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date: 17 July 2019

Abstract and Keywords

This chapter focuses on the framing of the “global” nature of noncommunicable diseases (NCDs) with reference to the implications of the growing burden in low- and middle-income countries. It argues that the complex nature of these conditions and of causality require a nuanced and context-specific picture in terms of understanding the social and economic patterning of NCDs and the implications for poor people. Within an overall consideration of health justice, these issues fall under two broad areas: firstly, prioritization and resource allocation; and secondly, questions of responsibility with respect to prevention measures. The chapter focuses on the tension between emphasizing individual-level action and a systems approach that pays attention to broader structural factors, global and national inequalities, health system drivers, and sociopolitical determinants of NCDs.

Keywords: noncommunicable diseases, poverty, low- and middle-income countries, LMICs, justice, responsibility, resource allocation, prevention, public health ethics

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