Declaration of Port-Of-Spain 15 September 2007.
We, the Heads of Government of the Caribbean Community (CARICOM), meeting at the Crowne Plaza Hotel, Port-of-Spain, Trinidad and Tobago on 15 September 2007 on the occasion of a special Regional Summit on Chronic Non-Communicable Diseases (NCDs);Conscious of the collective actions which have in the past fuelled regional integration, the goal of which is to enhance the well-being of the citizens of our countries;
Recalling the Nassau Declaration (2001), that “the health of the Region is the wealth of Region”, which underscored the importance of health to development;
Inspired by the successes of our joint and several efforts that resulted in the Caribbean being the first Region in the world to eradicate poliomyelitis and measles;
Affirming the main recommendations of the Caribbean Commission on Health and Development which included strategies to prevent and control heart disease, stroke, diabetes, hypertension, obesity and cancer in the Region by addressing their causal risk factors of unhealthy diets, physical inactivity, tobacco use and alcohol abuse and strengthening our health services;
Impelled by a determination to reduce the suffering and burdens caused by NCDs on the citizens of our Region which is the one worst affected in the Americas;
Fully convinced that the burdens of NCDs can be reduced by comprehensive and integrated preventive and control strategies at the individual, family, community, national and regional levels and through collaborative programmes, partnerships and policies supported by governments, private sectors, NGOs and our other social, regional and international partners;
Declare – that the burdens of NCDs can be reduced by comprehensive and integrated preventive and control strategies at the individual, family, community, national and regional levels and through collaborative programmes, partnerships and policies supported by governments, private sectors, NGOs and our other social, regional and international partners;
We hereby declare the second Saturday in September “Caribbean Wellness Day,” in commemoration of this landmark Summit.
Non-communicable Diseases (NCDs) or chronic diseases are a group of conditions that are not passed from person to person and are mainly of a long duration and progress slowly. NCDs include cardiovascular diseases, diabetes, cancers, chronic lower respiratory diseases, sickle cell disease, mental illness and injuries. They are mainly a result of a combination of genetic, environmental, behavioural and metabolic risk factors, such as, physical inactivity, unhealthy diet, harmful use of alcohol, air pollution, stress and overweight/obesity. The way people live, work and play are contributing to this public health problem.
In the Caribbean Region, NCDs are the leading cause of death and disability, 76.8% of the total deaths (non-Latin Caribbean, excluding Haiti) were due to NCDs in 2016. Cardiovascular diseases 30.8%, cancer 17.2% and diabetes 10.8% are the leading causes of death due to NCDs. Many of these persons die in the prime of their lives before the age of 70 years. The top four countries with the highest premature mortality in the Americas are CARPHA Member States (Guyana 57.9%, Haiti 52.5%, Belize 47.5%, Suriname 47.3%). 1
In, September 2007, the CARICOM Heads of Government in recognition of the threat to health and socio-economic development posed by the burden of these diseases committed to the Port of Spain Declaration: “Uniting to stop the Epidemic of NCDs”. This was the first ever summit and regional declaration on NCDs worldwide, which subsequently created the catalyst for global action resulting in the United Nations (UN) Political Declaration and High-Level meeting on NCDs in 2011 and follow-up meetings and commitments in 2014, and 2018. In 2015, targets for NCD and their risk factors were included in the UN Sustainable Development Goals (SDGs).
NCDs not only have health consequences but also a social and economic impact on individuals, communities and the society. However, NCDs is mostly preventable and there are cost-effective, evidence-based interventions (WHO best and good buys create link to document) that can prevent most of the death and disability associated with these diseases. A recent study in Jamaica found a minimum $2.10 JMD return for every dollar invested in implementing a package of interventions to treat diabetes, and cardiovascular disease; and alcohol and tobacco control, over the period 2017 to 2032. These interventions would also grow the GDP by an extra 0.11 percentage points by year five of the intervention.2
The Chronic Diseases and Injury Department provides leadership, strategic direction, coordinates and implements technical cooperation activities directed towards the prevention and control of NCDs in CARPHA Member States. Global, Regional, and Sub-Regional commitments provide the framework for action, such as, the 2007 Port of Spain Declaration on NCDs, Caribbean Cooperation in Health Phase IV (CCH IV), United Nations (UN) Political Declarations on NCDs and UN SDGs.
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