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	*Chronic Disease Prevention & Control in the Americas* The purpose of this monthly newsletter is to promote the Regional Strategy on an Integrated Approach to the Prevention and Control of Chronic Diseases Including Diet, Physical Activity, and Health; to share developments on all aspects of the strategy and its four lines of action as well as news on program implementation. \|More\|

	CARMEN: A Network for Integrated Prevention and Control of Chronic Noncommunicable Disease in the Americas The CARMEN Pan American Network was developed because there was an increasing awareness among PAHO member countries that chronic noncommunicable diseases (CNCDs) account for nearly two-thirds of the total number of deaths in the Americas, and that, to a large extent, these diseases are dependent on risk factors and lifestyles that are amenable to modification. This page tells about the CARMEN network and how it contributes to NCD prevention and control throughout the Americas, with a multitude of links to its products, partners, and various activities (CARMEN Policy Observatory, CARMEN School, Pan American Cardiovascular Initiative, Central American Diabetes Initiative, etc.). \|More\|

	Meetings and Events of the CARMEN Network: List and Access The CARMEN Network, coordinated by PAHO, focuses on the integrated prevention of chronic noncommunicable diseases (CNCDs) and their risk factors. From 2005 on, the documentation from all meetings of the CARMEN Network will be disseminated via this page. \|More\|

	Chronic Disease Prevention and Control: Home Page This page provides an overview of PAHO’s strategy for chronic disease prevention and control, detailing in separate sections each of the strategy lines of action: policy and advocacy, surveillance, health promotion and disease prevention, and chronic disease management. It also presents information on PAHO’s partnerships, communication vehicles, materials, topic indexes, etc. \|More\|

	*Chronic Disease Prevention & Control in the Americas, Vol. 3, No. 3, March 2009 In this issue: Partners’ Forum; Suriname: Activities to Fight CNCDs; First Lady of Honduras Speaks out against Obesity; International Cancer Control Congress; More on Salt; PAHEF Grants; News Roundup. Note:* Due to problems in generating the News Roundup links in PDF files, we are switching to MS Word for this and future issues.) \|More in MSWord\|

	*Chronic Disease Prevention & Control in the Americas, Vol. 3, No. 1, January 2009 In this issue: Cancer: Highlights for 2008, Priorities for 2009; Experts Say Lowering Salt Consumption Should be a Top Public Health Priority; Healthy Caribbean: Bridgetown Declaration; Translation of WHO STEPS Stroke* Surveillance Manual; New WHO Website on Marketing Foods and Beverages to Children; PAHEF Project Provides Evidence That Alcohol Control Reduces Violence against Women; Global School Health Survey; News Roundup. \|More in PDF\|

	*Chronic Disease Prevention & Control in the Americas*, Vol. 2, No. 11, November 2008 This issue cover World Diabetes Day 2008: PAHO Urges Fight Against Obesity and Malnutrition in the Americas; Basic Facts on Diabetes; Ten Misconceptions on Diabetes; Chile Inaugurates Cancer Week; and News Roundup. \|More in PDF\|

	Healthy Caribbean 2008: Chronic Disease Prevention Civil Society Conference (Barbados, 16–18 October 2008) The objective of this meeting was to plan the response of civil society to the chronic disease epidemic in the Caribbean, in light of the Declaration of Port-of-Spain that resulted from the CARICOM Summit held in September 2007. The plan for civil society is a deliverable that falls under a PAHO/IAHF letter of agreement. This meeting was complementary to the one on the Caribbean Private-Sector Response to CNCDs held in Trinidad in June 2008. \|More\|

	CD48.R5 - Regional Strategy for Improving Adolescent and Youth Health CD48.R5 - Regional Strategy for Improving Adolescent and Youth Health CD48.R5

	*Chronic Disease Prevention & Control in the Americas*, Vol. 2, No. 9, September 2008 In this issue: World Cancer Congress 2008; PAHO Featured at the World Cancer Congress; PAHO Unites Cancer Control Stakeholders from LAC during World Cancer Congress; World Cancer Declaration Sets Ambitious Targets for 2020; Central America and the Dominican Republic Define a Subregional Plan for Cancer Prevention and Control; WHO to Establish Chronic Disease Research Priorities; Argentina: Community Promoters Project Report; Mexico: Social Marketing Course; Trinidad and Tobago Appoints a CNCD Technical Advisory Committee. \|More in PDF\|

	Regional Strategy on an Integrated Approach to the Prevention and Control of Chronic Diseases Including Diet, Physical Activity, and Health Chronic diseases are the major cause of death in all the countries of the Americas. This strategy was created to deal with this new epidemic: It Strategy is comprehensive, requiring a combination of interventions for the population and individuals. It is integrated, spanning prevention and control strategies focusing on the major chronic diseases and cross-cutting risk factors (especially diet, physical activity, tobacco, and alcohol). Finally, it is intersectoral, because most of the major determinants of the chronic-disease burden lie outside the health sector. This page offers an executive summary and access to the full text in PAHO publication format, as well as related initiatives. \|More\| \|More in PDF\|

	*Chronic Disease Prevention & Control in the Americas*, Vol. 2, No. 8, August 2008 This month's coverage: Spotlight on Trans Fat Free Americas: Declaration of Rio de Janeiro and Caribbean Update: Trinidad & Tobago Physical Activity Workshop; Trinidad & Tobago Consultation on Caribbean Private Sector Response to Chronic Diseases; Dominica NCD Summit; Jamaican Tobacco Project Invited to India; Jamaica Hosts Caribbean Expert Consultation on CVDs & Diabetes; Barbados National CNCD Commission; Guatemala: Certification of First Round of Cardiovascular Health Promoters; PanAmSteps Surveillance Instrument Updated; Report on Cancer Stakeholders Meeting. \|More in PDF\|

	CD48/5 - Population-based and Individual Approaches to the Prevention and Management of Diabetes and Obesity CD48/5 - Population-based and Individual Approaches to the Prevention and Management of Diabetes and Obesity \|More in PDF\|

	CD48/8 - Regional Strategy for Improving Adolescent and Youth Health CD48/8, Regional Strategy for Improving Adolescent and Youth Health \|More in PDF\|

	Introduction to Social Marketing: Its Application for Promoting Healthy Lifestyles (Mexico City, Mexico, 28 July – 1 August 2008) This 40-hour course was sponsored by PAHO's CARMEN School, the summer courses at the National Institute of Health of Mexico, and the University of South Florida. As a result, the technique of Social Marketing selected at the course will be used will be used for dissemination and application for social communication in the areas of obesity and overweight among children, physical activity, diabetes, cervical cancer, and limiting the sale of junk food and products from vending machines. \|More\|

	Healthy Eating and Active Living This page provides an organized listing of everything on the PAHO web falling under the topic of Healthy Eating and Active Living, encompassing such topics as nutrition (for persons over two years of age), healthy eating habits, diet and physical activity, obesity, exercise, active lifestyles, etc. \|More\|

	*Chronic Disease Prevention & Control in the Americas*, Vol. 2, No. 7, July 2008 In this issue: PAHO To Consider CNCD Resolutions; Partner's Forum "12 x 2012"; Global Vaccine Alliance Supports Introduction of HPV Vaccine; Jamaica: Prime Minister Golding Underscores Commitment to Caribbean Wellness; Caribbean Wellness Day; CARMEN Policy Observatory \|More in PDF\|

	First Round of Community Cardiovascular Health Promoters Receives Diplomas (INCAP, Guatemala City, Guatemala, 26 June 2008) With their graduation on 26 June 2008 at the Institute of Nutrition of Central America and Panama (INCAP) in Guatemala City, the country now has 29 certified cardiovascular health promoters trained in education, prevention, and timely detection of cardiovascular diseases. PAHO collaborated in this effort through the Pan American Cardiovascular Initiative with the National Heart, Blood and Lung Institute of the United States. \|More\|

	*Trans Fat Free Americas:* Declaration of Rio de Janeiro Public health authorities, representatives of the food industry, and companies producing edible fats and oils--convened by the PAHO/WHO in the city of Rio de Janeiro from 8-9 June 2008--made this declaration against trans fatty acids in foods produced for human consumption. \|More in PDF\|

	Chronic Diseases: PAHO Activities This page describes the mission, priority areas and activities related to chronic diseases: not only cancer, cardiovascular diseases, and diabetes but also risk-factor surveillance and integrated risk-factor and disease management (diet and physical activity, etc.). \|More\|

	Health Surveillance and Disease Prevention and Control at PAHO This page describes the PAHO Technical Area for Health Surveillance and Disease Prevention and Control(HSD), its mission and objectives, what it does in terms of projects and activities. It contains links to the four technical groups and the Pan American Center under its umbrella. Note: Prior to June 2006, the Area was named Disease Prevention and Control. \|More\|

	4^th Pan American Congress to Promote Vegetable and Fruit Consumption (Santiago, Chile, 28-30 August 2008) The objectives of this event are to: (1) Promote vegetable and fruit (V&F) consumption in Latin America; (2) Allow for exchange of experiences and lessons learned from programs to promote V&F consumption in the countries of the Region; (3) Disseminate the latest research findings related to nutrition and cancer; (4) Discuss new marketing strategies for V&F consumption. The site below (in Spanish) provides official contact and the main conference and registration site at 5-a-day Chile (5 al día Chile). 5 al día Chile

	CARMEN School International Course: Social Marketing and Preventing Child Obesity (Santiago, Chile, 26–27 August 2008) The objectives of this course are to Identify the principles that characterize social marketing and planning programs using the marketing mix (the "4 Ps": Product, Price, Place/ distribution, and Promotion); understand the importance of formative research and the segmentation of audiences when designing social marketing programs; recognize the importance of establishing realistic objectives for the different target audiences; distinguish among the stages of design, development, implementation, and evaluation of a social marketing campaign; and analyze the possibility of designing and implementing a social marketing strategy to prevent child obesity in Chile. This course will accompany the 4^th Pan American Congress to Promote Fruit and Vegetable Consumption. \|More\| \|More in PDF\|

	*Chronic Disease Prevention & Control in the Americas*, Vol. 2, No. 5, May 2008 In this issue: Look around you: A Tale of Trash; 61^st World Health Assembly Sets Bold New Path for CNCDs; Alcohol as a Risk Factor for Chronic Disease; Guatemala Declares April Healthy Living Month; 20 Years of Cervical Cancer Prevention in Chile; CNCD Surveillance in the Southern Cone; Social Marketing and Prevention of Obesity; 4^th Pan American Congress to Promote Vegetable and Fruit Consumption; Web-Based Healthcare and Chronic Disease. \|More in PDF\|

	Annual Meeting of the CARMEN Observatory on Chronic Noncommunicable Disease Policy: Mobilizing for Action (Montreal, Quebec, Canada, 12-13 May 2008) PAHO and the Public Health Agency of Canada have been collaborating for a number of years in the CARMEN Policy Observatory for Chronic Noncommunicable Diseases (CNCDs). In addition to the latest meeting proceedings, this site provides access to the documentation for this year plus other resources, in all four PAHO official languages. PHAC

	Caribbean Private Sector Response to Chronic Diseases (Port-of-Spain, Trinidad and Tobago, 8-9 May 2008) The objective of this meeting was to mobilize the Caribbean private sector to take a more active role in the reduction of chronic noncommunicable diseases by implementing measures to reduce the risk of these diseases affecting its own employees as well as the wider community, as well as supporting a Caribbean Wellness Day. This page offers a downloadable CD-ROM with all documentation and presentations. \|More\|

	Promoting Physical Activity in the Caribbean (Port-of-Spain, Trinidad and Tobago, 6-7 May 2008) This training course was held to educate participants in the value of physical activity in promoting health, with real-life examples of built environments, public spaces, and urban planning that promote walking, biking, and use of public transportation. The online presentations contain the latest data on obesity and hundreds of photos that speak for themselves and prove how these concepts have been applied effectively, with arguments as to their validity that refute common myths as to why it can't be done. This page offers all training materials. \|More\|

	*Chronic Disease Prevention & Control in the Americas*, Vol. 2, No. 4, April 2008 In this issue: The CARMEN Coat: Exemplifying Integrated Prevention and Control of Chronic Diseases and Risk Factors; International Summit on Nutrition and Health; Stopping the Rising Tide of Chronic Diseases: Everybody’s Epidemic; New Evidence from Peru’s Cervical Cancer Demonstration Project; New Diabetes Guide for Latin America. \|More in PDF\|

	Caribbean Expert Consultation on Scaling Up Population-Based Screening and Management of CVD and Diabetes (Montego Bay, Jamaica, 4-5 March 2008) This page offers access to the five presentations from this conference: the Caribbean situation, reducing CVD mortality, the single risk-factor approach, the Caribbean Diabetes project, and its context and objectives. \|More\|

	*Chronic Disease Prevention & Control in the Americas*, Vol. 2, No. 1, January 2008 This issue focuses on: Greetings from the Editor; Special Feature: Cancer(Celebrate World Cancer Day: 4 February 2008; 10 Key Findings and Recommendations for Effective Cervical Cancer Screening and Treatment Programs; New Global Cervical Cancer Advocacy Coalition; Follow-Up on New Cancer Center in Argentina; Cervical Cancer Resources for Public Health Professionals); Findings from Diabetes Project in Mexico; Physical Activity and Public Health Course in Guatemala; Visit to PAHO-NHLBI Project in Mixco, Guatemala. \|More in PDF\|

	*Chronic Disease Prevention & Control in the Americas*, Vol. 1, No. 12, December 2007 This issue focuses on the following: Greetings from the Editor; CARMEN Biennial Meeting Report; 2^nd International Cancer Control Congress Report; Mexico: Meeting of Americas’ Network for Chronic Disease Surveillance; PepsiCo Director Serves on PAHEF Board. \|More in PDF\|

	Dominica's National Chronic Noncommunicable Diseases Summit (14 December 2007) Three months after the CARICOM Heads of Government NCD Summit in Port-of-Spain on 15 September 2007, Dominica held a National CNCD Summit. The meeting was attended by the President, Prime Minister, cabinet, and civil society, including the private sector, NGOs, and the media. This page contains a summary and the report. \|More\|

	World Heart Day: Team Up for a Healthy Heart In the next 10 years, 20.7 million people will die of cardiovascular disease in the Americas if the level of intervention stays the same. Yet at least 80% of all heart disease is preventable. This page offers for downloading the official bilingual Spanish-English PAHO/WHO poster for World Heart Day 2007, with the theme Team Up for a Healthy Heart! \|More in PDF\|

	*Chronic Disease Prevention & Control in the Americas*, Vol. 1, No. 11, November 2007 This issue focuses on: Biennial Meeting of the CARMEN Network, Celebration of World Diabetes Day, CARMEN Policy Observatory Workshop in Barbados, Comprehensive Website Outlines PAHO CNCD Strategy and Directions, Two Articles on Tobacco Regulatory and Litigation Strategies by Lawrence O. Gostin. \|More in MSWord\|

	10^th International Course on Physical Activity and Public Health: Move for Health (2^nd Course of the CARMEN School in Guatemala, Antigua, 13-16 November 2007) This course provided training for national and community public health professionals in Guatemala on the topic of physical activity and health. \|More\| \|More in PDF\|

	World Diabetes Day: 14 November 2007--Unite for Diabetes Last year, the United Nations approved a resolution recognizing World Diabetes Day as an official UN celebration. This page offers information on this year's theme (focused on children) and a great number of resource materials available for use in public celebrations: logo, posters, videos, booklets, articles, and a link to the main WDD website. \|More\|

	Stop the Global Epidemic of Chronic Disease: Advocacy Toolkit This toolkit contains a manual that is a guide and practical tool for all advocates of chronic disease prevention and control, with a simple seven-step plan for effective advocacy, including identifying target audiences, developing key messages and selecting implementation strategies. This manual is part of a larger WHO advocacy toolkit on preventing chronic disease, which is available either online via the link provided or free of charge while supplies last by contacting WHO Chronic Disease Team. It contains information sheets, fact files, policy briefs, a poster gallery, media features, and a video and film footage. WHO

	*Chronic Disease Prevention & Control in the Americas*, Vol. 1, No. 10, October 2007 This issue covers the following: Don Francisco’s Obesity Program Tops Ratings; Central American Ministers of Health Resolve to Prevent and Control Cancer; Argentina: New Cancer Treatment Center; Capacity-Building Workshop with Focal Points; Workshop in Barbados for Eastern Caribbean Policy-Makers; PAHO to Translate CARICOM Declaration of Port-of Spain to Stop the CNCD Epidemic; Biennial CARMEN Meeting in the Bahamas; 2^nd International Cancer Control Congress in Rio; New CNCD Advocacy Toolkit from WHO; Cervical Cancer Practice Guide Now Available in Spanish and French \|More in PDF\|

	CARMEN Network Biennial Meeting: Sharing, Learning, Imagining, Planning and Partnering to Implement the Chronic Disease Regional Strategy within the CARMEN Network (Nassau, Bahamas, 4–8 November 2007) This page contains the materials and eventual output from the Biennial Meeting for the CARMEN Network for the integrated prevention and management of chronic noncommunicable diseases and their risk factors in the Americas. The meeting will include a variety of presentation from four main areas: policy and advocacy, surveillance and research, health promotion and disease prevention, and integrated disease and risk-factor management. This page contains all meeting materials, including the final report. \|More\|

	Capacity-Building in Prevention and Control of Chronic Noncommunicable Diseases: NCD Focal Points Meeting (Panama City, Panama, 10–12 October 2007) *This page provides complete orientation on what PAHO is currently doing in the area of chronic noncommunicable disease prevention and control:* While the Noncommunicable Disease Unit plays a main role role in implementing the Regional Strategy on diet, physical activity, and health, it is a shared responsibility among all staff working in chronic disease prevention and control across several PAHO Units and Areas, Country Offices, and Centers. This meeting provided an opportunity for professional briefing, updating, and agreement for all involved personnel throughout the Organization. This page provides all meeting materials and presentations and gives a thorough overview of the current situation, strategic direction, and planned activities. \|More\|

	*Chronic Disease Prevention & Control in the Americas*, Vol. 1, No. 9, September 2007 This issue provides extended coverage of the CARICOM Summit in Port-of-Spain, Trinidad and Tobago (background chronology, Declaration of Port-of-Spain, article on Prime Minister Golding of Jamaica), the new National Cancer Control Program in Nicaragua, two diabetes meetings in El Paso, Texas, and two new PAHO books, one a survey on CNCDs in Guatemala and the other on diabetes education in Cuba. \|More in PDF\|

	Dr. Roses' Talking Points at the Regional Summit on Chronic Non_Communicable Diseases. Port of Spain, Trinidad and Tobago. September 15, 2007. - "I am honored to have been invited to this special Summit of CARICOM Heads of Government. Let me congratulate you for the leadership and strategic vision you are demonstrating in uniting to stop the chronic disease epidemic that is undermining human and economic development prospects of economies which can ill afford them. It is clear that for the Caribbean, the Millennium Development Goals (MDGs) need to include NCDs, since the current epidemic also needs to be curbed before 2015." \|More in PDF\|

	*Chronic Disease Prevention & Control in the Americas*, Vol. 1, No. 8, August 2007 This issue contains articles on the following: Breast Cancer Guidelines Now Available in Spanish; Policy Recommendations on Tobacco Control for CARICOM Countries; USA: New Guidelines for Physical Activity; Trinidad and Tobago NCD Programs; Follow-up on Nicaragua Meetings; Upcoming CARICOM Summit on CNCDs; and Call for Abstracts, Biennial CARMEN Meeting. \|More in MSWord\|

	Trinidad and Tobago: Current Activities in CNCD Risk Factor Reduction, Diabetic Foot Care, and Wellness (CARMEN Biennial Conference, Nassau, Bahamas, 4-8 November 2007) The CARMEN Network on Integrated Noncommunicable Disease Prevention and Risk-Factor Management will hold its meeting in November in Trinidad. This page offers information on three presentations to be made on activities in that country: National Plan for Risk Factor Reduction in the Prevention and Control of Noncommunicable Diseases, Diabetic Foot Care Management Programme, and Wellness Programme for Risk Factor Reduction in the Prevention and Control of Noncommunicable Diseases. \|More\|

	NutriInfo Listserv (only in Spanish) The purpose of NutriInfo, the electronic network, is to improve access to basic and applied nutrition information to support the work of nutrition and public health professionals in the Americas. It is coordinated by the PAHO Program on Healthy Eating and Active Living. \|More\|

	National Consultation: Strategies for a National Action Plan on Integrated Management and Epidemiological Surveillance of Chronic Diseases (Managua, Nicaragua, 2 July 2007) The purpose of this meeting was to establish a National Action Plan as well as a National Operational Plan for the execution of the lines of action of the Regional Strategy on an Integrated Approach to Chronic Diseases in Nicaragua. This page offers a summary, the agenda, and the seven PowerPoint presentations made at the meeting. \|More\|

	*Chronic Disease Prevention & Control in the Americas*, Vol. 1, No. 6, June 2007 This issue contains news on the following: PAHO Urges New Approach to Cervical Cancer Prevention at Briefing with United States Congress; transfat; Annual Meeting of Caribbean Epidemiologists & Lab Directors; Five-Day PanAm STEPS Workshop in Aruba; and Upcoming Events. \|More in PDF\|

	*Chronic Disease Prevention & Control in the Americas*, Vol. 1, No. 5, May 2007 This issue deals with the Regional Strategy and Plan of Action for Cervical Cancer Prevention and Control in Latin America and the Caribbean, 2008–2015; New Recommendations for Effective Cervical Cancer Prevention; Winners Announced in PACI Project Competition, Training Workshop Held; US-Mexican Border Health Association Diabetes Forum; VIGITEL: Brazil’s Risk Factor Surveillance by Phone; Upcoming Events; Call for Abstracts, 2nd International Cancer Control Congress \|More in PDF\|

	Biannual Meeting of the CARMEN Network (Santiago, Chile, 19-21 October 2005) In light of the projected increase of deaths due to chronic disease (a 17% increase), the objectives of the meeting were to present the PAHO Noncommunicable Disease Unit and its areas of technical cooperation; to review developments in CNCD prevention and control in CARMEN Member Countries; and to discuss the future of the CARMEN network. This strategic meeting was attended by 60 representatives from over 20 countries. \|More\| \|More in PDF\|

	*Chronic Disease Prevention & Control in the Americas, Vol. 1, No. 4, April 2007 News on: Nutrition Experts call for “Trans Fat Free Americas”; Meeting of PAHO/WHO Representatives from Andean and Southern Cone Countries; Caribbean Summit on Chronic Disease Prevention; and Learn how to Eat, drink, and be healthy!*. \|More in PDF\|

	CARMEN Management Committee Workshop Report (Toronto, 15-16 March 2007) The purpose of this meeting was to review progress to date and to discuss how a strengthened CARMEN initiatiive can support implementation of the PAHO Regional Strategy. Specific objectives included: (1) To report on progress to date; (2) To review the revised draft Terms of Reference; (3) To discuss future directions by reviewing the draft country profile tool, sharing information about supplementary tools, identifying possibilities for further development and piloting of tools and projects, as well as potential actions in support of the Regional Strategy and other actions to support an integrated approach to chronic disease; and (4) To begin planning for the next CARMEN Biennial Meeting (November 2007). \|More in PDF\|

	*Chronic Disease Prevention & Control in the Americas, Vol. 1, No. 2, February 2007 This issue contains news on Regional Developments>* WHO Framework Convention on Tobacco Control; Let's eat healthy, live well and get moving America!; CARMEN School; Preventing Chronic Disease: A Framework for Country Action; and Progress in the Countries: US-Mexican Border: Preventing Obesity in Children and Young People; and Subregional Meeting of Representatives & Center Directors from Mesoamerica & the Spanish-Speaking Caribbean. \|More in PDF\|

	Subregional Meeting of Representatives and Center Directors from Central America, the Dominican Republic, Cuba, Haiti, Mexico, and the US-Mexican Border Field Office (Belize City, 12–16 February 2007) This consultation follows up on the one held in Panama in November 2007 on the implementation of the Estrategia regional y Plan de acción para un enfoque integrado sobre la prevención y el control de las enfermedades crónicas, incluyendo el régimen alimentario, la actividad física y la salud in Central America and the Spanish-speaking Caribbean. This page contains a summary of the consultation, a PowerPoint presentation on the Regional Strategy as it relates to Central America, and the results of the Panama meeting. \|More\|

	*Chronic Disease Prevention & Control in the Americas*, Vol. 1, No. 1, January 2007 This issue contains news on the following: Regional Strategy Approved; Campaign Against Obesity Takes Shape; Partnership and Resource Mobilization; Promoting Cardiovascular Health; CARMEN Policy Observatory Meeting; Mexico & Central America Implementing Regional Strategy; Central American Diabetes Initiative; STEPS Implementation Underway; TATI Report Published; Chronic Disease in Times of Disaster. \|More in PDF\|

	Criteria for Submission and Standard Operational Procedures (For the Monthly Newsletter Chronic Disease Prevention and Control in the Americas) This page provides information on how to submit contributions to the newsletter as well as its background, purpose, scope, and to whom to send them. \|More\|

	Stop the Global Epidemic of Chronic Disease: A Practical Guide to Successful Advocacy Effective advocacy is needed to convince decision-makers that chronic diseases and health promotion merit increased investment at the national and local level, and that decisive action carries substantial, cost-effective benefits. 36 million lives can be saved over the next 10 years, which in turn will lead to substantial economic benefits to countries. This guide will help teach interested persons how to advocate more effectively. \|More\| \|More in PDF\|

	Central America-Mexico Regional Consultation: Regional Strategy and Plan of Action on an Integrated Approach to the Prevention and Control of Chronic Diseases Including Diet, Physical Activity, and Health (Panama City, 27 November 2006) The objective of this meeting was for the Central American countries and Mexico to search for and begin to identify the national and subregional mechanisms for implementation of the Regional Strategy and Plan of Action on an Integrated Approach to the Prevention and Control of Chronic Diseases Including Diet, Physical Activity, and Health, approved by the PAHO/WHO 47^th Directing Council in September 2006. \|More\|

	All About Diabetes This site of the American Diabetes Association offers basic information for people with diabetes. ADA

	Obesity and Overweight (WHO Fact Sheet No. 311) This official WHO fact sheet provides basic information on obesity and overweight. Overweight and obesity are defined as abnormal or excessive fat accumulation that may impair health. Body mass index (BMI) is a simple index of weight-for-height that is commonly used in classifying overweight and obesity in adult populations and individuals. It is defined as the weight in kilograms divided by the square of the height in meters (kg/m2). BMI provides the most useful population-level measure of overweight and obesity as it is the same for both sexes and for all ages of adults. WHO defines "overweight" as a BMI equal to or more than 25, and "obesity" as a BMI equal to or more than 30. These cut-off points provide a benchmark for individual assessment, but there is evidence that risk of chronic disease in populations increases progressively from a BMI of 21. WHO

	Diabetes (WHO Fact Sheet No. 312) This official WHO fact sheet provides basic information--facts, consequences, economic impact and how to reduce it, prevention and control activities--on diabetes mellitus, a chronic disease that occurs when the pancreas does not produce enough insulin, or alternatively, when the body cannot effectively use the insulin it produces. Insulin is a hormone that regulates blood sugar. Hyperglycaemia, or raised blood sugar, is a common effect of uncontrolled diabetes and over time leads to serious damage to many of the body's systems, especially the nerves and blood vessels. The page is divided into sections offering answers to the most frequent questions. WHO

	PAHO Today - August 2006 Edition PAHO Today is the newsletter of the Pan American Health Organization. In this edition: Remembering Dr. Lee, World Health Assembly Set New Priorities for Global Health, PAHO Assists U.N. Pandemic Flu Efforts, more. \|More\|

	Obesity This page provides an organized listing of all PAHO materials in the area of obesity, using a broad range of coherent specific subcategories. \|More\|

	Nutrition This panoramic page provides an organized listing of all PAHO materials in the area of nutrition, using a broad range of coherent specific subcategories. \|More\|

	Frequently asked questions about the WHO Global Strategy on Diet, Physical Activity and Health On this page WHO answers the main eight questions on the strategy: what it is, the key issues it addresses, how it was prepared, process and practice, taxes and subsidies, food-labeling issues, and private-sector questions for the junk-food industry. WHO

	Global Strategy on Diet, Physical Activity and Health: Overall Goal and Guiding Principles This fact sheet summarizes the Global Strategy, the overall goal of which is to improve public health through healthy eating and physical activity, with guiding principles geared towards achieving that end. WHO

	Diet and physical activity: a public-health priority The link below is to the main WHO page on the area of healthy eating and active living and the activities being carried out in accordance with the Global Strategy on Diet, Physical Activity and Health. WHO

	PAHO Regional Program on Healthy Eating and Active Living This page describes the Program's goal, objectives, guiding principles, and expected results for the Region, with the motto Let's eat healthy and get moving Americas! \|More\|

	CE138/17 - Regional Strategy and Plan of Action on an Integrated Approach to the Prevention and Control of Chronic Diseases Agenda item 4.9 for the 138th session of the Executive Committee of PAHO, Washington, DC, 19-23 June 2006. \|More in PDF\|

	Nutrition and an Active Life: From Knowledge to Action This publication, written by leading international public health professionals, highlights 13 case studies on a variety of topics including control of vitamin A deficiency, folic acid fortification of bread, control of iodine deficiency disorders, and the contribution of research to infant breast-feeding policies, as well as successful community projects to promote increased physical activity and the role of urban planning and public transportation in reducing the prevalence of sedentary lifestyles, among other important topics. (© PAHO, 2005) Online Bookstore

	Promoting Active Lifestyles and Healthy Urban Spaces: The Cultural and Spatial Transformation of Bogotá, Colombia This chapter describes the recent transformation in the lives of the citizens of Bogotá, Colombia, and in the urban environment they share. Statistics point to substantial qualitative and quantitative improvements in this large, bustling, cosmopolitan world capital. (Promoting Active Lifestyles and Healthy Urban Spaces, Scientific Publication 162, 2005, 161-180) \|More in PDF\|

	We Can! Ways to Enhance Children's Activity and Nutrition We Can! is a national program designed as a one-stop resource for parents and caregivers interested in practical tools to help children 8-13 years old stay at a healthy weight. Tips and fun activities focus on three critical behaviors: improved food choices, increased physical activity and reduced screen time. The program is a collaboration of four Institutes of the National Institutes of Health of the United States (NIH): the National Heart, Lung, and Blood Institute (NHLBI), the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), the National Institute of Child Health and Human Development (NICHD) and the National Cancer Institute (NCI). We can!

	National Nutrition Coordinators Conference 2004 This represents an extract from the 2004 National Nutrition Coordinators Conference which met under the theme - "Combating Obesity, Diabetes and Hypertension through Nutrition". The Conference was held in Antigua between the 15th and 19th November, 2004. \|More\|

	WHO Global Strategy on Diet, Physical Activity and Health WHO developed, under a May 2002 mandate from Member States, a Global Strategy on Diet, Physical Activity and Health, which was endorsed by the May 2004 World Health Assembly. The link below offers access to the text of the final resolution (WHA57.17) with the strategy document attached. WHO

	Child Health This page offers the user a panoramic view of all PAHO materials on child health. The documents are organized according to the following categories: surveillance, prevention and control, PAHO activities, Other PAHO Materials, and General Information/Links. It also contains a listing of featured items for all categories with the most important documents from each, and a customized sidebar with links to network and related information and key items. \|More\|

	Adolescent Health This page offers the user a panoramic view of all PAHO materials on the health of adolescents and youth. The documents are organized according to the following categories: surveillance, prevention and control, PAHO activities, Other PAHO Materials, and General Information/Links. It also contains a listing of featured items for all categories with the most important documents from each, and a customized sidebar with links to network and related information and key items. \|More\|

	The Obesity Epidemic in the Americas: Making Healthy Choices the Easiest Choices To study overweight and aerobic fitness among children in the third and fourth grades of elementary schools in a city in the United States of America (El Paso, Texas) and a city in Mexico (Chihuahua, Chihuahua) that are on or near the border between those two countries, and to compare the results from those two cities with earlier findings for other children in the United States. (Rev Panam Salud Pública 2004, 15(4):278-284) (You can purchase this article) Full Text

	Protocol for the Nutritional Management of Obesity, Diabetes and Hypertension in the Caribbean This is a 94 page document produced by the Caribbean Food and Nutrition Institute (CFNI) and the PAHO/WHO Office of Caribbean Program Coordination. The project was co-funded by the World Diabetes Foundation. The document is provided free of cost from CFNI. \|More\|

	The Prime of Life: Ages 25 - 64 years. This chapter of the book "Building Better Health: A Handbook of Behavioral Change" discusses the growing importance of adult health, major causes of disability and death in these ages (with emphasis in cardiovascular diseases and tuberculosis) and special issues for women and men. Pages 109-128 (Building Better Health: A Handbook of Behavioral Change, © PAHO, 2003)(You can purchase this article) Full Text

	CAJANUS Vol. 36, No. 4, 2003 - Promoting Nutrition through Competition This issue of CAJANUS features the following articles: Promoting Health Through Nutrition - Address by the Honourable John Junor, Minister of Health, Jamaica, Centres of Wellness: Focusing on Nutrition and Physical Activity / Godfrey Xuereb, Strengthening Caribbean Food Safety: the Role of the Consumer / Audrey Morris and The Valencia Outreach Project in Trinidad and Tobago, 2002-2003 / Cheryl Nunes. The issue also includes special feature on Nutrition Promotion Awards and Promoting Nutrition through Competition, as well as, newsbriefs and notes for contributors. \|More\|

	Prevalence of and risk factors for overweight among school girls 12 to 19 years old in a semi-urban region of Ecuador OBJECTIVES: To determine the prevalence of overweight and identify its risk factors in school girls between the ages of 12 and 19 in a semi-urban region of Ecuador and to explore the potential relationship between the adolescents' body mass index (BMI) and their physical activity, caloric intake, and macronutrient intake, as well as be tween their BMI and their parents' estimated BMI. (Rev Panam Salud Pública, 2003 13(5):277-284) More

	What do we do about the problem of overweight and obesity in the Americas? In this article of the Revista Panamericana de Salud Pública/Pan American Journal of Public Health address the growing epidemic of obesity in the Region of the Americas, focusing on the English-speaking Caribbean. (Rev Panam Salud Pública 2003, 13(5):275-276) More

	Obesity: diagnosis and prescription for action in the English-speaking Caribbean. Obesity has been the silent global epidemic of the last 30 years. This paper will briefly outline the dimensions of the problem in the English-speaking Caribbean; its enormous impact on health, quality of life, morbidity, mortality, and health care costs; its major causes; and a prescription for concerted, urgent regional action. (Rev Panam Salud Pública 2003 13(5):336-340) More

	RIMSA13/20 - Joint WHO/FAO Expert Report on Diet, Nutrition and the Prevention of Chronic Disease Provisional Agenda item 13 for the 13th RIMSA \|More in PDF\|

	Prevalence of overweight and obesity among Costa Rican elementary school Children This article presents a study carried out from July 2000 to April 2001 to determine the prevalence of overweight and obesity in urban and rural Costa Rican elementary school children. (Rev Panam Salud Pública, 2003 13(1)) \|More\|

	The World Health Report 2002: Reducing Risks, Promoting Healthy Life Worldwide, healthy life expectancy can be increased by 5 to 10 years if governments and individuals work together to reduce major health risks in each Region. This report examines more than risks to health and identifies interventions that would reduce these risks, thereby increasing healthy life years. The risks to health include underweight, unsafe sex, high blood pressure, tobacco, alcohol, unsafe water and sanitation, cholesterol, indoor smoke from solid fuels, iron deficiency and overweight. WHO

	A comparison of distribution curves of body mass index from Brazil and the United States for assessing overweight and obesity in Brazilian adolescents. The objective of this study is to assess the validity of recommendations for use of the 85th and 95th percentiles of body mass index (BMI) of the population in the United States of America as a screening tool to assess overweight/obesity in adolescents. (Rev Panam Salud Pública 2001; 10(2):79-85) More

	Identifying, evaluating, and treating overweight and obesity in adults. Overweight and obesity are increasing in prevalence in nations all over the world. Nevertheless, overweight and obesity have not received the attention they deserve from primary-care practitioners, in part because of the lack of authoritative information to guide treatment. (Rev Panam Salud Pública 2001;10(2):118-124) More

	Obesity among the Poor: An Emerging problem in Latin America and the Caribbean This chapter of the book "Obesity and Poverty. A New Public Health Challenge", places obesity in the context of the demographic, epidemiological, and nutritional transition in Latin American and the Caribbean. The authors suggest that monitoring of obesity is the foundation for strategy to confront the growing prevalence of non-communicable chronic diseases associated with nutrition, the authors suggest the existence of various obesities, with probable difference in geographic, ethnic, and cultural patterns, an understanding of which should be reflected in research, policy formulation, and decision-making. Page: 3 -- 10. (You can purchase this chapter) Full Text

	Factors in Obesity: Current Views This chapter of the book “Obesity and Poverty. A New Public Health Challenge”, analyzes the relative influence of genetic, socioeconomic, and cultural factors in obesity and interprets studies that calculate the contribution of hereditary and environmental factors to obesity. Also includes a review of works that lay the foundation for an inverse relationship between socioeconomic status and the prevalence of obesity in women. Page: 23 – 28 (You can purchase this chapter) Full Text

	Socioanthropological Aspects of Obesity in Poverty This chapter of the book "Obesity and Poverty. A New Public Health Challenge" discusses that dietary habits and a predisposition to obesity are created through an ongoing inter-relationship with social conditions, and depend more on the influence of economic factors than on nutritional education, because foods are chosen on the basis of price, the level of satiety they produce, and the family’s economic situation. Gender is another important aspect in the prevalence of obesity among women of low socioeconomic status. Page: 11 -- 22 (You can purchase this chapter) Full Text

	Physical Activity Patterns in Central America This paper, a chapter of the book “Obesity and Poverty. A New Public Health Challenge”, describes the effects of urbanization and industrialization on the lifestyles of rural populations. Economic pressures and incentives that promote migration to urban peripheral areas determine an increase in the risk of obesity. Page: 29 – 38 (You can purchase this chapter) Full Text

	Obesity and Poverty: a Pending Challenge in Chile In the paper, a chapter of the book “Obesity and Poverty. A New Public Health Challenge”, on the epidemiological transition in Chile, the author analyzes the socioeconomic, demographic, and epidemiological factors and the lifestyles associated with obesity in Chile. In addition, they describe the characteristics of risk factors for nutritionally based chronic diseases. Page: 41 – 49 (You can purchase this chapter) Full Text

	The Epidemiologic Transition in Cuba This Chapter of the book “Obesity and Poverty. A New Public Health Challenge”, describes the characteristics of the epidemiological transition in Cuba in recent decades and highlights the dietary and nutritional aspects associated with it. Begin whit an analysis of the socioeconomic characteristics of the population, its educational level, access to community and health services, food marketing dynamics, the availability of food and food consumption trends, breast-feeding, dietary habits, and the morbidity and mortality profile. Page: 51 – 65 (You can purchase this chapter) Full Text

	The Epidemiologic Transition in Brazil In this chapter of the book “Obesity and Poverty. A New Public Health Challenge”, the author presents the results of his research on some aspects of the nutritional transition in Brazil in recent decades. The author points out the nutritional transition in Brazil should be taken into account when establishing public health priorities and actions strategies: the prevention and control of non-communicable chronic diseases and education on food and nutrition for all socioeconomic strata must be definitively incorporated, and the supply of health foods and access to them must be promoted. Page: 67 – 76 (You can purchase this chapter) Full Text

	Epidemiologic and Demographic Transition: A Typology of Latin America and Caribbean Countries. In this chapter of the book “Obesity and Poverty. A New Public Health Challenge”, the author presents and interprets the results of an exploratory analysis of demographic and epidemiological indicators in 22 Latin American and Caribbean countries. The analysis is directed towards building a typology of countries that could be used to formulate a strategy for researching the trends and determinants of changes in health profiles. Page: 77 – 84 (You can purchase this chapter) Full Text

	Issues for Public Health Surveillance of Obesity: Prevalence, Incidence, and Secular Trend In this chapter of the book "Obesity and Poverty. A New Public Health Challenge", the author explains the basic measurements of the presence of a disease that are indispensable for monitoring obesity: prevalence, incidence, and secular trends. Page: 87 – 93 (You can purchase this chapter) Full Text

	Anthropometric Indicators of Obesity: Epidemiologic and Public Health Aspects of Their Development and Use The author asserts that developing appropriate anthropometric indicators for obesity poses three critical questions: the objective of identifying obese or overweight people; the selection of an anthropometric indicators; and the selection of an optimum cutoff point for that indicator. (Chapter in "Obesity and Poverty: A New Public Health Challenge," 2000; pp95–100) (You can purchase this chapter) Full Text

	Obesity in Adolescence In this chapter of the book “Obesity and Poverty. A New Public Health Challenge”, the author divides his article into three parts: changes in adiposity and fat distributions during puberty; characteristics of the obese adolescent; and reduction of risks of obesity and associated morbidity in adulthood. Page: 117 – 124 (You can purchase this article) Full Text

	Obesity and Poverty: A New Public-Health Challenge An up-to-date examination of the prevalence of obesity in Latin America and Caribbean and among the poor in developed countries. Scientific Publications,(© PAHO, 2000) \|More\| Online Bookstore

	Obesity Among the Poor: An Emerging Problem in the Region This chapter reviews the obesity problem in the Region, its association with poverty, malnutrition and infections diseases. It informs about actions such as the PAHO-Kellogg Multicenter Project 'Diet and Health in Latin America and the Caribbean'. Pages 159-160 (Health in the Americas, © PAHO 1998 Edition, Vol.I) \|More in PDF\|

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