29 Acting early on NCDs The Partnership for Health System Sustainability and ResilienceFigure 10: Treatment (taking medicine) and control of hypertension, prevalence among adults aged 30–79, 2011 and 2019 Source: WHO, 2025e. Diabetes Diabetes presents the most alarming trajectory among all NCDs. As Figure 11 shows, unadjusted diabetes DALYs increased universally between 2011 and 2021, with Canada experiencing the largest increase (+35.1%), followed by Poland (+34.5%), Greece (+32.6%), Japan (+27.4%) Germany (+26.9%), Spain (+15.7%), France (+12.1%), and Italy (+6.7%). More concerning still, age-adjusted rates also rose in seven of eight countries: Germany showed the largest age-adjusted increase (+22.5%), followed by Canada (+21.3%), Greece (+18.6%), Poland (+16.2%), Japan (+14.8%), Spain (+3.1%), and France (+2.4%). Figure 11: Diabetes mellitus – DAL Ys (per 100,000), all ages and age-standardised, 2011, 2016 and 2021 Source: IHME, 2023. 2011 201947.752.3 53.6 53.960.3 61.3 62.673.3 26.328.1 28.331.3 32.4 33.245.260.7 44.248.8 50.0 50.553.157.059.472.7 20.021.5 21.924.1 24.428.537.658.4 Japan France Spain Italy Greece Poland Germany CanadaT r eated Controlled All ages: Age standardised % change (all ages) 2011 2016 202135.1% 12.1%26.9%32.6%6.7%27.4%34.5% 15.7% 05001,000 Canada France Germany Greece Italy Japan Poland Spain

PHSSR Policy Roadmaps for Acting Early on NCDs Synthesis Report 2025