NON COMMUNICABLE DISEASES IN PERU COUNTRY PRESENTATION Revilla Luis Lopez Tania

Morbidity by Groups According to Economic Stages . Peru 2007 La tendencia del grupo de enfermedades no transmisibles es positiva en población no pobre, por lo contrario sucede en el grupo de enfermedades transmisibles. Fuente: HIS-Año 2005. OGEI - MINSA Elaboración propia DEIS / DGE / MINSA

Crude Mortality Rates by Age Groups, Peru 2005 Las etapas de vida del Adulto Mayor y de la Infancia congregan mayor tasa bruta de mortalidad que las otras etapas de vida, y en ambas etapas los varones tiene mayor probabilidad de morir que las Females. Fuente: Sistema de Hechos Vitales. Certificado de defunción Año 2005-OGEI/MINSA Elaborado por DIS / DGE / MINSA

Burden of Diseases, Peru 2004

Main Causes of Mortality in All Population. Peru 2007

Mortality Rates by NCD (Peru 2007) Selected condition of Martality Mortality Rates* 100,000 pop (*) AVP *100,000 Ischemic Cardiopatty Males 38.60 355.87 ICD10 I20-I26 Females 24.14 121.07   Total 31.4 238.81 Cerebrovascular Disease 25.20 286.74 ICD10 I60-I69 21.37 196,82 23.27 241.91 Diabetes 16.92 148.20 ICD10 E10- E13 15.18 102.79 16.08 125.96 Enfermedad Crónica de Vias Respiratorias Bajas 6.83 55.28 5.75 53.45 ICD10 J40-J47 6.29 54.37 (*) TM no ajustadas.

Mortality Rates by Malignant Tumors Peru 2007 Selected Conditions Mortality rates *100,000 AVP *100,000 Malignant Tumors Males 103.00 1319.16 ICD10 C00-C97 Females   Total 103.83 1274.13 Cervical Cancer 10.18 171.96 ICD10 C52 Trachea and Long Cancer 10.46 84.72 7.00 61.10 ICD10 C33, C34 8.74 72.95 Breast 7.70 116.13 ICD10 C49 Cancer of Digestive Suxtem 41.09 394.78 38.80 336.72 ICD10 C15-C26, C48 39.94 366.81 Gastroc Camcer 17.78 166.98 ICD10 C16 15.12 135.12 16.46 151.09 Cancer of Prostate 14.04 40.58 ICD 10: C61 (*) TM no ajustadas.

Prevalence of Risk Factors for NCD Results of Epidemiologic Studies Men ( 25 – 64 ) Women (25-64) OverAll Tobacco use 29.8% 8.2% 15.1% Diabetes 3.6% 3.3% 3.4% Hypertension 17.9% 12.4% 14.1% Results of the FRENT Study (2003 --2006): Sample 3,991 sujetos Men 35.2% Women 64,8% (25 to 64 Age) 2864 sujetos

Overweight and Obesity Source Overweight ( BMI ≥ 25.0) Obesity (BMI ≥ 30.0) Zubiate T..M. (Lima 4851 Cusco 2738 sujetos,) 51.5% 33.6% 17.6% 6.5% FRENT consolidado T 56.6% H 53.4% M 58.4% T 19.4% H 14.8% M 22.0% INS –CENAN (ENINB y C 4206 sujetos) 51.8% País 16.5% Lima 18.7% Resto C 20.2% Sierra 9.2% Barreda V. y Col. (416 sujetos de Tacna) 29.8% Seclén S. y Col. (Rímac, SMP, Los Olivos, 99-2002 T 21.5% H 17.1% M 25.6%

Metabolic Syndrom among Peruvian adults Fueourcente Population MetS % Seclén S. y Col. (Rímac, SMP, Los Olivos, 1999-2002) 612 sujetos T 14.1% H 13.2% M 16.5% Cárdenas Q.H. y col. (ENINB y C Perú 2005, 4053 sujetos ≥ 20 años 4053 sujetos Lima Metrop. Resto costa Sierra Urb Sierra Rur Selva T 25.8% H 16.6% M 34.3% 28.8% 26.2% 21.9% 18.7% 26.0% Medina L. y Col. (Arequipa 2005) Prevención Study. 1878 sujetos T 18.8% H 14.3% M 23.2%

Cancer Incidence. National Cancer Registry 2007-2010

Interventions in NCD One of the priorities of The Ministry of Helath is the prevention of NCD. One of the Strategic Programs is the prevention amd Control of NCD and Cancer. The budget for Theese Programs have increased in 200% last year. An important development has the surveillance of NCD. The tobacco use regulations have a gouud results.

Gracias