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IJE Advance Access originally published online on September 8, 2005
International Journal of Epidemiology 2005 34(5):961-966; doi:10.1093/ije/dyi188
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Published by Oxford University Press on behalf of the International Epidemiological Association © The Author 2005; all rights reserved.

Editorial

Non-communicable diseases in low and middle-income countries: a priority or a distraction?

Shah Ebrahim1,* and Liam Smeeth2

1 Department of Social Medicine, University of Bristol, Bristol, UK
2 Department of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK

* Corresponding author. E-mail: shah.ebrahim@bristol.ac.uk

The first 150 words of the full text of this article appear below.

Waging a war on non-communicable diseases?

Non-communicable diseases (NCDs) as a proportion of total mortality inevitably rise as an epidemiological consequence of population ageing and hazardous exposures, particularly smoking, increase. A decade ago we were told that the ‘ageing crisis’ would swamp public resources,1 and the same message continues to be reiterated.2 Now we are being told that NCDs in the developing world represent a ‘race against time’,3 although over the last two decades the ‘threat’ of coronary heart disease has been continually highlighted, without much sign of prioritization.4–7 In the majority of countries, all-cause mortality at ages 15–59 has shown a persistent, downward trend over the last two decades, although these favourable trends have been attenuated markedly in sub-Saharan Africa and some eastern European countries as a result of deaths due to HIV and to injuries, respectively.8 As the crisis has not materialized and the race has not yet been lost, it is pertinent to . . . [Full Text of this Article]

Burden of disease

A priority or a distraction?

Causes of NCDs

Control and management of NCDs

Ethical issues

Conclusion


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