CARIBBEAN-World Bank experts say NCDs account for nearly eight percent of GDP loss in the Caribbean

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BRIDGETOWN, Barbados, CMC – Caribbean countries need to urgently address the growing challenge of non-communicable diseases (NCDs) that account for more than 75 percent of all deaths in the region.

Health experts from the World Bank and regional stakeholders say such losses have devastating economic consequences, including productivity losses and unsustainable healthcare costs.

In countries like Barbados and Jamaica, NCDs account for losses estimated at 5.34 percent and 5.87 percent of GDP, respectively. Jamaica alone has seen J$17.2 billion (One Jamaica dollar = US$0.008 cents) in lost economic output over 15 years.

The experts warn that without targeted interventions, the region faces rising premature deaths, noting that 40 percent of NCD-related deaths occur before age 70 and escalating healthcare expenditures.

“The current losses to economies from health care costs and lost productivity are massive and projected to increase exponentially as our populations age. The future of health in the Caribbean must be one where we act decisively to address non-communicable diseases and protect our economies,” said Lilia Burunciuc, World Bank’s Country Director for the Caribbean.

The experts’ discussion shed light on critical gaps in NCD policies, with Caribbean nations implementing less than 40 percent of recommended measures. Priority areas for improvement include increasing taxes on tobacco and alcohol, restricting unhealthy food marketing, and promoting physical activity. No Caribbean country currently meets the World Health Organization (WHO) recommended 75 percent tax share on tobacco.

The World Bank’s senior economist, Dr. Edit Veleny, said that investments in NCD prevention yield high returns. In Jamaica, for every dollar spent on NCD prevention, J$2.1 is gained in healthcare savings and productivity, with potential GDP savings of 4.3 percent and 5,700 lives saved over 15 years.

The experts have since recommended strengthening primary healthcare systems to reduce NCD mortality, promoting multisectoral collaboration across key sectors, such as health, education, finance and trade, agriculture, and urban development, to ensure a life-course approach to NCD prevention.

In addition, they say that “Best Buy” interventions should be implemented, such as increasing taxes on unhealthy products, enforcing advertising restrictions, and educating communities about healthy lifestyles.

Recognizing the unique challenges of tackling NCDs in the region, such as limited healthcare resources and geographic isolation, the experts highlighted the critical role of innovative solutions in addressing these issues effectively. Innovations in technology, policy, and community-based approaches were emphasized as essential to overcoming these barriers.

They also stressed that tackling the NCD challenge will require coordinated and collaborative efforts with partners and civil society organizations at the national level and across the entire region.

The World Bank said it is working with Caribbean governments to help countries address these challenges by focusing on improving health financing, enhancing health management information systems, strengthening care for non-communicable diseases, and boosting hospital sector performance.

It said through these these efforts, the bank is supporting countries in their journey toward achieving universal health coverage and building resilient, efficient health systems tailored to the region’s needs.

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