The Lancet, Early Online Publication, 12 February 2013-
Embedding non-communicable diseases in the post-2015 development agenda
Prof George Alleyne MD a, Agnes Binagwaho MD b c, Prof Andy Haines FMedSci d, Selim Jahan PhD e, Prof Rachel Nugent PhD f, Ariella Rojhani BA g, David Stuckler PhD h, on behalf of The Lancet NCD Action Group
The post-2015 development agenda will build on the Millennium Development Goals (MDGs), in which health is a core component. This agenda will focus on human development, incorporate the components of the Millennium Declaration, and will be made sustainable by support from the social, economic, and environmental domains of activity, represented graphically as the strands of a triple helix. The approaches to prevention and control of non-communicable diseases (NCDs) have been elaborated in the political declaration of the UN high-level meeting on NCDs and governments have adopted a goal of 25% reduction in relative mortality from NCDs by 2025 (the 25 by 25 goal), but a strong movement is needed based on the evidence already available, enhanced by effective partnerships, and with political support to ensure that NCDs are embedded in the post-2015 human development agenda. NCDs should be embedded in the post-2015 development agenda, since they are leading causes of death and disability, have a negative effect on health, and, through their effect on the societal, economic, and the environmental domains, impair the sustainability of development. Some drivers of unsustainable development, such as the transport, food and agriculture, and energy sectors, also increase the risk of NCDs.
a Pan American Health Organization, Washington DC, USA; b Ministry of Health, Kigali, Rwanda; c Harvard Medical School, Boston, MA, USA; d Faculty of Epidemiology and Population Health and Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK; e United Nations Development Programme, New York, NY, USA; f Department of Global Health, University of Washington, Seattle, WA, USA; g NCD Alliance, New York, NY, USA; h Department of Sociology, Cambridge University, Cambridge, UK
Correspondence to: Sir George Alleyne, Pan American Health Organization, 525 Twenty Third Street, NW Washington, DC 20037, USA