Priority actions for the non-communicable disease crisis
The Lancet, Volume 377, Issue 9775, Pages 1438 - 1447, 23 April 2011
Prof Robert Beaglehole DSc a , Prof Ruth Bonita PhD a, Richard Horton FMedSci b, Cary Adams MBA c, George Alleyne MD d, Perviz Asaria MPH e, Vanessa Baugh MSc f, Henk Bekedam MD g, Nils Billo MD h, Prof Sally Casswell PhD i, Michele Cecchini MD j, Ruth Colagiuri BEd s, Prof Stephen Colagiuri MBBS s, Tea Collins DrPH k, Prof Shah Ebrahim DM l, Michael Engelgau MD m, Gauden Galea MD n, Thomas Gaziano MD o, Robert Geneau PhD p, Prof Andy Haines FMedSci q, James Hospedales FFPH d, Prof Prabhat Jha DPhil r, Ann Keeling MA s, Prof Stephen Leeder MD t, Paul Lincoln BSc u, Prof Martin McKee MD q, Judith Mackay FRCP v, Prof Roger Magnusson PhD t, Prof Rob Moodie MBBS w, Modi Mwatsama BSc u, Sania Nishtar MD x, Prof Bo Norrving MD y, David Patterson LLM z, Prof Peter Piot MD q, Johanna Ralston MS aa, Manju Rani PhD g, Prof K Srinath Reddy DM bb, Franco Sassi PhD j, Nick Sheron FRCP cc, David Stuckler PhD dd, Prof Il Suh PhD ee, Julie Torode PhD c, Cherian Varghese MD g, Judith Watt BA ff, for The Lancet NCD Action Group and the NCD Alliance
The UN High-Level Meeting on Non-Communicable Diseases (NCDs) in September, 2011, is an unprecedented opportunity to create a sustained global movement against premature death and preventable morbidity and disability from NCDs, mainly heart disease, stroke, cancer, diabetes, and chronic respiratory disease. The increasing global crisis in NCDs is a barrier to development goals including poverty reduction, health equity, economic stability, and human security.
The Lancet NCD Action Group and the NCD Alliance propose five overarching priority actions for the response to the crisis—leadership, prevention, treatment, international cooperation, and monitoring and accountability—and the delivery of five priority interventions—tobacco control, salt reduction, improved diets and physical activity, reduction in hazardous alcohol intake, and essential drugs and technologies.
The priority interventions were chosen for their health effects, cost-effectiveness, low costs of implementation, and political and financial feasibility. The most urgent and immediate priority is tobacco control.
We propose as a goal for 2040, a world essentially free from tobacco where less than 5% of people use tobacco. Implementation of the priority interventions, at an estimated global commitment of about US$9 billion per year, will bring enormous benefits to social and economic development and to the health sector. If widely adopted, these interventions will achieve the global goal of reducing NCD death rates by 2% per year, averting tens of millions of premature deaths in this decade.….”
The huge impact of chronic conditions
Why do some disease-management programs succeed while others founder?
McKinsey research http://bit.ly/hTx8WT
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