The Burden of Chronic Disease

Karen Hacker MD, MPH
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Abstract

Chronic diseases like diabetes, heart disease, stroke, and cancer have been and continue to be some of the major causes of worldwide morbidity and mortality. A transition between infectious and noncommunicable diseases occurred in the early 1900s as a result of improved public health and has persisted ever since. Now, as individuals live longer, the prevalence and cost of chronic disease continue to grow. The estimated cost of chronic disease is expected to reach $47 trillion worldwide by 2030. Individual lifestyle and behaviors and community factors play important roles in the development and management of chronic diseases. Many of these conditions (diabetes, heart disease, and respiratory diseases) are preventable, and their leading risk factors are physical inactivity, poor nutrition, tobacco use, and excessive alcohol. Unfortunately, the investment in prevention remains small compared with treatment, both from a lifestyle perspective and a social determinants of health perspective. Given the future trajectory of chronic disease, innovation in technology and pharmaceuticals with a concomitant investment in prevention will be required. Our future depends on it.

慢性病的负担
糖尿病、心脏病、中风和癌症等慢性病一直是并将继续成为全球发病率和死亡率的主要原因。20 世纪初,随着公共卫生水平的提高,传染病和非传染性疾病之间发生了转变,这种转变一直持续至今。现在,随着人们寿命的延长,慢性病的发病率和成本都在继续增长。预计到 2030 年,全球慢性病的成本将达到 47 万亿美元。个人生活方式和行为以及社区因素在慢性病的发展和管理中发挥着重要作用。其中许多疾病(糖尿病、心脏病和呼吸系统疾病)是可以预防的,其主要风险因素是缺乏运动、营养不良、吸烟和过度饮酒。遗憾的是,无论是从生活方式的角度还是从健康的社会决定因素的角度来看,与治疗相比,预防方面的投资仍然很少。考虑到慢性病的未来发展轨迹,需要在技术和药物方面进行创新,同时在预防方面进行投资。我们的未来取决于此。
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来源期刊
Mayo Clinic proceedings. Innovations, quality & outcomes
Mayo Clinic proceedings. Innovations, quality & outcomes Surgery, Critical Care and Intensive Care Medicine, Public Health and Health Policy
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