This article provides a comprehensive analysis of the Pacific Island Countries and Territories’ (PICTs) progress in tackling non-communicable diseases (NCDs), as well as the strategic priorities needed for sustained and transformative change. It outlines successes in tobacco and alcohol taxation, improved physical activity levels, and enhanced governance and accountability frameworks. It also candidly addresses persistent challenges, such as policy enforcement gaps, emerging threats like e-cigarettes, and the need for more robust surveillance systems.
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