Our Global Voices Posts
Over the past 18 years, I’ve worked with Ministries of Health and other partners in 180 countries to advance CDC’s overarching global health goals and accelerate strategies for the prevention and control of noncommunicable diseases (NCDs) and injuries. NCDs and injuries are responsible for millions of premature deaths, especially in low- and middle-income counties (LMICs). As public health practitioners, we have an important opportunity to work collaboratively to accelerate and scale up implementation of proven prevention and treatment strategies and measure their impact.
Impact of NCDs and Road Traffic Injuries
Globally, NCDs cause two out of every three deaths, resulting in an annual toll of 36 million deaths. About 80 percent of these deaths are in LMICs, among people less than 60 years old and in the prime working years of life. Cardiovascular diseases, stroke, cancer, diabetes, and other NCDs are caused by tobacco, alcohol, unhealthy diet, hypertension, and physical inactivity. According to the World Health Organization, road traffic injuries are responsible for 1.2 million deaths per year and 91 percent of those deaths occur in LMICs. The growing prevalence of NCDs has a trickle-down effect resulting in increased health care costs and productivity losses which impact national economies and sustainable development.
Despite these challenges, we know how to prevent illnesses and deaths from NCDs. The World Health Organization (WHO) World Economic Forum has provided guidelines for reducing the economic impact of NCDs in LMICs by accelerating the implementation of evidence-based, cost-effective interventions – grouped as “Best Buys”. “Best Buy” interventions include raising tax on tobacco and alcohol products, reducing salt consumption, eliminating trans-fats in the food supply, promoting physical activity and detecting and treating NCDs early. The total annual cost of implementing all of the “Best Buys” is US$11.4 billion, with the added benefit of improving quality of life and saving millions of lives. By contrast, the estimated losses due to inaction in LMICs is US$ 500 billion annually. Monitoring progress is also fundamental to measuring the impact of our investments and the goal to reduce premature deaths by 25% by 2025.
CDC is working with Ministries of Health, WHO and a wide array of partners to leverage existing programs and resources and accelerate the development and implementation of evidence-based technical packages. Examples include:
- MPOWER for tobacco control
- THRIVES for violence against children
- Global Standardized Hypertension Treatment Toolkit for health care professionals
- The Bloomberg Data for Health Initiative to improve systematic monitoring of vital records and risk factors and improve public health policy.
Several of these and other NCD initiatives are highlighted in the Summer 2015 issue of Updates from the Field, a quarterly newsletter developed by CDC’s Division of Global Health Protection. This issue of the newsletter draws attention to the work CDC is doing to protect health and enhance NCD capacity globally. While these initiatives are making a difference, sustained investments, accelerated implementation of evidence- based policies, and provision of better treatment options and monitoring systems are needed to protect lives and achieve the United Nations Sustainable Development Goals, and meet the WHO NCD global targets by 2025.
It is also important to highlight a recent Council on Foreign Relations Independent Task Force Report which suggests that NCDs represent an opportunity to build on existing U.S. global health platforms and models, especially in infectious diseases such as HIV/AIDS and Tuberculosis. For example, NCD prevention and treatment strategies can use similar protocols that are integral to infectious diseases management — promoting healthy lifestyle policies; promoting adherence to medications; monitoring treatment outcomes; engaging patients; and training the health care workforce.
Partnerships and Innovations
While the health sector bears the major impact of NCDs and injuries, it has limited influence to change the trajectory, without the commitment of other sectors- such as finance, trade, commerce, agriculture, transport, and technology. For example, the technology and mobile phone industry, with over 6 billion mobile connections, is already making striking contributions to not only GDP growth but also to cross-sector innovations, including the health sector, chronic illness care and monitoring, smoking cessation, and medicine compliance. Collaborative networks of public-private partnerships working together can ensure global health security.
The Way Forward
CDC is working collaboratively with national and international partners to promote healthy lifestyles and prevent premature deaths and disabilities due to NCDs, injuries, and environmental health hazards. CDC’s Global NCD Program advances a coordinated global approach to NCD prevention and control by:
- Strengthening surveillance, monitoring, evaluation and information systems;
- Expanding the evidence base and developing and disseminating technical packages for effective prevention and control interventions;
- Enhancing workforce capacity for integrated, systematic training and technical exchange;
- Leveraging external partnerships and resources;
- Coordinating with other CDC offices engaged in global NCD activities; and
- Increasing NCD awareness and support through strategic communication.
The fruit bat dropped silently from the delivery room ceiling and quickly crawled away as the nurse explained how she mixed the 0.5% chlorine solution used to sterilize the medical instruments. It was a normal day of assessing the infection prevention and control (IPC) procedures of peripheral health units (PHUs) in the rural areas of Read More >Posted on by
In the field, especially during outbreaks, people are the bridge between policy and action. But in global public health, we often use policy-heavy language that lacks personal connection. We talk about “building capacity.” We talk about “implementing the International Health Regulations.” But what does it all really mean? Sometimes we overlook the association between public Read More >Posted on by
Frontline health workers have incredibly tough jobs. Almost always they have competing priorities, with only a limited number of resources at their disposal. These are the doctors, nurses and support staff who work at the point of care. These are the people who deliver our babies, help keep us healthy, and heal us when we Read More >Posted on by
CDC’s FETP partnerships with African nations continue to be leveraged beyond their national borders and for new and unexpected health threats. Dr. Bao-Ping’s blog posted originally on March 31 is being highlighted again as a reminder of how FETPs support global as well as individual nation’s health security. In late November 2014, during the peak Read More >Posted on by
Climate change is any significant variation in temperature, precipitation, wind, or other type of weather that lasts for decades or longer. World Environment Day is celebrated every year on June 5 to raise global awareness to take positive environmental action to protect nature and the planet Earth. It is run by the United Nations Environment Read More >Posted on by
Identified as the most preventable causes of death and disease in the world, the tobacco use epidemic is expanding to many low-and middle-income countries. Approximately 6 million people die annually from tobacco. To put this into perspective, the number of annual deaths from tobacco is equivalent to 2,699 Titanic ships sinking every year. Surveillance has Read More >Posted on by
In the United States, 67 million or 1 in 3 adults have high blood pressure (>140/90 mmHg), and only about half of these adults have their condition under control. Worldwide, high blood pressure is estimated to cause 9 million preventable deaths, and is expected to increase. Commonly referred to as the “silent killer” because it Read More >Posted on by
CDC Innovations: Real-Time Data Strengthens Uganda’s Efforts to End Mother-to-Child HIV Transmission
Identifying opportunities to improve global health sometimes requires creative thinking and new collaborations. In Uganda, the Centers for Disease Control and Prevention (CDC) exemplified this approach in developing a strategy to use the Emergency Operations Center (EOC) in Kampala – established with CDC’s assistance in 2013 – to help eliminate mother-to-child HIV transmission (MTCT). “The Read More >Posted on by
World Malaria Day falls on Saturday this year, so I’ll spend some part of the day catching up on household chores. I can sometimes find moments of inspiration in the mental space created by simple tasks like running the vacuum cleaner. This year, malaria endemic countries and their global partners are reflecting on the remarkable Read More >Posted on by
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