Table 1
Accelerator interventions which if implemented can enable the world to reach the target of United Nations Sustainable Development Goal Target 3.4.1 of a one-third reduction in death among people aged 30–69 years between 2015 and 2030.
| Risk Factor/Disease | Target percent reduction to achieve SDG 3.4.1 | Estimated reduction deaths from selected NCDs, ages 30–69 (see Web Annex) | Core indicator for accountability and global baseline | Means to achieve target |
|---|---|---|---|---|
| Tobacco use | 50% prevalence reduction | 13.0% | Prevalence of smoking: 20% | WHO MPOWER package,* [57] currently fully implemented for less than 0.5% of the world’s population, [58] and, potentially, new measures to reduce the addictiveness (nicotine delivery) of tobacco products |
| Excess sodium consumption | 30% consumption reduction | 5.7% | Sodium consumption: >95% of world population consumes more than WHO-recommended amount of sodium. [59] | WHO SHAKE technical package* [60] |
| Cervical,* liver, colon, and other cancers | 27% mortality reduction overall (20–67%, depending on type of cancer; see Web Annex) | 5.4% | HBV and HPV vaccination of the target population (currently 43% and 40% respectively) [6162]. Detection, screening, and treatment of preventable or treatable cancers (not done for much of the world). | HBV and HPV* vaccination. Detection, screening, and treatment of cervical* and preventable or treatable cancers. |
| Hypertension | 50% hypertension control | 5.0% | Hypertension control – current rate 14% [34] | WHO HEARTS technical package* [63] |
| Artificial trans fat consumption | 100% reduction | 2.0% | Consumption of artificial trans fat. 8% of world population protected by best-practice policies to eliminate artificial trans fat [5253]. | WHO REPLACE action package [67] |
| Household air pollution | 25% reduction in use of solid fuel for cooking | 1.4% | Percent of population using solid fuel for cooking – currently 35% [64]. | World Bank: Household Energy for Cooking Project Design Principles [65] WHO guidelines for indoor air quality: household fuel consumption [66] |
| Harmful alcohol use | 20% reduction | 0.6% | Per capita alcohol consumption – 15.1 liters pure alcohol equivalent annually per current adult drinker [41]. | WHO SAFER technical package* [42] |
| Total | 33.1% |
[i] * WHO Best Buy.