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Preparations are already underway for a U.N. summit in September of next year on preventing and controlling noncommunicable diseases, such as cancer, heart and lung disease, diabetes1 and stroke.
Noncommunicable diseases – or NCDs – claim about 35 million lives every year. The diseases account for 60 percent of deaths in all age groups.
The good news is many of those deaths can be prevented. A Global Action Plan has already been drawn2 up and approved. But now resources and political will are needed to fully3 implement4 it. That's where the U.N. high-level meeting comes in.
Ill effects Dr. Ala Alwan, World Health Organization's Assistant Director-General for Noncommunicable Diseases and Mental Health, says besides the unnecessary loss of life, NCDs have broader effects as well.
"This has a negative impact on productivity. It has a negative impact on social economic development. There are also other reasons. They reduce family income because of illness, because of the disability they cause. They also reduce family income because of the increasing health care costs," he says.
It's what's called "catastrophic expenditure5" - health care costs so high that families are driven below the poverty line.
Alwan says, "These are diseases that more or less share the same risk factors. So they are caused by tobacco. They are caused by unhealthy diet. They are caused by physical inactivity. And they are also caused to a certain extent by the harmful use of alcohol. So these are the shared risk factors that cause cardiovascular disease, heart disease, stroke, a large number of cancers and also contribute to diabetes."Taking actionA global action plan on preventing and controlling noncommunicable diseases is ready to be implemented6.
"There is a clear global vision, which was endorsed7 by 193 countries. These are the countries that are members of the World Health Assembly in the year 2000. And 8 years later, in 2008, the World Health Assembly endorsed an action plan to translate the global strategy to concrete action. So, it's a 6 year action plan, which identifies exactly what countries should do to address these problems and what WHO should do and what the international partners should do," he says.
Part of the plan calls for behavior change, such as quitting smoking, exercising and eating healthier. But countries need to have environments that promote that behavior, such as passing tough anti-smoking laws.
Implementation8 of the action plan is not a simple matter. And Alwan says the health sector9 cannot do it alone.
"These are problems that can only be reduced by involvement of the non-health sector. So, industry has to be involved - sectors10 like finance, trade, education, transportation. In order to reduce the risk factors you need to involve these non-health sectors," Alwan says.
Many health-related NGOs are also involved in planning next year's U.N. summit.
Good for the economy, tooThe WHO assistant director-general the global action plan would bring economic, as well as health benefits.
"Think of the millions of millions of people with diabetes, with cancer, with heart disease, who require expensive treatment and expensive health care. So any significant difference in reducing the number of people requiring this kind of expensive health care will make a difference. But equally important is that fact that if you reduce the disability, if you reduce the morbidity11, you will be able to reduce the number of people, who lose productivity," he says.
Although the high-level U.N. summit won't be held until next September, member states must soon submit a resolution to the General Assembly on the scope and goals of the summit.
1 diabetes | |
n.糖尿病 | |
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2 drawn | |
v.拖,拉,拔出;adj.憔悴的,紧张的 | |
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3 fully | |
adv.完全地,全部地,彻底地;充分地 | |
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4 implement | |
n.(pl.)工具,器具;vt.实行,实施,执行 | |
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5 expenditure | |
n.(时间、劳力、金钱等)支出;使用,消耗 | |
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6 implemented | |
v.实现( implement的过去式和过去分词 );执行;贯彻;使生效 | |
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7 endorsed | |
vt.& vi.endorse的过去式或过去分词形式v.赞同( endorse的过去式和过去分词 );在(尤指支票的)背面签字;在(文件的)背面写评论;在广告上说本人使用并赞同某产品 | |
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8 implementation | |
n.实施,贯彻 | |
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9 sector | |
n.部门,部分;防御地段,防区;扇形 | |
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10 sectors | |
n.部门( sector的名词复数 );领域;防御地区;扇形 | |
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11 morbidity | |
n.病态;不健全;发病;发病率 | |
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