CHANDIGARH,05.03.21-The six-day training program 6th International Course on Public Health Approaches to NCDs organized by World NCD Federation entered its 4th day. The focus of discussion remained on monitoring, surveillance and evaluation of NCDs as well as building robust national NCD programmes.

In this six-day course being conducted virtually, the participants are being engaged daily via live interaction sessions so as to address the queries of participants. Till today, eight live sessions have been conducted and two keynote speeches have been delivered by the eminent personalities from University of Toronto and York University, Canada.

Dr. Mary E. Wiktorowicz from York University, Canada joined as keynote speaker for the day. She talked about One Health i.e. utilizing Governing Models to address NCDs. In her speech, she highlighted the facts related to NCD burden and emerging COVID 19 infection. Given the statistics, 47 trillion USD are estimated to be spent on the major chronic diseases in the coming two decades. Not only this, millions of people will be pushed into poverty. Recent studies have found that the elderly suffering from Non-communicable diseases are at increased risk of poor prognosis of COVID 19 infection. Undermined health needs of marginalized NCD patients due to closure of health care centres pushed them towards poor prognosis. The continuum of care during COVID19 management has disrupted many NCD patients. there is a possibility of situations like this to emerge, so the management practices and policies must be modified. Locally, the drug dispensing at once can be of longer duration. Running dedicated NCD clinics use telemedicine and patient supports.

One Health term was coined in 2004 after the global SARS pandemic and it encompasses human, animal and environmental health in context of emerging infectious diseases of zoonotic origin. In order to manage such kinds of situations, we need to have a holistic, trans dimensional multidisciplinary approach dealing with health of humans, animals and ecosystem. Consumption of good food is necessary to reduce the risk of NCDs. Thus, access to healthy and fresh food contributes to our policy space when it comes to production of trade. Factors that can control NCDs outside the domain of the health sector include trade liberalization, support for domestic production and related trade policies. If we don’t support our domestic trade production industries, we could have higher prices of the dumped agricultural commodities from international markets, decrease production of subsidized products and lead to increased availability of competitive imported processed food items, which means increased consumption of refined foods. So, we want to increase the consumption of locally produced food and decrease the production of imported food. Our chosen approach must be evidence-informed. Multilateral trade agreements have an impact on population health at national and transnational health. It is not the question of what is best for our economies and yielding to international pressure, we also need to make sure that the representatives from the health sector in trade governance interface issues. This is to ensure that the unintended effects on population health are not neglected. Take the imperial results from various disciplinary perspectives, feed the results into the policy design process and develop informed evidence based policy guidance that is relevant, actionable and equitable.