Prevention of noncommunicable diseases: Where we are and what’s next in the WHO European region?

Abstract

Noncommunicable diseases (NCDs) account for the majority of mortality and morbidity in the World Health Organization (WHO) European region, largely driven by modifiable commercial determinants. Despite strong evidence supporting cost-effective interventions, implementation has been inconsistent due to industry interference, limited resources and policy inertia. To address this, WHO/Europe has identified a set of ‘quick buys’ capable of producing measurable health outcomes within 5 years. Experience shows that voluntary measures, pilot projects and the exchange of good practices alone are insufficient to achieve the 2030 Sustainable Development Goal (SDG) targets, making mandatory, well-enforced policies urgently needed to deliver the scale and speed of change required. As the 2030 SDG deadline approaches, accelerating policy action, strengthening surveillance systems and safeguarding public health governance from commercial interests are essential to reducing the NCD burden and achieving regional health targets.

Keywords

Noncommunicable diseases (NCDs)Prevention Europe Risk factors Policy

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References

World Health Organization. Noncommunicable disease trends in the WHO European Region 2010–2030. Report, WHO Regional Office for Europe, Copenhagen [unpublished].

World Health Organization. Commercial determinants of noncommunicable diseases in the WHO European region. Report, WHO Regional Office for Europe, Copenhagen; 2024. (https://iris.who.int/handle/10665/376957), licence: CC BY-NC-SA 3.0 IGO.

World Health Organization. Noncommunicable diseases global monitoring framework: indicator definitions and specifications. Geneva: WHO; 2014. Available at: https://www.who.int/publications/m/item/noncommunicable-diseases-global-monitoring-framework-indicator-definitions-and-specifications.

World Health Organization. Tackling NCDs: best buys and other recommended interventions for the prevention and control of noncommunicable diseases, second edition. Geneva: WHO; 2024. Available at: https://iris.who.int/handle/10665/376624, licence: CC BY-NC-SA 3.0 IGO.

The European Programme of Work, 2020–2025: united action for better health. Report, WHO Regional Office for Europe, Copenhagen; 2021. Available at: https://iris.who.int/handle/10665/339209, licence: CC BY-NC-SA 3.0 IGO.

Galea

Ekberg

Ciobanu

, et al. Quick buys for prevention and control of noncommunicable diseases. Lancet Reg Health Eur 2025;52:101281. Available at: https://doi.org/10.1016/j.lanepe.2025.101281.

Boyland

McGale

Maden

, et al. Systematic review of the effect of policies to restrict the marketing of foods and non-alcoholic beverages to which children are exposed. Obes Rev 2022;23(8):e13447. Available at: https://doi.org/10.1111/obr.13447.

Lei n.º 30/2019: Introduz restrições à publicidade dirigida a menores de 16 anos de géneros alimentícios e bebidas que contenham elevado valor energético, teor de sal, açúcar, ácidos gordos saturados e ácidos gordos transformados. [Law no. 30/2019 introducing restrictions on advertising aimed at children under 16 years of age of foods and beverages that contain high energy value, salt content, sugar, saturated fatty acids and transformed fatty acids]. Diário da República: Portugal; 2019 (law no. 30/2019: https://diariodarepublica.pt/dr/detalhe/lei/30-2019-122151046) [in Portuguese].

Government of Ireland. Public Health (alcohol) (labelling) Regulations 2023. Report of Government of Ireland; 2023 (S.I. No. 249/2023). Available at: https://www.irishstatutebook.ie/eli/2023/si/249/made/en/print.

10.

UK Parliament. Tobacco and vapes Act 2024. UK Parliament; 2024 (HL Bill 89). Available at: https://bills.parliament.uk/bills/3879.

11.

Ministry of Health and Care Services. Forskrift om forbud mot markedsføring av visse næringsmidler særlig rettet mot barn [Regulations prohibiting the marketing of certain foods particularly aimed at children]. Ministry of Health and Care Services, Norway; 2025 (FOR-2025-04-25-684). Available at: https://lovdata.no/dokument/LTI/forskrift/2025-04-25-684 [in Norwegian].

12.

World Health Organization. Assessing national capacity for the prevention and control of noncommunicable diseases: report on 2023 global survey. Geneva: World Health Organization; 2025. Available at: https://iris.who.int/handle/10665/381204, licence: CC BY-NC-SA 3.0 IGO.

13.

Joint Action in the Prevention of Noncommunicable diseases. JA PreventNCD. Available at: https://www.preventncd.eu/ (accessed 01 June 2025).

14.

Joint Action on cardiovascular disease and diabetes. JACARDI. Available at: https://jacardi.eu/ (2024; accessed 01 June 2025).