The Lancet, Volume 380, Issue 9850, Pages 1283 - 1285, 13 October 2012
doi:10.1016/S0140-6736(12)61692-4
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Heads of states and governments made commitments to the prevention and control of non-communicable diseases (NCDs) in the Political Declaration from the UN High-level Meeting on NCDs in September, 2011.1 A key commitment in the Political Declaration calls upon WHO to develop a comprehensive global monitoring framework to assess progress in the implementation of national strategies and plans for the four main NCDs: cardiovascular diseases (CVD), diabetes, cancer, and chronic respiratory diseases.
Central to the monitoring framework is the selection of goals and targets for NCDs. WHO member states have agreed on an NCD target of a 25% reduction by 2025 in the probability of dying from the four main NCDs for people aged 30—70 years.2 We refer to this target as the overarching NCD goal (“25 by 25”). The latest WHO proposals include ten targets to reach this goal.3 Although these targets address important areas of NCD prevention, the choice and hierarchy of the ten targets is based on their level of support by member states. There is strong support from member states for targets on raised blood pressure, tobacco smoking, salt intake, and physical inactivity. Targets deemed as “requiring further development” relate to obesity, fat intake, alcohol consumption, raised total cholesterol, the availability of essential generic NCD medicines and basic technologies to treat major NCDs, and drug therapy to prevent heart attacks and strokes.3 Member states will discuss these proposed targets at a consultation in November, 2012, and the monitoring framework will be finalised at the World Health Assembly in May, 2013./.../
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