Priority actions for the non-communicable disease crisis

被引：1242

作者：

Beaglehole, Robert ^{[1
]}

Bonita, Ruth ^{[1
]}

Horton, Richard ^{[2
]}

Adams, Cary ^{[3
]}

Alleyne, George ^{[4
]}

Asaria, Perviz ^{[5
]}

Baugh, Vanessa ^{[6
]}

Bekedam, Henk ^{[7
]}

Billo, Nils ^{[8
]}

Casswell, Sally ^{[9
]}

Cecchini, Michele ^{[10
]}

Colagiuri, Ruth ^{[19
]}

Colagiuri, Stephen ^{[19
]}

Collins, Tea ^{[11
]}

Ebrahim, Shah ^{[12
]}

Engelgau, Michael ^{[13
]}

Galea, Gauden ^{[14
]}

Gaziano, Thomas ^{[15
]}

Geneau, Robert ^{[16
]}

Haines, Andy ^{[17
]}

Hospedales, James ^{[4
]}

Jha, Prabhat ^{[18
]}

Keeling, Ann ^{[19
]}

Leeder, Stephen ^{[20
]}

Lincoln, Paul ^{[21
]}

McKee, Martin ^{[17
]}

Mackay, Judith ^{[22
]}

Magnusson, Roger ^{[20
]}

Moodie, Rob ^{[23
]}

Mwatsama, Modi ^{[21
]}

Nishtar, Sonia ^{[24
]}

Norrving, Bo ^{[25
]}

Patterson, David ^{[26
]}

Piot, Peter ^{[17
]}

Ralston, Johanna ^{[27
]}

Rani, Manju ^{[7
]}

Reddy, K. Srinath ^{[28
]}

Sassi, Franco ^{[10
]}

Sheron, Nick ^{[29
]}

Stuckler, David ^{[30
]}

Suh, Il ^{[31
]}

Torode, Julie ^{[3
]}

Varghese, Cherian ^{[7
]}

Watt, Judith

机构：

[1] Univ Auckland, Auckland 1, New Zealand

[2] The Lancet, London, England

[3] NCD Alliance Union Int Canc Control, Geneva, Switzerland

[4] Pan Amer Hlth Org, Washington, DC USA

[5] Univ London Imperial Coll Sci Technol & Med, Sch Publ Hlth, London, England

[6] Commonwealth Secretariat, London, England

[7] WHO Western Pacific Reg Off, Manila, Philippines

[8] NCD Alliance Int Union Against TB & Lung Dis, Paris, France

[9] Massey Univ, Auckland, New Zealand

[10] Org Econ Cooperat & Dev, Hlth Div, Paris, France

[11] NCD Alliance, Geneva, Switzerland

[12] S Asia Network Chron Dis, New Delhi, India

[13] World Bank, Washington, DC 20433 USA

[14] WHO European Reg Off, Copenhagen, Denmark

[15] Harvard Univ, Brigham & Womens Hosp, Sch Med, Boston, MA 02115 USA

[16] Univ Ottawa, Ottawa, ON, Canada

[17] London Sch Hyg & Trop Med, London WC1, England

[18] Ctr Global Hlth Res, Toronto, ON, Canada

[19] NCD Alliance Int Diabet Federat, Brussels, Belgium

[20] Univ Sydney, Sydney, NSW 2006, Australia

[21] Natl Heart Forum, London, England

[22] World Lung Fdn, Hong Kong, Hong Kong, Peoples R China

[23] Univ Melbourne, Melbourne, Vic, Australia

[24] HeartFile, Islamabad, Pakistan

[25] World Stroke Org, Geneva, Switzerland

[26] Int Dev Law Org, Rome, Italy

[27] NCD Alliance World Heart Federat, Geneva, Switzerland

[28] Publ Hlth Fdn India, New Delhi, India

[29] Univ Southampton, Southampton, Hants, England

[30] Harvard Univ, Boston, MA USA

[31] Yonsei Univ, Coll Med, Seoul, South Korea

来源：

LANCET | 2011年 / 377卷 / 9775期

基金：

英国惠康基金;

关键词：

PREVENTING CHRONIC DISEASES; MIDDLE-INCOME COUNTRIES; CARDIOVASCULAR-DISEASE; MYOCARDIAL-INFARCTION; HEALTH-BENEFITS; CLIMATE-CHANGE; GLOBAL BURDEN; RISK-FACTORS; ALCOHOL; SMOKING;

D O I：

10.1016/S0140-6736(11)60393-0

中图分类号：

R5 [内科学];

学科分类号：

100201 [内科学];

摘要：

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.

引用

页码：1438 / 1447

页数：10

共 84 条

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