Priority actions for the non-communicable disease crisis
Priority actions for the non-communicable disease crisis
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DOI：
10.1016/s0140-6736(11)60393-0
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发表时间：
2011-04-23
期刊：
影响因子：
168.9
通讯作者：
Watt, Judith
中科院分区：
文献类型：
--
作者：
Beaglehole, Robert;Bonita, Ruth;Watt, Judith
2011年9月举行的联合国非传染性疾病高级别会议是一个前所未有的机会，可以创造一个持续的全球运动，以防止非传染性疾病（主要是心脏病、中风、癌症、糖尿病和慢性呼吸道疾病）造成的过早死亡和可预防的发病率和残疾。日益严重的全球非传染性疾病危机是实现减贫、卫生公平、经济稳定和人类安全等发展目标的障碍。《柳叶刀》非传染性疾病行动小组和非传染性疾病联盟提出了应对危机的五项总体优先行动，即领导、预防、治疗、国际合作、监测和问责，以及实施五项优先干预措施，即烟草控制、减少盐、改善饮食和体育活动、减少有害酒精摄入量以及基本药物和技术。选择优先干预措施的依据是其对健康的影响、成本效益、实施成本低以及政治和财政可行性。最紧迫和最直接的优先事项是烟草控制。我们提出到2040年实现一个基本上没有烟草的世界的目标，其中使用烟草的人不到5%。实施这些优先干预措施，估计每年全球承诺约90亿美元，将给社会和经济发展以及卫生部门带来巨大利益。如果广泛采用，这些干预措施将实现每年将非传染性疾病死亡率降低2%的全球目标，在本十年内避免数千万人过早死亡。
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.