Global Leaders Unite to Tackle NCDs and Mental Health
In a show of overwhelming support, world leaders have rallied behind a pivotal initiative aimed at addressing noncommunicable diseases (NCDs) and mental health on a global scale. The first United Nations global political declaration, crafted during a rigorous five-month intergovernmental negotiation process, is set to be presented for final approval at the 80th session of the General Assembly in October 2025. This significant moment could transform how countries confront a growing health crisis.
The Context of the Declaration
The recent gathering at the fourth United Nations General Assembly High-level Meeting on NCDs and mental health was a crucial step in this direction. Heads of state, government officials, and health ministers came together to address the pressing issue of NCDs, which include a range of conditions such as cardiovascular diseases, lung disorders, cancer, and diabetes. Disturbingly, these diseases were responsible for at least 43 million deaths globally in 2021, with a staggering 18 million of those deaths occurring in individuals under the age of 70.
A Stark Realization: The Burden of NCDs
The stark reality is that four out of five premature deaths from NCDs occur in low- and middle-income countries. This disproportionate impact highlights the urgent need for targeted public health strategies that can enhance productivity and foster sustainable economic growth. As NCDs continue to rise across all nations and communities, the time for action has never been more critical.
Key Tenets of the Political Declaration
The political declaration, titled “Equity and Integration: Transforming Lives and Livelihoods through Leadership and Action on Noncommunicable Diseases and the Promotion of Mental Health and Well-being,” sets ambitious goals to be achieved by 2030. These targets include:
- 150 million fewer tobacco users
- 150 million more individuals with controlled hypertension
- 150 million more people receiving mental health care
By aiming for these milestones, the declaration seeks to create a healthier, more equitable world.
Lessons from the Pandemic
The profound impacts of the COVID-19 pandemic led to a broader understanding of health challenges, and this declaration actively integrates those lessons. It expands the areas of focus beyond traditional NCDs to encompass critical issues such as oral health, lung health, childhood cancer, liver disease, kidney disease, and rare diseases. This comprehensive approach recognizes that tackling health requires addressing a multitude of related factors.
Addressing Environmental Determinants
The declaration also identifies environmental determinants of health, including air pollution, safe cooking provisions, lead exposure, and hazardous chemicals. Notably, it considers the escalating risks associated with digital technology, highlighting concerns about social media, excessive screen time, and misinformation. This forward-thinking perspective is essential as we navigate the complexities of modern life.
Regulatory Focus on Health Products
One of the declaration’s standout features is its dedicated regulatory emphasis on modern health-related challenges. It outlines strategies to manage e-cigarettes and novel tobacco products, restrict unhealthy food marketing to children, implement front-of-pack labeling, and eliminate trans fats from diets. These measures are pivotal as they aim to shape healthier environments for both children and adults.
Inclusion of Vulnerable Populations
The commitment encapsulated in this political declaration takes into account the voices and needs of diverse populations. Special attention is given to individuals living with NCDs and mental health conditions, as well as climate-vulnerable groups, Small Island Developing States (SIDS), and those situated in humanitarian settings. By considering these varied experiences, the declaration aspires to create a more inclusive and equitable health landscape.
Moving Forward
As the global community prepares to finalize this declaration, the commitment to tackling NCDs and mental health is evident. The collaboration among world leaders signifies a robust, collaborative effort geared toward promoting health equity and well-being for all. The outcomes of this initiative could indeed reshape the public health narrative, making a considerable impact on communities worldwide.

