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Annu Rev Public Health. 2013;34:317-35. doi: 10.1146/annurev-publhealth-031912-114402. Epub 2013 Jan 7.

Scaling up chronic disease prevention interventions in lower- and middle-income countries.

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Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA.


Chronic diseases are increasingly becoming a health burden in lower- and middle-income countries, putting pressure on public health efforts to scale up interventions. This article reviews current efforts in interventions on a population and individual level. Population-level interventions include ongoing efforts to reduce smoking rates, reduce intake of salt and trans-fatty acids, and increase physical activity in increasingly sedentary populations. Individual-level interventions include control and treatment of risk factors for chronic diseases and secondary prevention. This review also discusses the barriers in interventions, particularly those specific to low- and middle-income countries. Continued discussion of proven cost-effective interventions for chronic diseases in the developing world will be useful for improving public health policy.

[Indexed for MEDLINE]
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