Non Communicable Diseases (NCD)
Health & Family Welfare Department
National Health Mission
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About us

Non-communicable diseases (NCDs) are medical conditions or diseases that are not caused by infectious agents. These are chronic diseases of long duration, and generally slow progression and are the result of a combination of genetic, physiological, environmental and behaviours factors.

NCDs are one of the major challenges for public health in the 21 st century, not only in terms of human suffering they cause but also the harm they inflict on the socioeconomic development of the country. NCDs kill approximately 41 million people (71% of global deaths) worldwide each year, including 14 million people who die too young between the ages of 30 and 70. The majority of premature NCD deaths are preventable. According to World Health Organization (WHO) projections, the total annual number of deaths from NCDs will increase to 55 million by 2030, if timely interventions are not done for prevention and control of NCDs.

In India, nearly 5.8 million people (WHO report, 2015) die from NCDs (heart and lung diseases, stroke, cancer and diabetes) every year or in other words 1 in 4 Indians has a risk of dying from an NCD before they reach the age of 70. NFHS 4 data (2015-16) of West Bengal shows: 7.4% of Women and 11.4% of Men are having High blood sugar (>140 mg/dl), Mild to severe Hypertension among Women are 10% and that among Men are 12%, Women who use any kind of tobacco are 8.7% and that of Men are 58.8%.

The major NCDs are cardiovascular diseases, cancers, chronic respiratory diseases and diabetes. Physical inactivity, unhealthy diets (diets low in fruit, vegetables, and whole grains, but high in salt and fat), tobacco use (smoking, secondhand smoke, and smokeless tobacco), and the harmful use of alcohol are the main behavioural risk factors for NCDs. They contribute to raised blood pressure (hypertension); raised blood sugar (diabetes); raised and abnormal blood lipids (dyslipidaemia); and obesity. Air pollution is also leading risk factor for NCDs in terms of both outdoor air pollution and household air pollution that mainly results from burning solid fuels in the home for cooking and heat.

"National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular disease and Stroke" (NPCDCS) had started in West Bengal in 2017 in phased manner with the objective to increase awareness on risk factors, to set up infrastructure (like NCD clinics, cardiac care units) and to carry out opportunistic screening at primary health care levels. Till date we had set up NCD clinics in 27 District Hospitals and 293 CHCs. Population based screening of Non-communicable diseases had started in 19 districts of state.

Apart from NPCDCS, other major programmes are National Programmes for Healthcare of Elderly (NPHCE) and National Palliative Control Programme (NPPC) stared during 2017-18 in phased manner. Under these programmes, we had set up one palliative care unit and one elderly health clinics with 10 bedded Geriatric ward at 19 district hospitals of state till date.