementation in the Americas
CD48/12 -WHO Framework Convention on Tobacco Control: Opportunities and Challenges for its Implementation in the Americas(16/Aug/2008)
In English       PDF(84.01k)  
en español     PDF(95.91k)  
em Português PDF(89.19k)  

Introduction to Social Marketing: Its Application for Promoting Healthy Lifestyles (Mexico City, Mexico, 28 July – 1 August 2008)
This 40-hour course was sponsored by PAHO's CARMEN School, the summer courses at the National Institute of Health of Mexico, and the University of South Florida. As a result, the technique of Social Marketing selected at the course will be used will be used for dissemination and application for social communication in the areas of obesity and overweight among children, physical activity, diabetes, cervical cancer, and limiting the sale of junk food and products from vending machines.(1/Aug/2008)
In English       HTML(6.65k)  
en español     HTML(6.73k)  

Barbados National Chronic NonCommunicable Diseases Commission (NCNCDC): Activities, 2007–2008
This page contains documents on Barbados' CNCD commission: membership, terms of reference, and 2007 achievements.(30/Jul/2008)
In English       HTML(2.11k)  

Trans Fat Free Americas: Declaration of Rio de Janeiro
Public health authorities, representatives of the food industry, and companies producing edible fats and oils--convened by the PAHO/WHO in the city of Rio de Janeiro from 8-9 June 2008--made this declaration against trans fatty acids in foods produced for human consumption.(9/Jun/2008)
In English       PDF(165.74k)  
en español     PDF(169.27k)  
em Português PDF(157.03k)  

Health Surveillance and Disease Prevention and Control at PAHO
This page describes the PAHO Technical Area for Health Surveillance and Disease Prevention and Control(HSD), its mission and objectives, what it does in terms of projects and activities. It contains links to the four technical groups and the Pan American Center under its umbrella. Note: Prior to June 2006, the Area was named Disease Prevention and Control.(3/Jun/2008)
In English       HTML(5.65k)  
en español     HTML(6.44k)  

Chronic Diseases: PAHO Activities
This page describes the mission, priority areas and activities related to chronic diseases: not only cancer, cardiovascular diseases, and diabetes but also risk-factor surveillance and integrated risk-factor and disease management (diet and physical activity, etc.).(3/Jun/2008)
In English       HTML(4.2k)  
en español     HTML(4.67k)  

Scaling Up Primary Health Care as a Major Strategy in the Prevention and Control of the Chronic Disease Epidemic (Global Health Council’s 35th Annual International Conference on Global Health, Washington, DC, 27 May 2008)
PAHO moderated a special session in this event devoted to strengthening primary care to deal with the chronic disease epidemic. This page contains a summary of the session plus the program, flyer, and four presentations.(27/May/2008)
In English       HTML(4.93k)  
en español     HTML(5.49k)  

Caribbean Private Sector Response to Chronic Diseases (Port-of-Spain, Trinidad and Tobago, 8-9 May 2008)
The objective of this meeting was to mobilize the Caribbean private sector to take a more active role in the reduction of chronic noncommunicable diseases by implementing measures to reduce the risk of these diseases affecting its own employees as well as the wider community, as well as supporting a Caribbean Wellness Day. This page offers a downloadable CD-ROM with all documentation and presentations. (9/May/2008)
In English       HTML(9.01k)  
en español     HTML(11.21k)  

Promoting Physical Activity in the Caribbean (Port-of-Spain, Trinidad and Tobago, 6-7 May 2008)
This training course was held to educate participants in the value of physical activity in promoting health, with real-life examples of built environments, public spaces, and urban planning that promote walking, biking, and use of public transportation. The online presentations contain the latest data on obesity and hundreds of photos that speak for themselves and prove how these concepts have been applied effectively, with arguments as to their validity that refute common myths as to why it can't be done. This page offers all training materials.(7/May/2008)
In English       HTML(7.73k)  
en español     HTML(9.9k)  

Workshop: Surveillance of Chronic Noncommunicable Diseases (CNCDs) in the Southern Cone (Vancouver, British Columbia, Canada, 23–25 April 2008)
The MERCOSUR countries are working with PAHO and Simon Fraser University in Vancouver to strengthen their CNCD surveillance systems. They now have an excellent opportunity to push for this at the MERCOSUR Ministers of Health Meeting in November. The purpose of this workshop was to coordinate efforts towards this end.(28/Apr/2008)
In English       HTML(6.01k)   PDF(220.82k)  
en español     HTML(6.1k)   PDF(212.59k)  

Guías ALAD de diagnóstico, control y tratamiento de la Diabetes Mellitus Tipo 2
Las Guías ALAD son de seguro una herramienta fundamental para el control de la diabetes tipo 2 en America Latina. Estas guías basadas en evidencias han sido producidas por un grupo de profesionales que constituyen la vanguardia científica de nuestra región en el campo de la endocrinología y la diabetes. Esperamos que estas guías se utilicen por el personal sanitario de los tres niveles de atención para brindar un servicio de calidad y obtener los mejores resultados clínicos.(14/Apr/2008)
en español     HTML(7.99k)   PDF(816.4k)  

Managing Hypertension in Primary Care in the Caribbean
These new guidelines, published by the Caribbean Health Research Council (CHRC) with PAHO collaboration, are aimed at producing a unified, evidence-based approach to the management of hypertension in the Caribbean through both a patient-centered and a public health approach. Objectives are: Promote the primary prevention of hypertension through the adoption and maintenance of healthy lifestyles; Promote early and accurate diagnosis of hypertension; Improve the quality of care of persons with hypertension; Prevent or delay the onset of co-morbid conditions of diabetes, obesity and dyslipidaemia; Prevent and treat acute and long-term complications of hypertension; Promote education and empowerment of patients, families, communities and healthcare workers.(1/Apr/2008)
In English       HTML(10.67k)   CHRC  

Managing Diabetes in Primary Care in the Caribbean
These guidelines, published by the Caribbean Health Research Council (CHRC) with PAHO collaboration, are aimed at producing a unified, evidence-based approach to the management of diabetes in the Caribbean. Objectives are: Prevent or delay the onset of diabetes and co-morbid conditions of obesity, hypertension and dyslipidaemia; Promote earlier diagnosis of diabetes; Improve the quality of care of persons with diabetes; Prevent and treat acute and long-term complications of diabetes; Promote education and empowerment of the patient, family and community, and healthcare worker. (1/Apr/2008)
In English       HTML(8.98k)   CHRC  

Caribbean Expert Consultation on Scaling Up Population-Based Screening and Management of CVD and Diabetes (Montego Bay, Jamaica, 4-5 March 2008)
This page offers access to the five presentations from this conference: the Caribbean situation, reducing CVD mortality, the single risk-factor approach, the Caribbean Diabetes project, and its context and objectives.(5/Mar/2008)
In English       HTML(3.08k)  

Dominica's National Chronic Noncommunicable Diseases Summit (14 December 2007)
Three months after the CARICOM Heads of Government NCD Summit in Port-of-Spain on 15 September 2007, Dominica held a National CNCD Summit. The meeting was attended by the President, Prime Minister, cabinet, and civil society, including the private sector, NGOs, and the media. This page contains a summary and the report.(14/Dec/2007)
In English       HTML(3.39k)  
en español     HTML(3.72k)  

10th International Course on Physical Activity and Public Health: Move for Health (2nd Course of the CARMEN School in Guatemala, Antigua, 13-16 November 2007)
This course provided training for national and community public health professionals in Guatemala on the topic of physical activity and health.(16/Nov/2007)
In English       HTML(5.02k)   PDF(102.62k)  
en español     HTML(5.31k)   PDF(109.72k)  

Workshop on Policy Analysis and Decision-Making with Emphasis on Chronic Noncommunicable Diseases (Bridgetown, Barbados, 15–17 October 2007)
This workshop was hosted by the PAHO/WHO Office for the Eastern Caribbean Countries as a joint activity of the CARMEN Policy Observatory and the CARMEN School. Aimed at high-level policy- and decision-makers, its purpose was to provide an introduction to public policy analysis, development, implementation, and evaluation. This page contains a summary, the agenda and list of participants, and all presentations. (17/Oct/2007)
In English       HTML(7.97k)  
en español     HTML(9.09k)  

CARMEN Network Biennial Meeting: Sharing, Learning, Imagining, Planning and Partnering to Implement the Chronic Disease Regional Strategy within the CARMEN Network (Nassau, Bahamas, 4–8 November 2007)
This page contains the materials and eventual output from the Biennial Meeting for the CARMEN Network for the integrated prevention and management of chronic noncommunicable diseases and their risk factors in the Americas. The meeting will include a variety of presentation from four main areas: policy and advocacy, surveillance and research, health promotion and disease prevention, and integrated disease and risk-factor management. This page contains all meeting materials, including the final report.(15/Oct/2007)
In English       HTML(10.18k)  
en español     HTML(11.37k)  

Capacity-Building in Prevention and Control of Chronic Noncommunicable Diseases: NCD Focal Points Meeting (Panama City, Panama, 10–12 October 2007)
This page provides complete orientation on what PAHO is currently doing in the area of chronic noncommunicable disease prevention and control: While the Noncommunicable Disease Unit plays a main role role in implementing the Regional Strategy on diet, physical activity, and health, it is a shared responsibility among all staff working in chronic disease prevention and control across several PAHO Units and Areas, Country Offices, and Centers. This meeting provided an opportunity for professional briefing, updating, and agreement for all involved personnel throughout the Organization. This page provides all meeting materials and presentations and gives a thorough overview of the current situation, strategic direction, and planned activities. (12/Oct/2007)
In English       HTML(15.86k)  
en español     HTML(17.43k)  

CSP27.R10: Regional Policy and Strategy for Ensuring Quality of Health Care, Including Patient Safety
This resolution from the 27th Pan American Sanitary Conference in 2007 sets forth the PAHO mandate for providing effective, safe, efficient, accessible, appropriate, and satisfactory care for users, recognizing that policies are needed in the health sector that will impact the health care continuum, foster citizen involvement, and promote a culture of quality and safety in health care institution.(3/Oct/2007)
In English       CSP27.R10  
en español     CSP27.R10  
en Français    CSP27.R10  
em Português CSP27.R10  

Implementation Manual for Collaborative Projects to Improve the Quality of Care for People with Chronic Diseases
The purpose of this manual is to provide interested parties with information on references for collaborative projects. The manual is also aimed at helping with the successful initial preparation for the year of work done on this project that promotes the improvement of the quality of life of people with chronic diseases. It is a product of the Veracruz Initiative for Diabetes Awareness (VIDA Project). This page provides an executive summary in English and access to the full text in Spanish.(17/Sep/2007)
In English       HTML(10.96k)  
en español     HTML(11.92k)   PDF(824.62k)  

Trinidad and Tobago: Current Activities in CNCD Risk Factor Reduction, Diabetic Foot Care, and Wellness (CARMEN Biennial Conference, Nassau, Bahamas, 4-8 November 2007)
The CARMEN Network on Integrated Noncommunicable Disease Prevention and Risk-Factor Management will hold its meeting in November in Trinidad. This page offers information on three presentations to be made on activities in that country: National Plan for Risk Factor Reduction in the Prevention and Control of Noncommunicable Diseases, Diabetic Foot Care Management Programme, and Wellness Programme for Risk Factor Reduction in the Prevention and Control of Noncommunicable Diseases.(15/Aug/2007)
In English       HTML(13.81k)  
en español     HTML(15.72k)  

First Learning Session of the CAMDI Collaborative Project (Managua, Nicaragua, 3–4 July 2007)
As part of the second stage of development of the Central American Diabetes Initiative (CAMDI) and its Collaborative Project, an intervention was started in four centers of Managua, Nicaragua, to improve care for people with diabetes, beginning with application of the Breakthrough Series Methodology (BTS). This page contains a summary, a link to the methodology, the agenda, and the meeting presentations.(4/Jul/2007)
In English       HTML(4.89k)  
en español     HTML(5.03k)  

The Central America Diabetes Initiative (CAMDI): Costa Rica, El Salvador, Guatemala, Honduras and Nicaragua
The Central America Diabetes Initiative (CAMDI)--now producing results--is a response to a subregional workshop that took place in San Salvador in March 2000, sponsored by The Diabetes Declaration of the Americas (DOTA) and PAHO. This project is a seed initiative that should lead to the development of a national diabetes program in participating countries. This page serves as a fact sheet telling about CAMDI and providing access to its information products.(3/Jul/2007)
In English       HTML(7.29k)  
en español     HTML(8.02k)  

National Consultation: Strategies for a National Action Plan on Integrated Management and Epidemiological Surveillance of Chronic Diseases (Managua, Nicaragua, 2 July 2007)
The purpose of this meeting was to establish a National Action Plan as well as a National Operational Plan for the execution of the lines of action of the Regional Strategy on an Integrated Approach to Chronic Diseases in Nicaragua. This page offers a summary, the agenda, and the seven PowerPoint presentations made at the meeting. (2/Jul/2007)
In English       HTML(5.77k)  
en español     HTML(5.66k)  

US-Mexico Border Diabetes Forum (South Padre Island, Texas, 20 May 2007)
The objective of this event was to create a forum where US-Mexico Border health professionals and non-traditional partners can dialog, debate, share, determine, and better implement health policies and programs based on available scientific evidence in the area of diabetes. The forum serves as a pivotal mechanism for the incorporation of new ideas, debates and dialogued on key public health issues(20/May/2007)
In English       HTML(11.9k)  
en español     HTML(13.16k)  

Biannual Meeting of the CARMEN Network (Santiago, Chile, 19-21 October 2005)
In light of the projected increase of deaths due to chronic disease (a 17% increase), the objectives of the meeting were to present the PAHO Noncommunicable Disease Unit and its areas of technical cooperation; to review developments in CNCD prevention and control in CARMEN Member Countries; and to discuss the future of the CARMEN network. This strategic meeting was attended by 60 representatives from over 20 countries.(4/May/2007)
In English       HTML(5.88k)   PDF(421.57k)  
en español     HTML(6.68k)   PDF(423.58k)  

PAHO-NHLBI Awardees' Workshop: Promoting Heart Health in the Americas: Preparing for Success (Washington, DC, 30 April – 4 May 2007)
The Pan American Cardiovascular Health Initiative (PACI) was jointly developed by the PAHO Noncommunicable Disease Unit, Health Surveillance and Disease Management Area, in collaboration with the WHO Collaborating Center at the National Heart, Lung and Blood Institute, National Institutes of Health (NHLBI/NIH) of the United States. One recent activity has been to support community intervention projects led by trained health promoters (non-professional health workers, or promotoras) in improving cardiovascular health in the Americas. The purpose of this workshop was to finalize the logical frameworks of the winning projects and to train the project teams in the use and evaluation of the basic project curriculum Your Heart, Your Life.(4/May/2007)
In English       HTML(4.92k)  
en español     HTML(5.28k)  

CARMEN Management Committee Workshop Report (Toronto, 15-16 March 2007)
The purpose of this meeting was to review progress to date and to discuss how a strengthened CARMEN initiatiive can support implementation of the PAHO Regional Strategy. Specific objectives included: (1) To report on progress to date; (2) To review the revised draft Terms of Reference; (3) To discuss future directions by reviewing the draft country profile tool, sharing information about supplementary tools, identifying possibilities for further development and piloting of tools and projects, as well as potential actions in support of the Regional Strategy and other actions to support an integrated approach to chronic disease; and (4) To begin planning for the next CARMEN Biennial Meeting (November 2007). (16/Mar/2007)
In English       PDF(384.98k)  

Subregional Meeting of Representatives and Center Directors from Central America, the Dominican Republic, Cuba, Haiti, Mexico, and the US-Mexican Border Field Office (Belize City, 12–16 February 2007)
This consultation follows up on the one held in Panama in November 2007 on the implementation of the Estrategia regional y Plan de acción para un enfoque integrado sobre la prevención y el control de las enfermedades crónicas, incluyendo el régimen alimentario, la actividad física y la salud in Central America and the Spanish-speaking Caribbean. This page contains a summary of the consultation, a PowerPoint presentation on the Regional Strategy as it relates to Central America, and the results of the Panama meeting.(16/Feb/2007)
In English       HTML(4.41k)  
en español     HTML(4.84k)  

Stop the Global Epidemic of Chronic Disease: A Practical Guide to Successful Advocacy
Effective advocacy is needed to convince decision-makers that chronic diseases and health promotion merit increased investment at the national and local level, and that decisive action carries substantial, cost-effective benefits. 36 million lives can be saved over the next 10 years, which in turn will lead to substantial economic benefits to countries. This guide will help teach interested persons how to advocate more effectively.(31/Dec/2006)
In English       HTML(5.24k)   PDF(10047.49k)  
en español     HTML(6.19k)  
en Français    OMS  

Central America-Mexico Regional Consultation: Regional Strategy and Plan of Action on an Integrated Approach to the Prevention and Control of Chronic Diseases Including Diet, Physical Activity, and Health (Panama City, 27 November 2006)
The objective of this meeting was for the Central American countries and Mexico to search for and begin to identify the national and subregional mechanisms for implementation of the Regional Strategy and Plan of Action on an Integrated Approach to the Prevention and Control of Chronic Diseases Including Diet, Physical Activity, and Health, approved by the PAHO/WHO 47th Directing Council in September 2006. (27/Nov/2006)
In English       HTML(5.16k)  
en español     HTML(5.46k)