While there are significant differences between the NCD epidemics in countries of varying socio-economic development, there are many similarities. Lessons learned from our experiences in HIC can, and should, be applied to low- and middle-income countries (LMICs).
Until very recently, NCDs were in the remote background of a global health agenda dominated by infectious and maternal/neonatal ailments in lower- and middle-income countries (LMIC). And in fact, globally deaths from communicable, maternal, neonatal and nutritional causes dropped from 34% in 1990 to 25% in 2010. At the same time, however, NCDs have continued to increase and today account for almost two-thirds of deaths worldwide. Cardiovascular disease alone is the leading cause of death with 80% of those deaths occurring in LMIC.
In my medical residency program, we had a Family Practice Service where we would care for our own clinic patients and those of local family doctors. AIDS was new, virulent, implacable.