UN High-Level Meeting puts NCDs on the map, falls short of setting goals or targets

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Governments must use Summit momentum to agree ambitious targets to curb the epidemic; and are urged to start drafting costed national NCD plans immediately

New York – World leaders unanimously adopted today the Political Declaration on Non-Communicable Diseases (NCDs), agreeing that “the global burden and threat of NCDs constitutes one of the major challenges for development in the twenty-first century, which undermines social and economic development throughout the world”.
Governments must now deliver on their commitments in addressing the rising threat of cancer, cardiovascular disease, chronic respiratory disease and diabetes. Until now, NCDs have not gained the attention of global policy-makers. The NCD Alliance, a network of more than 2,000 non-governmental organizations in 170 countries, said NCDs must now be integrated into the Millennium Development Goals (MDGs), and into any successor framework after 2015 when the MDGs expire.
 “This meeting has made the world sit up and take notice of the huge global burden that NCDs are placing on all countries,” said the NCD Alliance. “Countries now need to be urgently factoring NCDs into their longer term health planning alongside other pressing health challenges”.
“The good news is we now have more political momentum – and we have cost-effective solutions for addressing both the risk factors, such as tobacco use and salt intake, and the diseases themselves. It’s vital that we continue to build on this momentum, to forge a new partnership between governments, the UN, NGOs and the private sector, to tackle the very preventable causes of this global epidemic”.

UNHLM

The NCD Alliance applauded language in the Declaration barring involvement of the tobacco industry and called for an ethical framework for this new partnership to address potential conflicts of interest of food, beverage and healthcare enterprises.
World Health Organization (WHO) Director-General, Dr Margaret Chan told the meeting that NCDs are “the diseases that break the bank”.  A new WHO study of the costs of scaling up a core intervention package to prevent and treat NCDs in low- and middle-income countries has shown that it will cost $11.4 billion a year for all of these countries.  This is compared with the World Economic Forum’s estimated bill of nearly $500 billion a year between now and 2025 if a ‘business as usual’ approach is taken and disease rates continue to soar.
The NCD Alliance urged countries to use the WHO’s new data to cost out their own national NCD plans, pulling together existing plans they might have on the individual diseases and risk factors, and to establish a national coordinating agency, and a monitoring and evaluation framework for tracking progress on tackling NCDs.

The CCFP is a member of WONCA, a partner in the NCD Alliance.

I may be wrong but this

I may be wrong but this picture shows many seats empty - I don't know the circumstances or the significance of this- my gut signal tells me that perhaps as usual, very few took the message seriously enough - and what was there were the converted- typical human behaviour- we are all guilty.
But we must congratulate our strong Caribbean advocates like Sir George Alleyne Drs Alafia Samuel and Trevor Hassel - the latter of the Healthy Caribbean Coalition, to which the CCFP belongs and others like the President of IDF for getting the UN to host the high level Summit to highlight the problem to the world.
As they say"the work has just begun"

We as CCFP doctors must begin to set goals:
(a) Personal - for ourselves
(b) Professional- in our practices
(c) Community- in the areas where we have important spheres of influence- be it work based, faith-based, in the gym or in the fast food outlet; "liming", "feting" or just "chilling out" -as they say.
We can use our evidence -based guidelines, our CHRC guidelines, and all else that we know to inform us.
And we can remember that as family doctors, we have been "assigned" a defined population that we must keep well at all costs as we work with them and empower them to take charge of their behaviours, their life styles, their precious health and that of their children and children's children.
Can we as CCFP doctors resolve to measure our outcomes in a years time and aim to exceed our target goals as far as management of the CNCD's is concerned in our practices?
I shall be giving it a try.