On 25 September, global leaders will convene at the United Nations General Assembly (UNGA) in New York for the Fourth High-Level Meeting (HLM4) on the Prevention and Control of Noncommunicable Diseases (NCDs) and the Promotion of Mental Health and Wellbeing. The meeting aims to adopt a Political Declaration to accelerate global efforts to reduce the burden of NCDs—such as heart disease, diabetes, and cancer—and improve mental health outcomes by 2030. Leading the Americas’ engagement, the Pan American Health Organization (PAHO), under Director Dr. Jarbas Barbosa, will highlight the importance of equitable health systems and community-based care to address these growing challenges.
Dr. Barbosa emphasized the urgent need for action, noting that NCDs and mental health conditions pose a significant threat to lives and economies in the Americas. He highlighted the potential of universal health coverage, early detection, prevention, and fiscal policies to protect millions and strengthen regional health outcomes. NCDs account for over 80% of deaths in the Americas, while depression is a leading cause of disability and suicide ranks as the fourth-leading cause of death among youth aged 15–29. Despite progress, Sustainable Development Goal target 3.4, which calls for a one-third reduction in premature NCD mortality and promotion of mental health, remains off track due to underinvestment and inequities in access to care. HLM4 underscores the need for whole-of-government and whole-of-society approaches, sustainable financing, and action on social, economic, and environmental determinants of health.
PAHO has been instrumental in regional NCD initiatives, contributing to a 16% decline in chronic disease mortality and a 22% reduction in tobacco use since 2000. Programs such as Better Care for NCDs and HEARTS have strengthened primary care systems, improving detection, treatment, and management of conditions like hypertension and diabetes. Countries are also implementing policies including front-of-package food labeling, HPV vaccination programs, and expanded mental health services, though challenges persist around unequal access, stigma, and industry interference.
During UNGA week, Dr. Barbosa will participate in multiple high-level side events, addressing topics such as suicide prevention, global workforce development, links between communicable and noncommunicable diseases, hypertension solutions, innovative approaches to NCD medicine access, primary health care expansion, climate and health action, and mental health equity. He will also hold bilateral meetings with key global health and development partners, signing cooperation agreements to advance public health priorities in the Americas.
PAHO is calling on Member States, NGOs, and communities to unite in supporting HLM4’s vision for equitable, rights-based, and integrated health systems. The organization emphasizes that collective action is essential to reduce NCDs, promote mental health, and ensure that no one is left behind in building a healthier future for the region.
