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Chronic-Disease Deaths Fell Worldwide in the 2010s as Progress Slowed, With U.S. Lagging and India Rising

Researchers call for renewed prevention investment to regain momentum toward 2030 NCD goals.

Among the 25 high-income Western countries in the new study, the United States had the smallest decline in chronic disease deaths.
The authors attributed the increase in mortality to particularly large contributions to an increase in overall NCD mortality from ischaemic heart disease and diabetes (including chronic kidney disease due to diabetes) for both sexes.
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Overview

  • The Lancet analysis of WHO data across 185 countries finds the probability of dying from non-communicable diseases before age 80 fell in roughly 80% of nations from 2010–2019, yet nearly two-thirds saw slower improvement than in the prior decade.
  • Among high‑income Western countries, the United States had the smallest decline in NCD mortality and saw a rare increase among adults ages 20–45.
  • India diverged from the global pattern, with mortality rising for both sexes—larger for women—driven chiefly by ischaemic heart disease and diabetes.
  • Reductions were led by declines in cardiovascular deaths and several cancers, but gains were offset by increases in dementia, other neuropsychiatric conditions including alcohol use disorder, and pancreatic and liver cancers.
  • Authors and WHO co‑authors urge expanded prevention, screening, primary care reach, and tobacco and alcohol control, while cautioning that mortality data quality varies for some countries.