1. NCD Update: Policies and Programs for the
Prevention and Control of NCDs
Jeffrey Meer
Special Advisor
for Global Health
CORE Group
April 23, 2013
Baltimore, MD

2. What are NCDs?
• Cardiovascular Disease
• Cancers
• Diabetes
• Chronic Obstructive Pulmonary Disease
• [Mental Health]

3. Context
• NCDs are responsible for 63 percent of all
deaths globally.
• NCD deaths are projected to increase by
15% globally between 2010 and 2020

4. Causes of Death in Rural Bangladesh

5. Links Between NCDs and MCH
• Cervical cancer and HPV
• Breast cancer
• Gestational and Type-I diabetes

6. Burden of Disease 2004 - 2030
Courtesy: WHO

7. Common Risk Factors
• Smoking Tobacco
• Inappropriate use of alcohol
• Inadequate exercise
• Poor nutrition

8. The NCD Pyramid
Courtesy: WHO

9. What Else Affects NCDs?
• Genetics
• Environment
• Lifestyles

10. Myths about NCDs
• Less common than
infectious diseases (HIV,
TB, malaria, diarrhea)
• Unrelated to infectious
diseases
• Only for the rich and aged
• Too expensive and
complex to treat
• Take $ and focus away
from infectious diseases

11. Development Implications
• Premature death
• Disability
• Loss of productivity
• Cost of treatment and care
• Less opportunity for education

12. Resources?
Less than 3 percent of all international
development assistance for health ($21
billion annually) goes to NCD prevention
or treatment

13. NCD Prevention and Treatment Matter!
US death rates from several diseases 1900-1996
Courtesy: Richard Cooper, MD

14. United Nations High Level Meeting on
NCDs
September 19-20, 2011 New York, NY

17. The UN Political Declaration on NCDs
• Description and scope of the issue
• Whole of government, whole of society
• Reducing risk factors
• Strengthening national policies and health
systems
• International cooperation and partnerships
• Research, M&E, follow up

18. Political Declaration (continued)
• Prevention is the key
• Social determinants and
poverty
• Doha/TRIPS
• Engaging the private
sector (except tobacco)
• Women
• Children and adolescents
• Reproductive health
• Climate Change

19. NCD Child -- March 19-20, 2012

20. World Health Assembly May 2012
• First global agreement on an
NCD target
• 25 percent reduction in
mortality from NCDs by 2025
• Continuing process for
additional targets
• Member states meeting prior
to “end of October 2012”

21. WHO Ad Hoc Meeting November 2012
• Reaffirmation of “25 x 25”
• Eight additional goals
• 25 new targets

22. Who’s in Charge for the USA?
• Health and Human Services
• USAID
• State Department
• US Mission to the United Nations
• Centers for Disease Control and
Prevention

23. Now Under Discussion by UN and WHO
• Draft Action Plan on NCDs
• Multisectoral engagement for NCDs
• NCDs in the “Sustainable Development
Goals” post-2015

24. Thank You!
• www.ncdroundtable.org
• www.ncdchild.org
• www.ncdalliance.org