Globally one in three of all adult suffer from multible Chronic condition six in ten adult has achronic disease and four in ten adult have twoor more.It has been calculated that 58million death in2005 approximately 35million will be aresult of chronic disease health damaging behavior tobbaco use, poor physical activity and poor eating habbits are major contributors to the leading chronic diseases the leading chronic diseases in developed countries including arthritis, cardiovascular diseases,heart attacks,stroke,cancer, diabetes,breast&colonic cancer , Aging increasing the risk of chronic diseases like dementia ,heart diseases,cancer these are the nation's leadingdrivers of illness,disability,death and health care costs.

In2008 more than1,2million people died from non communicable diseases accounting for nearly 60% of all death inthe region with wide several outbreaks of hospital acquired infection in the midlle east have occurredwith substantial morbidity and mortality.Egypt currently has the third highest prevelance of obesity inMena region after saudi arabia and Emirates similar to the Hispanic and native.American population central adiposity is particularly common among egyptienand is probably inherited the Egyptian national survey individual have central obesity.this be found strongly associated with increase risk of dm and cardiovascular diseases

Inclusion Criteria:

• Attendands above18years

Exclusion Criteria:

• Attendants below18 years

Chronic diseased attendands