Risk factor/disease | WHO ’best buy' | Specific interventions |
Tobacco | Raise taxes on tobacco | Introduce or increase excise taxes |
Protect people from tobacco smoke | Ban smoking in public places | |
Enforce bans on tobacco advertising | Advertising/promotion/sponsorship bans | |
Warn about the dangers of tobacco | Information and warnings on tobacco packaging | |
Mass media campaigns | ||
Group smoking reduction programmes | ||
Individual programmes | ||
Unhealthy diet and physical inactivity | Mass media campaigns—physical activity | Evidence-informed campaigns on activity |
Mass media campaigns—diet | Evidence-informed campaigns on diet | |
Replace trans fat with polyunsaturated fat | Reformulation | |
Labelling | ||
Mass media campaigns | ||
Reduce salt intake | Mass media campaigns | |
Reformulation | ||
Harmful alcohol use | Raise taxes on alcohol | Introduce or increase excise taxes |
Restrict access to retailed alcohol | Regulating commercial and public availability* | |
Enforce bans on alcohol advertising | Advertising/promotion bans | |
Cardiovascular disease | Counselling and polydrug therapy for high-risk groups† | Prevention: polydrug (≥2 antihypertensives) if BP >160/100 |
Prevention: polydrug (≥2 agents) if 10-year CVD risk ≥30% | ||
IHD/stroke treatment: combination of aspirin+B blocker+ACE inhibitor | ||
Diabetes (HbA1c >9%): ≥1 antidiabetic; polydrug Rx if BP >165/95 | ||
Cancers | Treat heart attacks with aspirin | Acetylsalicylic acid for acute myocardial infarction |
Hepatitis B immunisation to prevent liver cancer | Hepatitis B immunisation | |
Screening and treatment to prevent cervical cancer | VIA/Pap smear with timely treatment of precancerous lesions |
*We have included legislative age restrictions on alcohol use as a means of restricting access to retailed alcohol.
†Studies on medical treatment were included even if they did not include a counselling component.
BP, blood pressure; CVD, cardiovascular disease; HbA1c, haemoglobin A1c; IHD, ischaemic heart disease; Rx, therapy; VIA, visual inspection with acetic acid.