摘要：In recent decades, low– and middle–income countries(LMICs) have achieved decreased morbidity and mortalityassociated with infectious diseases and poor maternal–and child–health (MCH). However, despite theseadvances, LMICs now face an additional burden with theinexorable rise of non–communicable diseases (NCDs).Deaths due to NCDs in LMICs are expected to increasefrom 30.8 million in 2015 to 41.8 million by 2030 [1].While improvements in life expectancy, lifestyle and urbanisationgo some way to explaining why more people inLMICs are affected by NCDs, it is less clear why these populationsare contracting NCDs at a younger age and withworse outcomes than in high–income countries (HICs) [2].Despite having a lower cardiovascular disease risk factorburden, LMIC populations have a four–fold higher mortalityrate from cardiovascular events than HIC populations[3] in part due to a lack of access to quality, integratedhealth services and the poor availability of early interventionsand effective NCD prevention programmes. The HIV/AIDS epidemic was the last time the world confronted aglobal health challenge that so disproportionately causedpremature adult deaths in LMICs.
