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Why have Non-communicable Diseases been Left Behind?

Florencia Luna1, Valerie A Luyckx2,3

  • 1Programa de Bioética, Área Ética, Derechos y Bienes Públicos Globales, Facultad Latinoamericana de Ciencias Sociales (FLACSO), Buenos Aires, Argentina.

Asian Bioethics Review
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The global burden of non-communicable diseases (NCDs) is increasing across all countries, necessitating an urgent, equitable approach. Increased funding and international action are crucial for NCD prevention and care.

Keywords:
EquityEthicsJusticeNon-communicable diseasesPublic health

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Area of Science:

  • Global Health
  • Public Health Policy
  • Epidemiology

Background:

  • Non-communicable diseases (NCDs) impact all income-level countries, not just high-income nations or the elderly.
  • Historically, communicable diseases received priority, leading to the neglect of NCDs on the global health agenda.
  • Past prioritization of communicable diseases, while successful, has left a significant gap in addressing the rising NCD burden.

Purpose of the Study:

  • To analyze factors contributing to the historical neglect of NCDs compared to communicable diseases.
  • To argue for a new, equitable global health approach to tackle the increasing burden of NCDs.
  • To advocate for increased funding and international collaboration for NCD prevention and treatment.

Main Methods:

  • Analysis of disease characteristics (acuity, control, cost, infectiousness, etc.) to compare NCDs and communicable diseases.
  • Ethical and rational justification review for current NCD management strategies.
  • Examination of public health, economic, and ethical grounds for equitable NCD care.

Main Results:

  • Little ethical or rational justification exists for the continued neglect of NCDs.
  • An equitable approach to NCDs is strongly mandated across medical, ethical, economic, and public health domains.
  • Current funding for NCDs is insufficient and requires significant increase without diverting funds from communicable diseases.

Conclusions:

  • Urgent, equitable action is needed to address the rising global burden of non-communicable diseases.
  • Increased and sustained international and multi-sectoral collaboration is essential for NCD prevention and universal health coverage.
  • Achieving sustainable development goals requires integrating NCD prevention and care into global health realities.