Priorities for developing countries in the global response to non-communicable diseases 英文参考文献.docVIP

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Priorities for developing countries in the global response to non-communicable diseases 英文参考文献.doc

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Priorities for developing countries in the global response to non-communicable diseases 英文参考文献

Maheretal.GlobalizationandHealth2012,8:14 /content/8/1/14 DEBATE OpenAccess Prioritiesfordevelopingcountriesintheglobal responsetonon-communicablediseases DermotMaher1,NathanFord2,3*andNigelUnwin4 Abstract Thegrowingglobalburdenofnoncommunicablediseases(NCDs)isnowkilling36millionpeopleeachyearand needsurgentandcomprehensiveaction.Thisarticleprovidesanoverviewofkeycriticalissuesthatneedtobe resolvedtoensurethatrecentpoliticalcommitmentsaretranslatedintopracticalaction.Theseinclude:(i) categorizingandprioritizingNCDsinordertoinformdonorfundingcommitmentsandprioritiesforintervention; (ii)findingtherightbalancebetweentherelativeimportanceoftreatmentandpreventiontoensurethatresponses coverthoseatrisk,andthosewhoarealreadysick;(iii)definingtheappropriatehealthsystemsresponsetoaddress theneedsofpatientswithdiseasescharacterizedbylongdurationandoftenslowprogression;(iv)researchneeds, inparticulartranslationalresearchinthedeliveryofcare;and(v)sustainedfundingtosupporttheglobalNCD response. Keywords:Non-communicablediseases,Prevention,Treatment Background range of low- andmiddle-income countries[3]. Second, The growing global non-communicable disease (NCD) these data support estimated disease projections of a crisis is now killing 36 million people each year and growing burden of morbidity and mortality associated needs urgent and comprehensive action [1]. Rapidly in- with chronic NCDs. Third, NCDs have a huge negative creasing globalization is accompanied by urbanization, economicimpact[4]andrepresentasignificantimpedi- population growth and ageing, and trends towards un- menttohumandevelopment[5].Fourth,recentprogress healthy lifestyles, including unhealthy diets, physical in- inmobilisingfundsandimprovingtheresponsetoinfec- activity, obesity, and immoderate alcohol and tobacco tious diseases (especially HIV/AIDS, tuberculosis and use. Chronic NCDs are defined by the World Health malaria)hasstimulateda broader global health outlook. Organization (WHO) as cardiovasc