63Wd18e Progress Reports
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REGIONAL COMMITTEE FOR EUROPE SIXTy-thiRD SESSION Çeşme Izmir, Turkey, 16–19 September 2013 © İZKA/ Tamer Hartevioğlu Progress reports Regional Committee for Europe EUR/RC63/18 Sixty-third session Çeşme Izmir, Turkey, 16–19 September 2013 23 July 2013 131409 Provisional agenda item 5(k) ORIGINAL: ENGLISH Progress reports This document contains consolidated progress reports on: (a) the implementation of the Consolidated Action Plan to Prevent and Combat Multidrug- and Extensively Drug-Resistant Tuberculosis in the WHO European Region 2011–2015 (b) tobacco control in the WHO European Region (c) nutrition, physical activity and obesity in the WHO European Region (d) the Action Plan for implementation of the European Strategy for the Prevention and Control of Noncommunicable Diseases 2012–2016 (e) the health-related Millennium Development Goals in the WHO European Region: 2013 update (f) the implementation of the International Health Regulations (2005) (g) the European strategic action plan on antibiotic resistance WORLD HEALTH ORGANIZATION REGIONAL OFFICE FOR EUROPE UN City, Marmorvej 51, DK-2100 Copenhagen Ø, Denmark Telephone: +45 45 33 70 00 Fax: +45 45 33 70 01 Email: [email protected] Web: http://www.euro.who.int/en/who-we-are/governance EUR/RC63/18 page ii Contents page Progress report on the implementation of the Consolidated Action Plan to Prevent and Combat Multidrug- and Extensively Drug-Resistant Tuberculosis in the WHO European Region 2011–2015 ........................................................................................................................ 1 Introduction ......................................................................................................................... 1 Background ......................................................................................................................... 1 Situation analysis ................................................................................................................ 2 Epidemiological trends .................................................................................................. 2 Financing TB and MDR-TB interventions .................................................................... 2 Achievements and Challenges ............................................................................................ 3 Intervention area 1: Preventing the development of M/XDR-TB .................................. 3 Intervention area 2: Increasing access to testing for resistance to first and second line anti-TB drugs and to HIV testing among TB patients ............................................ 3 Intervention area 3: Scaling up access to effective treatment for all forms of drug- resistant TB .................................................................................................................... 3 Intervention area 4: Improving TB infection control ..................................................... 4 Intervention area 5: Strengthening surveillance, including the recording and reporting of drug-resistant TB and monitoring treatment outcome ............................... 4 Intervention area 6: Broadening countries’ capacity to scale up the management of drug-resistant TB, including advocacy, partnership and policy guidance ..................... 4 Intervention area 7: Addressing the needs of special populations ................................. 5 Next steps ............................................................................................................................ 6 Progress report on tobacco control in the WHO European Region ............................................... 7 Introduction and background .............................................................................................. 7 Situation analysis ................................................................................................................ 7 Current trends and gaps ................................................................................................. 7 Achievements and challenges in each strategic direction ................................................... 8 Political commitment ..................................................................................................... 8 Implementation of the WHO FCTC .............................................................................. 8 Tobacco control in the Action plan for implementation of the European Strategy for the Prevention and Control of Noncommunicable Diseases 2012–2016 ................. 8 The way forward ............................................................................................................... 10 What it means to meet the proposed global target of a 30% relative reduction in current tobacco use among adults aged 15+ years by 2025 ......................................... 10 What are the priority areas for meeting the proposed global target? ........................... 10 Progress report on nutrition, physical activity and obesity in the WHO European Region ........ 13 Introduction and background ............................................................................................ 13 Situation analysis .............................................................................................................. 14 Achievements and challenges ........................................................................................... 15 The way forward ............................................................................................................... 15 Report on the Action Plan for implementation of the European Strategy for the Prevention and Control of Noncommunicable Diseases 2012–2016 ............................................................ 17 The global and regional contexts ...................................................................................... 17 This report ......................................................................................................................... 17 “One-WHO” actions on NCDs ......................................................................................... 17 Surveillance ................................................................................................................. 18 Multisectoral action ..................................................................................................... 18 EUR/RC63/18 page iii Prevention and control ................................................................................................. 18 Regional achievements ..................................................................................................... 18 Surveillance ................................................................................................................. 18 Multisectoral action ..................................................................................................... 19 Prevention and control ................................................................................................. 19 Capacity building ......................................................................................................... 20 Health systems strengthening ...................................................................................... 20 National achievements ...................................................................................................... 20 Progress towards health-related Millennium Development Goals in the WHO European Region: 2013 update ................................................................................................................... 23 Introduction ....................................................................................................................... 23 MDG 4. Reduce child mortality ........................................................................................ 23 Situation analysis ......................................................................................................... 23 WHO strategies/actions ............................................................................................... 24 The way forward .......................................................................................................... 24 MDG 5. Improve maternal health ..................................................................................... 24 Situation analysis ......................................................................................................... 24 WHO strategies/actions ............................................................................................... 25 The way forward .......................................................................................................... 26 MDG 6. Combat HIV/AIDS, malaria and other diseases ................................................. 26 HIV/AIDS .................................................................................................................... 26 Malaria ......................................................................................................................... 28 Tuberculosis ................................................................................................................. 29 Interlinkages with MDG 3 ................................................................................................ 30 Interlinkages with MDG 7 ................................................................................................ 31 The post-2015 development agenda ................................................................................