The executive director of the Emergencies Program of the World Health Organization (WHO), Michael Ryan, has urged attention to non-communicable diseases (NCDs) in contexts of humanitarian emergencies, since, during them, people “lose the access to health services”, which is leading to “an enormous global crisis”.
This is how Ryan spoke this Tuesday at a press conference in Copenhagen (Denmark), held within the framework of a high-level global technical meeting on NCDs in humanitarian settings, which takes place from February 27 to 29 in that city.. The objective of the event, in which the WHO, Denmark, Jordan, Kenya and UNHCR – the UN Refugee Agency – participate, is to support the integration of essential services for NCDs in emergency preparedness and humanitarian response.
Non-communicable diseases (NCDs), such as cardiovascular diseases, cancer, chronic respiratory diseases and diabetes, are responsible for 75% of deaths worldwide. People affected by humanitarian emergencies are at increased risk of contracting NCDs.
Strokes and heart attacks are estimated to be up to three times more likely after a disaster. However, NCD care and treatment are often not included as a standard part of humanitarian emergency preparedness and response, which focus on the most immediate needs.
The humanitarian emergencies of recent years are becoming more complex and interconnected. Hunger and shortages of essential goods exacerbate geopolitical conflicts, ecological degradation and climate change cause more frequent and extreme natural disasters. Currently, WHO is dealing with 42 major emergencies worldwide.
“People living with NCDs in humanitarian crises are more likely to see their condition worsen due to trauma, stress or the inability to access medicines or services. The needs are enormous, but the resources are not,” said WHO Director-General Dr. Tedros Adhanom Ghebreyesus.. “We must find ways to better integrate NCD care into emergency response, to protect more lives from these avoidable tragedies and improve health security,” he said.
“We've all seen the images of surgical teams in those emergencies, and that's fantastic, there's a lot of work going on.”. What we don't see is the other tool, the iceberg of mortality that occurs because people lose access to health services, diabetes care, hypertension care, cancer care, and those services. that keep people alive and healthy in our societies,” Ryan lamented.
Refugee health
NCDs accounted for a significant proportion of all deaths in the major refugee-sending countries under UNHCR mandate: 75% in the Syrian Arab Republic, 92% in Ukraine, 50% in Afghanistan and 28% in South Sudan.
“As forced displacement increases, we must work to ensure the right to health of refugees, other forcibly displaced people, and host communities. “It is imperative that policies and resources are in place to support the inclusion of refugees in national health systems, including access to care for non-communicable diseases,” said Filippo Grandi, United Nations High Commissioner for Refugees.. “We must be innovative and work with governments and partners to respond to these challenges,” he commented.
Create solutions
There are many solutions that countries and partners are implementing to save more lives from NCDs among people affected by humanitarian crises.. Since 2017, more than 142,000 WHO NCD kits containing various essential treatments for diabetes, hypertension, asthma and other medicines have been distributed.
Each kit provides affordable, safe and reliable access to life-saving NCD medicines and supplies to 10,000 people for over three months. These have been distributed to 28 countries affected by conflict or natural disasters and placed in humanitarian centers, including Gaza, South Sudan and Ukraine.
Many countries have included policies and services for the prevention and control of NCDs as part of their efforts to strengthen health systems to better prepare for, respond to and recover from health emergencies.. These efforts aim to achieve strong and resilient health systems with Primary Care and Universal Health Coverage as a foundation.
However, more needs to be done. Some specialized services, such as dialysis or cancer care, require specific planning and adaptations during emergencies, and more knowledge is needed to better integrate NCDs into emergency preparedness and response.
“We have the means, we have the policies, we have the tools, we have the manpower, but we do not have the resources or sustainable financing to do it,” Ryan said, adding that it is necessary to “invest in people and local systems ” in order to “build community resilience for the future.”