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

doi:10.1057/jphp.2015.29

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 journal › Article › peer-review

40 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 language	English
Pages (from-to)	408-425
Number of pages	18
Journal	Journal of Public Health Policy
Volume	36
Issue number	4
DOIs	https://doi.org/10.1057/jphp.2015.29
Publication status	Published - 1 Nov 2015

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title = "Global prevention and control of NCDs: Limitations of the standard approach",

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.",

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AU - McKee, Martin

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AU - Barreto, Mauricio L.

AU - Matheson, Don

AU - Walls, Helen

AU - Foliaki, Sunia

AU - Miranda, J. Jaime

AU - Chimeddamba, Oyun

AU - Garcia-Marcos, Luis

AU - Haines, Andy

AU - Vineis, Paolo

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AB - 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.

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

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