“The non-communicable disease [NCD] community always talks about the importance of prevention; many consider it the Holy Grail in the fight against NCDs. Why was it so hard to also accept treatment as part of the solution?” Princess Dina Mired, director general of the King Hussein Cancer Foundation in Amman, Jordan, asks in the Huffington Post “Impact” blog, noting only one target of the 2011 U.N. High-Level Meeting on NCDs “deals with treatment, the target on ‘essential medicines and basic technologies for treatment.'” She continues, “Treatment and prevention are heavily interrelated. The success of one is directly related to the other.” She adds, “A person in the developing world will not buy in to the importance of prevention if there is no treatment option available should that person get the disease.”
Non Communicable Disease/Chronic Disease
Noting that “[n]on-communicable diseases (NCDs) kill four times the number of people in low- and middle-income countries (LMICs) that they do in high-income countries,” Benn Grover, a health communications specialist who manages policy for the National Forum for Heart Disease and Stroke Prevention, and Felicia Knaul, an associate professor at Harvard Medical School and director of the Harvard Global Equity Initiative, write in the Huffington Post Blog, “The right to health of the majority of the world’s inhabitants is severely hampered due to vast inequalities in access to care and many of the social rights that determine their health. These inequalities are not just a matter of health, but issues of social justice and human rights.”
On the one-year anniversary of the U.N. High-Level Meeting on Non-Communicable Diseases (NCDs), two blogs examine what has happened since. In the Center for Global Development’s (CGD) “Global Health Policy” blog, Victoria Fan, a research fellow at the center, and Laura Khan of Princeton University ask, “[W]here has the attention and commitment to NCDs gone?” They say “subsequent attention and action after the NCD Summit last year has been paltry,” and they explore some reasons why this might be the case (9/19). In an interview on the Council on Foreign Relations blog, Thomas Bollyky, senior fellow for global health, economics, and development, says, “So on one hand, the U.N. NCD meeting hasn’t yet managed to follow the HIV/AIDS blueprint in producing a groundswell of popular support, new donor resources, and concrete country action. On the other hand, optimists on this issue believe the U.N. meeting elevated a long-neglected cause to the heads-of-state level and firmly established it as an ongoing concern for the U.N.” (Johnson, 9/19).
Noting this week marks the first anniversary of the U.N. High-Level Meeting on Non-Communicable Diseases (NCDs), a Lancet editorial states, “The meeting was a crucial step for putting diseases such as cancer and cardiovascular disease high on the global health agenda. However, little action, other than more talking, has been taken since.” The editorial continues, “The key positive development of the past year was the goal to reduce preventable deaths from NCDs by 25 percent by 2025 passed by the World Health Assembly in May,” but “[t]he challenge now is how to meet it.”
“If left unaddressed, [non-communicable diseases (NCDs)] will lead to more death, disability and the implosion of already overburdened health systems in developing countries at huge cost to individuals, families, businesses and society,” Peter Piot, director of the London School of Hygiene and Tropical Medicine and former UNAIDS executive director, writes in the Huffington Post “Impact” blog, adding, “Like AIDS, NCDs are a problem for rich and poor countries alike, but the poor suffer the most.” He continues, “The 2011 U.N. High-Level Meeting on NCDs — only the second time the U.N. had convened a major meeting on a health issue, following the U.N. AIDS Summit in June 2001 — was a landmark event in the short history of the fight against NCDs but was not a tipping point. Much more remains to be done.”
“Cancers, cardiovascular diseases, chronic lung diseases and diabetes — four of the biggest killers among the group together known as non-communicable diseases (NCDs) — have emerged as one of the greatest social and economic development challenges of this century,” George Alleyne, director emeritus of PAHO, and Nils Daulaire, director of the Office of Global Affairs at the Department of Health & Human Services and the U.S. representative on the WHO’s Executive Board, write in the Huffington Post’s “Impact” blog. “On the first anniversary of the United Nations High-Level Meeting on NCDs where the world formally acknowledged the urgent need for action on these under-recognized diseases, it makes sense to assess how far we’ve come, as well as how much further we need to go,” they continue, adding, “During the past 12 months, health workers, policymakers and activists rallied around the High-Level Meeting to build a robust civil society movement, which has continued to gather momentum.”
In this post in the Guardian’s “Poverty Matters” blog, Johanna Ralston, chief executive of the World Heart Federation, and Ann Keeling, chief executive of the International Diabetes Federation, argue non-communicable diseases (NCDs) must be part of any new global development goals, writing, “NCDs and their risk factors worsen poverty, while poverty contributes to rising rates of NCDs, posing a threat to sustainable development.” They continue, “In 2000, world leaders drafting the millennium development goals (MDGs) addressed many of the great development challenges, but they made one serious mistake: they omitted any mention of NCDs, which together cause nearly two out of three deaths in the world (80 percent of those in developing countries).”
“The 65th World Health Assembly concluded Saturday after adopting 21 resolutions and three decisions on a broad range of health issues,” a WHO press release reports (5/26). “Several resolutions were adopted, â€¦ including on non-communicable diseases, counterfeit health supplies, and the World Health Organization’s role during emergencies,” Devex writes (Ravelo, 5/28). “It is the first time that countries will set a concrete global goal for reducing premature deaths from cardiovascular and lung diseases, diabetes, and cancer,” the Associated Press/Washington Post notes, adding that the member states agreed to cut deaths from the four diseases by one-quarter by 2025 (5/25). “In the WHO text, its 194 member states voice ‘strong support for additional work aimed at reaching consensus on targets relating to the four main risk factors, namely tobacco use, harmful use of alcohol, unhealthy diet and physical inactivity,'” Reuters writes (Nebehay, 5/25).
“As the world’s cities become home to a greater percentage of the population, better urban planning will be needed to reduce … negative health impacts [such as air pollution and obesity], according to a new report from the University College London/Lancet Commission on Healthy Cities,” the Atlantic Cities reports (Berg, 5/30). With…
On World No Tobacco Day, WHO Calls On National Leaders To Stand Together Against Tobacco Industry 'Attacks'
“On World No Tobacco Day (31 May), WHO is calling on national leaders to be extra vigilant against the increasingly aggressive attacks by the industry which undermine policies that protect people from the harms of tobacco,” a WHO press release reports, noting that nearly six million people die of tobacco-related illnesses each year and tobacco is a leading preventable cause of illness and death worldwide. WHO Director-General Margaret Chan said, “In recent years, multinational tobacco companies have been shamelessly fuelling a series of legal actions against governments that have been at the forefront of the war against tobacco. … We must now stand together with these governments that have had the courage to do the right thing to protect their citizens,” according to the press release. “More countries are moving to fully meet their obligations under the 2003 WHO Framework Convention on Tobacco Control (WHO FCTC),” the press release adds (5/30). PANA/Afrique en ligne reports that WHO has released a technical resource paper based on 2008 guidelines for implementation of Article 5.3 of the FCTC “to help guide countries on ways to combat tobacco industry interference” (5/30).