Acting Early on Non-Communicable Diseases 2026
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The evolving burden
of NCDs1
Understanding NCD trajectories and
variations reveals where transformation
is most needed and most achievable.
Performance differences demonstrate
that improvement is feasible with
existing resources.
The eight countries examined achieve high life
expectancies (77.2 to 84.1 years) yet face mounting
challenges from NCDs.6 Age-standardized NCD
mortality rates vary widely, from 230.7 per 100,000
population (Japan) to 460.2 (Poland), highlighting
substantial room for improvement even among high-
income countries with advanced health systems.7Disability-adjusted life years (DALYs) measure
the overall disease burden by combining years of
life lost due to premature death with years lived
with disability. One DALY equals one lost year of
healthy life. DALYs allow comparison of disease
burden across different conditions and populations.
Age-standardized DALYs adjust for differences in
population age structure, enabling fair comparisons
between countries or across time periods.
All NCDs – DALYs (per 100,000), all ages and age-standardized, 2011, 2016 and 20218FIGURE 1
Source: Adapted from: Institute for Health Metrics and Evaluation (IHME). (2023). Global burden of disease study 2023
Acting Early on Non-Communicable Diseases: A Framework for Health System Transformation
6
4.9%
0.7%
0.3%
11.0%
4.1%
8.1%
5.1%
5.7%
0
5,000
10,000
15,000
20,000
25,000
30,000
Canada
F
r
ance
Germany
Greece
Italy
Japan
Poland
Spain
All ages:
Age standardized
% change (all ages)2011 2016 2021
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