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Non-communicable diseases (NCDs) are caused by various factors, such as heredity, physiology, environment, and behavior. The World Health Organization (WHO) reported in 2018 that NCDs are the principal cause of death worldwide (71%), of which three-quarters are found in the countries with low-to-moderate incomes, including Thailand. This is consistent with the health data of Thai people, which shows that NCDs were the number one cause of Thai deaths during the past decade. Moreover, 14 million Thai people are ill with NCDs and 300,000 people died each year. This number is expected to increase annually. NCDs have long-term effects on the health of Thai people and the nation. Further, the increase of morbidity from chronic diseases, the rate of premature mortality, and the ongoing increase of disability from the chronic diseases negatively affect the family and social economy due to the escalation of medical and drug expenses, as well as the expenses of further complications.

The WHO has determined the goal of health action plans for each country to achieve nine goals by 2025. The goals concerned with illness and death from chronic diseases are the decrease of premature mortality rate by 25.0%, the stable prevalence of diabetes, and the decline of prevalence of hypertension by 25.0%. The Ministry of Public Health has set the strategic plan for NCDs prevention and control strategic plan under the Thailand 20-year National Strategy Plan in terms of public health with the cooperation of various networks to navigate the move aiming to minimize NCDs problems under the vision “People are healthy and free from preventable NCDs”. In addition, the United Nations (UN) has announced a decade of action “The 2030 global agenda for sustainable development goals (SDGs)”, which requires all actions from people, local and global level to achieve the SDGs by the target date of 2030. NCDs outcome is one of the indicators of SDGs that reducing by one third premature mortality from NCDs through prevention and treatment and promote mental health and well-being by 2030.

The pandemic of COVID-19 is an unprecedented wake-up call and challenged for healthcare provider to adjust the strategy and practice in order to achieve 2030 SDGs. COVID-19 has developed a burden of NCDs to global population by altering physiological response and increasing the vulnerability of patients with NCDs or worsening health outcomes such as becoming severely ill or more likely to die with COVID-19 infection. Moreover, COVID-19 could impact on a healthy behavior resulting in poor control of NCDs disease. For instance, people may be less physical active, eat more unhealthy diet, and delay health seeking behavior due to the lock-down and curfew. Therefore, WHO encourages healthcare provider to strengthen the design and implementation of policies, including for resilient health systems and health services and infrastructure, to treat people living with NCDs and prevent and control their risk factors during the COVID-19 outbreak.

The Faculty of Nursing, Mahidol University, Siriraj Nurses’ Alumni Association, and the Department of Nursing, Siriraj Hospital, in the cooperation with co-hosts in leading international educational institutes in the USA and Asia, foresee the severity in the patients with NCDs during the COVID-19 era, which the number and burden of disease are increasing dramatically. This conference provides the great opportunity for researchers, practitioners and scholars to exchange insights and experience, and establish a commitment to work together in NCDs management to achieve SGDs during the COVID-19 era under the collaboration of all sectors.

 

 

 

 
 
 
 
 
 

 

 

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