SEVENTY percent of deaths globally are the result of non-communicable diseases (NCDs). This disturbing statistic as made known by the World Health Organisation (WHO), suggests that people can live healthier and longer lives. According to its April 2017 Fact sheet, NCDs kill 40 million people each year. The four diseases accounting for 81 percent of deaths are cardiovascular (heart), killing 17.7 million people annually; cancer (8.8 million); respiratory (such as pneumonia, tuberculosis and bronchitis), which is responsible for 3.9 million; and diabetes 1.6 million.

Fighting NCDs requires strategic-targeting techniques if the nation’s resources are to be properly utilised. Whereas it is recognised the comfort level of some to see the world through race-neutral lens, combating NCDs requires the disabusing of this thinking. Demographic research has shown a predisposition for certain diseases in one race as against others and effective management of the problem requires diverting resources to the source.
Though a recent report has said that Guyanese are living longer and this fact also requires improving or facilitating institutions to suit this demographic, the elderly also bring with them their own form on NCDS,such as high or low blood pressure, arthritis, diabetes, Alzheimer’s and dementia, which will require unique treatment plans.

Government may also find it useful dealing with NCDs both from a preventive and curative/management standpoint. Where some diseases are preventable based on lifestyle choice, such as eating healthy and exercising, public education and other forms of up-front incentives could serve as worthy investment in the people.
Ours is a society where reservations or disinterest exists about seeing a doctor, unless very sick. It is not uncommon when one is feeling unwell to tie his/her head, put a leaf in the head tie, sap the forehead with Limacol or methylated spirits, drink a panadol, some bush or epsom salts, thinking the symptoms and cause will go away.

Periodic visits to a doctor could lead to early detection, diagnosis, and management of what the illness might be. Persons are walking around with heart issues, abnormal cholesterol levels and high blood pressure, are overweight or obese, and with cancer, which when unattended, can carry dire consequences. Impressing upon society the importance of these examinations as a means of knowing, and the fact that early detection can save lives, can never be over-emphasised.

Alcohol abuse can lead to NCDs in the form of alcoholism, which is a major problem in our society. Abuse of alcohol can lead to cirrhosis of the liver. Abuse of prescription medications and other substances such as heroin and cocaine will also lead to NCDs. These are mental issues that require specific planning, treatment and diversion of resources. They also lead to other socio-economic spin- offs. Abuse takes place in the home, families are torn apart, children end up on the streets, themselves abused, teenage pregnancy or in foster care. The cultivating of preferences for imported foods, the majority of which are over-processed and of cheap quality, it is important recognition be given to the consequences their consumption could bring. Processed foods lose some of their nutritional value, are high in sodium (cause of hypertension) and sugar/fructose (cause of diabetes). These foods also carry other additives that have proven to be unhealthy.

NCDs do not only affect the individual, they also affect the family and communities as a whole. They also put pressure on the society to manage them in that expenses are incurred by the State to provide care, and the disease(s) could compromise the ability of persons to lead fully active and productive lives.
It is being advised by WHO that NCDs can be chronic/long duration and are the result of a combination of genetic, physiological, environmental, and behavioural factors. Combating these however is doable. Going by the fact sheet “detection, screening and treatment … as well as palliative care, are key components of the response….” These could include health and lifestyle changes such as exercise, healthy diets and having frequent checks with your doctors as indicated. Society could also be well served with the involvement of the public health department and other stakeholders in preventive medical care.