Although there has been progress over the
period, many gaps remain. There is insufficient
awareness among policy makers, especially of thedevelopment, economic, and fiscal impacts. The
public is not sufficiently well informed on basic
prevention measures. Even though many costeffective
interventions exist, as exemplified in the
WHO ‘‘Best Buys,’’ investment in primary prevention
remains low, and there is a lack of inclusion of
NCD in most social protection packages, which
arguably is a human rights issue. Coverage and
quality of care remain inadequate in most countries.
As recognized in the UNHLM, NCD are both a
cause and effect of poverty. Major challenges include:
the intersectoral nature of the problem; the
increasing burden of obesity in adults and increasingly
in children; continued urbanization with sedentary
lifestyles; the continued nutrition transition
with trade liberalization; and massive marketing
of tobacco, alcohol, and food high in fat, sugar,
and salt. The lack of trained human resources in
countries to prevent and control NCD is also a major
challenge. But there are cost-effective solutions,
which can save millions of lives, avoid billions in
economic damage, and increase productivity and
development prospects. This will require an allof-
government and all-of-society approach.
Actions to be taken in countries in the next
5 years are well outlined in the Regional Strategy,
and in the UNHLM Declaration. Countries need
to put the issue on the development and economic
agenda, increase investment in prevention, and include
NCD and related essential medicines in social
protection packages. PAHO and countries
must continue working together to promote intersectoral
policy change and an all-of-society response.
This is now well appreciated by ministries
of health; the challenge is how
Although there has been progress over the
period, many gaps remain. There is insufficient
awareness among policy makers, especially of thedevelopment, economic, and fiscal impacts. The
public is not sufficiently well informed on basic
prevention measures. Even though many costeffective
interventions exist, as exemplified in the
WHO ‘‘Best Buys,’’ investment in primary prevention
remains low, and there is a lack of inclusion of
NCD in most social protection packages, which
arguably is a human rights issue. Coverage and
quality of care remain inadequate in most countries.
As recognized in the UNHLM, NCD are both a
cause and effect of poverty. Major challenges include:
the intersectoral nature of the problem; the
increasing burden of obesity in adults and increasingly
in children; continued urbanization with sedentary
lifestyles; the continued nutrition transition
with trade liberalization; and massive marketing
of tobacco, alcohol, and food high in fat, sugar,
and salt. The lack of trained human resources in
countries to prevent and control NCD is also a major
challenge. But there are cost-effective solutions,
which can save millions of lives, avoid billions in
economic damage, and increase productivity and
development prospects. This will require an allof-
government and all-of-society approach.
Actions to be taken in countries in the next
5 years are well outlined in the Regional Strategy,
and in the UNHLM Declaration. Countries need
to put the issue on the development and economic
agenda, increase investment in prevention, and include
NCD and related essential medicines in social
protection packages. PAHO and countries
must continue working together to promote intersectoral
policy change and an all-of-society response.
This is now well appreciated by ministries
of health; the challenge is how
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