How digital solutions can help combat premature deaths from non-communicable diseases

This article is brought to you thanks to the collaboration of The European Sting with the World Economic Forum.

Author: Cameron Fox, Project Lead, Shaping the Future of Health and Healthcare, World Economic Forum, Lorna Friedman, Senior Partner, Health Transformation and Sustainability, Mercer

• Premature deaths from non-communicable diseases (NCDs) account for 15 million deaths annually and 85% occur in low and middle-income countries.
• Closing the gap on premature deaths from NCDs is crucial to economic prosperity, global health and social justice.
• New digital solutions can help to reduce the morbidity and mortality rate of NCDs worldwide.

One of the clearest metrics for defining healthy lives is longevity. As a metric, longevity rates are widely published and reveal differences in average life expectancy by age between countries. These differences reinforce the striking disparities associated with birthplace.

According to data published by the World Health Organization (WHO) in 2019 – thus excluding the impact of the COVID-19 pandemic – the life expectancy at birth in the top two countries on the list, Japan and Switzerland, are 84.3 years of age and 83.4 years, respectively, while the bottom two countries, Lesotho and Central African Republic, have a life expectancy at birth of 50.7 years and 53.1.

Inequities are of course not just between countries but within them. This is often termed the “Scotland or Glasgow effect” after the city in Scotland, where in less than a few kilometers a difference of 15 years in life span can be found. This is also true in the US where we have wide disparities in longevity by zip code.

Wicked problems call for collaboration, that’s why the World Economic Forum has partnered with Mercer on a new initiative to reduce the burden of NCDs. New platforms and new models of care are being explored. Through the Digital Health Action Alliance, we are engaging with public and private partners to identify digital solutions across the continuum, taking a systems-change approach to reduce the morbidity and mortality of NCDs worldwide.

Where you live affects non-communicable disease outcomes

According to WHO, non-communicable diseases (NCDs) such as diabetes and hypertension account for 71% of all deaths. Premature death is defined as a death from a NCD in the age group 30-69. And it is precisely these premature deaths from NCDs that are one of the most tractable and treatable outcomes of health inequity.

Premature deaths from NCD’s account for 15 million deaths annually with 85% of the deaths occurring in low and middle-income countries (LMICs). Prior to the COVID-19 pandemic, trends in death due to NCDs were dropping in high-income countries as well as some LMICs in Latin American and Asia. In fact, progress in health-related Sustainability Development Goals (SDGs) was noted to be much better than compared to other SDGs in these regions. Thus we know it can be done.

However, COVID-19 has disrupted efforts and dramatically overwhelmed health systems. It has also amplified the vulnerability of people with NCDs who faced higher rates of infection, hospitalization and mortality.

Most LMICs have lost ground and many high-income countries are stagnating or even regressing on NCD deaths: in the US, research looked at county level data on premature death due to NCDs from 1999 to 2017, again prior to COVID-19. What they found was that the overall rate of decline for premature death due to NCDs had stagnated. What they also found was that the gap between rich and poor counties had widened. Thus, longevity rates in high-income counties were still rising, albeit slowly, but mortality rates were also rising in low-income counties.

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How is the World Economic Forum improving the state of healthcare?

The World Economic Forum’s Platform for Shaping the Future of Health and Healthcare works with government and business to identify and scale up solutions for more resilient, efficient, and equitable healthcare systems.

• The Forum actively supports global vaccine delivery, contributing to COVAX having delivered more than 1 billion COVID-19 vaccines and launching Gavi, the Vaccine Alliance, helping to save more than 13 million lives over 20 years.
• Through the Davos Alzheimer’s Collaborative, the Forum is helping accelerate progress on discovery, testing and delivery of interventions for Alzheimer’s.
• In partnership with Deloitte, the Forum developed a toolkit to support lawmakers in developing successful policies on technology for mental health.
• Through its COVID Action Platform, the Forum and its partners provided solutions to navigate the COVID-19 pandemic worldwide, launching more than 40 initiatives to protect lives and livelihoods and keep workers well.
• The Forum’s Global Coalition for Value in Healthcare is working to create a more sustainable and equal healthcare industry, launching its first value-based healthcare innovation hubs to eliminate ineffective spending on global health.
• The UHC2030 Private Sector Constituency, hosted by the Forum, released a statement highlighting the role the private sector can play in achieving universal health coverage.

Contact us for more information on how to get involved.

Race and gender are also key risk factors

Disparities in NCD outcomes in the US are impacted by income and another social determinant: race. It has been estimated that 30% of the differences in mortality between Black men and White men and 40% of the differences between Black women and White women is driven by disparities in Cardiovascular (CVD) outcomes. Racial and ethnic disparities in prevention, diagnosis, treatment and ongoing care related to CVD are documented in other jurisdictions including Brazil, the UK, and Canada amongst others.

Thus the imperative to close the gap on premature death from NCDs is a key initiative on economic, health and social justice agenda’s for all stakeholders.

The defined age group of 30-69 are prime working years and serve as a reminder that reducing deaths and improving health also improves economic and social participation. Thus we think that with a renewed focus and engagement across private and public partnerships, including employers we can close this close this gap.

Digital solutions can help reduce risk of premature deaths

We are finding that a mix of new tech and new funding when coupled with tried and trusted treatments and people can help turn this tide. We are also encouraged by a global community of spirited advocates and entrepreneurs, including employers who are collaborating to meet this challenge. Join us as we highlight opportunities for action and stay tuned for updates as we herald in a new era for NCD care.

To learn more about the work of the Health and Healthcare Platform, contact Cameron Fox: cameron.fox@weforum.org