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GLOBAL PREVENTION AND CONTROL OF NCDS: LIMITATIONS OF THE STANDARD APPROACH
Pearce, Neil et al. | Date Issued: 2015
Author
Pearce, Neil
Ebrahim, Shah
McKee, Martin
Lamptey, Peter
Barreto, Maurício Lima
Matheson, Don
Walls, Helen
Foliaki, Sunia
Miranda, J Jaime
Chimeddamba, Oyun
Marcos, Luis Garcia
Haines, Andy
Vineis, Paolo
Affilliation
London School of Hygiene and Tropical Medicine. Centre for Global NCDs. London, WC, UK / Massey University. Centre for Public Health Research. Wellington, New Zealand.
London School of Hygiene and Tropical Medicine. Centre for Global NCDs. London, WC, UK.
London School of Hygiene and Tropical Medicine. European Centre on Health of Societies in Transition. London, UK.
London School of Hygiene and Tropical Medicine. Centre for Global NCDs. London, WC, UK.
Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil.
Massey University. Centre for Public Health Research. Wellington, New Zealand.
London School of Hygiene and Tropical Medicine. Centre for Global NCDs. London, WC, UK / Leverhulme Centre for Integrative Research on Agriculture and Health. London, UK / The Australian National University. Canberra, Australia.
Massey University. Centre for Public Health Research. Wellington, New Zealand.
Universidad Peruana Cayetano Heredia. CRONICAS Centre of Excellence in Chronic Diseases. Lima, Peru.
Monash University. School of Public Health and Preventive Medicine. Department of Epidemiology and Preventive Medicine. Melbourne, Australia.
University of Murcia and IMIB-Arrixaca Research Institute. Arrixaca University Children’s Hospital. Respiratory and Allergy Units. Spain / Arrixaca Research Institute. Murcia, Spain.
London School of Hygiene and Tropical Medicine. Department of Social and Environmental Health Research. London, UK.
School of Public Health. Imperial College London. Center for Environment and Health. London, UK.
Abstract
The five-target '25 × 25' strategy for tackling the emerging global epidemic of non-communicable diseases (NCDs) focuses on four diseases (CVD, diabetes, cancer, and chronic respiratory disease), four risk factors (tobacco, diet and physical activity, dietary salt, and alcohol), and one cardiovascular preventive drug treatment. The goal is to decrease mortality from NCDs by 25 per cent by the year 2025. The 'standard approach' to the '25 × 25' strategy has the benefit of simplicity, but also has major weaknesses. These include lack of recognition of: (i) the fundamental drivers of the NCD epidemic; (ii) the 'missing NCDs', which are major causes of morbidity; (iii) the 'missing causes' and the 'causes of the causes'; and (iv) the role of health care and the need for integration of interventions.
Keywords in Portuguese
Doenças não transmissíveis (DNTs)
Fatores de risco para NCDS
Mortalidade
 
Keywords
Non-communicable diseases (NCDs)
Risk factors for NCDS
Mortality
 
Publisher
Palgrave Macmillan
Citation
PEARCE, Neil et al. Global prevention and control of NCDs: Limitations of the standard approach. Journal of Public Health Policy, v. 36, n. 4, p. 408-425, 2015.
DOI
10.1057/jphp.2015.29
ISSN
0197-5897
Notes
Barreto, Mauricio Lima. Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. “Documento produzido em parceria ou por autor vinculado à Fiocruz, mas não consta à informação no documento”.