HEALTH MANAGEMENT. Analysis: Forecast bad for UN chronic disease meeting

LONDON (Reuters) - ten years to commit to the fight against AIDS, the United Nations takes on an even bigger pile of Mörder--common chronic ailments-in what design is up for a bruising battle between big business, Western Governments and the world's poor.
Tobacco, food and drink companies are in the firing line for peddling products, accused in connection with cancer, diabetes and heart disease while politicians in the rich world, in the absence of a fixed goals or means the appropriate against provide.
"This is an opportunity generation." Rebecca Perl the World Lung Foundation (WLF) we have millions of life here, and it said is a disgraceful and immoral could save that industry lobbying short-term profits to a public health disaster has put, "told of Reuters." WLF participates in irritable preliminary talks for several months.
The fear is that the large company has successfully lobbying rich Governments only half-heartedly in non-communicable diseases or NCDs, fight despite predictions that they paralyze the health systems of developing countries could be.
A bit a short-term financial requires such as climate change, prevention and treatment of non-communicable diseases affluent Nations and multinational companies hours to prevent that overwhelmed poor countries in the future.
Fears grow in these strict times already, that a high-level UN Conference in New York on September 19-20-only the second in the Centre of the disease after an AIDS in the year 2001-could be a flop.
The collection includes scores of delegates of the UN Member States, including about 20 head of Government as well as representatives of the public health groups, non-governmental organizations, the private sector and science.
After a draft of political declaration, that are the foundation of the United Nations think many platitudes but few concrete commitments on NCDs contains close to the negotiations.
Ann Keeling, Chairman of the NCD Alliance, which groups of 2,000 health organizations from which all over the world, said "There is no strong and temporally fixed commitments there," the news agency of Reuters. "It's a big disappointment from this point of view."
NOT ROCKET SCIENCE
The extent of the problem is immense. Some 36 million people die each year from NCDs--about 80% of them in poor countries where prevention programmes are virtually non-existent, and access to diagnosis and treatment is extremely limited.
As a result, death of NCDs are almost twice as high in poor countries as in the industrialized world.
Prevent that outrun this Todesfälle-- or at least a good part - is not rocket. A simple improvement enables proven measures such as the reduction of smoking, diet, drugs available and promote the use could tap a huge hole in this number.
"It is a common history, the cancer, cardiovascular, diabetes and respiratory medicine to tobacco, alcohol, diet and General-links and that's where we have the most cost-effective impact", says David Kerr, President of the European society for medical oncology.
The key points are money, goals and control.
Complete a billion people from lighting, or to prevent every day cheap medications such as aspirin and Statins, heart attacks and strokes may be less expensive, but the repayment does not quickly and it is unlikely that many votes to win.
"The time horizon for return on investment is very long and many political horizon." So it is difficult to require people to this kind of resources, ", says Gordon Tomaselli, President of the American Heart Association."
The NCD Alliance says spending $9 billion a year on tobacco control, food risks would advice and treatment for people with heart avert millions of premature deaths in this decade.
That's a lot? Compared to care for HIV patients in developing countries already costs by 13 billion per year.
In contrast to combat AIDS, which UN focus was ten years ago, the price of drugs of less is a problem here, as many as cheap generic drugs are available, although there are disputes about the costs for some more products expensive such as insulin.
STUBBING FROM TOBACCO
The sharpest concentrated themselves this time on fatty foods, sugary drinks and--in allem-- the tobacco industry, the World Health Organization Director General Margaret Chan was described as "an industry that has lots of money and no scruples, for use in the insidious as possible."
With tobacco, if the development however, that public health lobby says nothing else does the UN session, it should be predicted to kill more than one billion people of this century at least a smoke-free world of one of its central objectives.
Smoke alone causes one of three cases of pulmonary diseases, one of four cases of cancer and in 10 cases of heart disease, says Perl. "So what a bang, get for your money there, to look for."
Conflicts Governments find it hard. Japan tobacco is of, for example, 50 percent owned by the Japanese Government, and the massive profits U.S. cigarette to strengthen the US economy manufacturers.
China, the world's male smokers, the combination of taxes and sale of China national tobacco houses a third-all State Office-account for about 9 percent of annual tax revenue of the Government.
This is one reason more, according to Paul Lincoln of UK National Heart Forum and Jaakko Tuomilehto, an epidemiologist at the University of Helsinki, hiking tobacco taxes, advertising to put the brakes and insist on health warnings graphic.
"There are no excuses," Lincoln said. "We have the know-how." "The challenge for public health as ever and ever is to overcome the ideological and vested interests."
Tuomilehto is more stump: "it is a crazy thing to have a product in the shops, the every second consumer-it kills is madness."

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