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>
<br>HERE WE GO AGAIN: SETTING TARGETS FROM THE TOP DOWN. NOT A WORD ABOUT THE PROCESSES NEEDED TO GET THERE WITH GENUINE PARTICIPATION. NOT A WORD ABOUT CURBING THE INFLUENCE OF 'BIG FOOD' AND 'BIG BEVERAGE' ON PEOPLE'S DIETS. HAVE WE NOT LEARNED ENOUGH FROM THE MDGs?<br>
Claudio<br><br>
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<p class="MsoNormal" style="margin-left:.5in"><b><font color="maroon" face="Arial" size="3"><span style="font-size:12.0pt;font-family:Arial;color:maroon;font-weight:bold">Measuring progress on NCDs: one goal and five targets<br>
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<p class="MsoNormal" style="margin-left:.5in"><font face="Arial"><span style="font-size:10.0pt;font-family:Arial">Robert Beaglehole a, Ruth Bonita a,
Richard Horton b, Majid Ezzati c, Neeraj Bhala d, Mary Amuyunzu-Nyamongo e, <br>
Modi Mwatsama f, K Srinath Reddy g<br>
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</span></font><font face="Arial" size="1"><span style="font-size:8.0pt;font-family:Arial">a <u></u>University<u></u> of <u></u>Auckland<u></u>, <u></u><u></u>Auckland<u></u>,
<u></u>New Zealand<u></u><u></u><u></u><u></u></span></font></p>
<p class="MsoNormal" style="margin-left:.5in"><font face="Arial" size="1"><span style="font-size:8.0pt;font-family:Arial">b The Lancet, <u></u><u></u>London<u></u>, <u></u>UK<u></u><u></u><u></u><u></u></span></font></p>
<p class="MsoNormal" style="margin-left:.5in"><font face="Arial" size="1"><span style="font-size:8.0pt;font-family:Arial">c MRC-HPA Centre for Environment and
Health, Department of Epidemiology and Biostatistics, Imperial College London,
London, UK<u></u><u></u></span></font></p>
<p class="MsoNormal" style="margin-left:.5in"><font face="Arial" size="1"><span style="font-size:8.0pt;font-family:Arial">d <u></u>Queen<u></u>
<u></u>Elizabeth<u></u> <u></u>Hospital<u></u>,
University Hospitals <u></u>Birmingham<u></u> NHS Trust, <u></u><u></u>Birmingham<u></u>, <u></u>UK<u></u><u></u><u></u><u></u></span></font></p>
<p class="MsoNormal" style="margin-left:.5in"><font face="Arial" size="1"><span style="font-size:8.0pt;font-family:Arial">e Consortium for NCD Prevention and
Control in Sub-Saharan Africa, <u></u><u></u>Nairobi<u></u>,
<u></u>Kenya<u></u><u></u><u></u><u></u></span></font></p>
<p class="MsoNormal" style="margin-left:.5in"><font face="Arial" size="1"><span style="font-size:8.0pt;font-family:Arial">f National Heart Forum, <u></u><u></u>London<u></u>, <u></u>UK<u></u><u></u><u></u><u></u></span></font></p>
<p class="MsoNormal" style="margin-left:.5in"><font face="Arial" size="1"><span style="font-size:8.0pt;font-family:Arial">g Public Health Foundation of <u></u>India<u></u>, <u></u><u></u>New
Delhi<u></u>, <u></u>India<u></u><u></u><br>
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<u></u><u></u></span></font></p>
<p class="MsoNormal" style="margin-left:.5in"><b><font face="Arial"><span style="font-size:10.0pt;font-family:Arial;font-weight:bold">The Lancet, Volume
380, Issue 9850, 13 October 2012 <br>
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<p class="MsoNormal" style="margin-left:.5in"><font face="Arial"><span style="font-size:10.0pt;font-family:Arial">Website: <a href="http://bit.ly/Qi3icN" target="_blank"><font color="black"><span style="color:windowtext">http://bit.ly/Qi3icN</span></font></a>
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<p class="MsoNormal" style="margin-left:.5in"><font face="Arial"><span style="font-size:10.0pt;font-family:Arial">“…..Heads of states and
governments made commitments to the prevention and control of non-communicable
diseases (NCDs) in the Political Declaration from the UN High-level Meeting on
NCDs in September, 2011.1 A key commitment in the Political Declaration calls
upon WHO to develop a comprehensive global monitoring framework to assess
progress in the implementation of national strategies and plans for the four
main NCDs: cardiovascular diseases (CVD), diabetes, cancer, and chronic
respiratory diseases.<u></u><u></u></span></font></p>
<p class="MsoNormal" style="margin-left:.5in"><font face="Arial"><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"><span style="font-size:10.0pt;font-family:Arial">Central to the monitoring framework
is the selection of goals and targets for NCDs. WHO member states have agreed
on an NCD target of a 25% reduction by 2025 in the probability of dying from
the four main NCDs for people aged 30—70 years.2 We refer to this target
as the overarching NCD goal (“25 by 25”). The latest WHO proposals
include ten targets to reach this goal.3 Although these targets address
important areas of NCD prevention, the choice and hierarchy of the ten targets
is based on their level of support by member states. <u></u><u></u></span></font></p>
<p class="MsoNormal" style="margin-left:.5in"><font face="Arial"><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"><span style="font-size:10.0pt;font-family:Arial">There is strong support from member
states for targets on raised blood pressure, tobacco smoking, salt intake, and
physical inactivity. Targets deemed as “requiring further
development” relate to obesity, fat intake, alcohol consumption, raised
total cholesterol, the availability of essential generic NCD medicines and
basic technologies to treat major NCDs, and drug therapy to prevent heart
attacks and strokes.3 Member states will discuss these proposed targets at a
consultation in November, 2012, and the monitoring framework will be finalised
at the World Health Assembly in May, 2013…..”<br>
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