Global prevention and control of NCDs: Limitations of the standard approach

Neil Pearce*, Shah Ebrahim, Martin McKee, Peter Lamptey, Mauricio L. Barreto, Don Matheson, Helen Walls, Sunia Foliaki, J. Jaime Miranda, Oyun Chimeddamba, Luis Garcia-Marcos, Andy Haines, Paolo Vineis

*Corresponding author for this work

    Research output: Contribution to journalArticlepeer-review

    37 Citations (Scopus)

    Abstract

    The five-target '25 × 25' strategy for tackling the emerging global epidemic of non-communicable diseases (NCDs) focuses on four diseases (CVD, diabetes, cancer, and chronic respiratory disease), four risk factors (tobacco, diet and physical activity, dietary salt, and alcohol), and one cardiovascular preventive drug treatment. The goal is to decrease mortality from NCDs by 25 per cent by the year 2025. The 'standard approach' to the '25 × 25' strategy has the benefit of simplicity, but also has major weaknesses. These include lack of recognition of: (i) the fundamental drivers of the NCD epidemic; (ii) the 'missing NCDs', which are major causes of morbidity; (iii) the 'missing causes' and the 'causes of the causes'; and (iv) the role of health care and the need for integration of interventions.

    Original languageEnglish
    Pages (from-to)408-425
    Number of pages18
    JournalJournal of Public Health Policy
    Volume36
    Issue number4
    DOIs
    Publication statusPublished - 1 Nov 2015

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