Prevention and control of noncommunicable
diseases in the European Region:
A progress report
 
Prevention and control of noncommunicable
diseases in the European Region:
a progress report
 
 
 
Noncommunicable diseases continue to be the leading cause of morbidity and mortality in the European
Region.  Member  S...
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Prevention and control of noncommunicable diseases in the european
Prevention and control of noncommunicable diseases in the european
Prevention and control of noncommunicable diseases in the european
Prevention and control of noncommunicable diseases in the european
Prevention and control of noncommunicable diseases in the european
Prevention and control of noncommunicable diseases in the european
Prevention and control of noncommunicable diseases in the european
Prevention and control of noncommunicable diseases in the european
Prevention and control of noncommunicable diseases in the european
Prevention and control of noncommunicable diseases in the european
Prevention and control of noncommunicable diseases in the european
Prevention and control of noncommunicable diseases in the european
Prevention and control of noncommunicable diseases in the european
Prevention and control of noncommunicable diseases in the european
Prevention and control of noncommunicable diseases in the european
Prevention and control of noncommunicable diseases in the european
Prevention and control of noncommunicable diseases in the european
Prevention and control of noncommunicable diseases in the european
Prevention and control of noncommunicable diseases in the european
Prevention and control of noncommunicable diseases in the european
Prevention and control of noncommunicable diseases in the european
Prevention and control of noncommunicable diseases in the european
Prevention and control of noncommunicable diseases in the european
Prevention and control of noncommunicable diseases in the european
Prevention and control of noncommunicable diseases in the european
Prevention and control of noncommunicable diseases in the european
Prevention and control of noncommunicable diseases in the european
Prevention and control of noncommunicable diseases in the european
Prevention and control of noncommunicable diseases in the european
Prevention and control of noncommunicable diseases in the european
Prevention and control of noncommunicable diseases in the european
Prevention and control of noncommunicable diseases in the european
Prevention and control of noncommunicable diseases in the european
Prevention and control of noncommunicable diseases in the european
Prevention and control of noncommunicable diseases in the european
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Prevention and control of noncommunicable diseases in the european

Published on: Mar 4, 2016
Published in: Health & Medicine      
Source: www.slideshare.net


Transcripts - Prevention and control of noncommunicable diseases in the european

  • 1. Prevention and control of noncommunicable diseases in the European Region: A progress report
  • 2.   Prevention and control of noncommunicable diseases in the European Region: a progress report
  • 3.   Noncommunicable diseases continue to be the leading cause of morbidity and mortality in the European Region.  Member  States  have  made  significant  progress  in  implementation  of  prevention  and  control activities  in  keeping  with  the  mandates  set  forth  by  the  Health  2020  and  the  Action  Plan  for Implementation  of  the  European  Strategy  for  Prevention  and  Control  of  Noncommunicable  Diseases 2012‐2016. This report aims to demonstrate achievements made in the various proposed action areas, reporting the activities already undertaken and future plans, through presentation of data for the region derived from WHO’s NCD Country Capacity Survey 2013. While the report reveals gaps and challenges  faced  in  the  achievement  of  desired  objectives,  it  also  highlights  examples  of  innovation  in contextualization  of  interventions  within  various  countries  in  the  region.  These,  in  addition  to  the impressive progress documented herein, are intended to challenge Member States to scale up efforts to eliminate the needless loss of life and productivity caused by NCDs within the region.  Chronic disease   Health information systems  Health Management and Planning  Health policy  Public policy  Primary prevention Address requests about publications of the WHO Regional Office for Europe to:    Publications    WHO Regional Office for Europe    Marmorvej 51    DK‐2100 Copenhagen Ø, Denmark  Alternatively, complete an online request form for documentation, health information, or for permission to quote or translate, on  the Regional Office web site (http://www.euro.who.int/pubrequest).    © World Health Organization 2013 All rights reserved. The Regional Office for Europe of the World Health Organization welcomes requests for permission to  reproduce or translate its publications, in part or in full.  The  designations  employed  and  the  presentation  of  the  material  in  this  publication  do  not  imply  the  expression  of  any  opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city  or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent  approximate border lines for which there may not yet be full agreement.  The  mention  of  specific  companies  or  of  certain  manufacturers’  products  does  not  imply  that  they  are  endorsed  or  recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors  and omissions excepted, the names of proprietary products are distinguished by initial capital letters.  All reasonable precautions have been taken by the World Health Organization to verify the information contained in this  publication. However, the published material is being distributed without warranty of any kind, either express or implied.  The responsibility for the interpretation and use of the material lies with the reader. In no event shall the World Health  Organization be liable for damages arising from its use. The views expressed by authors, editors, or expert groups do not  necessarily represent the decisions or the stated policy of the World Health Organization.
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  • 17. (72,'?,'@#$%2)8$7"#'"E'G!H&'7#$"'#8$7"#81'D%81$D'8#+'+%6%1"F3%#$'F18#&R'BA?BBA?I' ! !"#"#"$%&'()*$+,$-./0+-.1$%23$4/*./)50)4$.-6$.7/0+-$81.-4$ N%:/59)549>!B&*=&(//!89/!:(()!C9'(!4)!B&(A()54)=!9)'!;*)5&*>>4)=!,-./!4)!58(!VPW!X%&*B(9)!<(=4*)#!S/!R4=#!1! 9)'!?!'(C*)/5&95(O!58(!B&(/();(!*+!)954*)9>!4)5(=&95('!,-.!B*>4;4(/!9)'!/5&95(=4(/!89/!4);&(9/('!+&*C!IKi!4)! 10"0!5*!K@i!4)!10"?#!P9>+!58(!(Z4/54)=!B*>4;4(/!9&(!*B(&954*)9>#!2)!10"?O!*)>6!""!;*%)5&4(/!4)!58(!<(=4*)!gA(&/%/! "K!;*%)5&4(/!4)!10"0h!&(B*&5!)*5!89A4)=!9!)954*)9>!,-.!B*>4;6O!/5&95(=6!*&!9;54*)!B>9)!5895!4)5(=&95(/!/(A(&9>! ,-./!9)'!58(4&!&4/F!+9;5*&/#! U8(! X%&*B(9)! )4*)! gXh! /%:&(=4*)! 89/! 58(! >9&=(/5! B&*B*&54*)! *+! ;*%)5&4(/! 7458! *B(&954*)9>! /5&95(=4(/O! 9)'! ,2N! 89A(! 58(! /C9>>(/5! B&*B*&54*)#! 2)! 10"?O! 10i! *+! 58(! ;*%)5&4(/! 4)! 58(! X%&*B(9)! <(=4*)! 89A(! /5&95(=4(/! *&! 9;54*)! B>9)/! %)'(&! '(A(>*BC()5#! U8(! /%:&(=4*)/! 7458! 58(! =&(95(/5! )%C:(&! *+! ;*%)5&4(/! &(B*&54)=! /5&95(=4(/! %)'(&!'(A(>*BC()5!9&(!,2N!g@@ih!+*>>*7('!:6!-NX-!;*%)5&4(/!g10ih!9)'!58(!X!g""ih#! (72,'B,'Q$8$<&'"E'8'#8$7"#81'7#$%2)8$%+'F"17/=R'&$)8$%2='")'8/$7"#'F18#'"#'G!H&R'BAAMBA?A' ! 16
  •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i!*+!58(!;*%)5&4(/!89A(!,-./!9''&(//('!:6!*58(&!589)!8(9>58!C4)4/5&4(/O!/%;8! 9/!58(!C4)4/5&6!&(/B*)/4:>(!+*&!/B*&5O!('%;954*)O!+9C4>6!*&!9=&4;%>5%&(#! U84/! /45%954*)! %)'(&>4)(/! B*/454A(! C*C()5%C! 5*79&'/! :(55(&! =*A(&)9);(! +*&! 8(9>58#! P*7(A(&O! 58(! (/59:>4/8C()5!*+!+*&C9>!C%>54/(;5*&9>!C(;89)4/C/!9;&*//!C4)4/5&4(/!9)'!/(;5*&/!5*!;**&'4)95(!,-.!B*>4;4(/!4/! >9==4)=!:(84)'#! 2)!10"?O!/>4=85>6!C*&(!589)!89>+!gE@ih!*+!58(!;*%)5&4(/!89A(!(/59:>4/8('!+*&C9>!C%>54/(;5*&9>!C(;89)4/C/!5*! ;**&'4)95(! ,-.! B*>4;4(/#! P*7(A(&O! C9)6! 9&(! /54>>! %)'(&! '(A(>*BC()5#! c(//! 589)! 89>+! 58(! ;*%)5&4(/! 58%/! &(B*&5('! 89A4)=! *B(&954*)9>! C%>54/(;5*&9>! C(;89)4/C/! 5*! ;**&'4)95(! ,-.! B*>4;4(/O! 784;8! ;*)/545%5(/! 9)! 4CB*&59)5!/5(B!5*79&'/!9'*B54)=!9!8(9>58!4)!9>>!B*>4;4(/!9BB&*9;8#! !"#";"$<.*/-)*4:084$.-6$7+11.(+*./0+-$,+*$0'81)')-/./0+-$ J9)6! ;*%)5&4(/! gTKih! 4)! 58(! <(=4*)! &(B*&5('! C%>54/(;5*&9>! 9;54*)! *&! 89A4)=! (/59:>4/8('! B9&5)(&/84B/! 9)'! ;*>>9:*&954*)!4)!4CB>(C()54)=!,-.D&(>95('!B*>4;4(/#! R4=#!@!84=8>4=85/!58(!C(;89)4/C/!+*&!C%>54/(;5*&9>!9;54*)!+*&!4CB>(C()54)=!,-.D&(>95('!9;54A454(/#!V4584)!58(! <(=4*)O! 58(! C*/5! ;*CC*)! 9&(! 4)5(&'(B9&5C()59>! *&! C4)4/5(&49>! ;*CC455((/! gKIihO! +*>>*7('! :6! 4)5(&'4/;4B>4)9&6!;*CC455((/!gK"ih!9)'!Q*4)5!59/F!+*&;(/!gEKih#!W58(&!C(;89)4/C/!C()54*)('!9&(!B9&5)(&/84B/! 7458!58(!X%&*B(9)!-*CC4//4*)O!4)5(&)954*)9>!9=();4(/O!4)'%/5&6!*&!)954*)9>!;*9>454*)/#! 17
  • 19. (72,' K,' C%)/%#$82%' "E' /"<#$)7%&' 7#' $D%' :<)"F%8#' ]#7"#' D867#2' 68)7"<&' 3%/D8#7&3&' 7#' F8)$#%)&D7F&' 8#+' /"1185")8$7"#&'E")'73F1%3%#$7#2'G!H[)%18$%+'8/$767$7%&R'BA?BBA?I'' Cross-departmental or ministerial committee European Region Interdisciplinary committee EU CSEC Joint task force NIS CIS Other 0 20 40 60 80 100 % of countries ! 2)!TIi!*+!58(!;*%)5&4(/!&(B*&54)=!C(;89)4/C/!+*&!B9&5)(&/84B/!9)'!;*>>9:*&954*)/O!F(6!/59F(8*>'(&/!9&(!*58(&! C4)4/5&4(/! g*58(&! 589)! 8(9>58hO! 9)'! 5*! 58(! /9C(! (Z5()5! 9>/*! 9;9'(C(! 9)'! &(/(9&;8! ;()5&(/#! U8(/(! ;*>>9:*&954*)/! 9BB(9&! 5*! :(! &(>954A(>6! /59:>(! *A(&! 54C(#! X3%9>>6! +&(3%()5! 9&(! ;*>>9:*&954*)/! 7458! )*)=*A(&)C()59>! *&=9)4[954*)/O! ;*CC%)456D:9/('! *&=9)4[954*)/! 9)'! ;4A4>! /*;4(56O! 9>58*%=8! 58(! 5&()'! 4/! A(&6! />4=85>6!'(;&(9/4)=#!.%&4)=!58(!B9/5!58&((!6(9&/O!58(!B&4A95(!/(;5*&!:(;9C(!*)(!*+!58(!F(6!/59F(8*>'(&/!4)!K?i! *+!58(!-NX-!;*%)5&4(/O!9>58*%=8!45!'4C4)4/8('!4)!4CB*&59);(!4)!58(!*58(&!;*%)5&6!=&*%B/#! R%&58(&O! /4);(! 10"0O! B9&5)(&/84B/! 7458! 4)5(&)954*)9>! *&=9)4[954*)/! 9)'! )45('! ,954*)/! 9=();4(/! 4);&(9/('! :6! "?i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g;*A(&('! 4)! TKi! 9)'! TEi! *+! 58(! ;*%)5&4(/! &(/B(;54A(>6h! +*>>*7('! :6! ;8&*)4;!&(/B4&95*&6!'4/(9/(O!%)8(9>586!'4(5O!*A(&7(4=85!9)'!*:(/456O!89&C+%>!9>;*8*>!%/(!9)'!B86/4;9>!9;54A456#! S!5*59>!*+!I"i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j!B9&5)(&/84B/!+*;%/!*)!/;8**>/!*&!;454(/#!V458!/;8**>/O!9>C*/5!9>>!;*%)5&4(/!4)!58(!-NX-!9)'!X! =&*%B/!89A(!(/59:>4/8('!;*>>9:*&954*)/#! XCB*7(&C()5! *+! ;454[()/! 9)'! ;*CC%)454(/! 4/! 9)! (//()549>! B9&5! *+! 58(! ,-.! S;54*)! L>9)! 9)'! P(9>58! 1010#! S>58*%=8!C9)6!;*%)5&4(/!&(B*&5!5895!58(6!89A(!(/59:>4/8('!B9&5)(&/84B/!7458!)*)=*A(&)C()59>!*&=9)4[954*)/O! ;*CC%)456D:9/('!*&=9)4[954*)/!9)'!;4A4>!/*;4(56O!58(&(!89/!:(()!)*!4);&(9/(!8(&(!/4);(!10"0#! 18
  • 20. (72,' -,' C%)/%#$82%' "E' /"<#$)7%&' 7#' /"<#$)=' 2)"<F&' 7#' $D%' :<)"F%8#' J%27"#' *7$D' F8)$#%)&D7F&' 8#+' /"1185")8$7"#&'$D8$'/"6%)'&F%/7E7/'&%$$7#2&R'BA?BBA?I' Cities European Region EU Worksite s CSEC Schools 0 20 40 60 80 100 ! ! !"#"="$2.8.70/>.-6$(&65)/$,+*$0'81)')-/0-5$%23$8+1070)4$ ! U8(!4)+&9/5&%;5%&(!*+!8(9>58!C4)4/5&4(/!5*!'(9>!7458!,-./!89/!4CB&*A('!;*)/4'(&9:>6H!4)!10"?O!MKi!*+!;*%)5&4(/! 4)!58(!<(=4*)!&(B*&5!89A4)=!9!%)45O!:&9);8!*&!'(B9&5C()5!+*&!B&(A()54)=!9)'!;*)5&*>>4)=!,-./!74584)!58(!8(9>58! C4)4/5&4(/O!9)!4);&(9/(!*+!10!B(&;()59=(!B*4)5/!;*CB9&('!7458!10"0!9)'!?0!B(&;()59=(!B*4)5/!;*CB9&('!7458! 1000#!U8(!4);&(9/(!:(57(()!10"0!9)'!10"?!89/!:(()!/5((B(&!589)!4)!B&(A4*%/!B(&4*'/!gR4=#!Ih#! U8(! /;*B(! *+! &(/B*)/4:4>454(/! 9)'! 9&(9/! ;*A(&('! :6! ,-.! '(B9&5C()5/! 89/! =&*7)! /4);(! 10"0O! 9/! 89/! 58(! 9A94>9:4>456!*+!/B(;4+4;!,-.!:%'=(5/!4)!C*/5!;*%)5&6!=&*%B/#!-*%)5&4(/!4);&(9/4)=>6!89A(!/B(;4+4;!&(/*%&;(/!+*&! ,-.D&(>95('! B&4C9&6! B&(A()54*)! 9)'! 8(9>58! B&*C*54*)O! (9&>6! '(5(;54*)! 9)'! /;&(()4)=O! 5&(95C()5! 9)'! /%&A(4>>9);(#! c4F(74/(O!58(!8%C9)!&(/*%&;(!;9B9;456!*+!58(!C4)4/5&4(/!89/!4CB&*A('#!XZ;(B5!+*&!58(!-NX-O!58(!B(&;()59=(/!*+! ;*%)5&4(/! 89A4)=! 95! >(9/5! *)(! +%>>D54C(! /59++! C(C:(&! 7*&F4)=! *)! ,-./! 89/! 4CB&*A('! ;*CB9&('! 7458! 10"0O! &9)=4)=!+&*C!IKi!4)!-NX-!;*%)5&4(/!5*!TIi!4)!X!;*%)5&4(/#! (72,'4,'C%)/%#$82%'"E'/"<#$)7%&'7#'$D%':<)"F%8#'J%27"#'D867#2'8'<#7$R'5)8#/D'")'+%F8)$3%#$'E")'F)%6%#$7#2' 8#+'/"#$)"117#2'G!H&'*7$D7#'$D%'D%81$D'37#7&$)=R'BAAABA?I' 100 % of countries 80 60 40 20 0 2000-01 2005-06 2009-10 ! ! ! 19 2012-13
  •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lanning Coordinating implementation Monitoring and evaluation European Region Primary prevention and health promotion EU Early detection and screening CSEC CIS NIS Health care and treatment Rehabilitation services Surveillance Capacity building 0 20 40 60 80 100 % of countries ! ! .(/B45(!58(!(;*)*C4;!;&4/4/!4)!X%&*B(O!58(&(!4/!9!B*/454A(!5&()'!4)!58(!)%C:(&!*+!;*%)5&4(/!5895!89A(!9!/B(;4+4;! :%'=(5! +*&! 4CB>(C()54)=! 9;54*)! +*&! B&(A()54)=! 9)'! ;*)5&*>>4)=! ,-./#! S>C*/5! 9>>! ;*%)5&4(/! 89A(! 9! /B(;4+4;! :%'=(5!+*&!,-.!B&4C9&6!B&(A()54*)!9)'!8(9>58!B&*C*54*)O!&9)=4)=!9;&*//!58(!/%:&(=4*)/!+&*C!TTi!5*!"00i#! R*&! (9&>6! '(5(;54*)! 9)'! /;&(()4)=O! 58(! &9)=(! 4/! KEY"00i_! +*&! 8(9>58! ;9&(! 9)'! 5&(95C()5! M?Y"00i_! 9)'! /%&A(4>>9);(!KEY"00i#!L&4C9&6!9)'!/(;*)'9&6!B&(A()54*)!9)'!,-.!/%&A(4>>9);(!9;54A454(/!&(;(4A('!58(!>*7(/5! ;*A(&9=(!9)'!>9;F!+%)'4)=!4)!,2N#! U8(! C*/5! 4CB*&59)5! /*%&;(! *+! +%)'4)=! ,-.! B&(A()54*)! 9)'! ;*)5&*>! *&4=4)95(/! +&*C! ;()5&9>! =*A(&)C()5! &(A()%(! +*>>*7('! :6! 8(9>58! 4)/%&9);(! gU9:>(! "h#! 2)! 9''454*)O! 58(! &*>(! *+! 4)5(&)954*)9>! '*)*&/! 9)'! (9&C9&F('! 59Z(/!4)!+%)'4)=!,-.!B&(A()54*)!9)'!;*)5&*>!4/!4);&(9/4)=#! 20
  • 22. ^851%'?,'C%)/%#$82%'"E'/"<#$)7%&'7#'$D%':<)"F%8#'J%27"#')%F")$7#2'$D%'E"11"*7#2'38_")'&"<)/%&'"E'E<#+7#2'E")' G!H' 8/$767$7%&' 8#+' E<#/$7"#&R' BA?BBA?IR' *7$D' +7EE%)%#/%&' 7#' F%)/%#$82%' F"7#$&' E)"3' BAAMBA?A' 7#' F8)%#$D%&%&' !! X%&*B(9)!<(=4*)! -NX-! X! ,2N! -()5&9>!=*A(&)C()5!&(A()%(! MT!gnTh! "00!go0h! MI!gn?h! "00!gn""h! P(9>58!4)/%&9);(! K"!gn"0h! T0!gY"?h! KM!gn"1h! @@!go0h! 2)5(&)954*)9>!'*)*&/! @K!gnIh! K?!gn"?h! ?M!gnMh! TM!go0h! X9&C9&F('!59Z(/!*)!9>;*8*>O!5*:9;;*O!(5;#! ?K!gn@h! E?!gn"?h! ?K!go0h! ??!go0h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gM0i!4)!10"?hO!58(!8(9>58!C4)4/5&6!4/!&(/B*)/4:>(!+*&!C*)45*&4)=! 9)'! (A9>%954)=! 58(! 9;54*)/! 59F()! 5*! B&(A()5! 9)'! ;*)5&*>! ,-./#! J*/5! *+! 58(/(! C4)4/5&4(/! 89A(! 9)! *++4;(O! '(B9&5C()5!*&!'4A4/4*)!5*!;9&&6!*%5!/%&A(4>>9);(!9;54A454(/O!:%5!584/!&(/B*)/4:4>456!4/!*+5()!/89&('!9;&*//!/(A(&9>! 9&(9/! 74584)! 58(! C4)4/5&6#! 2)! "Ii! *+! ;*%)5&4(/! 4)! 58(! <(=4*)O! 9)! (Z5(&)9>! 9=();6O! 9! )*)=*A(&)C()59>! *&=9)4[954*)! *&! /5954/54;9>! *&=9)4[954*)! ;**&'4)95(/! 58(! &(/B*)/4:4>456! +*&! ,-.! /%&A(4>>9);(O! 7458! 584/! B(&;()59=(!84=8(&!4)!-NX-!g?0ih!9)'!X!;*%)5&4(/!g1Eih#! S>>! ;*%)5&4(/! 4)! 58(! X%&*B(9)! <(=4*)! 89A(! ;4A4>! *&! A459>! /5954/54;/! &(=4/5&954*)! /6/5(C/O! 9)'! 9>>! )954*)9>! 8(9>58! 4)+*&C954*)! /6/5(C/! &*%54)(>6! ;*>>(;5! C*&59>456! '959! :6! ;9%/(! *+! '(958#! S>C*/5! 9>>! 58(! ;*%)5&4(/! ;9)! '4/9==&(=95(!58(/(!'959!:6!9=(!g"00ih!9)'!/(Z!gMTih#!S!5*59>!*+!K@i!*+!58(!;*%)5&4(/!;9)!'4/9==&(=95(!58(!'959! 4)!;4A4>!&(=4/5&4(/!:6!/*;4*'(C*=&9B84;!+9;5*&/#! !"!"!"$2.-7)*$*)504/*0)4$ S>C*/5!9>>!;*%)5&4(/!4)!58(!X%&*B(9)!<(=4*)!89A(!9!;9);(&!&(=4/5&6#!P*7(A(&O!/*C(!,2N!9&(!>9==4)=!:(84)'!gR4=#! Th#! G()(&9>>6O! C*/5! &(=4/5&4(/! 9&(! )954*)9>! 4)! /;*B(O! 9)'! KIi! *+! ;*%)5&4(/! 4)! 58(! <(=4*)! ;*>>(;5! '959! *)! 9! B*B%>954*)!:9/4/!Y!&9)=4)=!+&*C!TMi!4)!58(!X!9)'!@@i!*+!,2N#!U8(&(!89/!:(()!=**'!B&*=&(//!4)!&(;()5!6(9&/O! 9/!58(!)%C:(&!*+!;*%)5&4(/!;*>>(;54)=!B*B%>954*)D:9/('!;9);(&!'959!4/!4);&(9/4)=#!J*&(*A(&O!58(&(!89/!:(()!9)! 4);&(9/(! 4)! 58(! )%C:(&! *+! ,2N! 9)'! -NX-! ;*%)5&4(/! &(B*&54)=! 58(! (Z4/5();(! *+! /%:&(=4*)9>! ;9);(&! &(=4/5&4(/O! 784;8!89A(!58(!B*5()549>!5*!:(!/;9>('!%B!5*!58(!)954*)9>!>(A(>#! 21
  • 23. (72,'>,'C%)/%#$82%'"E'/"<#$)7%&'7#'$D%':<)"F%8#'J%27"#'*7$D'8'/8#/%)')%27&$)=R'BA?BBA?I'' "00! M0! T0! K0! I0! E0! @0! ?0! 10! "0! 0! P9A(!;9);(&!&(=4/5&6! D!.959!9&(!B*B%>9p*)D:9/('! D!,9p*)9>!! D!N%:D)9p*)9>! X%&*B(9)! <(=4*)! D!N%:D)9p*)9>! X! -NX-! NIS -2N! D!,9p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obacco use Overweight and obesity European Region Alcohol consumption Hypertension or elevated blood pressure EU Diabetes or elevated blood glucose Physical inactivity CSEC Diet or low fruit and vegetable consumption NIS CIS Abnormal blood lipids 0 20 40 60 80 100 Salt or sodium intake ! 22
  • 24. $(57(()! 10"0! 9)'! 10"?O! 58(&(! 79/! B&*=&(//! 4)! 58(! C*)45*&4)=! *+! C*/5! &4/F! +9;5*&/! 4);>%'('! 4)! 58(! G>*:9>! J*)45*&4)=! R&9C(7*&F! +*&! ,*);*CC%)4;9:>(! .4/(9/(/! gR4=#! "0h#! S>C*/5! 9>>! ;*%)5&4(/! 4)! 58(! <(=4*)! 9//(//! *A(&7(4=85!9)'!5*:9;;*!%/(#!N*'4%C!4)59F(!4/!:(4)=!C(9/%&('!:6!EIi!*+!;*%)5&4(/!9)'!*)>6!9!+(7!%/(!58(!=*>'! /59)'9&'! *+! 1@D8*%&! %&4)(! (Z;&(54*)! /%&A(6O! 9>58*%=8! 58(! /45%954*)! 4/! 4CB&*A4)=! +9/5#! P*7(A(&O! /9>5! 89/! *)>6! &(;()5>6! :(()! 9''('! 5*! 58(! >4/5! *+! &4/F! +9;5*&/! 4)! 58(! G>*:9>! J*)45*&4)=! R&9C(7*&F! +*&! ,*);*CC%)4;9:>(! .4/(9/(/!!"(##!$>**'!>4B4'!9//(//C()5!89/!B&*=&(//('!'%&4)=!58(!B9/5!58&((!6(9&/!9)'!4/!)*7!9A94>9:>(!4)!C*&(! 589)!T0i!*+!;*%)5&4(/#! 2)! /*C(! 796/O! 58(! VPW! X%&*B(9)! <(=4*)! 4/! >(9'4)=! =>*:9>>6#! U8(! <(=4*)9>! W++4;(! (/59:>4/8('! 58(! VPW! -84>'8**'!W:(/456!N%&A(4>>9);(!2)454954A(!g-WN2h!4)!"M!;*%)5&4(/!4)!58(!<(=4*)O!@!C*&(!89A(!9>&(9'6!9'*B5('!45! 9)'!"1!C*&(!9&(!(ZB(;5('!'%&4)=!45/!)(Z5!&*%)'#!U8(!/6/5(C!94C/!5*!&*%54)(>6!C(9/%&(!5&()'/!4)!*A(&7(4=85! 9)'! *:(/456! 4)! B&4C9&6! /;8**>! ;84>'&()! gIYM! 6(9&/! *>'h! 5*! %)'(&/59)'! 58(! B&*=&(//! *+! 58(! (B4'(C4;! 4)! *A(&7(4=85!9)'!*:(/456!4)!584/!B*B%>954*)!=&*%B!9)'!5*!B(&C45!4)5(&;*%)5&6!;*CB9&4/*)/!74584)!58(!X%&*B(9)! <(=4*)#! 2)! 9''454*)O! 58(&(! 89/! :(()! B&*=&(//! /4);(! 10"0! 4)! 58(! )%C:(&! *+! ;*%)5&4(/! &(B*&54)=! /%&A(4>>9);(! /6/5(C/! ;*A(&4)=!:4*>*=4;9>!&4/F!+9;5*&/!gU9:>(!1h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verweight and obesity Tobacco use Alcohol consumption European Region 2009-10 Diabetes or elevated blood glucose Hypertension or elevated blood pressure Diet or low fruit and vegetable consumption European Region 2012-13 Abnormal blood lipids Physical inactivity Salt or sodium intake 0 50 100 % of countries ! 23
  • 25. ^851%' B,' C%)/%#$82%' "E' /"<#$)7%&' 7#' $D%' :<)"F%8#' J%27"#' D867#2' &$<+7%&' ")' &<)6%=&' *7$D' 3%8&<)%+' )7&0' E8/$")&R'BA?BBA?IR'*7$D'+7EE%)%#/%&'7#'F%)/%#$82%'F"7#$&'E)"3'BA?A'7#'F8)%#$D%&%&' !! X%&*B(9)!<(=4*)! -NX-! X! ,2N! P6B(&5()/4*)!*&!(>(A95('!:>**'!B&(//%&(!! I"!gnTh!! IT!gnKh!! EK!gn"Ih!! TM!gn""h!! .49:(5(/!*&!(>(A95('!:>**'!=>%;*/(! E?!gnTh!! E?!go0h! E0!gnMh! IK!gn1?h!! WA(&7(4=85!9)'!*:(/456! EE!gn@h!! @0!go0h! E0!gn"Kh! "00!gn??h!! S:)*&C9>!:>**'!>4B4'/! EE!gn"1h!! I0!gnKh!! I"!gn"Kh! EI!gn1?h!! N9>5!*&!/*'4%C!4)59F(! 1I! 10! ?I! M!! B,I,'C)"3"$7#2'D%81$D'8#+'F)%6%#$7#2'+7&%8&%' !";"#"$ <*0'.*>$ 8*)A)-/0+-C$ 8+1070)4D$ 4/*./)50)4$ .-6$ .7/0+-$ 81.-4$ ,+*$ '.E+*$ %234$ .-6$ *04B$ ,.7/+*4$ 2)5(=&95('! ,-.! /5&95(=4(/! 9)'m*&! 9;54*)! B>9)/! (Z4/5! 4)! K@i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lcohol consumption Poor nutrition and diet Physical inactivity Tobacco consumption % of countries 80 60 40 20 0 European Region CSEC EU NIS CIS ! S>*)=! 7458! 58(! 4);&(9/(! 4)! 4)5(=&95('! )954*)9>! ,-.! B*>4;4(/! 9)'! 9;54*)! B>9)/O! 58(! )%C:(&! *+! ;*%)5&4(/! 5895! ;*C:4)(!(9&>6!'(5(;54*)O!5&(95C()5!9)'!;9&(!+*&!;9);(&O!;9&'4*A9/;%>9&!'4/(9/(/O!'49:(5(/O!;8&*)4;!&(/B4&95*&6! '4/(9/(/! 9)'! *A(&7(4=85! 9)'! *:(/456! 89/! 9>/*! 4);&(9/('! :6! 9:*%5! "0i! :(57(()! 10"0! 9)'! 10"?#! ,2N! 89A(! &(B*&5('!58(!C*/5!B&*=&(//!9)'!58(!84=8(/5!;*A(&9=(!7458!/%;8!4)5(=&95('!,-.!;*)5&*>!B*>4;4(/#! $(6*)'!58(!4)5(=&95('!,-.!/5&95(=4(/!9)'!B>9)/O!C9)6!;*%)5&4(/!89A(!'4/(9/(D!9)'!&4/F!+9;5*&Y/B(;4+4;!B*>4;4(/O! /5&95(=4(/! 9)'! 9;54*)! B>9)/! 4)! 58(! <(=4*)#! U8(/(! /B(;4+4;! B*>4;4(/! 89A(! 4);&(9/('! 4)! )%C:(&! '%&4)=! 58(! B9/5! '(;9'(!4)!9>>!;*%)5&6!=&*%B/O!:%5!7458!9!/5((B(&!4);&(9/(!:(57(()!10"0!9)'!10"?!gR4=#!"1h#! 24
  • 26. (72,'?B,'C%)/%#$82%'"E'/"<#$)7%&'7#'$D%':<)"F%8#'J%27"#'D867#2'8'&F%/7E7/'#8$7"#81'F"17/=R'&$)8$%2='")'8/$7"#' F18#'E")'F)%6%#$7#2'8#+'/"#$)"117#2'38_")'+7&%8&%&R'BAAABA?I' 100 Cancer % of countries 80 Cardiovascular diseases Diabetes 60 40 Chronic respiratory disease 20 0 2000-01 2005-06 2009-10 2012-13 ! ! U8(!C*/5!+&(3%()5!A(&54;9>!B*>4;4(/!9)'!9;54*)!B>9)/!59&=(5!58(B&(A()54*)9)'!;*)5&*>*+!;9);(&!g9:*%5!M0i!*+! 58(!;*%)5&4(/hO!+*>>*7('!:6;9&'4*A9/;%>9&!'4/(9/(/!9)'!'49:(5(/!gR4=#!"?h#!U8(!C*/5!+&(3%()5>6!9''&(//('!&4/F! +9;5*&/! +*&! ,-./! 9&(! 5*:9;;*! %/(O! %)8(9>586! '4(5! 9)'! 9>;*8*>! gR4=#! "?h#! NB(;4+4;! )954*)9>! B*>4;4(/! &(>95('! 5*! ;8&*)4;!&(/B4&95*&6!'4/(9/(/!(Z4/5!4)!9:*%5!*)(!3%9&5(&!*+!58(!;*%)5&4(/!4)!58(!<(=4*)#! (72,'?I,'C%)/%#$82%'"E'/"<#$)7%&'7#'$D%':<)"F%8#'J%27"#'*7$D'&F%/7E7/'#8$7"#81'F"17/7%&R'F18#&R'")'&$)8$%27%&' E")'F)%6%#$7#2'8#+'/"#$)"117#2'38_")'+7&%8&%&'8#+')7&0'E8/$")&'8#+'$D%7)'&$82%'"E'73F1%3%#$8$7"#R'BA?BBA?I' "00! T0! I0! @0! 10! 0! Cancer Cardiovascular diseases Diabetes Policy, strategy or action plan exists It is operational CRD Alcohol consumption There is a policy or strategy It is under development ! Overweight and obesity Physical inactivity Tobacco use Unhealthy diet There is an Action plan It is not in effect ! J*/5! ,-.D&(>95('! )954*)9>! B*>4;4(/O! B>9)/! *&! /5&95(=4(/! 4)! ;*%)5&4(/! 9&(! *B(&954*)9>! 9)'! B&*A4'(! 9! =**'! +*%)'954*)!+*&!4)5(=&95('!B*>4;4(/!9)'!9;54*)!B>9)/!5*!B&(A()5!9)'!;*)5&*>!,-./#! !";"!"$F047.1$8+1070)4$ U8(! X%&*B(9)! ,-.! S;54*)! L>9)! !%#! B&*B*/(/! 5895! ;*%)5&4(/! %/(! +4/;9>! B*>4;4(/! 5*! (++(;54A(>6! 4)+>%();(! 8(9>58D &(>95('!:(89A4*%&!!%J##!2)!10"0O!T0i!*+!58(!;*%)5&4(/!&(B*&5('!4CB>(C()54)=!+4/;9>!4)5(&A()54*)/!5*!4)+>%();(! :(89A4*%&!;89)=(!g/%;8!9/!59Z954*)!*)!9>;*8*>O!5*:9;;*!B&*'%;5/!9)'!:(A(&9=(/!7458!84=8!/%=9&!;*)5()5h#! 2)! 10"?O! 9>C*/5! 9>>! ;*%)5&4(/! 4)! 58(! X%&*B(9)! <(=4*)! 59Z! 9>;*8*>! 9)'! 5*:9;;*O! &9)=4)=! +&*C! M?i! 5*! "00i! *+! ;*%)5&4(/!4)!58(!/%:&(=4*)9>!=&*%B/#!P*7(A(&O!C*/5!*58(&!+4/;9>!4)5(&A()54*)/!5895!B&*C*5(!8(9>58!89A(!&9&(>6! :(()!%/('!4)!58(!<(=4*)#!U9Z954*)!*)!+**'!9)'!)*)D9>;*8*>4;!:(A(&9=(/!84=8!4)!/%=9&!;*)5()5!4/!%/('!9>C*/5! (Z;>%/4A(>6!4)!58(!,*&'4;!;*%)5&4(/#!W58(&!+4/;9>!4)5(&A()54*)/!/%;8!9/!59Z(/!*)!+**'/!84=8!4)!+95O!B&4;(!/%:/4'4(/! 25
  • 27. +*&! 8(9>586! +**'/! 9)'! 59Z954*)! 4);()54A(/! 5*! B&*C*5(! B86/4;9>! 9;54A456! 9&(! &9&(>6! 4CB>(C()5('! gq"0i! *+! ;*%)5&4(/!&(B*&54)=h#! U8(! C9Q*&! C*54A954*)! +*&! +4/;9>! 4)5(&A()54*)! 4)! 58(! <(=4*)! 4/! &94/4)=! =()(&9>! &(A()%(! gETih_! /(;*)'! 4/! 58(! 4)5()54*)! 5*! 4)+>%();(! 8(9>58! :(89A4*%&O! &(B*&5('! :6! ?Ti! *+! ;*%)5&4(/#! 2)! ?1i! *+! ;*%)5&4(/! 4)! 58(! <(=4*)O! (9&C9&F('!59Z(/!89A(!9>/*!:(()!9!/*%&;(!*+!+%)'4)=!+*&!,-.D&(>95('!9;54A454(/#! !";";"$G-/)*A)-/0+-4$/+$*)5&1./)$'.*B)/0-5D$4.1/$.-6$/*.-4H,./$ U8(! S;54*)! L>9)! +*&! 58(! 4CB>(C()5954*)! *+! 58(! X%&*B(9)! N5&95(=6! +*&! L&(A()54*)! 9)'! -*)5&*>! *+! ,*);*CC%)4;9:>(!.4/(9/(/!9>/*!B&*B*/(/!4)5(&A()54*)/!5895!&('%;(!58(!(ZB*/%&(!*+!;84>'&()!5*!C9&F(54)=!*+! +**'/!84=8!4)!+95O!/%=9&!9)'!/9>5#!U8(!e4())9!.(;>9&954*)!*)!,%5&454*)!9)'!,*);*CC%)4;9:>(!.4/(9/(/!4)!58(! -*)5(Z5!*+!P(9>58!1010!89/!/5&()=58()('!58(/(!(++*&5/!&(;()5>6!9)'!B&*A4'('!9!/5&*)=!C9)'95(!+*&!9;54*)!5*! ;&(95(!8(9>586!+**'!9)'!'&4)F!()A4&*)C()5/#!N4=)95*&6!;*%)5&4(/!'(;>9&(!5895!58(6!74>>!59F(!k'(;4/4A(!9;54*)!5*! &('%;(! +**'! C9&F(54)=! B&(//%&(! 5*! ;84>'&()! 7458! &(=9&'! 5*! +**'/! 84=8! 4)! ()(&=6O! /95%&95('! +95/O! )*+,-D+9556! 9;4'/O!+&((!/%=9&/!*&!/9>5l!!$&##! J*&(! 589)! 89>+! 58(! ;*%)5&4(/! 4)! 58(! <(=4*)! 4CB>(C()5! B*>4;4(/! 5*! 9''&(//! 58(! C9&F(54)=! *+! +**'/! 9)'! )*)D 9>;*8*>4;!:(A(&9=(/!5*!;84>'&()O!C*/5!*+!58(C!4)!)*&58(&)!X%&*B(#!U8(/(!B*>4;4(/!9&(!:*58!>(=9>>6!()+*&;('!*&! 4CB>(C()5('! :6! A*>%)59&6! B&*;(//(/! 5895! ();*CB9//! 9! /5&*)=! &*>(! *+! 58(! /595(#! J9)6! *+! 58(! X! 9)'! -NX-! ;*%)5&4(/!89A(!(/59:>4/8('>(=9>!+&9C(7*&F/!*)!C9&F(54)=O! W)>6!"Ti!*+!58(!;*%)5&4(/!59&=(5!C9&F(54)=!4)!7(:D:9/('!C('49!9)'!10i!59&=(5!/B*&5/!(A()5/#!P*7(A(&O!58(! C9&F(54)=!(++*&5/!*+!58(!+**'!4)'%/5&6!9&(!)*7!'4&(;5('!5*79&'/!/*;49>!C('49!9)'!:9/('!*)!58(!2)5(&)(5#! J*&(! 589)! 89>+! *+! 58(! ;*%)5&4(/! 4)! 58(! <(=4*)! 4CB>(C()5! B*>4;4(/! 5*! &('%;(! B*B%>954*)! /9>5! ;*)/%CB54*)#! c(9'4)=!4)!/%;8!(++*&5/!9&(!58(!X!;*%)5&4(/!+*>>*7('!:6!-NX-!;*%)5&4(/#! 2)5(&A()54*)/!>4C454)=!/95%&95('!+9556!9;4'/!9)'!A4&5%9>>6!(>4C4)954)=!)*+,-D+95/!9&(!58(!>(9/5!7(>>!(/59:>4/8('!4)! 58(!<(=4*)O!9>58*%=8!+*%&!;*%)5&4(/!89A(!9!;*CB>(5(!>(=9>!:9)!*)! )*+,-D+95/!g>(//!589)!"ihO!9)'!*58(&/!89A(! 4)59F(/! >*7(&! 589)! "i! 4)! 58(! *A(&9>>! '4(5! %/4)=! /(>+D&(=%>95*&6! C(9/%&(/O! /%;8! 9/! 58(! ,(58(&>9)'/! 9)'! 58(! )45('! b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g/%;8! 9/!B9&549>>6!86'&*=()95('!A(=(59:>(!*4>h!9&(!58(!>(9/5!7(>>!(/59:>4/8('!4)!58(!<(=4*)#!2)!/*C(!/%:&(=4*)/O!*)>6! "0i!*+!58(!;*%)5&4(/!B&*C*5(!/%;8!4)5(&A()54*)/#!U8(!B(&;()59=(!4/!84=8(&!4)!58(!X!;*%)5&4(/!g?1ih#!R4=#!"@! /%CC9&4[(/!58(/(!+4)'4)=/!9)'!58(4&!C(;89)4/C/!*+!()+*&;(C()5#! 26
  • 28. (72,' ?K,' C%)/%#$82%' "E' /"<#$)7%&' 7#' $D%' :<)"F%8#' ]#7"#' 73F1%3%#$7#2' $D%' E"11"*7#2' &F%/7E7/' D%81$D' F)"3"$7"#'8/$767$7%&'")'7#7$78$76%&R'5='/"<#$)='2)"<FR'BA?BBA?I'' European Region 0 10 20 30 40 50 60 70 80 90 100 Regulate marketing to children Eliminate trans-fats and limit saturated fats Reduction in salt consumption EU Regulate marketing to children - policies voluntary or self-regulating Eliminate trans-fats and limit saturated fats CSEC Reduction in salt consumption - policies enforced through legislation Regulate marketing to children Eliminate trans-fats and limit saturated fats Reduction in salt consumption NIS CIS Regulate marketing to children Eliminate trans-fats and limit saturated fats Reduction in salt consumption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gM@YMIih!B&*A4'(!B&4C9&6!B&(A()54*)O!&4/F!+9;5*&! '(5(;54*)! 9)'! &4/F! +9;5*&! 9)'! '4/(9/(! C9)9=(C()5#! U8(! C*/5! B&*=&(//! &(B*&5('! '%&4)=! 58(! B9/5! 58&((! 6(9&/! 89/!:(()!58(!4)5(=&954*)!*+!8*C(D:9/('!;9&(O!/(>+D8(>B!9)'!/(>+D;9&(!4)5*!)954*)9>!8(9>58!/6/5(C/#!-*%)5&4(/! >(//!+&(3%()5>6!&(B*&5!&(89:4>45954*)!/(&A4;(/!gR4=#!"Eh#! L&4C9&6! ;9&(! ;*%)/(>>4)=! *+! B(*B>(! 95! &4/FO! )*59:>6! :(;9%/(! *+! %)8(9>586! >4+(/56>(/O! ;9)! :(! *)(! *+! 58(! C*/5! (++(;54A(!796/!*+!;89)=4)=!:(89A4*%&!9)'!;%&:4)=!*:(/456!9)'!,-./O!(/B(;49>>6!4+!9'A4;(!4/!'(>4A(&('!;*>>(;54A(>6! :6! '4++(&()5! =&*%B/! *+! 8(9>58! B&*+(//4*)9>/#! 25! C96! =()(&95(! "0! 54C(/! >9&=(&! =94)/! 4)! '4/9:4>456D9'Q%/5('! >4+(D 6(9&/! g.Scf/h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
  • 29. (72,' ?-,' C%)/%#$82%' "E' /"<#$)7%&' 7#' $D%' :<)"F%8#' J%27"#' 7#$%2)8$7#2' G!H&' 7#$"' $D%' F)738)=' D%81$D' /8)%' &=&$%3R'BAAMBA?A'8#+'BA?BBA?I' Primary prevention and health promotion Risk factor detection Risk factor and disease management Support for self-help and self-care 2009-10 2012-13 Home-based care Rehabilitation services Surveillance and reporting 0! 10! @0! I0! T0! "00! % of countries ! ! 2)! 9''454*)! 5*! /(&A4;(/! B&*A4'('! :6! B&4C9&6! 8(9>58! ;9&(O! 8*C(D! 9)'! ;*CC%)456D:9/('! ;9&(! 4/! 9A94>9:>(! +*&! B(*B>(!4)!58(!9'A9);('!*&!5(&C4)9>!/59=(/!*+!,-./!4)!KEi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gR4=#! "Ih#! U8(! C*/5! ;*CC*)>6! 9BB&*A('! =%4'(>4)(/! 9''&(//! '49:(5(/#! 2CB>(C()54)=! =%4'(>4)(/! +*&! C9)9=4)=! ;9&'4*A9/;%>9&! '4/(9/(/! 9)'! ;9);(&! &(C94)/! 9! ;89>>()=(! 9;&*//! 58(! <(=4*)#! 28
  •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i! *&! C*&(! *+! 58(! ;*%)5&4(/#! $&(9/5! ;9);(&! /;&(()4)=! :6! B9>B954*)! 4/! 58(! C*/5! ;*CC*)>6! &(B*&5('! 5(;8)*>*=6! 9A94>9:>(! 4)! :*58! B%:>4;! 9)'! B&4A95(! B&4C9&6! 8(9>58! ;9&(! /(554)=/O! +*>>*7('! :6! ;(&A4;9>! ;65*>*=6!9)'!+9(;9>!*;;%>5!:>**'!5(/5O!9A94>9:>(!4)!T0i!*+!58(!8(9>58!;9&(!/(554)=/!4)!:*58!58(!B%:>4;!9)'!B&4A95(! /(;5*&/#!J9CC*=&9B86!4/!9A94>9:>(!4)!K0i!*+!58(!;*%)5&4(/!4)!:*58!58(!B%:>4;!9)'!B&4A95(!/(;5*&/#! 2)5(&A()54*)/!/%;8!9/!:>**'!B&(//%&(!C(9/%&(C()5!9)'!5*59>!;8*>(/5(&*>!C(9/%&(C()5!9&(!74'(>6!9A94>9:>(!4)! :*58! 58(! B%:>4;! 9)'! B&4A95(! /(;5*&/#! c4F(74/(O! 58(&(! 4/! =**'! ;*A(&9=(! *+! :>**'! =>%;*/(! C(9/%&(C()5! +*&! C9)9=4)=! 9)'! ;*)5&*>>4)=! '49:(5(/! 9/! 7(>>! 9/! *&9>! =>%;*/(! 5*>(&9);(! 9)'! =>6;95('! 89(C*=>*:4)! 5(/54)=! g58(! >955(&!:(4)=!/>4=85>6!:(55(&!;*A(&('!4)!58(!B&4A95(!/(;5*&h#! S>58*%=8! C9)6! *+! 58(! +94&>6! :9/4;! 5(;8)*>*=4(/! )(;(//9&6! +*&! C9)9=4)=! &4/F! +9;5*&/! 9)'! B&(A()54)=! 9)'! '49=)*/4)=! ,-./! 9&(! 9>C*/5! %)4A(&/9>>6! 9A94>9:>(! 4)! B&4C9&6! 8(9>58! ;9&(O! (++*&5/! 5*! (ZB9)'! 58(! ;*A(&9=(! +*&! ;9);(&!/;&(()4)=!9&(!/54>>!)(('('#! U8(!VPW!J*'(>!X//()549>!J('4;4)(/!c4/5!B&*A4'(/!9)!4)5(&)954*)9>>6!&(;*=)4[9:>(!/(5!*+!/(>(;5('!C('4;4)(/!5*! 8(>B! ;*%)5&4(/! ;8**/(! 8*7! 5*! 5&(95! 58(4&! B&4*&456! 8(9>58! )(('/#! S:*%5! 58&((! 3%9&5(&/! *+! 58(! ;*%)5&4(/! 4)! 58(! X%&*B(9)!<(=4*)!89A(!'(A4/('!58(4&!*7)!>4/5!*+!(//()549>!C('4;4)(/#! J*&(!589)!T0i!*+!58(!;*%)5&4(/!89A(!9A94>9:>(!(//()549>!C('4;4)(/!5*!5&(95!,-./#!2)/%>4)O!C(5+*&C4)O!5849[4'(! '4%&(54;/O!9)=4*5()/4)D;*)A(&54)=!()[6C(!4)84:45*&/O!;9>;4%CD;89))(>!:>*;F(&/O!/5954)/!9)'!:&*);8*'4>95*&/!9&(! 9A94>9:>(! 4)! C*&(! 589)! M0i! *+! ;*%)5&4(/O! 9)'! 58(6! 9BB(9&! 4)! C*/5! )954*)9>! >4/5/! *+! (//()549>! C('4;4)(/#! S>58*%=8! 58(! *A(&9>>! 5&()'! 4)! (//()549>! C('4;4)(/! 9A94>9:4>456! 4/! 4);&(9/4)=O! *)>6! 1Ei! *+! ;*%)5&4(/! B&*A4'(! )4;*54)(!&(B>9;(C()5!58(&9B6O!9)'!45!4/!9>/*!>(//!*+5()!B&(/()5!*)!)954*)9>!>4/5/!*+!(//()549>!C('4;4)(/#! 29

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