Aitaoto Nia, Ichiho Henry M
College of Public Health, University of Iowa, Iowa, USA.
Hawaii J Med Public Health. 2013 May;72(5 Suppl 1):106-14.
Non-communicable diseases (NCD) have been recognized as a major health threat in the US-affiliated Pacific Islands (USAPI) and health officials declared it an emergency.1 In an effort to address this emergent pandemic, the Pacific Chronic Disease Council (PCDC) conducted an assessment in all six USAPI jurisdictions which include American Samoa, Commonwealth of the Northern Mariana Islands (CNMI), Federated States of Micronesia (FSM), Guam, the Republic of the Marshall Islands (RMI) and the Republic of Palau to assess the capacity of the administrative, clinical, support, and data systems to address the problems of NCD. Findings reveal significant gaps in addressing NCDs across all jurisdictions and the negative impact of lifestyle behaviors, overweight, and obesity on the morbidity and mortality of the population. In addition, stakeholders from each site identified and prioritized administrative and clinical systems of service needs.
非传染性疾病（NCD）已被公认为是美属太平洋岛屿（USAPI）面临的重大健康威胁，卫生官员宣布这是一场紧急情况。1 为应对这一突发的大流行病，太平洋慢性病理事会（PCDC）在美属太平洋岛屿的所有六个司法管辖区进行了评估，这些辖区包括美属萨摩亚、北马里亚纳群岛联邦（CNMI）、密克罗尼西亚联邦（FSM）、关岛、马绍尔群岛共和国（RMI）和帕劳共和国，以评估行政、临床、支持和数据系统应对非传染性疾病问题的能力。调查结果显示，所有辖区在应对非传染性疾病方面存在重大差距，生活方式行为、超重和肥胖对人口发病率和死亡率产生了负面影响。此外，每个地点的利益相关者确定了服务需求的行政和临床系统并确定了优先次序。
