Towards a comprehensive global approach to prevention and control of NCDs.

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dc.citation.volume10
dc.contributor.authorMcKee M
dc.contributor.authorHaines A
dc.contributor.authorEbrahim S
dc.contributor.authorLamptey P
dc.contributor.authorBarreto ML
dc.contributor.authorMatheson D
dc.contributor.authorWalls HL
dc.contributor.authorFoliaki S
dc.contributor.authorMiranda JJ
dc.contributor.authorChimeddamba O
dc.contributor.authorGarcia-Marcos L
dc.contributor.authorVineis P
dc.contributor.authorPearce N
dc.date.available2014-10-28
dc.date.available2014-10-15
dc.date.issued2014-10-28
dc.description.abstractBACKGROUND: The "25×25" strategy to tackle the global challenge of non-communicable diseases takes a traditional approach, concentrating on a few diseases and their immediate risk factors. DISCUSSION: We propose elements of a comprehensive strategy to address NCDs that takes account of the evolving social, economic, environmental and health care contexts, while developing mechanisms to respond effectively to local patterns of disease. Principles that underpin the comprehensive strategy include: (a) a balance between measures that address health at the individual and population level; (b) the need to identify evidence-based feasible and effective approaches tailored to low and middle income countries rather than exporting questionable strategies developed in high income countries; (c) developing primary health care as a universal framework to support prevention and treatment; (d) ensuring the ability to respond in real time to the complex adaptive behaviours of the global food, tobacco, alcohol and transport industries; (e) integrating evidence-based, cost-effective, and affordable approaches within the post-2015 sustainable development agenda; (f) determination of a set of priorities based on the NCD burden within each country, taking account of what it can afford, including the level of available development assistance; and (g) change from a universal "one-size fits all" approach of relatively simple prevention oriented approaches to more comprehensive multi-sectoral and development-oriented approaches which address both health systems and the determinants of NCD risk factors. SUMMARY: The 25×25 is approach is absolutely necessary but insufficient to tackle the the NCD disease burden of mortality and morbidity. A more comprehensive approach is recommended.
dc.description.publication-statusPublished
dc.format.extent? - ? (7)
dc.identifierhttp://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000346095500001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=c5bb3b2499afac691c2e3c1a83ef6fef
dc.identifierARTN 74
dc.identifier.citationGLOBALIZATION AND HEALTH, 2014, 10 pp. ? - ? (7)
dc.identifier.doi10.1186/s12992-014-0074-8
dc.identifier.elements-id220528
dc.identifier.harvestedMassey_Dark
dc.identifier.issn1744-8603
dc.languageEnglish
dc.publisherBIOMED CENTRAL LTD
dc.relation.isPartOfGLOBALIZATION AND HEALTH
dc.rights© 2014 McKee et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited.
dc.subjectScience & Technology
dc.subjectLife Sciences & Biomedicine
dc.subjectPublic, Environmental & Occupational Health
dc.subjectNon-communicable diseases
dc.subjectPrevention
dc.subjectHealth systems
dc.subjectPOST-2015 DEVELOPMENT AGENDA
dc.subjectPUBLIC-HEALTH
dc.subjectNONCOMMUNICABLE DISEASES
dc.subjectSUSTAINABLE DEVELOPMENT
dc.subjectCARE
dc.subjectSMOKING
dc.subjectDETERMINANTS
dc.subjectCOUNTRIES
dc.subjectPOLICIES
dc.subjectALCOHOL
dc.subject.anzsrc1117 Public Health and Health Services
dc.titleTowards a comprehensive global approach to prevention and control of NCDs.
dc.typeJournal article
pubs.notesNot known
pubs.organisational-group/Massey University
pubs.organisational-group/Massey University/College of Health
pubs.organisational-group/Massey University/College of Health/Research Centre for Hauora and Health
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