Nairobi, 16 April 2004 -- Oral health is an integral part of general health. Oral diseases directly affect quality of life. They have a serious impact on an individual's well being and ability to fulfil desired functions in society. Decayed and painful teeth affect dietary intake and aggravate malnutrition in children because of chewing difficulties. The consequences of conditions like oral cancer and Noma are even worse. They can be life threatening and often result in life-long functional impairment, disfigurement and death. Oral appearance affects self-esteem and the ability to interact with others. "Poor oral health can have a profound effect on general health and the quality of life" said Prof Poul Erik Petersen, chief of the WHO's Oral Health Programme in Geneva.

The costs of oral diseases are also considerable. Major indirect costs include absenteeism from school, work-loss and loss of economic productivity. In the African Region, oral diseases are a major public health problem. Financial limitations, lack of infrastructure, resources and knowledge are some of the reasons for the widening gap between need, services provided, and effective policies that address oral health problems.

"It has also become evident that a substantial number of colonial and other unsustainable oral health strategies exported to Africa have failed so far to improve oral health in the region" said Prof Neil Myburgh from University of Western Cape. To reduce the causes of oral diseases, a concerted public health and health promotion approach are required. Strategies adopting these principles are more appropriate, affordable and sustainable.

Chronic diseases and injuries are overtaking communicable diseases as the leading health problems in all but a few parts of the world. This rapidly changing global disease pattern is closely linked to changing lifestyles which include diet rich in sugars, widespread use of tobacco and increased consumption of alcohol. In terms of improving the health of African populations one important action is to ratify the WHO's Framework Convention on Tobacco Control (FCTC) and become signatories to this public health treaty. The dead line for signing is 29 June 2004.

In a global world with open markets rapid changes in food and nutrition patterns, including processed foods high in sugar and salt, will have a deleterious effect on oral health and general health of populations. The Global Strategy on Diet, Physical Activity and Health will be discussed in Geneva at the World Health Assembly in May this year. Support from African countries for this Global Strategy will help protect the health of future populations around the world.

For further information: