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A COMPREHENSIVE GLOBAL MONITORING FRAMEWORK AND VOLUNTARY GLOBAL TARGETS FOR THE PREVENTION AND CONTROL OF NCDS

Introduction
Noncommunicable diseases (NCDs) are currently the leading global cause of
death worldwide. Of the 57 million deaths that occurred globally in 2008, 36 million
deaths – almost two thirds- were due to NCDs, comprising mainly cardiovascular
diseases, cancers, diabetes and chronic lung diseases (1). The combined burden of these
diseases is rising fastest among lower income countries. About one fourth of global
NCD-related deaths take place before the age of 60 (2).
A large proportion of NCDs are preventable. These NCDs share modifiable
behavioural risk factors like tobacco use, unhealthy diet, lack of physical activity, and the
harmful use of alcohol, which, in turn, lead to overweight and obesity, raised blood
pressure, and raised cholesterol. The cost of doing nothing over the next three decades
amounts to trillions of dollars of lost resources (3). Feasible and cost-effective
interventions exist to reduce the burden and impact of NCDs and sustained action to
prevent risk factors and improve health care can avert millions of preventable premature
deaths (4).
The global strategy for the prevention and control of NCDs (5) has three key
components: surveillance, prevention, and health care. Surveillance aims to monitor
NCDs and to analyse their social, economic, behavioural and political determinants in
order to provide guidance for policy, legislative and financial measures.

IntroductionNoncommunicable diseases (NCDs) are currently the leading global cause ofdeath worldwide. Of the 57 million deaths that occurred globally in 2008, 36 milliondeaths – almost two thirds- were due to NCDs, comprising mainly cardiovasculardiseases, cancers, diabetes and chronic lung diseases (1). The combined burden of thesediseases is rising fastest among lower income countries. About one fourth of globalNCD-related deaths take place before the age of 60 (2).A large proportion of NCDs are preventable. These NCDs share modifiablebehavioural risk factors like tobacco use, unhealthy diet, lack of physical activity, and theharmful use of alcohol, which, in turn, lead to overweight and obesity, raised bloodpressure, and raised cholesterol. The cost of doing nothing over the next three decadesamounts to trillions of dollars of lost resources (3). Feasible and cost-effectiveinterventions exist to reduce the burden and impact of NCDs and sustained action toprevent risk factors and improve health care can avert millions of preventable prematuredeaths (4).The global strategy for the prevention and control of NCDs (5) has three keycomponents: surveillance, prevention, and health care. Surveillance aims to monitorNCDs and to analyse their social, economic, behavioural and political determinants inorder to provide guidance for policy, legislative and financial measures.

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