APPENDIX G TRENDS IN COMMUNITY HEALTH AND COMMUNITY HEALTH NURSING PRACTICE Araceli S. Maglaya 1. HEALTH PROMOTION/HEALTHY LIFESTYLE DIRECTIONS & CHALLENGES A. RATIONALE/BASES: Rapid rise of non-rommunicab lediseases (cardio-vascular diseases, cancers, diabetes, kidney problems, and,chronic obstructive pulmonary diseases). 1997: 7 of 10 leading causes of death in the Philippines are lifestyle­ related: Diseases of the Heart ranked 6th as leading cause of illness. 1998: Noa-<::0mmunicable diseases contribute to almost 60% of deaths in the world and 43% of the global burden of disease. 2020: TI1ese diseases are expected to account for 73% of deaths in the world and 60% of the disease burden globally. Low and middle income countries suffer greatest impact. Rapid increase in these tliseases usually seen disproportionat ely in poor nnd disadvantaged populations. » These contribute to widening health gaps between and within countries. Exompfo: 1998: 0( the total num~r of deaths due to non-commun icable diseases, 77% occ-urred in developing c.-ountries and 85% of the disease bunlen wa. s borne by low and middle income countries. IJ. CHALLENGES Health Promotion Strntegies to brid~e inuquitnble differences in health stalus in popu. lations bt!twecn and within countries through: Focus on the Dctenninants of Hea. lth (Wt 10, Westen\ Pacific Region, 2003): 