Non-Communicable Diseases

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definition

  • IDs vertical program ⇔ NCDs horizontal program
  • some IDs in tropics have NCD-like characterics
    • HIV
    • lymphatic filariasis
    • Chagas disease

epidemiology

  • 41 mil. deaths per year worldwide
    • 71% of all deaths
  • 15 mil. deaths by NCDs occur between 30 and 69 y/o ... "premature" death

NCDs in LMICs

  • tobacco
  • food pricing and availability
  • food preferences
  • physical activity
  • technologies
  • social movement
  • limited research of NCDs in LMICs

measuring burdens of NCDs

  • death
  • DALY
  • QALY

WHO Package of Essential NCDs intervention (PEN)

insulin treatment in LMIC

  • Insulin Zeer
  • DOT (directly observed treatment) like in a refugee camp