01926nas a2200325   4500000000100000008004100001100001100042700001600053700001400069700001400083700001000097700001900107700001300126700001600139700001500155700001500170700001500185700001400200700001500214700001500229700002100244700001900265700001800284245005800302250001500360300001100375490000600386520118100392020002701573       2014                            d1 aYan L.1 aSigamani A.1 aTandon N.1 aXavier D.1 aWu Y.1 aPrabhakaran D.1 aSmith R.1 aCheckley W.1 aGhannem H.1 aIrazola V.1 aKimaiyo S.1 aLevitt N.1 aMiranda J.1 aNiessen L.1 aRabadan-Diehl C.1 aRamirez-Zea M.1 aRubinstein A.00aManagement of NCD in low- and middle-income countries  a2015/01/17  a431-430 v93 a<p>
Noncommunicable disease (NCD), comprising cardiovascular disease, stroke, diabetes, and chronic obstructive pulmonary disease, are increasing in incidence rapidly in low- and middle-income countries (LMICs). Some patients have access to the same treatments available in high-income countries, but most do not, and different strategies are needed. Most research on noncommunicable diseases has been conducted in high-income countries, but the need for research in LMICs has been recognized. LMICs can learn from high-income countries, but they need to devise their own systems that emphasize primary care, the use of community health workers, and sometimes the use of mobile technology. The World Health Organization has identified "best buys" it advocates as interventions in LMICs. Non-laboratory-based risk scores can be used to identify those at high risk. Targeting interventions to those at high risk for developing diabetes has been shown to work in LMICs. Indoor cooking with biomass fuels is an important cause of chronic obstructive pulmonary disease in LMICs, and improved cookstoves with chimneys may be effective in the prevention of chronic diseases.
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  a2211-8179 (Electronic)