scholarly journals How to achieve the UN Sustainable Development Goals in the field of noncommunicable diseases by 2030, according to research in 49 countries

Public Health ◽  
2021 ◽  
Vol 1 (3) ◽  
pp. 13-25
Author(s):  
N. G. Khaltaev ◽  
S. V. Axelrod

Goal. To analyze chronic noncommunicable diseases (NCD) mortality dynamics and associated efforts to reach UN sustainable development goals (SDG) in the area of NCD “by 2030, reduce by one third premature mortality from NCD through prevention and treatment“.Methods. WHO statistics, based on the unified mortality and cause -of- death reports of Member-States countries along with the latest information from global WHO programmes, were used to evaluate NCD mortality trends in 49 countries in 2000, 2010 and 2016 and make comparisons and assessments of different types of community -based, country-wide interventions. Only countries with multiple years of national death registration data and high completeness and quality of cause-of-death assignments were included in the analysis. Cardiovascular disease (CVD) ischemic heart disease (IHD) and stroke, chronic respiratory disease (CRD) bronchial asthma and chronic obstructive pulmonary disease (COPD) lung cancer and diabetes mortality were analysed in 36 high income countries (HIC) and 13 middle income countries (MIC).Results. The most visible decline was achieved for bronchial asthma 54%, stroke 43% IHD 30% and COPD 29%. Lung cancer and diabetes mortality decline were not statistically significant. Prevalence of tobacco smoking gradually declined in 84% of countries, 55% of countries demonstrated declining prevalence of raised blood pressure. Obesity prevalence was increasing in all countries. CVD and CRD mortality were higher in MIC. HIC better implemented tobacco and diet reduction measures. Same concerns NCD management approach. Air pollution level was higher in MIC.Conclusions. NCD mortality decline is associated with multiple WHO global life style modifications campaigns, global coordinated prevention and control programmes for hypertension, asthma and COPD and WHO developed “best buy” approach. In order to achieve better results in lung cancer mortality together with early detection, more efforts should be concentrated on early diagnosis, strengthening tobacco cessation, clean air and diet actions. Diet and physical activities along with adequate management and patient education remain key elements to improve diabetes prognosis by the year 2030. Air pollution control could also facilitate achievement of the UN SDG 3.4.

2020 ◽  
Vol 38 (15_suppl) ◽  
pp. e13614-e13614
Author(s):  
Marianna De Camargo Cancela ◽  
Leonardo Borges Lopes de Souza ◽  
Luis Felipe Leite Martins ◽  
Arthur Correa Schilithz ◽  
Dyego Souza ◽  
...  

e13614 Background: Premature mortality affects the economy directly due to the loss of productivity of individuals who decease, thus ceasing to contribute economically to the country. The 1/3 reduction in premature mortality (30-69 years) from chronic noncommunicable diseases is goal 3.4 of the UN Sustainable Development Goals (SDG). Although cancer is a chronic disease, it comprises more than 100 different conditions, with different risk factors and prognosis. This study aimed to calculate current and predicted premature mortality by 2030 for Brazil and regions, compare with SDG 3.4 target and identify regional progress and future needs. Methods: Mortality data were extracted from the National Mortality Information System of Brazil (SIM) and subsequently corrected for ill-defined causes. Crude and age-standardized mortality rates per 100,000 inhabitants were calculated. NordPred package by software R was used to calculate predictions up to 2030 and compared with the goal of 1/3 reduction of premature deaths. Results: Comparison of observed (2011-2015) and predicted (2016-2030) mortality rates show a 12.0% reduction in the likelihood of death among men and 4.6% among women nationally. Although predicted rates for 2026-2030 are lower than those observed in 2011-2015 predicted number of deaths increases by 75,341 for men and 90,513 for women. Lung cancer mortality rates are predicted to decrease more among men than women, while colorectal cancer mortality will increase for both sexes. Conclusions: The profile of cancer premature mortality is diverse in Brazil. Nationally, only male lung cancer will be close to reaching SDG 3.4 target, endorsing government’s long term efforts to reduce tobacco consumption. Colorectal cancer mortality increases in most regions, reflecting the epidemiological transition. Despite progress in cervical cancer control, it will continue to be a major challenge, especially in the North and Northeast. Our results provide a baseline for public policies for both prevention and access to treatment to reduce premature mortality in Brazil. Differences in cancer patterns show the need to plan and to adapt regionally for each reality.


2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Jonathan J. Buonocore ◽  
Ernani Choma ◽  
Aleyda H. Villavicencio ◽  
John D. Spengler ◽  
Dinah A. Koehler ◽  
...  

Abstract The private sector is interested in contributing to the United Nations (UN) Sustainable Development Goals (SDGs); however, they lack credible objective metrics to measure progress, which hinders making a case for financial investing toward the SDGs. A set of science-based metrics could allow corporations and interested investors to meaningfully align their actions with the SDGs in locations around the world where they can make the greatest positive impact. Using existing data on country-level electricity generation and land transportation, we develop a set of simple-to-implement and user-friendly metrics to evaluate the benefits that investments in renewable electricity generation and improvements in land transportation can make toward reducing CO2 and air pollutant emissions and the health impacts of air pollution. We then apply these metrics to a set of renewable electricity companies and find meaningful differences in their progress toward the SDGs on health, energy, and climate. We found that under half of the renewable energy companies in our dataset disclose country-level data on where equipment is being sold, and that there is substantial variability in the CO2 reductions and health benefits of renewable energy based on where these companies have installed capacity. There was not a close statistical relationship between country CO2 emissions rates and country health impact rates, indicating that these metrics cannot serve as good proxies for one another. Future improvements to this methodology should be to implement explicit tracking of air pollution from sources to the locations where it has eventual health impacts, updating the underlying dataset, and improving the degree of detail in emissions inventories. Application of this methodology across the renewable energy sector is limited by the availability of country-level data on where a company has renewable energy capacity installed. The methodology developed here can serve as a basis for better measurement of progress toward climate, energy, and health-related SDGs in financial investing and other applications.


2021 ◽  
Vol 64 (4) ◽  
pp. 292-301
Author(s):  
O. V. Glushakova ◽  
O. P. Chernikova

The main provisions of the Concept of Sustainable Development, formulated in 1992 at the conference in Rio de Janeiro, based on the economy – environment – society sustainability triad, are accepted as the basis for development by most countries. Over the past period, an institutional framework for sustainable development has been formed both at the international level and at the level of states. Reducing level of air pollution is one of the key tasks, solution of which is necessary to achieve the 2030 Sustainable Development Goals stated by the United Nations. Despite of adoption of the Concept of Transition to Sustainable Development in Russia back in 1996, focus on environmental component took a long time to be made. The article considers the stages of regulatory environment development aimed at ensuring sustainable development and reducing level of air pollution in Russia. It was revealed that a significant expansion of the regulatory and legal field in this area occurred only in 2017 – 2019. In many ways, this is due to Russia’s orientation towards achieving the 2030 Sustainable Development Goals stated by the UN, and adoption of the national development goals of the Russian Federation. It was found that despite the use of such financial mechanisms as the state program of the Russian Federation “Environmental Protection” and the national project “Ecology” to achieve sustainability goals, the share of environmental protection expenditures in total expenditures of the federal budget in 2019 was only 1.3 %. At present, in twelve cities of the Russian  Federation, level of air pollution is assessed as high and very high. In seven of them, ferrous metallurgy enterprises operate, which exert significant anthropogenic pressure on the environment.


2016 ◽  
Vol 9 (2) ◽  
pp. 66-72
Author(s):  
Seema Rath ◽  
Shraddha Patnala ◽  
Sean James Bosman ◽  
Sunitha Srinivas

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