From: <b class="gmail_sendername">Ruggiero, Mrs. Ana Lucia (WDC)</b> <span dir="ltr"><<a href="mailto:ruglucia@paho.org">ruglucia@paho.org</a>></span><br><div class="gmail_quote">crossposted from: <a href="mailto:EQUIDAD@listserv.paho.org">EQUIDAD@listserv.paho.org</a><br>
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<p class="MsoNormal" style="margin-left:.5in"><b><font face="Arial" color="maroon" size="4"><span style="font-size:14.0pt;font-family:Arial;color:maroon;font-weight:bold">Chronic Emergency: Why NCDs Matter<br>
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<p class="MsoNormal" style="margin-left:.5in"><font face="Arial" size="2"><span style="font-size:10.0pt;font-family:Arial">Irina A. Nikolic; <u></u>Anderson<u></u>
<u></u>E. Stanciole<u></u>; Mikhail Zaydman <u></u><u></u></span></font></p>
<p class="MsoNormal" style="margin-left:.5in"><b><font face="Arial" size="2"><span style="font-size:10.0pt;font-family:Arial;font-weight:bold">Health, Nutrition,
and Population, Human Development Network, The World Bank<u></u><u></u></span></font></b></p>
<p class="MsoNormal" style="margin-left:.5in"><font face="Arial" size="2"><span style="font-size:10.0pt;font-family:Arial">July 2011<br>
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<p class="MsoNormal" style="margin-left:.5in"><font face="Arial" size="2"><span style="font-size:10.0pt;font-family:Arial">Available online PDF [34p.] at:<a href="http://bit.ly/nFHaAR" target="_blank"><font color="black"><span style="color:windowtext">http://bit.ly/nFHaAR</span></font></a>
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<p class="MsoNormal" style="margin-left:.5in"><font face="Arial" size="2"><span style="font-size:10.0pt;font-family:Arial">“………….―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.<br>
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<u></u><u></u></span></font></p>
<p class="MsoNormal" style="margin-left:.5in"><font face="Arial" size="2"><span style="font-size:10.0pt;font-family:Arial">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. <br>
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<u></u><u></u></span></font></p>
<p class="MsoNormal" style="margin-left:.5in"><font face="Arial" size="2"><span style="font-size:10.0pt;font-family:Arial">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.<br>
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<u></u><u></u></span></font></p>
<p class="MsoNormal" style="margin-left:.5in"><font face="Arial" size="2"><span style="font-size:10.0pt;font-family:Arial">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.<br>
<br>
<u></u><u></u></span></font></p>
<p class="MsoNormal" style="margin-left:.5in"><font face="Arial" size="2"><span style="font-size:10.0pt;font-family:Arial">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….”<br>
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<u></u><u></u></span></font></p>
<p class="MsoNormal" style="margin-left:.5in"><font face="Arial" size="2"><span style="font-size:10.0pt;font-family:Arial"><u></u> <u></u></span></font></p>
<p class="MsoNormal" style="margin-left:.5in"><font face="Arial" size="2"><span style="font-size:10.0pt;font-family:Arial">Content:<u></u><u></u></span></font></p>
<p class="MsoNormal" style="margin-left:.5in"><font face="Arial" size="2"><span style="font-size:10.0pt;font-family:Arial"><u></u> <u></u></span></font></p>
<p class="MsoNormal" style="margin-left:.5in;text-autospace:none"><b><font face="Arial" color="black" size="2"><span style="font-size:10.0pt;font-family:Arial;color:black;font-weight:bold">Preface <u></u><u></u></span></font></b></p>
<p class="MsoNormal" style="margin-left:.5in;text-autospace:none"><b><font face="Arial" color="black" size="2"><span style="font-size:10.0pt;font-family:Arial;color:black;font-weight:bold">I – The Mounting Challenge of NCDs <u></u><u></u></span></font></b></p>
<p class="MsoNormal" style="margin-left:1.0in;text-autospace:none"><font face="Arial" color="black" size="1"><span style="font-size:9.0pt;font-family:Arial;color:black">Rising NCD challenge in middle-income and low-income countries <u></u><u></u></span></font></p>
<p class="MsoNormal" style="margin-left:1.0in;text-autospace:none"><font face="Arial" color="black" size="1"><span style="font-size:9.0pt;font-family:Arial;color:black">Healthy years of life lost <u></u><u></u></span></font></p>
<p class="MsoNormal" style="margin-left:1.0in;text-autospace:none"><font face="Arial" color="black" size="1"><span style="font-size:9.0pt;font-family:Arial;color:black">Increased NCD burdens at lower levels of economic development <u></u><u></u></span></font></p>
<p class="MsoNormal" style="margin-left:.5in;text-autospace:none"><b><font face="Arial" color="black" size="2"><span style="font-size:10.0pt;font-family:Arial;color:black;font-weight:bold">II – Beyond Health Alone: the Socioeconomic
Impact of NCDs <u></u><u></u></span></font></b></p>
<p class="MsoNormal" style="margin-left:1.0in;text-autospace:none"><font face="Arial" color="black" size="1"><span style="font-size:9.0pt;font-family:Arial;color:black">Economies <u></u><u></u></span></font></p>
<p class="MsoNormal" style="margin-left:1.0in;text-autospace:none"><font face="Arial" color="black" size="1"><span style="font-size:9.0pt;font-family:Arial;color:black">Health systems <u></u><u></u></span></font></p>
<p class="MsoNormal" style="margin-left:1.0in;text-autospace:none"><font face="Arial" color="black" size="1"><span style="font-size:9.0pt;font-family:Arial;color:black">Households and individuals<u></u><u></u></span></font></p>
<p class="MsoNormal" style="margin-left:1.0in;text-autospace:none"><font face="Arial" color="black" size="1"><span style="font-size:9.0pt;font-family:Arial;color:black">Key impact areas <u></u><u></u></span></font></p>
<p class="MsoNormal" style="margin-left:.5in;text-autospace:none"><b><font face="Arial" color="black" size="2"><span style="font-size:10.0pt;font-family:Arial;color:black;font-weight:bold">III – Addressing The NCD Challenge: the Scope for
Action <u></u><u></u></span></font></b></p>
<p class="MsoNormal" style="margin-left:1.0in;text-autospace:none"><font face="Arial" color="black" size="1"><span style="font-size:9.0pt;font-family:Arial;color:black">The need for a multisectoral response <u></u><u></u></span></font></p>
<p class="MsoNormal" style="margin-left:1.0in;text-autospace:none"><font face="Arial" color="black" size="1"><span style="font-size:9.0pt;font-family:Arial;color:black">Abatement through targeted prevention <u></u><u></u></span></font></p>
<p class="MsoNormal" style="margin-left:1.0in;text-autospace:none"><font face="Arial" color="black" size="1"><span style="font-size:9.0pt;font-family:Arial;color:black">Strategic adaptation to mitigate the impact of NCDs <u></u><u></u></span></font></p>
<p class="MsoNormal" style="margin-left:1.0in;text-autospace:none"><font face="Arial" color="black" size="1"><span style="font-size:9.0pt;font-family:Arial;color:black">Country-tailored responses and the role of the international
community<u></u><u></u></span></font></p>
<p class="MsoNormal" style="text-indent:.5in"><b><font face="Arial" color="black" size="2"><span style="font-size:10.0pt;font-family:Arial;color:black;font-weight:bold">References<br>
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</span></font></b><font face="Arial" size="2"><span style="font-size:10.0pt;font-family:Arial" lang="EN"><u></u><u></u></span></font></p>
<p class="MsoNormal" style="margin-left:.5in"><font face="Arial" color="black" size="1"><span style="font-size:9.0pt;font-family:Arial;color:black"></span></font><br></p></div></div></div><br>