PHM-Exch> Chronic Emergency: Why NCDs Matter

[Claudio Schuftan]

From: Ruggiero, Mrs. Ana Lucia (WDC) <ruglucia at paho.org>
crossposted from: EQUIDAD at listserv.paho.org


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*Chronic Emergency: Why NCDs Matter

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Irina A. Nikolic; **Anderson** **E. Stanciole**; Mikhail Zaydman ****

*Health, Nutrition, and Population, Human Development Network, The World
Bank*

July 2011

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Available online PDF [34p.] at:http://bit.ly/nFHaAR

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".............--Chronic Emergency: Why NCDs Matter- examines the magnitude of the
challenge posed by noncommunicable diseases (NCDs) in middle- and low-income
countries, and makes the case for elevating the challenge as a priority item
to address on the agenda of decision-makers.

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NCDs are on the rise in all middle- and low-income country regions. By 2030,
NCDs are expected to account for three quarters of the disease burden in
middle-income countries, up from two-thirds today and approaching the level
of high-income countries. In low income countries, the NCD share of the
disease burden will increase even more quickly and will approach the levels
currently found in middle-income countries. At the same time, many
low-income countries will continue to contend with substantial communicable
disease burdens, thus facing a --double burden of disease.

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Further, compared to their higher-income counterparts, many developing
countries will face elevated NCD levels at earlier stages of economic
development and with a much compressed timeline to address the challenge.

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The overall economic and social cost of NCDs vastly exceeds their direct
medical costs. NCDs affect economies, health systems, and households and
individuals through a range of drivers such as reduced labor productivity,
higher medical treatment costs, and lost savings. These drivers aggregate
into significant socioeconomic impacts, including in the areas of: country
productivity and competitiveness; fiscal pressures; health outcomes; and
poverty, inequity and opportunity loss.

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Despite the magnitude of the NCD challenge, there is considerable space for
action. While most countries will not be able to --treat their way out|| of
the NCD challenge because of the immense costs such a strategy requires,
they can target NCD risk factors and promote healthier lifestyles through
focused prevention efforts while also facilitating strategic adaptation
measures to mitigate the impact of NCDs on economies, health systems, and
households and individuals...."

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Content:****

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*Preface *

*I - The Mounting Challenge of NCDs *

Rising NCD challenge in middle-income and low-income countries ****

Healthy years of life lost ****

Increased NCD burdens at lower levels of economic development ****

*II - Beyond Health Alone: the Socioeconomic Impact of NCDs *

Economies ****

Health systems ****

Households and individuals****

Key impact areas ****

*III - Addressing The NCD Challenge: the Scope for Action *

The need for a multisectoral response ****

Abatement through targeted prevention ****

Strategic adaptation to mitigate the impact of NCDs ****

Country-tailored responses and the role of the international community****

*References

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