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LETTER TO THE EDITOR
Year : 2018  |  Volume : 11  |  Issue : 5  |  Page : 455-456  

Failure to attain set targets for non-communicable diseases: World health organization


1 Department of Community Medicine, Member of the Medical Education Unit & Medical Research Unit, Shri Sathya Sai Medical College and Research Institute, Chennai, Tamil Nadu, India
2 Department of Community Medicine, Shri Sathya Sai Medical College and Research Institute, Chennai, Tamil Nadu, India

Date of Web Publication5-Sep-2018

Correspondence Address:
Saurabh RamBihariLal Shrivastava
Department of Community Medicine, 3rd Floor, Shri Sathya Sai Medical College and Research Institute, Ammapettai, Thiruporur - Guduvancherry Main Road, Sembakkam Post, Kancheepuram - 603 108, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/MJDRDYPU.MJDRDYPU_190_17

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How to cite this article:
Shrivastava SR, Shrivastava PS, Ramasamy J. Failure to attain set targets for non-communicable diseases: World health organization. Med J DY Patil Vidyapeeth 2018;11:455-6

How to cite this URL:
Shrivastava SR, Shrivastava PS, Ramasamy J. Failure to attain set targets for non-communicable diseases: World health organization. Med J DY Patil Vidyapeeth [serial online] 2018 [cited 2020 Nov 29];11:455-6. Available from: https://www.mjdrdypv.org/text.asp?2018/11/5/455/240372



Sir,

Globally, 7 out of 10 deaths reported each year have been attributed to noncommunicable diseases (NCDs).[1] In fact, more than four-fifths of the NCDs attributed premature deaths have been observed in low- and middle-income nations and that is a major cause of public health concern.[1] Furthermore, within nations, these deaths predominantly affect the vulnerable population groups (like poorest or living in remote settings).[1] At this juncture, it is important to note that the rise in the incidence of NCDs is due to the interplay of various factors such as poverty, globalization of health-harming products, rapid urbanization, and population growth.[1],[2]

The findings of a recently released report by the World Health Organization have emphasized the necessity for the national governments to upscale their efforts to ensure prevention and control of NCDs to eventually enable them to meet globally agreed targets, including averting NCDs attributed premature deaths.[2] This progress monitor report has provided estimates about various progress indicators to gauge the progress of nations in building a national response against NCDs.[2] In addition, it details about the achievements and the challenges encountered by different nations with regard to NCDs.[1],[2]

Overall, the report provides nation-wise figures pertaining to 10 indicators, namely, national NCD targets; mortality data; risk factor surveys; national integrated NCD strategies; and measures to reduce tobacco demand (like a hike in excise taxes and prices, smoke-free policies, large pictorial health warnings or plain packaging, imposing sanctions on advertisement-promotion-sponsorship, and mass-media campaigns).[2],[3],[4] In addition, other indicators such as measures to reduce alcohol use (such as difficulties in physical accessibility, advertisement bans or restrictions, hike in excise taxes); measures to decrease in consumption of unhealthy diets (viz., strategies to decrease intake of salt or saturated fatty acids and trans-fats policies, discouraging marketing of breast-milk substitutes); awareness campaigns on physical activity; development of guidelines for management of cancer, cardiovascular diseases, and diabetes; and medications/counseling to avoid heart attacks and stroke have been followed.[2],[3],[4]

It is quite alarming that about 90 nations have only set national targets to address NCDs or have implemented operational multisectoral strategies to address NCDs or formulated guidelines for the management of more common NCDs.[2] In general, there has been a limited, uneven, and insufficient national progress in the battle against NCDs, and that the world is not on the right track to meet the targets defined under the Sustainable Development Goals (viz., to achieve a one-third reduction in the number of premature NCD deaths by 2030).[1],[2]

Acknowledging all the above findings and realizing the fact that the chance to save lives is narrowing down, it is high time that we have to take action to protect people from NCDs; otherwise, the future generations will have to spend their lives in ill-health and it will lead to adverse financial consequences.[2],[3] The best possible chance to prevent premature deaths related to NCDs is by making a considerable progress in the specified indicators, as it will significantly reduce the risk among all vulnerable population groups.[1],[2],[3]

To conclude, there is an immense need for a strengthened political action and concerted efforts to respond to the challenge of NCDs, and these progress indicators offer an easy way to track the overall national progress.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
World Health Organization. Noncommunicable Diseases – Fact Sheet No. 355; 2017. Available from: http://www.who.int/mediacentre/factsheets/fs355/en/. [Last accessed on 2017 Sep 22].  Back to cited text no. 1
    
2.
World Health Organization. Noncommunicable Diseases Progress Monitor 2017. Geneva: WHO Press; 2017. p. 1-27.  Back to cited text no. 2
    
3.
Shrivastava SR, Shrivastava PS, Ramasamy J. World Health Organization recommends cost-effective interventions to control the rise in incidence of non-communicable diseases in low resource settings. Int J Prev Med 2016;7:54.  Back to cited text no. 3
    
4.
Shrivastava SR, Shrivastava PS, Ramasamy J. Promotion of physical activity: A crucial strategy to delay the onset of non-communicable diseases. Muller J Med Sci Res 2017;8:106-7.Dear Sir,  Back to cited text no. 4
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