Organization of American States Summits of the Americas
Follow-up and Implementation: Mandates

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HEALTH: Non-Communicable Diseases

  1. Develop an evidence-based Action Plan that takes into account the sociocultural, economic, and structural challenges facing the Americas region and includes, among others, identifying measures for national and international coordination and cooperation, taking into account the global commitments assumed by the states with respect to health and resilience, with a view to:

    • i. Redoubling efforts to accelerate achievement of the 2030 Agenda for Sustainable Development, including target 3.4 – to reduce by one-third premature mortality from noncommunicable diseases (NCDs) through prevention and treatment and promote mental health and wellbeing by 2030 – noting with concern that the leading cause of premature mortality in the Region of the Americas is NCDs, which disproportionately affect countries in the region, including small-island and low-lying coastal developing states in the Caribbean sub-region, accounting for the highest probability of death between the ages of 30 and 70 from any of the four major NCDs; (Action Plan on Health and Resilience in the Americas, IX Summit of the Americas, Los Angeles, 2022).

  1. To recall the Declaration of Commitment of Port of Spain of the Fifth Summit of the Americas, held in 2009, and the Regional Plan of Action on Non Communicable Diseases (NCDs), adopted by the member states of the Pan American Health Organization (PAHO) in 2013, which highlighted the need for the prevention and control of NCDs; also bearing in mind the global and regional target to achieve a 25 percent relative reduction in premature mortality from NCDs by 2025, and underscoring the need to intensify the multisectoral responses to the growing health, social, economic, and adverse development impacts of NCDs, through public policies and cost-effective measures within and outside the health sector. We call for the establishment of an Inter-American Task Force on NCDs, led by PAHO, that complements the United Nations Interagency Task Force on the Prevention and Control of NCDs. (Health, Initiatives VII Summit of the Americas, Panama City, 2015).

  1. We are convinced that we can reduce the burden of non-communicable diseases (NCDs) through the promotion of comprehensive and integrated preventive and control strategies at the individual, family, community, national and regional levels and through collaborative programmes, partnerships and policies supported by governments, the private sector, the media, civil society organisations, communities and relevant regional and international partners. We therefore reiterate our support for the PAHO Regional Strategy and Plan of Action on an Integrated Approach to the Prevention and Control of Chronic Diseases Including Diet, Physical Activity, and Health. We also commit to measures to reduce tobacco consumption, including, where applicable, within the World Health Organisation (WHO) Framework Convention on Tobacco Control. (Declaration of Port of Spain, 2009).

  1. We instruct our Ministers of Health, with the support of PAHO, to incorporate the surveillance of NCDs and their risk factors into existing national health information reporting systems by 2015. We encourage national planning and coordination of comprehensive prevention and control strategies for NCDs and the establishment of National Commissions where appropriate. (Declaration of Port of Spain, 2009).

  1. Implement community based health care, prevention and promotion programs to reduce health risks and non communicable diseases such as cardiovascular disease and including hypertension, cancer, diabetes, mental illness as well as the impact of violence and accidents on health; (Plan of Action Québec, 2001).



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