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Remembering the forgotten non-communicable diseases
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The forthcoming post-Millennium Development Goals era will bring about new challenges in global health. Low- and middle-income countries will have to contend with a dual burden of infectious and non-communicable diseases (NCDs). Some of these NCDs, such as neoplasms, COPD, cardiovascular diseases and diabetes, cause much health loss worldwide and are already widely recognised as doing so. However, 55% of the global NCD burden arises from other NCDs, which tend to be ignored in terms of premature mortality and quality of life reduction. Here, experts in some of these 'forgotten NCDs' review the clinical impact of these diseases along with the consequences of their ignoring their medical importance, and discuss ways in which they can be given higher global health priority in order to decrease the growing burden of disease and disability.
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![Figure 2 Comparison of global disease burden (in DALYs) with a focus on neglected non-communicable diseases. Pyramid: Neoplasms, COPD, cardiovascular diseases and diabetes (the ‘big four’) lead to the highest proportion of disease burden among all NCDs. However, many other NCDs lead to a comparable proportion of disease burden, yet do not receive as much attention as the ‘big four’. We have discussed seven of these neglected NCDs (alcohol and substance abuse, liver cirrhosis, asthma, chronic kidney disease, Alzheimer’s and other dementias, sickle cell disease and gout) and reviewed their disease burden. Pie chart: NCDs account for 54% of total proportion of global DALYs. Although the ‘big four’ comprise just under half of this burden (45% of the burden of NCDs; 24.4% of the total global DALY burden) all other NCDs (i.e. the neglected NCDs) account for 55% of the burden of NCDs; 29.6% of the total global DALY burden. Data for this infographic derived from [13]. The figure has been prepared by BioMed Central.](/paper-figures/fb0f35b6f7d94e1096d674114f283dfb/remembering-the-forgotten-non-communicable-diseases-figure-2.jpg)

![Figure 4 Cartogram showing the estimated number of newborns with SCA by country. Cartogram showing the estimated total number of babies that will be born globally, by country, between 2010 and 2050. Figure adapted from Figure 3 within reference [11] drawn and contributed by Dr FB Piel.](/paper-figures/00e9527e2666493197702982d8519399/remembering-the-forgotten-non-communicable-diseases-figure-4.jpg)










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“even though it has not been included into the WHO targets for non‐communicable disease 276.”
From The relationship between different dimensions of alcohol use and the burden of disease—an update (2017) · cites this paper as [276]
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Metadata
- Authors
- Lopez, A. D., Williams, T. N., Levin, A., Tonelli, M., Singh, J. A., Burney, P. G., Rehm, J., Volkow, N. D., Koob, G., & Ferri, C. P.
- Affiliations
- Kenya Medical Research Institute (KE)
- University of British Columbia (CA)
- Mayo Clinic (US)
- Imperial College London (GB)
- Centre for Addiction and Mental Health (CA)
- National Institutes of Health (US)
- Hospital Alemão Oswaldo Cruz (BR)
- ORCID
- Venue
- BMC Medicine
- Published
- 2014-10-22
- Volume
- 12
- Issue
- 1
- Pages
- 200-200
- ISSN
- 1741-7015 (ISSN-L)
- PMC
- PMC4207624
- OpenAlex
- W2004073357
- Cited by
- 108
- References
- 103
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 8 · 2023: 7 · 2022: 9 · 2021: 9 · 2020: 23 · 2019: 13 · 2018: 8 · 2017: 9 · 2016: 9 · 2015: 5
- FWCI
- 14.01
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- BMC Medicine (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- TSpace (University of Toronto) (submittedVersion)
- Americanae (AECID Library) (submittedVersion, other-oa)
- Minerva Access (University of Melbourne) (submittedVersion, cc-by)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, other-oa)
- Funders
- Patient-Centered Outcomes Research Institute (research contract CE-1304-6631, CE-1304-6631)
- Wellcome Trust (091758)
- National Institutes of Health (AR-060772)
- Agency for Healthcare Research and Quality (U19HS021110)
- National Institute on Aging (U01AG018947)
- National Cancer Institute (U10-CA-149950)
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (U34AR062891, AR‐06‐0772, P50AR060772, P50 AR060772 and U34 AR062891)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Global Health and Epidemiology
- Health Sciences › Medicine › Epidemiology › Healthcare Systems and Public Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Global Public Health Policies and Epidemiology
- Keywords
- non-communicable diseases, neglected diseases, global health burden, disease burden, premature mortality, quality of life, health loss, low- and middle-income countries, global health priorities
- MeSH terms
- Adult, Cardiovascular Diseases, Diabetes Mellitus, Goals, Persons with Disabilities, Disabled Persons, Humans, Neoplasms, Poverty, Quality of Life, Global Health, Health Care Costs, Cost of Illness, Pulmonary Disease, Chronic Obstructive, Neglected Diseases
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