Pan American Health Organization/Regional Office, World Health Organization, Washington, DC, United States of America.
Rev Panam Salud Publica. 2011 Oct;30(4):393-400.
The Caribbean's long history of cooperation in health now focuses on noncommunicable diseases (NCDs), given that Caribbean Community (CARICOM) countries have the highest NCD burden in the Americas. The heads of government convened a first in the world one-day summit on NCDs, largely due to advocacy by George Alleyne and others, on the health, social, and economic impact of NCDs; the need for upstream multisectoral interventions to address the common, multifactoral risks; and the need for increased global attention to NCDs. Implementation of the NCD Summit Declaration mandates was most effective in larger countries with greater capacity, but countries of all sizes performed well, when they had regional or global support. Progress was limited in regional approaches to food security, labeling, and elimination of trans fats. Inadequate funding stymied several resource-dependent interventions. Monitoring mechanisms were established, but more concrete goals are needed, especially for actions of nonhealth government agencies.
加勒比地区在卫生领域的长期合作历史现在主要关注非传染性疾病（NCDs），因为加勒比共同体（CARICOM）国家在美洲地区承担着最高的 NCD 负担。各国政府应乔治·阿利恩（George Alleyne）等人的倡导，召开了全球首次关于 NCDs 的为期一天的峰会，重点讨论了 NCDs 对健康、社会和经济的影响；需要采取上游多部门干预措施来应对共同的、多因素风险；需要加强全球对 NCDs 的关注。在执行 NCD 峰会宣言任务方面，能力较强的较大国家最为有效，但在获得区域或全球支持的情况下，所有规模的国家都表现良好。在粮食安全、标签和消除反式脂肪方面的区域方法方面进展有限。资金不足阻碍了几项依赖资源的干预措施的实施。已经建立了监测机制，但需要更具体的目标，特别是针对非卫生政府机构的行动。
