NCD Countdown 2030: pathways to achieving Sustainable Development Goal target 3.4

摘要: Summary The Sustainable Development Goal (SDG) target 3.4 is to reduce premature mortality from non-communicable diseases (NCDs) by a third 2030 relative 2015 levels, and promote mental health wellbeing. We used data on cause-specific characterise the risk trends in NCD each country evaluate combinations of reductions causes death that can achieve SDG 3.4. Among NCDs, ischaemic heart disease responsible for highest more than half all countries women, three-quarters men. However, stroke, other cardiovascular diseases, some cancers are associated with similar risk, many countries, higher disease. Although NCDs declining most pace change too slow To investigate options available achieving 3.4, we considered different scenarios, representing combination fast (annual rate achieved tenth best performing percentile countries) average (median declines NCDs. Pathways analysis shows every has No could addressing single In at least requires improvements decline five women seven men same countries. Tobacco alcohol control effective health-system interventions—including hypertension diabetes treatment; primary secondary prevention high-risk individuals; low-dose inhaled corticosteroids bronchodilators asthma chronic obstructive pulmonary disease; treatment acute complications, exacerbations cancer screening treatment—will necessary