Health Corner 2 - What can we do about non-communicable diseases (NCDs)?

Have you heard about NCD? NCD stands for Non-Communicable Diseases, which means it is not caused by something infectious and is not-infectious.
In my perspective, NCDs are not only non-transmissible but are also preventable.
NCD is a group of diseases that because of their characteristics, are chronic with a slow progression and most of them can cause “sudden” deaths or affect the quality of life of the sick person.
Some of the diseases under the NCD umbrella are: Cancer, Cardiovascular disease, Diabetes, Chronic Lung Disease.
The concern surrounding NCDs is that these diseases are the leading causes of death and disease burden worldwide. It is estimated that more than 30 million of annual deaths are due to NCDs.
Micronesia and the Pacific Region are not exceptions. The data has placed the Region in “an NCD Crisis”. Forum leaders have recognized the situation as a ‘human, social and economic crisis requiring an urgent and comprehensive response’.
WHO surveys show that three out of every four deaths in the region are NCD related and the Pacific has some of the highest rates of these diseases and their causes in the world.
World Health Organization (WHO) performed a survey in Pohnpei. The 2008 report showed some information on the risk factors related to NCDs.
According to the WHO, a risk factor is any attribute, characteristic or exposure of an individual that increases the likelihood of developing a disease or injury. Some risks factors can be modifiable, like habits or exposures. Other risk factors like age or gender cannot be modified.
Risks factors for NCDs are all those habits that increase the chances to develop Cancer, Diabetes, Cardiovascular (Heart) and Lung Disease. Some of them are: high blood pressure, tobacco and alcohol consumption, betel nut chewing, low or lack of physical activity, being overweight or obese, non healthy eating (the survey used number of servings of vegetables and fruits).
Some of the important results of the 2008 WHO survey in Pohnpei are:
25% of the population smoked tobacco daily,
26.9% of population chewed betel nuts daily,
35.1% of men drank an average of 5 or more standard drinks per day in the past week,
68.9% of the population consumed sake (kava),
81.8% of the population consumed less than five combined servings of fruit and vegetables per day,
64.3% of the population had a low level of physical activity,
73.1% of the population was overweight, 42.6% were obese,
32.1% of the population was diabetic.

What do these numbers mean? In terms of lifestyle, we can improve in order to prevent deaths in our families.
If we go back to the concept of the lost balance that causes the illness and we apply it to NCDs, keeping in mind that there are known risks factors for this group of diseases, the crisis can be managed by stopping the risk factors We start new protection factors or healthy habits.
One in every three people in Pohnpei is Diabetic. Diabetes is one of the NCDs that is affecting the quality of life of our families and friends.
Every day we can choose to have healthy habits. Every meal can be feeding NCDs or fighting them. We all can start changing these figures and make Micronesia not only a paradise to live in but also a healthy country.
Mabel Loján, MD
Integrative Medicine