(Plenary, continued & Closing) High-level Meeting on the Prevention and Control of Noncommunicable Diseases and the Promotion of Mental Health and Well-being Meetings & Events Date: 25 September 2025 Language: English Transcript: https://transcripts.un.org/en/asset/k1d/k1dohxbya1 Transcripts available through this tool are created by using automatic speech recognition and are not official records nor official documents of the United Nations. Official records and official documents are available on the Official Document System of the United Nations. --- Congo · Minister of Health and Population [0:00]: Mr. President, ladies and gentlemen, we welcome the holding of this fourth high-level meeting of the General Assembly devoted to the prevention and control of non-communicable diseases and also the promotion of mental health and well-being. Today, non-communicable diseases and mental health problems represent a growing threat to public health, socio-economic development, and the stability of our societies. Dealing with them requires urgent and sustained investment in robust and resilient healthcare systems that can respond not only to non-communicable diseases, but also to epidemics, to humanitarian crises, and to natural disasters. Combating NCDs and promoting mental health requires a multidisciplinary approach. Health does not depend solely on the medical sector. It also depends on education, on food, nutrition, the environment, young people, and social development. We need to pool our efforts so that the prevention and control of non-communicable diseases and the promotion of mental health can become a global priority. This requires a strengthening of our healthcare systems, guaranteeing sustainable and coordinated financing, investment in prevention and monitoring, and the mobilization of all sectors of society around a common vision of well-being. The Republic of Congo reaffirms its intention to implement regional and international strategies against non-communicable diseases and for mental health. We remain determined to work alongside our partners and to work alongside all Member States to build a healthier, more equitable future and a more prosperous future for our populations. Thank you. GA · Vice-President [2:16]: I thank the Minister of Health and Population of Congo, and I give the floor to His Excellency Ibrahima Sy, Minister of Health and Public Hygiene of Senegal, to deliver his statement. Senegal · Minister of Health and Public Hygiene [2:30]: Thank you, Mr. President, distinguished ministers, distinguished delegations, ladies and gentlemen. At the outset, I would like to thank the General Assembly and the Secretariat for convening this meeting. And I welcome this initiative, which brings with it a question of equity for our societies, transforming quality of life and livelihoods by demonstrating leadership and initiative on the subject of noncommunicable diseases and the promotion of mental health and well-being. Noncommunicable diseases now constitute the first cause of mortality, the number one cause of mortality in Senegal, making up 53% of deaths, according to the most recent estimates from the World Health Organization. This reality means that we must act to protect health and human capital, which is the driver of our development in accordance with the national transformation agenda, Senegal 2050, and the vision of public health sovereignty from His Excellency, the President of the Republic of Senegal. That is why, over the past decade, Senegal has laid a firm foundation in the fight against non-communicable diseases. And thus, the implementation of the 2023-2025 Acceleration Plan allowed us to integrate prevention and care measures for NCDs into national healthcare policies, ensuring that standardized protocols are used. Based on the results of the second step review in 2024, Senegal is planning to put in place a plan to combat NCDs 2026-2030, which is in line with our new public policy reference document. This framework will be based on equity and integration. It will guarantee access to prevention and care, while also trying to transform living conditions and to promote well-being by addressing the social, environmental, and behavioral determinants of health with the implementation of health the health approach in every policy and integrating NCDs into universal health coverage. Ladies and gentlemen, I would make an appeal, a call to action and for solidarity, for there to be active solidarity and a heightened mobilization of financing, particularly domestic financing, for the fight against NCDs. I also invite the international community to build robust financing mechanisms for NCDs and mental health, to adopt an integrated person-focused approach, to support the transfer of technologies and the local production of medicines, vaccines, and diagnostic technologies in low- and middle-income countries, and to invest in information systems. GA · Vice-President [5:33]: I thank the Minister of Health of Senegal. I give the floor now to Her Excellency, Dr. Tania Margarita Cruz. To His Excellency, sorry, to His Excellency, Ahmadou Lamin Samatta, Minister of Health of Gambia. You have the floor, sir. Gambia · Minister of Health [5:52]: Thank you very much. Mr. Chair, Excellencies, distinguished delegates, and colleagues, It is an honor for me to stand here representing the Gambia in this very important meeting. The dual burden of NCDs and mental health is a stark reality for our nation, and addressing it is an economic and social imperative for our development. In the Gambia, cardiovascular disease and diabetes are on the rise, accounting for a significant portion of adult morbidity and mortality. Concurrently, our recently developed mental health investment case reveals a parallel crisis that is mental health conditions affecting our population, 12% of our population, and accounting for 6% of our national disease burden. The economic argument for action is undeniable. In 2024 alone, the total economic burden of mental health conditions and suicide was 768 million Gambian Dalasis, equivalent to 0.5% of our GDP. While direct government expenditure was 7 million Dalasis, indirect costs from loss of productivity were more than 100 times higher. This is an unsustainable drain on our economy that we must address. Our strategy to reshape our system to tackle both NCDs and mental health is built on three evidence-based pillars. First, integration. We are breaking down silos. We are training primary health care workers to screen and manage common NCDs and mental health conditions like depression and anxiety within the same consultation. This is most cost-effective to destigmatize care and make it accessible. Secondly, innovative financing. We are increasing domestic health allocation, but the need is vast. The investment case provides a clear blueprint for smart, high return on investment. We are now actively designing pool funding and results-based financing mechanisms, specifically for these integrated services, ensuring sustainability and efficiency. Thirdly, community centre care. We are strengthening our community health worker networks to provide psychosocial support, conduct outreaches for hypertension and diabetes, and refer complex cases. The tax shifting is essential to bridge the treatment gap and ensure care reaches the most vulnerable. However, Mr. Chair, the scale of this challenge requires global solidarity. The initial investment needed to implement these cost-effective clinical and population-based interventions is significant. We therefore urgently call upon international partners and global financing institutions to become co-investors. GA · Vice-President [8:53]: I thank the Minister of Health of the Gambia. Thank you. And I now give the floor to Her Excellency, Dr. Tania Margarita Cruz, First Deputy Minister of Public Health, Cuba. Cuba · First Deputy Minister of Public Health [9:19]: Madam President, the. Measures adopted thus far to address the question of non-communicable diseases and mental health have not been enough. And so this meeting, this high-level meeting, is extremely timely. regarding previous steps of technological and scientific development, we can expect better results in both areas. Non-communicable diseases and mental health should be included more strategically in primary health care and universal health coverage efforts. However, Developing countries are struggling to make greater progress under the current international economic order in which, for many, health is a business and not a fundamental human right. Nor can we make progress without an increase in international cooperation and a transfer of resources, technologies, and knowledge to the South. Excellencies, in Cuba, the right to health is a priority. Public health services are free and have total coverage. The state guarantees this with its budget for 100% of the population. The basis of the Cuban healthcare system is primary healthcare, which is based on an intersectoral approach and a social and health prevention approach. We have specific programs for the prevention, control and treatment of these pathologies, these diseases, and progress is being made on the improvement of mental health care services. Specific programs are also being developed for the prevention and control of the main causes of premature mortality, which includes cardiovascular disease, cancer, diabetes and pulmonary disease, chronic obstructive pulmonary disease. However, Cuba's efforts are being hindered by the effects of the economic, commercial, and financial blockade of the United States and the unjustified inclusion of my country on the arbitrary and unilateral list of states that supposedly sponsor terrorism. The health sector is among those that are worst affected by this suffocation policy, which is contrary to the Charter of the United Nations and international law. It represents the main obstacle to our development, and it is a violation of the human rights of our people. The blockade hinders the acquisition of inputs, equipment, and technology for health care, including for the treatment of non-communicable diseases and mental health. Currently, Cuba has more than 22,000 health care professionals in 54 countries. This is a collaboration effort that makes a significant contribution to improving health indexes and indicators, including those related to non-communicable diseases in various countries around the world. The international community can always rely on Cuba. GA · Vice-President [12:24]: I thank the First Deputy Minister of Public Health, Cuba. And I now give the floor to Her Excellency Yoo Kwon Jung, Minister of Health and Welfare, the Republic of Korea. Thank you. Republic of Korea · Minister of Health and Welfare [12:51]: Excellencies, distinguished delegates, it's a great honor to address this high-level meeting on non-communicable disease and mental health. Many countries are facing compounding crises, such as an aging population or health crisis caused by climate change and the threat of pandemics. Rapidly aging societies increasing the burden of NCDs, which in turn threatened the sustainability of healthcare finances. Furthermore, the social isolation deepened by the COVID-19 pandemic has led to a profound decline in mental health and a deepening of health disparities. To achieve the Sustainable Development Goals by 2030, it is time to reform global leadership and strengthen NCD strategies and action plans. The Republic of Korea has implemented comprehensive policies for NCD prevention and management policies, resulting in improved indicators for major chronic diseases such as cancer and cardiovascular disease. As we face a super-aged society, we are committed to strengthening community-based primary healthcare and integrated care systems. Last week, the Republic of Korea chaired the APEC High-Level Meeting on Health and the Economy, leading the adoption of a joint statement that committed to promoting healthy and active aging, building sustainable health systems, harnessing digital health and AI, strengthening community-based primary care, securing resilient supply chains, and advancing comprehensive cancer control. Moving forward, the Republic of Korea will share its experience in NCD management and primary healthcare with fellow UN member states through ODA. We will actively utilize digital technologies such as AI-based chronic disease prevention and management and remote consultation. Excellencies, the Republic of Korea stand ready to partner with all of you to advance global health equity and sustainable development. Thank you. GA · Vice-President [15:26]: I thank the Minister of Health and Welfare of the Republic of Korea, and I now give the floor to His Excellency Gaba Hakimi, the Minister of Health and Public Hygiene of Niger. Niger · Minister of Health and Public Hygiene [15:45]: Thank you, Madam President, Your Excellencies, ladies and gentlemen. Niger, just like other developing countries, suffers from noncommunicable diseases, cardiovascular conditions, diabetes, arthritis, cancers, and respiratory diseases. The epidemiologic pattern exists side by side with that of contagious diseases. Niger has elaborated a strategy and integrated it within our national health policy, specifically targeting non-communicable diseases. In terms of prevention, the national epidemiological body processes existing data on risk factors as recommended by the WHO every five years. We address all of the factors underlying non-communicable diseases, paying particular attention to those factors that have shown an increase over recent years, increasing the danger to our country. has developed a number of specific strategies with the support of state, other sectors, and our technical and financial partners, bringing down morbidity and mortality from non-communicable diseases in accordance with the global plan of fighting these diseases up until 2030, as well as the Sustainable Development Goals as recommended by the World Health Organization. We have also deployed a network of primary care facilities throughout the country. Niger has also implemented a strategy called PEN Plus, also outlined by the WHO, addressing the most serious diseases such as diabetes, sickle cell disease, and others, particularly affecting children. This strategy has led to tangible results. It is integrated in the activities of hospitals and clinics throughout the country. GA · Vice-President [18:44]: I thank the Minister of Health and Public Hygiene of Niger. And I now give the floor to His Excellency Oleg Salagay, State Secretary, Deputy Minister of Health of the Russian Federation. Russian Federation · State Secretary, Deputy Minister of Health [19:01]: Madam President, colleagues, First of all, I have to note that some use this platform to promote their false political narratives. This does not just harm the discussion, it slows down the process of building peace. Medicine has always been a forum for dialogue, and some are trying to destroy that forum in the service of their political ambitions. It is such people that have undermined and caused the failure of the work on infectious diseases that is working in Moscow. Now, my main speech. The great Russian surgeon Nikolai Pirogov once said, "One must treat the patient, not the disease." This should be a creed not just for medical practitioners, but for those organizing the healthcare system. Our country has a national healthcare system. accompanying the patient throughout their lifetime, from childhood, where our health is formed, through the age of work, where our health is protected, and golden years, when it's maintained. Medical practitioners are guardian angels who should base their work on scientific knowledge. Effective measures have reduced infant and child mortality in our country. Today it's 3.6 per 1,000 of live births. All children, including children with often or rare diseases, are provided with the necessary treatment, including gene therapeutic medication, fetal and robotic surgery, preventing clinical manifestations of diseases. Throughout a patient's lifetime in Russia, we have a three-level system allowing patients throughout the country access to free healthcare. State information system ensures that all modern technology is integrated, and 24 more than 15 million telemedicine consultations were held. This has a result, mortality from cardiovascular diseases have been reduced by about 30%. The basic principles of Russian healthcare remain unchanged since Dr. Semashko proclaimed them 100 years ago. They're free and accessible. In the past five years, On a daily basis, we open eight modern medical facilities in our country, more than 1,600 mental health consultation facilities. We pay particular attention to capacity building, training medical professionals, and raising their qualifications. This has to do not only with doctors, but the organizers of healthcare. Many people have heard, I'm sure, of the fact that our Minister of Health, Mikhail Morozhko, is a doctor himself, said a patient during a flight. GA · Vice-President [22:05]: State Secretary, Deputy Minister of Health of the Russian Federation. I now give the floor to His Excellency Abdulaziz Al-Ramah, Vice Minister of Health, Saudi Arabia. Saudi Arabia · Vice Minister of Health [22:25]: Your Excellency, the Vice President. of the General Assembly. Peace and blessings of God be upon you. We commend the main content of the political declaration on the prevention of NCDs and supporting mental health. We stress our firm commitment to work with all partners in line with the 2030 SDG agenda. We have went a long way to counter health challenges and decrease early death by the third, achieving the global objectives through integrated national programs and early prevention measures. We've also launched a program for diabetes and promoted early detection of cancer and adopted advanced policies for prevention, including imposing taxes for the increased use of salt and trans fats. We have established the National Center for Promoting Mental Health. We have included national indicators to assess the prevention of mental health within a comprehensive health program. Turning to the universal health coverage in line with the 2030 program, we provided the primary health coverage to all citizens. We have also invested strategically in primary health care in addition to house health care, promoting digital platforms for health. As an example, we have an online hospital that covers more than 232 hospitals that promotes justice in access to healthcare. We also, uh, invested in digital healthcare to ensure universal health coverage. The kingdom has promoted the financing of health, uh, for the immigrants, which promoted justice and sustainability in health programs, your excellencies. through those fruitful consultations, there has been mentioning of the importance of including health in all policies. We believe that health is a part and parcel of all programs. Therefore, we have established a committee to include health and justice in addition to sustainability in all programs and legislations to ensure comprehensive development and promote the quality of life and increasing their age. To conclude, we stress our commitment to continue our national and international effort to achieve the SDGs, promote health as a right to all humans and a priority for development. It will contribute to a more healthy and prosperous for all peace and blessings of God be upon you. GA · Vice-President [25:19]: I thank the Vice Minister of Health for Saudi Arabia, and I now give the floor to Her Excellency Anne Leavy, State Secretary and Director General, Federal Office of Public Health, Federal Department of Home Affairs of Switzerland. Switzerland · State Secretary and Director General, Federal Office of Public Health, Federal Department of Home Affairs [25:36]: Madame Vice President, ladies and gentlemen, Switzerland welcomes the holding of this fourth High-Level Meeting on Non-Communicable Diseases and Mental Health, based on the political declaration that brought together a large number of Member States. We thank the co-facilitators for their work. This crucial declaration is an expression of our collective will to find solutions to diseases as part of the Sustainable Development Goal in that regard. Switzerland is actively committed to strengthening its healthcare system and addressing the social determinants of non-communicable diseases. We believe that multilateral cooperation is necessary to make use best use of the experience acquired. We follow the work of states and will provide the necessary normative framework for integrating international recommendations. This period of realignment and reassessment of priorities must make it possible for us to focus on the central mandate, the essential normative role our countries have to play. The commitment of the World Health Organization to strengthening national capacities is very important, indeed. In the context of limited resources, prevention is often disregarded, whereas it should be the cornerstone of the national health system. On a global level, addressing these diseases remains oftentimes a secondary target. We must change that, continue working on the prevention of psychological, mental diseases, working together with civil society and other partners. It is only in this way that we can put in place a truly effective health policy respecting the fundamental needs of the most vulnerable of our people. Thank you. GA · Vice-President [28:06]: Thank you, State Secretary and Director General, Federal Office of Public Health, Federal Department of Home Affairs of Switzerland. And I now give the floor to Her Excellency Jean Deng, State Minister of Health, South Sudan. I now give the. Okay, I will now give the floor to his Excellency, Michael Collins, vice president of the Public Health Agency of Canada. Canada · Vice President, Public Health Agency of Canada [28:48]: Madam Chair, distinguished heads of state, excellencies and all attendees. It's my honour to address this assembly on behalf of Canada on the traditional territory of the Lenape people. Non-communicable diseases and mental health conditions are no longer silent. They are loud, persistent, and intertwined with the social, economic, and environmental threads that tie our communities together. Addressing non-communicable diseases such as cancer, diabetes, cardiovascular disease, and chronic respiratory disease, as well as promoting positive mental health, demands bold leadership and collective action amongst all member states. We must continue to recognize that the risk factors of tobacco use, harmful use of alcohol, unhealthy diets, physical inactivity, and air pollution are not inevitable. They are preventable, and in prevention, there is power, the power to save lives. While Canada is on track to meet Sustainable Development Goal target 3.4, we know that some regions and populations, both in Canada and around the world, still experience health inequities. Canada continues to promote health equity, both domestically and internationally, and welcomes health equity as the theme of this meeting. Canada is supportive of the political declaration, and today, I reaffirm Canada's commitment to address non-communicable diseases and promote mental health through evidence-based, innovative, and people-centered policies and programs that respect human rights, including the rights of indigenous peoples. To achieve this, the Government of Canada works closely with its provincial and territorial governments, Indigenous partners and organizations, and communities. We are advancing the framework for diabetes in Canada and have made significant investments to ensure that all Canadians, regardless of income disparities, have access to dental health care free from financial barriers. We support physical activity to promote the overall health of Canadians. especially those who are less active or experience barriers to participation. Our healthy eating strategy aims to ensure that healthy food choices are the easiest and most accessible choices for Canadians. We also launched the 988 Suicide Crisis Helpline in 2023 to provide 24/7, trauma-informed, culturally appropriate suicide crisis to support anyone in Canada. We remain committed to working with Member States to address non-communicable diseases and promote mental health. I extend my gratitude to all those present today. Let us move forward, united in purpose and ambition, to build a future that is healthier, more resilient, and leaves no one behind. GA · Vice-President [31:50]: I thank the Vice President of the Public Health Agency of Canada, and I now give the floor to Her Excellency Jean Deng, State Minister of Health, South Sudan. South Sudan · State Minister of Health [32:05]: Good afternoon, Your Excellency. Thank you for the opportunity. South Sudan, it's, as I said, the newest, youngest nation. We take this statement and present to the high-level meeting focus on prevention of control and non-communicable diseases and the promotion of mental health as a well-being. The Republic of South Sudan commend the United Nations, the World Health Organization, and all member states for maintaining this critical issue of mental health. As the world's youngest nation, South Sudan confronts mentally faced health challenges. characterized in intersecting burdens of communicable diseases and non-communicable disease as well. And we face a fragile healthcare infrastructure due to conflict and underdevelopment. The increased prevalence in non-communicable disease, NCDs, includes cardiovascular diseases, diabetes, cancers, chronical respiratory conditions, representing significant threats to the national development and the productivity of our nation. aspiring for peace and prosperity. The human toll associated with NCDs in South Sudan is closely tied to poverty, food insecurity, excessive consumption of alcohol, tobacco usage, and unhealthy dietary habits. The urgency of addressing mental health conditions cannot be overstated. However, these remain underdiagnosed and inadequately treated, compounded by sustainable sustained conflict, displacement, trauma, gender-based violence, prioritizing the mental health well-being for our populace, particularly the women and the children, the youth not to be mentioned also, is very essential for achieving sustainable development and enduring peace. Your Excellencies, in response to the formidable challenges, my government of South Sudan has undertaken the several concrete initiatives, of which we are integrating NCDs, preventing and management into our primary healthcare system, supporting development with the support of development partners. We are also advancing national policies aimed at mitigating risk factors such as excessive alcohol intake and tobacco use, inadequate nutrition. We are enhancing mental health services within both hospital and primary health care sector within our communities, focusing on training health workers, professional, and identifying management prevalent conditions. We are prioritizing awareness campaign to eliminate stigma, promote health styles, and encourage early screening and treatment. Your Excellencies, we recognize that the fight against non-communicable diseases and promotion of mental health cannot be conducted in isolation. GA · Vice-President [35:07]: I thank the State Minister of Health for South Sudan. And I now give the floor to his excellency Frank Anthony, Minister of Health for Guyana. Guyana · Minister of Health [35:22]: Thank you very much. Excellencies, I express Guyana's strong support for the political declaration and thank the co-chairs, Saint Vincent and the Grenadines and Luxembourg for their able stewardship of the process. Guyana is pleased to have engaged in negotiations as part of the coordination team on behalf of the G77 and China. Excellencies, NCDs claim over 43 million lives each year, 18 million of them prematurely, while nearly one billion people worldwide live with mental health conditions. For countries like Guyana, the burden is heavy. The costs are high. But our resolve is formed, and we have chosen to lead with action. To foster health-promoting environments, we have introduced stricter tobacco laws, enhanced school health initiatives, promoted healthier diets by supporting local agriculture and restricting the availability of harmful foods. A national suicide prevention commission has been formed. comprehensive strategy has been implemented, and we have decriminalized attempted suicide. We have made substantial investments in primary health care through enhancement in screening and treatment of hypertension, diabetes, and cancer. Additionally, efforts have been undertaken to integrate mental health services and to expand HPV vaccination initiatives to expedite the elimination of cervical cancer. We have also increased our health budget by over 300% from 2019 to 2025, indicating our government's strong commitment to prioritizing NCDs. Guyana has also adopted a multi-sectorial, whole-society approach involving ministries of health, education, agriculture, finance, as well as civil society and communities. We are modernizing surveillance, digitalizing records, and training staff to ensure policies are evidence-driven. Colleagues, Guyana's experience demonstrates that progress is achievable when leadership is complemented by investment and integration. But national actions alone is not enough. We need collective momentum to deliver on the fast-track targets as outlined in the political declaration. I urge all countries to make the urgent investments needed, scale up preventions, embed NCDs and mental health into universal adult health coverage. GA · Vice-President [38:24]: I thank the Minister of Health for Guyana. And I give the floor to her excellency, Punya Salila Srivastava, the Secretary, Ministry of Health and Family Welfare of India. India · Secretary, Ministry of Health and Family Welfare [38:37]: Excellencies, it is an honor to address this august gathering and reaffirm India's strong commitment to addressing NCDs and promoting mental health and well-being. NCDs pose a significant burden on health systems and economies globally and for India. In view of shifting disease profiles of a highly diverse and rapidly urbanizing population, India has a robust national program for prevention and control of NCDs as a part of its national health policy. Since 2017, we have screened over 512 million individuals, enabling timely diagnosis and management of more than 65 million such cases. These services are delivered through a network of 179,000 health and wellness centers, bringing care to even the most remote and underserved populations. India has also undertaken concrete steps to ensure access to affordable medicines and diagnostics, particularly for NCDs and cancer, reducing out-of-pocket expenditure. Specialized services such as national dialysis program and decentralized chemotherapy centers are now being made available in all our districts. We have also the world's largest health assurance program for tertiary care. Excellencies, prevention remains at the core of our strategy with strong focus on promoting healthy behavior and reducing risk factors. We have launched the Fit India Movement, Eat Right India Movement, and community initiatives promoting yoga and physical activity. These directly address lifestyle risk factors at the community level. Honourable Prime Minister of India, Shri Narendra Modi, has given a clarion call to reduce obesity by cutting down edible oil consumption by 10%, underscoring the importance of adopting healthier lifestyles. On 17 September 2025, India launched the Healthy Woman, Empowered Family campaign to generate awareness and ensure last mile delivery of health services for women and children. In this intensified campaign special drives have been launched for screening of anemia, hypertension, diabetes, sickle cell anemia, reproductive health and mental health issues, and common cancers such as oral, breast, and cervical cancer. Under this intensified campaign, in just one week, nearly 25 million women have been screened. Excellencies, India remains firmly committed to reducing the burden of NCDs and promoting mental health and well-being. We stand ready to collaborate with all partners to accelerate progress towards SDGs and build a healthier, more resilient global community. Thank you. GA · Vice-President [41:33]: I thank the Secretary, Ministry of Health and Family Welfare of India, and I now give the floor to His Excellency, Stephen Modise, Minister of Health of Botswana. Botswana · Minister of Health [41:47]: The President of the General Assembly, Your Excellencies, distinguished delegates, good afternoon. With just under five years left to meet Sustainable Development Goals 3.4 on NCDs and mental health, few countries are on track to meet their targets, and the level of investment to date remains largely insufficient. Non-communicable diseases, including cardiovascular disease, cancer, diabetes, and respiratory illnesses account for over 70% of deaths globally, and about 86% of these occur in low- to middle-income countries. This results in immense suffering to individuals and families, and places a heavy burden on our healthcare systems and economies. Distinguished guests, ladies and gentlemen, Botswana is faced with a high burden of non-communicable diseases that include ischemic heart diseases, has increased by 31%, stroke 19%, diabetes by 40% as of 2023. The high prevalence of alcohol, substance use disorders and tobacco use, particularly among the youth, is also of great concern. For this reason, we have prioritised strengthening governance, regulation and policy reforms towards these. Having assumed state power in November 2024, the new government has pledged assurance of universal health coverage in order to ensure that everyone has an opportunity to attain the highest standard of health and well-being as their fundamental human right. The Ministry of Health was allocated the largest share of the domestic budget for the period of 2025-26. In Botswana only, About 4% of the total health expenditure is generated through out-of-pocket payments, which remains one of the lowest globally. Legislation aimed at addressing the problem of excessive consumption of alcohol in Botswana has been enacted and a national alcohol policy has been implemented. As a state party to the WHO Framework Convention on Tobacco Control, the Tobacco Control Bill has also been endorsed, and currently the Mental Health Act and the bill is being considered for endorsement by Parliament. We have developed a standalone accelerated plan to stop obesity that includes physical activity as a key intervention to address the rising burden of obesity. As a landlocked developing country with a modest population, purchasing drugs remains very costly for Botswana, which has contributed to frequent stockouts of essential medicines and commodities. In this regard, we are currently strengthening our procurement measures, including through participation in the value chain of product development. GA · Vice-President [44:47]: I thank the Minister of Health of Botswana. And I now give the floor to Her Excellency, Mariangela Simao, National Secretary of Health and Environmental Surveillance of Brazil. Brazil · National Secretary of Health and Environmental Surveillance [45:03]: Thank you, Madam Vice President, and thank you, distinguished delegates. The Brazilian government expressed its profound discontent with the movement restrictions imposed by the host country on this high-level meeting that made it impossible for the Minister of Health of Brazil, Alexandre Padilha, to be here today with us. NCDs is a leading cause of mortality worldwide, and in Brazil, diseases such as cancer, diabetes, hypertension, pulmonary conditions account for many premature deaths. This is why Brazil endorses the declaration on the NCDs for this high-level meeting. And since the beginning of President Lula's administration, we have resumed an agenda to strengthen the health system. We have launched initiatives such as the Agora Tem Especialistas to mobilize public and private health care providers to reduce waiting lists and expand access to exams, consultations, and surgeries. We expanded the Farmacia Popular program, which provides insurance free medicines for chronic conditions, and together with the program Mais Medicos, expands access to healthcare and medicines to all population. We have a strong commitment also to immunization, offering 40 vaccines free of charge at the point of care, while increasing domestic vaccine production. On cervical cancer, we have intensified HPV vaccination, and recognized screening for early diagnosis and timely treatment. Measures also adopted for breast cancer. Regarding the WHO framework convention on tobacco, we include the measures such as higher taxation, regulation of advertising, restriction of public consumption of tobacco products. And we also have advanced and integrated mental health into primary health care and specialized care, because there's no full health without emotional and psychological well-being. Attempts to weaken the WHO and PAHO and the reduction of health investments by the international partners have a severe impact on NCDs in many countries, and Brazil has sought to mitigate these effects by reinforcing health initiatives in the G20, the BRICS, and the Mercosur. The minister may not be here, but under President Lula's leadership, he has been advocating in Brazil and around the world for UHC, science, and the strengthening of WHO and PAHO. The government of the United States may break UN rules and restrict the movement of the Brazilian health minister in this country, but it cannot restrict his ideas to persuade other countries, starting with the US, to resume funding, science, and support in global health. Actually, the world needs more public health policies grounded on scientific evidence and full respect for human rights, and not less. Thank you. GA · Vice-President [47:41]: I thank the National Secretary of Health and Environmental Surveillance of Brazil. And I now give the floor to Her Excellency Irene Agabidaki, thank you, Alternate Minister of Health for Greece. Greece · Alternate Minister of Health [48:00]: Madam Chair, Excellencies, Greece aligns itself with the statement delivered by the European Union and its member states. Madam Chair, allow me to add the following in my national capacity. The political declaration sets a clear course to reduce premature mortality from NCDs by one third by 2030, and to ensure a mental health and well-being for all. But ambition must become action, people-centered primary health care. Greece is acting decisively to reduce premature mortality and support further prevention by implementing, for the very first time, a nationwide, fully digitalized population screening program that offers preventive screenings and medical tests in the population for free for the major chronic diseases such as breast, cervical, colorectal cancer, as well as cardiovascular conditions. It has now been expanded to include people suffering from obesity and also kidney disease. So we have in parallel the population universal screenings together with screening for high-risk groups. In less than two years, we have managed to have people adopting this kind of screenings. 4 million citizens out of 6 million citizens have already accessed their free medical checkups. more than 120,000 cases have been detected early. I insist that we need more universal screenings and systematic screenings than opportunistic ones. Furthermore, in 2023, we Greece launched the National Action against Childhood Obesity, a multi-level, evidence-based strategy aiming to reduce childhood obesity, and this effort addresses children aged from 0 to 17 years old and their families, promotes healthy nutrition, physical activity, free access to sports, to nutrition counseling, to psychological counseling, to social workers. We have a multidisciplinary, whole-society approach. Excellencies, We already know what works. We hear today all these inspirational speeches, the evidence about what works. What we need is more, not more knowledge, but greater speed and scale. We need more action. Let us be bold. Let's ensure that by 2030, every person, wherever they live, has access to prevention, early diagnosis, and mental health support at the primary care level. This is how we can make universal health coverage a reality for every citizen. Greece stands ready to share its lessons and to learn from others, convinced that through solidarity, integration, and innovation, we can turn the tide of NCDs and mental ill health. Thank you. GA · Vice-President [50:59]: I thank the alternate Minister of Health, Greece, and I now give the floor to Her Excellency Ana Povo, the Secretary of State for Health, Portugal. Portugal · Secretary of State for Health [51:10]: Mrs. President, Excellencies, Portugal welcomes this high-level meeting and its focus on equity and integration. We meet to turn ambition in action, reducing the toll of non-communicable disease while giving mental health the priority and parity of esteem it deserves. At WHM, we are advancing this decisive agenda, our National Health Plan 2030, sets measurable objectives to reduce premature mortality and in prevention across the life course with mental health integrate in primary care. We have strained tobacco control, including the removal of flavorings for heat tobacco, new health warnings and tire sales and smoke free provisions that protect children and young people. We are improving food environments through a national program that catalyzed reformulation, reducing sugar and salt in widely consumed products. And we are promoting physical activities by mobilizing communities and enabling health professionals to prescribe movement as part of everyday care. We are acting on cancer with a Horizon 2030 strategy and align with Europe beating cancer plan and updates screening pathways, survivorship and equity. We are also transforming mental health. Our new suicide prevention line headline our commitment in this field. Along with previous implementation measures, such as NHS 24, psychological counseling. Recovery and Resilience funding is scaling committed mental health teams for adults and for children. Nationwide, regional plans are putting service closer to people. Portugal stands ready to work with all Member States and United Nations system to convert today's commitments in lives saved, suffering averted, and well-being advanced, so that by 2030, a more healthier society. Thank you. GA · Vice-President [53:57]: I thank the Secretary of State for Health of Portugal, and I now give the floor to Her Excellency Andrea Coroa, Vice President for Europe and North America of the Bolivian Republic of Venezuela. Venezuela (Bolivarian Republic of) · Vice Minister for Europe and North America [54:12]: Thank you. Good afternoon. Allow us to begin by reiterating our commitment to the right to health. as an inalienable and non-negotiable human right, which has to be for everyone without distinction or discrimination of any kind. Madam President, Today, the most serious threat to the guarantee of comprehensive, full and effective health with mass scope and good quality is represented by the illegal and criminal imposition of unilateral coercive measures, which affect the exchange of basic goods such as food, medicines and treatments, equipment or vaccines. For us, all of the medical processes related to the prevention and control of noncommunicable diseases are affected dramatically by the so-called sanctions, which obstruct, make more expensive, and in many cases, prevent treatments and medicines reaching patients. This reality also has an impact on the area of research and innovative means of care and attention. And so we hope that the political declaration of this meeting will contain a specific reference to this subject. At the same time, we demand the complete, immediate, and unconditional lifting of all blockades, of all unilateral coercive measures, and of all sanctions, which, because of their cruel and arbitrary nature, are genuine crimes against humanity. Madam President, despite this policy of aggression against our people, Venezuela has prioritized health in the public policies of the Bolivarian government. with the understanding that healthcare coverage is universal and free and it should be part and parcel of the empowerment of communities through the health committees and rooted in the power of the people. To conclude, Venezuela reiterates its firm commitment and its day-to-day work to strengthen the national public health system, with universal health coverage and with a vision of international cooperation. Mental health and all communicable and non-communicable diseases in the prevention and treatment phases should be addressed from a standpoint of solidarity, because isolationist approaches are unsustainable, and they are a more than failure, particularly when it comes to health. Thank you very much, Madam President. GA · Vice-President [56:54]: I thank the Vice Minister for Europe and North America of the Bolivarian Republic of Venezuela, and I give the floor to His Excellency Tomislav Dulibic, State Secretary of the Ministry of Health of Croatia. Croatia · State Secretary, Ministry of Health [57:09]: Thank you, Chair, Excellencies, ladies and gentlemen. It's a great honor to address you today on behalf of the Republic of Croatia. NCDs and mental health challenges are among the greatest threats to our societies. Each year, 43 million lives are lost, lives that represent unrealized potential for families, communities, and nations. Croatia is acting decisively. We are embedding prevention and early detection in our reforms, scaling up national screening programs, and investing in health literacy to empower citizens. We are also implementing a comprehensive national mental health strategy, shifting from the institutional to community-based care, and making suicide prevention a priority. Excellencies, we support the political declaration before us and hope that by addressing broader factors contributing to NCDs, it will help reduce their burden on our population's health and overall well-being. NCDs prevention and mental health promotion are not just health issues, they are investment in human capital, economic growth, and social cohesion. Croatia stands ready to continue cooperation with our partners for civil society, academia, public and private sector, to turn commitments into action and safeguard health as a global public good, while ensuring a healthier, more resilient future for all. We are convinced that investing in NCDs prevention and mental health is investment in peace, prosperity, and sustainable development. Croatia is therefore strongly committed to advance these priorities together with all our partners, ensuring that no one anywhere is left behind. At the end, we support political declaration adoption and transmission to the General Assembly. Thank you. GA · Vice-President [59:20]: I thank the State Secretary, Ministry of Health of Croatia. And I give the floor to Her Excellency, Dr. Lulwa Alshoaita, Under-Secretary of Health, Ministry of Health of Bahrain. Bahrain · Under-Secretary of Health [59:37]: Excellencies, ladies and gentlemen, may the peace, blessings, and mercy of God be upon you. This meeting convenes today to stress that health is at the heart of sustainable development and that leadership and concerted effort are the two pillars that are key for the needed change. The Kingdom of Bahrain is cognizant of the challenges pertaining to NDCs and mental health disorders, namely their effect on sustainable development. We've aligned our strategies with the outcomes and recommendations of the United Nations. We've considered it as important guidelines to develop our strategies. Through our leadership, we've placed human rights at the heart of our priorities. We've established the National Working Group, which included public institutions and all stakeholders for a collective partnership. This working group concerts efforts and ensures awareness raising, including the elaboration and enactment of laws and legislations. This has paved the way for great progress, including wide scale screening, regular national detection, including the establishment of the national record for cancer, as well as various initiatives for sustainable and nutritious lifestyles, in addition to the enactment of various legislations for a healthy lifestyle, as well as the reduction of high sugar content drinks. We've rendered the prevention of NCDs an important policy. for the prevention of the spread of such diseases among our communities, including the provision of mental health and primary healthcare systems. This highlights our commitment to a comprehensive and more sustainable healthcare system. On mental health, we continue to make strides in the implementation of the National Action Plan for Mental Health, including the provision of psychosocial support, including in schools. And we continue to work on developing on infrastructure and the establishment of hospitals and specialized clinics. We continue to upskill our labor force in this regard and provide services remotely. We reiterate that progress in tackling NCDs and enhancing mental health requires further equitability and concerted efforts at the internal or at the international and local level to ensure that no one is left behind. We reiterate our commitment to working with the international community to build a better future. GA · Vice-President [1:02:34]: I thank the Under-Secretary of Health, Ministry of Health of Bahrain, and I give the floor to His Excellency Isaac Kunle-Salako, Minister of State for Health and Social Welfare of Nigeria. Nigeria · Minister of State for Health and Social Welfare [1:02:48]: Madam Chair, Excellencies, ladies and gentlemen, Nigeria, a nation of great diversity with very vibrant and resourceful people. acutely understand the growing burden of NCDs and the critical importance of mental health. Nigeria therefore aligns itself with the position of the African group. For many developing countries, including Nigeria, there are rising incidents of infectious disease that is persisting. Particularly troubling is the growing prevalence of NCDs among the youth, leading to the loss of productive years and negative economic impacts. In 2025, NCDs are the leading cause of morbidity and mortality worldwide, accounting for nearly 29% of all deaths in Nigeria. Nigeria has made significant progress. We have developed a national NCD policy and a multi-sectorial action plan, established prevention and treatment guidelines, introduced targeted laws to address key risk factors, strengthened primary health care, expanded health insurance, including for catastrophic disease, build capacity among health professionals, and increase awareness campaigns. We have built six cancer centers of excellence and immunized more than 40 million of our adolescent girls, about 90 percent of target population, against HPV to protect them against cervical cancer. Our tax shifting and referral policies have also helped extend services to more communities. Nigeria also recognizes that mental health is integral to overall well-being, productivity, and social cohesion. Our 2023 Mental Health Act provides a national framework for mental health promotion, service delivery, and the protection of the rights of persons with mental health conditions. We have developed a national suicide prevention strategy with focus on decriminalization, destigmatization, and integrated mental health services into PHC. This is being done with special attention to the most at risk, the vulnerable, and the underserved. Yet, challenges remain. We continue to face funding gaps, limited infrastructure, and the need for stronger data collection for NCDs and mental health. Nigeria stands ready to collaborate with international partners, civil society, and the private sector to amplify our efforts. We endorse accelerated action to close gaps in access to medicine and technologies for NCDs care, and we call for greater investment in public health infrastructure and human resources. particularly at the primary health care level we also call for a whole of government approach that adequately involves lawmakers for needed legislative regulatory and physical measures in addition we call for more visibility and global attention to sickle cell disease looking forward Nigeria is committed to building on our progress strengthening our health system prioritizing prevention and ensuring mental health services are prominent in has the prominence it deserves within our national agenda with Global solidarity share best practices and Through the investment, we can reduce premature mortality from NCDs by 20%. GA · Vice-President [1:05:49]: I thank the Minister of State for Health and Social Welfare of Nigeria, and I give the floor to His Excellency Ramiro Lopez Elizalde, Vice Minister for Health Policy and Population Wellbeing of Mexico. Mexico · Vice Minister for Health Policy and Population Wellbeing [1:06:06]: Ministers in Mexico. We've had almost seven decades without deaths due to the consumption of sugary drinks. Almost one in five deaths due to NCDs is linked to those products, which paradoxically mean that we are a country with enviable food, but we have replaced our traditional food with poor quality fast food. and we've replaced our drinks with these sugary drinks. In the face of this epidemic of obesity and chronic diseases, Mexico has put in place firm policies such as labeling, taxes on soft drinks, and regulation of advertising. Those measures are effective because they prevent morbidity and death, but there is a historic debt, and these policies do not immediately benefit the poorest communities because they have no option other than to consume poor quality products, which many very often are more readily available than healthy options. We cannot ask someone to stop drinking those soft drinks if there's no clean drinking water in their community. We cannot urge people to eat healthy if they barely have enough to put on their tables. For millions of people, the so-called junk food is unfortunately the only thing that they have. And so the response requires global unity, political political will and social support. That is why it is important that we do not hesitate in adopting the political declaration that brings us here today, because this declaration addresses the root of the problem. Inequity is not an abstract concept. It produces deaths and disease. And when inequalities are reduced, health improves. In Mexico, in just the space of three years, 10.4 million people have emerged from poverty thanks to social programs. These are not palliative measures, they are acts of justice and they are also structural transformations. Let us continue to advance social programs because they are essential for a deep-rooted change. that does address the social determinants of health and move those social markers that generate disease. Social advancement is the best way to make progress on public health. 2030 is approaching, and achieving the Sustainable Development Goals is not a technical undertaking, it is an act of humanity. As the poet Sylvia Rodriguez said, "How easy it is to protest about the bomb that fell a thousand kilometers away." That is why there can be no sustainable development as long as some countries refuse to join the WHO and at the same time support wars that magnify hunger and poverty. War is the absolute negation of sustainable development. GA · Vice-President [1:09:08]: I thank the Vice Minister for Health Policy and Population Wellbeing of Mexico, and I give the floor to Mr. Satoshi Ozu, Senior Assistant Minister for Global Health, Ministry of Health, Labor and Welfare of Japan. Japan · Senior Assistant Minister for Global Health [1:09:24]: Madam President, distinguished delegates, ladies and gentlemen, it is a great honor to address this assembly on behalf of the government of Japan. Japan supports the draft political declaration, which advances global agenda on NCDs, mental health and well-being, in the spirit of solidarity. We extend our sincere appreciation to the tireless efforts of the co-facilitators, Luxembourg and Saint Vincent and the Grenadines. Today, I would like to highlight three key points. First, I would like to touch upon Japan's approach to health promotion and NCDs. In Japan, demographic change, aging, and evolving lifestyles have heightened awareness of the need for stronger action against NCDs. Coupled with our universal health coverage system, these efforts have enabled Japan to achieve one of the world's highest levels of healthy life expectancy. We have learned that NCDs prevention requires a life course approach, supporting health from childhood through older age, equally vital as strong partnerships between national and local governments across health, welfare, education, and economic sectors, and with civil society and the private sector. This became possible under the overall nationwide framework called Health Japan 21. By embedding NCDs strategies into local planning, legislation, and community services, Japan has sought to ensure that national policies translate into tangible improvements in people's lives. Second, I would like to highlight the importance of universal health coverage, or UHC. Sustained NCDs and mental health care is impossible without resilient health systems and reliable domestic financial resource mobilization. Japan remains committed to advancing UHC both at home and globally. As a concrete initiative, we are working with the WHO and the World Bank to launch the UHC Knowledge Hub to strengthen health financing and build the capacities of policymakers in finance and health authorities in low and middle income countries. On December 6th this year, we will convene the UHC High-Level Forum in Tokyo to advance this momentum. Third, I would like to highlight the international cooperation on NCDs. Japan has long supported NCDs and mental health initiatives through the WHO, Japan International Cooperation Agency, and other partners. We assist countries in Africa, Asia, the Pacific, and Latin America to strengthen NCDs prevention, diagnosis, and treatment. Our cooperation includes building medical... GA · Vice-President [1:12:25]: I thank the Senior Assistant Minister for Global Health, Ministry of Health, Labor, and Welfare of Japan. And I now give the floor to His Excellency Jaime Uribe Vergara, Vice Minister of Public Health of Colombia. Colombia · Vice Minister of Public Health [1:12:44]: Thank you, Madam President. Authorities from around the world, Colombia stresses the achievements in the political declaration that is the result of a multilateral dialogue process in which we actively participated and which renews the global commitment to reduce by a third premature deaths due to NCDs and to promote mental health by 2030. We thus call for this high-level meeting to, without delay and resoundingly, adopt the content of this declaration. Colombia, in line with the consideration of NCDs as a result of socioeconomic, political, and cultural and environmental conditions and sectoral conditions related to the healthcare system, is working on two fronts. First of all, the government of President Gustavo Petro has been trying to reduce inequality with the full guarantee of the economic, social and cultural rights of the population, transforming the economic model and the energy matrix and the transport system that depends on fossil fuels to move towards clean energies, implementing agrarian reform, reindustrialization, food sovereignty, progressive taxation, and protecting and expanding work as a generator of wealth. This is within the framework of trying to mitigate and adapt to climate change and to achieve climate justice and peace. Undoubtedly, this will generate the conditions for preventing the spread and deepening of non-communicable diseases, particularly suffering and mental illness. Secondly, we are working in the health sector. We are currently advancing a public health reform that guarantees health as a fundamental, universal, public, territorialized, participative, intercultural, and free right at the point of delivery of service, far from the current way that health is managed as a business, as a good, and as an arena for corruption. We have made so much progress in many areas with the investment of more than $2 trillion in the implementation of this project, training of doctors around the country with training for early detection of diseases, uh, and the implementation of more than 1,600 projects for the modernization of hospitals across the country. In this way, Colombia has been making progress on the prevention, detection and care of NCDs based on intersectoral primary care. Lastly, we make three appeals for this High-Level Meeting. Let us adopt the declaration. Secondly, let us, in all of our health policies, maintain a gender equity, climate change, diversity approach, and let us not fail in achieving the Sustainable Development Goals. And lastly, let us stop the genocide of the Palestinian people immediately. Silence not only condemns our Palestinian brothers and sisters, but it condemns all of humanity. GA · Vice-President [1:15:44]: I thank the Vice Minister of Public Health for Colombia, and I now give the floor to Mr. Mohamed Hassane Babri Abdallah, Assistant Minister of Health and Population for Egypt. Egypt · Assistant Minister of Health and Population [1:15:58]: Madam President, Madam Secretary-General, Excellencies, distinguished guests, ladies and gentlemen. It's an honor to deliver this statement on behalf of the Arab Republic of Egypt. Allow me first to commend the leadership of the President of the General Assembly and the facilitators for guiding us toward the adoption of this important political declaration on non-communicable diseases and mental health. The declaration is more than a consensus. It's a historic political commitment. Non-communicable diseases account for more than 70% of global deaths, with the heaviest toll in low and middle income countries. The declaration sets a roadmap for whole of government and whole of society action, reminding us that member states bear the primary responsibility to invest and translate global commitments into national actions that truly reach every citizen. Without political will and sustained financing, progress cannot be achieved. Excellencies, Egypt has placed non-communicable diseases at the highest level through the launch of a series of presidential public health initiatives. Our flagship initiative, 100 Million Healthy Lives, screened over 60 million citizens for diabetes, hypertension, and obesity, connecting patients to free care through a nationwide network of primary health care units and hospitals. At the school children level, similar results were achieved by conducting screenings for early detection of anemia, obesity, and stunting for nearly 22 million school children over almost seven years, and clearly addressing these malnutrition indicators. On the other hand, we have established a sustainable program for early detection of six types of cancers, including liver, breast, lung, colorectal, prostate, and cervical cancer, through which we have succeeded in increasing the percentage of early detections and linking patients to care promptly. Egypt, along with Spain and 39 other countries, led the adoption of a historic resolution on rare diseases at the last World Health Assembly. This will result in the development of a global action plan for the rare diseases for the first time ever. Prevention is at the core of our approach. The National Food Safety Authority in Egypt has mandated front-of-pack labeling and restrictions on trans fat, and now we are working to introduce a health tax on sugar-sweetened beverages. Equally, we recognize that there is no health without mental health. In 2024, Egypt launched the Presidential Initiative for Mental Health to address prevention, early detection, treatment, and rehabilitation. Egypt reaffirms its full commitment to implementing this declaration, expanding screening, strengthening cancer and mental health services, and sustaining funding within universal health coverage. Egypt stands ready to work with all member states so that no life is cut short, no community left behind, and the promise of health for all becomes reality. I thank you very much. GA · Vice-President [1:18:44]: I thank the Assistant Minister of Health and Population of Egypt. And I now give the floor to the distinguished representative of the United Arab Emirates. United Arab Emirates [1:18:55]: Bismillahir Rahmanir Raheem. In the name of God, Most Compassionate, Most Merciful. Excellencies, allow me at the outset to extend my thanks to Her Excellency Annalena Baerbock for shedding light on today's topic, as it is of utmost importance to promote global health and sustainable development. The UAE believes that NCDs constitute a threat to global health and a great hindrance to the achievement of economic growth and social progress. Therefore, my country has granted great importance to public health. We rendered prevention of NCDs an important pillar of our development strategy. In this regard, we've adopted an integrated action plan to reduce early mortality due to NCDs by a third by 2030 in the framework of our commitment to sustainable development goal 3.4. And to adopt this approach, we've relied on early detection, prevention, and integrated health care. We've launched awareness raising campaigns to reduce risk factors such as the consumption of tobacco, as well as unhealthy lifestyles and lack of physical activity. We believe in the, um, in mental health as a part and parcel of, uh, public health. Therefore, we've, uh, we've adopted the Mental Health Act in 2024. We believe in the importance of equal opportunity to healthcare for all component of our society, especially women and girls. This. As a fundamental pillar of our health care system in the UAE, as we've implemented an array of awareness raising campaigns and regular detection programs for the early detection of cancers, such as breast cancer. As a global hub for innovation, we rely on emerging technologies and innovative solutions that are based on data to develop effective health policies. Our well-being vision for 2031 ensures well-being for all through an integrated approach that not only encompasses the healthcare system, but also governmental institutions, civil society, and the private sector. This is not confined to the local level, but rather is also an international commitment, as we believe that partnerships are of utmost importance to achieve our goals. We continue to work with various United Nations agencies to strengthen healthcare systems and widen the scope of access to healthcare in developing states. In this regard, we have allocated the majority of our humanitarian assistance budget to healthcare services provided to communities in need. As we approach the 2013 deadline, we must concert our efforts. and work collectively to achieve goal 3.4. GA · Vice-President [1:22:01]: Representative of the United Arab Emirates. And I now give the floor. And I now give the floor to the distinguished representative of Palau. Palau [1:22:20]: Excellencies, distinguished delegates, it is an honor to deliver this statement on behalf of Palau on this critical agenda of noncommunicable disease and mental health. For small island developing states like ours, NCDs, in addition to the public health threats of climate change, represent essential challenges that threaten our economic sustainability, community well-being, and the survivability of our culture. The numbers are stark. At present, over 66% of adults in Palau are diagnosed with diabetes. or are pre-diabetic, and almost half, 47.7%, are diagnosed with hypertension. The Palau Islands Health Officers Association declared a regional state of health emergency on May 24, 2010, due to the epidemic of non-communicable disease in the United States-affiliated Pacific Islands, recognizing that these islands have some of the highest NCD rates in the world. Palau has responded with sustained multi-sectoral action since recognizing this crisis. Following the emergency declaration, we developed our first NCD prevention and control strategies plan of action 2015 to 2020 through a strategic planning workshop in 2014. In May 2015, Executive Order No. 379 established a national coordinating mechanism for NCDs, convening government ministries, civil society groups, and traditional leaders to collaboratively plan, implement, and monitor strategies addressing the growing burden of non-communicable diseases. Through this, we secured landmark legislation allocating 10% of alcohol and tobacco tax revenues to NCD prevention activities through Palau Public Law RPL 9-57. Building on this foundation, we continue to strengthen our coordinated response. In prioritizing the health and well-being of its youth, in March 2023, Palau was among the first in the Pacific to impose a complete ban on the import, sale, and use of electronic cigarettes, with the aim of further reducing the detrimental health risks faced by its youngest population. However, despite much progress achieved in recent years, we continue to face unique island challenges. Palau spends significant resources on off-island medical referrals for specialty care, with oncology and cardiology being the most common. GA · Vice-President [1:25:20]: I thank the distinguished representative of Palau. I now give the floor to the distinguished representative of Slovakia. Slovakia [1:25:40]: Excellencies, ladies and gentlemen, non-communicable diseases pose a substantial challenge, representing one of the most pressing public health issues with an immense impact on our societies. They are a leading contributor to premature mortality and disability across various populations. Furthermore, the impact is often heightened by social disparities, barriers to equitable access to healthcare, and insufficient investment in prevention and health promotion initiatives. The economic impact of NCDs is considerable, encompassing both healthcare expenditures and the loss of productivity associated with morbidity and premature mortality. As the financial implications of NCDs treatment continue to rise, it is essential to acknowledge the value of prevention and early detection strategies as both cost-effective and potentially cost-saving measures. The concept of the economy of well-being present a valuable opportunity to enhance collaboration and forge stronger connection between research, policy, and practice on global and national level. Enhancing prevention of NCDs and promoting health is essential for advancing public health outcomes. This endeavor involves fostering improved collaboration among healthcare providers, policymakers, and community organizations to implement effective preventive strategies. By prioritizing early detection, health education, and lifestyle modifications, Slovakia is committed to alleviating the impact of the chronic diseases, including cardiovascular conditions, diabetes and cancer. Through such comprehensive efforts, Slovakia aspires to cultivate healthier communities and elevate the overall quality of life for its citizens. In conclusion, Slovakia reaffirms its steadfast commitment to the global plan to tackle non-communicable diseases, as well as to collaborate closely with our international partners and stakeholders to create a healthier future for all. We must advocate for the recognition of disease prevention as valuable investment, not merely as an expense. while understanding its profound implications for the social and economic advance of our societies. I thank you very much for your attention. GA · Vice-President [1:28:08]: I thank the distinguished representative of Slovakia. And I now give the floor to the distinguished representative of Pakistan. Pakistan [1:28:21]: Madam President, distinguished speakers, good evening. Every two seconds, a life is lost to a non-communicable disease. These silent epidemics are stealing futures, draining economies, and undermining sustainable development. Pakistan welcomes adoption of the political declaration on the prevention and control of NCDs and promotion of mental health and well-being. It represents both recognition of the urgency of this challenge and a renewed commitment to act with purpose. For Pakistan, tackling NCDs and mental health is a national priority through our health insurance schemes, Millions of vulnerable families now enjoy financial protection and access to quality care. We are strengthening primary health care for networks, integrating NCD screening and mental health services into universal health coverage, and scaling up digital health and telemedicine platforms, which connect patients in remote areas to specialists in lifesaving care. Tobacco control legislation, awareness campaigns on healthy living, and vital work of community health workers further enforce these initiatives. just five years from 2030, the world is off track to achieve SDG target 3.4. We must reverse this trajectory through concrete action. First, universal health coverage must be ensured and health systems should be reoriented towards prevention and resilience and people-centered primary health care. Second, we must close the yawning financing gap by mobilizing sustainable resources, including innovative financing mechanisms, ensuring predictable international support for developing countries. Third, we must mainstream mental health into health systems, guaranteeing stigma-free, accessible, and affordable care. Fourth, multisectoral action is indispensable, from education to environment, agriculture to industry, and address the root causes of NCDs. Finally, we must harness innovation and digital health technologies, ensuring equitable and integrated services reach those furthest behind. Madam President, Let us ensure that NCDs and mental health are addressed with urgency and compassion. Let us build a future where no family is pushed into poverty by illness, where no life is cut short by preventable disease, and where well-being of all is the measure of our progress and development. I thank you all. GA · Vice-President [1:30:38]: I thank the distinguished representative of Pakistan. And I now give the floor to the distinguished representative of the Federated States of Micronesia. Micronesia (Federated States of) [1:30:52]: Madam President, Excellencies, and distinguished representatives, in Micronesia, one in two adults age 30 will not reach 70 due to noncommunicable diseases, such as cancer, diabetes, and cardiovascular diseases. These NCDs account for 60% of all deaths, and mortality from NCDs continues to rise, especially in the aftermath of COVID-19. Access to care is limited, medicine supply is unstable, and treatment protocols vary between health facilities. Women over 40 are disproportionately affected, with 59% of female deaths attributed to NCDs. Tobacco and betel nut use are alarmingly high. Dietary habits are poor, with high consumption of sugary drinks and reliance on imported foods. and up to 88% of people consume low amounts of fruit. Obesity and diabetes are widespread. Over 70% of adults are overweight or obese, while diabetes affects nearly 30% of adults. These are not just statistics on our NCD burden. They are human stories of lives cut short and lived realities of Micronesian people and families. This is not only a health issue, but a development crisis, as it implies economic strain, social impact, systemic challenge, and development setbacks. Micronesian communities are grappling with a complex web of challenges that fuel this crisis. Tradition has changed from rooted in farming and fishing. Much of our population is now dependent on imported and processed foods. The situation is further exacerbated by climate change impacts, which have exposed our residents to food and water insecurity, malnutrition, mental health conditions, and heat stress, among others. Micronesia, at its best, integrated NCD services into primary health care to ensure that screening, diagnosis, and treatment are available at the community level. It has strengthened multi-sectoral collaboration across government, civil society, and partners to address food security, health education, and community empowerment. Through National Action Plan for NCDs, we also emphasize improving access to nutritious foods and promoting healthy lifestyles. And we also continue to expand access and equity through universal health coverage. Micronesia cannot and should not face this crisis alone. Micronesia calls for all to commit to global solidarity and sustainable support to stand with small island nations in turning the tide on NCDs. Micronesia's GA · Vice-President [1:33:52]: I thank the distinguished representative of the Federated States of Micronesia. Micronesia (Federated States of) [1:33:59]: Quality care, nutritious food, and the opportunity to attain the highest possible standard of health. I thank you. GA · Vice-President [1:34:11]: I now give the floor to the distinguished representative of Eritrea. Eritrea [1:34:19]: Thank you. Madam President, Excellencies, While non-communicable diseases and mental health challenges are global in scope, response must be adopted to the specific realities of each country, recognizing the different stages of health service delivery and socioeconomic development. For Eritrea, self-reliance constitutes the cornerstone of all development initiatives, including the provision of health and social services. This principle, however, does not preclude external cooperation, rather, partnerships and technical support that are fully aligned with national priorities, serve as a vital complement to our domestic efforts. Eritrea's health system is organized into a three-tier structure, primary, secondary, and tertiary care, including barefoot doctors as an outreach to remote areas, bringing service gaps and ensuring equitable access. Eritrea has adopted a national health policy and the Third Health Sector Development Program 2022 to 2026, fully aligned with sustainable development goals and the commitment of universal health coverage. Public health services are heavily subsidized with essential and preventive services, including immunization, maternal and child care, and health education provided free of charge. Medicines for chronic NCDs and mental health conditions are made available at little or no cost. At the same time, Eritrea recognizes that its epidemiological profile is shifting from NCDs now responsible for nearly 45% of all deaths. That is cardiovascular diseases, diabetes, and cancer are on the rise, fueled by changing lifestyles and urbanization. The government has therefore intensified its effort to address this challenge through strengthened prevention programs. Integrated of NCD services at all levels of health care and nationwide campaigns promoting health diets, physical activity, reduction of harmful use of alcohol, tobacco control and avoidance stress. In Eritrea, all health policies and strategies are formulated through inclusive consultations with national stakeholders, UN agencies and civil society organizations. Technical support is welcomed, but programs are nationally driven, reflecting our priorities and circumstances. Eritrea remains firmly committed to sustaining these efforts, guided by the principles of self-reliance, equity, and genuine partnership, while working in solidarity with the international community to transform lives and livelihoods. I thank you, Madam Chair. GA · Vice-President [1:37:08]: I thank the distinguished representative of Eritrea. And I now give the floor to the distinguished representative of Latvia. Latvia [1:37:20]: President, dear excellencies, it is so important that we have the opportunity to once again gather here in New York. It is due time we agree on enhancing global efforts in fighting non-communicable diseases and ensuring mental well-being of our societies in line with the SDGs 3. The data speak for themselves. NCDs cause 1.8 million avoidable deaths and cost $514 billion every year, a recent World Health Organization report suggests. In this regard, we welcome the political declaration that will guide us in our future efforts. I express sincere hope that the action lines contained therein do not stay on paper. Dear all, amongst other, I would like to emphasize two points from Latvia's side, which are in our view of utmost importance. alcohol control policies and promotion of healthy diets. Alcohol consumption is a major risk factor for the development of a wide range of diseases and health disorders, not least cardiovascular disease, cancer, mental health problems. Recently, Latvia has introduced a variety of policies to limit alcohol use, including taxation, restrictions on availability, significantly reducing selling hours, and bans on advertising. However, the effectiveness of these measures is often undermined by the influence of the alcohol industry, which continues to promote the misleading idea that only excessive drinking is harmful. We strongly believe that a clear and consistent message that there is no safe level of alcohol consumption is essential. I know this notion has been empirically and scientifically confirmed by the World Health Organization and many other health watchdogs. To conclude, I would like to shortly touch upon the issue of healthy diets. Latvia has consistently introduced measures to reduce consumption of unhealthy foods, including with the help of appropriate taxation policies. To promote healthier eating habits, Latvia has applied a lower VAT rate to vegetables and fresh fruit, while imposing an excise tax on sweetened beverages and energy drinks. However, tax policy on ultra-processed foods is closely linked to global market trends. For this approach to be effective and consistent, it is essential that as many countries as possible introduce similar regulations. the World Health Organization's guidelines on ultra-processed foods could serve as an important tool, what would significantly facilitate processes such as product classification and help to clearly distinguish which products should be subject to taxation. Thank you. GA · Vice-President [1:40:14]: I thank the distinguished representative of Latvia, and I now give the floor to the distinguished representative of Thailand. Thailand [1:40:26]: Thank you, Chairs. Thailand welcome the fourth political declarations and reaffirm its commitment to advancing the prevention and control of NCD, mental health, include health impact from air pollutions, in pursuit of every health SDG. Our upgrade universal health coverage scheme and primary healthcare system play a crucial role in preventing NCD and promoting mental health at the community levels, supported by a million of volunteer village healthcare nationwide, regardless of social economic status, ethnicity, or nationality. With strong political leadership, Thailand has made significant progress in enacting tax and regulations that address every determinant of health while fostering a health-promoting ecosystem. Thailand stands readily to collaborate with the global community, including through South-South and tri-lateral collaborations. global health challenges from cross-border health issues to humanitarian emergencies. In these connections, Thailand welcomes the adoption of the WHO Pandemic Agreement and looks forward to its successful conclusion of its annex. Finally, we believe we need strong political will, effective health interventions, effective financing mechanisms, multilateral collaborations, and enhancing partnership to reduce NCD burden for a cheap health for all. We therefore truly hope that the meeting today will fully adopt these political declarations, not only because of its importance in tackling with burden of NCD and mental health, but also prove that the multi collaborative work, and millions of lives can be saved. Thank you. GA · Vice-President [1:42:58]: I thank the distinguished representative of Thailand, and I now give the floor to the distinguished representative of Italy. Italy [1:43:09]: Chair, distinguished delegates, Italy is strongly committed to prevent and control non-communicable diseases. And actively promotes healthy lifestyles, including through balanced diets such as the Mediterranean diet. In this context, Italy intends to reiterate its position and willingness to continue collaborating on this issue at the international level, while at the same time ensuring the need to safeguard the sovereignty of states in matters of public health and taxation. Therefore, we oppose any prescriptive language that grants international organizations the authority to adopt or impose measures in these areas. Italy also opposes front-of-pack labelling systems that could provide consumers with misleading information, and favours informative rather than directive labels, more effective in raising awareness and ultimately improving consumer behaviour. Regarding alcoholic beverages, Italy supports public awareness campaigns against the abuse of these products and in favor to a responsible consumption. But we do not. Support any equivalence between tobacco and alcoholic beverages and any language that recommends policies to counter responsible consumption of alcoholic. Beverages. Italy promotes a correct and effective information on the prevention and treatment of non-communicable diseases. But we do not support measures that could limit the freedom of speech, including on this matter. Keeping in mind these principles, Italy looks forward to continuing working together with other nations to reduce non-communicable diseases risk factors, promote mental health, and well-being. Thank you very much. GA · Vice-President [1:44:50]: I thank the distinguished representative of Italy. And I now give the floor to the distinguished representative of the Islamic Republic of Iran. Iran (Islamic Republic of) [1:45:02]: Madam Vice President, Excellencies, non-communicable diseases are complex, multidimensional, and costly, requiring effective and timely prevention through social accountability, literacy promotion, and collaboration. Tackling NCDs depend on accurate data, context-specific action plans, appropriate technologies, and above all, strong political commitments. Iran has responded through the establishment of the National and City Committee, INCDC, chaired by the Minister of Health and Medical Education, which develops national and provincial plans for early detection, management, monitoring, and risk reduction. Our unique health governance system, where the medical education has been merged into health services within the Ministry of Health and Medical Education, has created a functional mechanism for cost-effective and in-house training of service providers who are able to conduct world-class biomedical research on NCDs, including national and subnational burden of disease studies and timely national NCD surveillance mechanisms. At the global level, combating NCDs demands multilateralism and solidarity. Key principles include, first, political commitment at the highest level and across all sectors of development. Second, strengthened and resilient health systems with equitable access to affordable, safe, and quality medicines and technology. Third, addressing risk factors, social determinants, and international determinants of health, notably indiscriminate health sector targeted UCMs that violate people's right to health. The right to development encompassing equitable and unhindered access to economic progress and social well-being is a cornerstone of the global fight against NCDs. Robust and unconditional technology transfer is imperative, particularly for developing countries. We need to underline that UCMs pose severe threat to global health, disrupting supply chains, procurement, limiting access to medical supplies, and hindering the ability of nations to meet their health and development goals. These measures are contrary to the principles of the United Nations Charter and the spirit of international cooperation and solidarity. Unilateral coercive measures are unlawful, illegitimate, and profoundly harmful. The Islamic Republic of Iran demands that repressive actions be recognized for that they are violations of the right to health and obstacles to our collective commitments on NCDs and well-being. We call for their immediate removal. I thank you. GA · Vice-President [1:47:45]: I thank the distinguished representative of the Islamic Republic of Iran, and I now give the floor to the distinguished representative of China. China [1:47:57]: President, Health is humanity's eternal pursuit and the foundation and purpose of development. China commends the efforts of the Secretariat, the WHO, and all parties in organizing this meeting and supports the political declaration adopted by the meeting. Always putting people and their lives first, China implements a health-first development strategy, advances universal health coverage, and has built the world's largest healthcare system. significantly improving the health of its people. We attach great importance to the prevention and control of NCDs and the promotion of mental health, advancing them in an integrated manner as key measures in implementing the Healthy China strategy. We have launched medium and long-term actions to prevent and control NCDs and promote mental health, further improve the equity and accessibility of relevant health services. President global public health governance faces new challenges, NCDs and mental health have become global issues of wide concern for governments and societies. This requires us to strengthen political commitment and take collective action. China calls on all parties to fully recognize the importance and urgency of preventing and controlling NCDs and improving mental health, to increase investment in relevant areas, and to effectively reduce relevant threats and risks. At the same time, we support the WHO in playing a leading and coordinating role in relevant areas and in carrying out extensive international cooperation, technical exchange, and external assistance within multilateral frameworks such as the United Nations and to jointly address global health challenges. Not long ago, Chinese President Xi Jinping put forward the global governance initiative. China will continue to uphold the vision of a global community of health for all, strengthen exchanges and cooperation with the international community in the prevention and control of NCDs and mental health promotion, improve service models, enhance equity in health, jointly safeguard human health and well-being and global public health security, and reform and improve global governance system. Thank you, President. GA · Vice-President [1:50:20]: I thank the distinguished representative of China, and I now give the floor to the distinguished representative of Sudan. Sudan [1:50:33]: Thank you, Madam President. My delegation is pleased to participate in the fourth high-level meeting of the General Assembly on the prevention and control of NCDs, the achievement of justice and inclusiveness and the promotion of mental health and public well-being. We support consensus on the political declaration. We hope that this document and its predecessors a realistic and real political commitment to implement practical steps that will promote fruitful cooperation. It would be remiss not to thank the facilitators of the political declaration for their effort. We would like to thank the permanent delegation of Iraq as head of the Group of 77 and China for their wise and successful leadership. Madam President, distinguished participants, For the development and well-being of peoples, we have to provide health services in a fair and equitable manner, it has to be accessible and cost effective for all. For this meeting to be a real transformative moment, the international community must have a genuine desire to strengthen and deepen international cooperation. We have to work constructively to eliminate all obstacles that stand in the face of development. We have to ensure the equitable and unhindered access to health technologies and preventive measures and treatment. We need to find ways to cooperate to overcome financial obstacles while supporting research and scientific innovations. This will strengthen all, especially developing countries, in accordance with their own priorities. To conclude, Madam President, Sudan makes concerted and continuous effort to expand healthcare coverage and provide healthcare to all citizens. This includes diagnostic and treatment services. However, as a result of the war of aggression led by the rapid support militias that garner regional support. Sudan's health systems operate in a very challenging environment. This poses additional burden on the health systems. The complexities associated with the war led to shortages of the basic necessities of life. There is an increasing demand for health services. This led to a hard humanitarian situation. However, the Federal Ministry of Health and the Humanitarian Aid Commission, the private sector institutions in cooperation with civil society organizations are making all effort possible in coordination with the UN agencies to fill the gaps and provide the necessary health and preventive services. Thank you. GA · Vice-President [1:53:19]: I thank the distinguished representative of Sudan, and I now give the floor to the distinguished representative of El Salvador. El Salvador [1:53:30]: Thank you very much, Madam President. El Salvador recognizes the importance of this debate and reaffirms that health is not just a service, it is a fundamental right and also a pillar for sustainable development. My country has shouldered this commitment through the implementation of the comprehensive policy on non-communicable diseases. It articulates a multi-sectoral strategic plan. Within this framework, we have deployed the HEARTS strategy in all primary care facilities, guaranteeing early diagnosis and access to treatment for cardiovascular diseases, diabetes, and chronic kidney disease. This has allowed us to reduce by 11%. premature mortality by NCDs and to significantly improve our control indices for hypertension and diabetes. In the fight against cervical and uterine cancer, we have achieved a vaccine rate against HPV of more than 80% in girls. We are also expanding screening and treatment and also incorporating innovative technologies such as thermocoagulation for precancerous lesions, thus achieving a reduction in mortality of 34.6%. The digitalization of the healthcare system, Madam President, has been key. Today, we have an electronic patient history for 100% of services. This allows us to carry out effective follow-up of all patients. Moreover, we have added the inclusion of nutrition, exercise, and prevention programs within the community. Moreover, we have taken the historic step of carrying out the first national mental health survey. It strengthens the care for children, adolescents and perinatal women, making sure that mental health is no longer an invisible subject, Madam President. This progress reflects the conviction that no global health target can be reached without prioritizing equity, prevention, and access, which really need to be universal. El Salvador thus today reaffirms its firm commitment to work together with all of you, the international community, to make sure that health and well-being can be a reality for all, for all persons. wherever they may be. Thank you very much, Madam President. GA · Vice-President [1:56:10]: I thank the distinguished representative of El Salvador. I now give the floor to the distinguished representative of Lithuania. Lithuania [1:56:23]: Excellencies, distinguished delegates, health is the foundation of dignity and prosperity. Yet today, non-communicable diseases such as cardiovascular illness, diabetes, and chronic respiratory conditions remain the leading cause of death in Europe. They account for two-thirds of death and 77% of disease burden. Beyond the numbers, they weaken communities and cost our economies billions each year. Yet we know that much of this can be prevented by tackling the risk factors of tobacco, alcohol, unhealthy diets, and inactivity. Alongside this, we must also address mental health. In recent years, it has rightly gained greater recognition as an essential part of overall well-being. Yet, many countries still face serious challenges from stigma and low funding to rising mental illness. In Lithuania, one in eight citizens has a diagnosed mental or behavioral disorder. Additionally, for many years, we carried the tragic distinction of having the highest suicide rate in Europe. This has been one of the greatest national challenges, but through steady effort, awareness, and reform, we cut the rate in half over the last decade. We have also raised funding and placed mental health closer to the core of our health system. Today, we are implementing comprehensive reforms. We are shifting from hospital-based to community-based service. guiding by human rights and recovery principles. We are expanding psychotherapy and crisis response teams, introducing new suicide prevention tools, and building a network of mental health ambassadors to fight stigma. By 2030, Lithuania has set ambitious yet clear targets to reduce suicide by 40 percent, decrease hospitalizations by one third, lower stigma, and cut substance abuse among young people by nearly 30 percent. Finally, Lithuania is also pursuing a new strategic direction, integrating mental health into all policies. Excellencies, the statement is simple. Non-communicable diseases and mental health together define the well-being of our societies. Both require prevention, innovation, and equity. Both demand stronger international cooperation and active involvement of civil society. And both must be addressed with urgency if we are to save lives, reduce inequality, and build healthier, fairer societies. Health is not simply the absence of disease. It is the foundation of opportunity, dignity, and peace. Let us commit to building a future where every person can live with health, dignity, and hope. Thank you. GA · Vice-President [1:59:00]: I thank the distinguished representative of Lithuania. And I now give the floor to the distinguished representative of Malaysia. Malaysia [1:59:12]: Madam President, Malaysia reaffirms its unwavering commitment to the 2030 Agenda for Sustainable Development and Global NCD Monitoring Framework. We recognise that the rising burden of non-communicable diseases and mental health condition is not only a public health crisis, but also a profound threat to economic growth, social well-being and national resilience. The high-level meeting today places a spotlight on an urgent need for leadership and coordinated action to deliver meaningful transformation. In this regard, Malaysia strongly supports the approval of the Political Declaration on NCDs and Mental Health at this meeting, recognising it as a vital step towards strengthening international cooperation and reaffirming our shared responsibility to safeguard health for all. Building on this global commitment, Malaysia national policy direction is firmly anchored in evidence-based planning and multi-sectoral collaboration. The National Strategic Plan for NCDs, the National Oral Health Strategic Plan 2022-2030, the National Strategic Plan for Mental Health 2020-2025, and the Health White Paper collectively serve as our strategic blueprints for prevention, early detection, integrated management, and system. Reform. This framework aligns national priorities with global commitments, ensuring quality, accountability, and sustainability. Malaysia adopts a life-course approach in addressing NCDs and mental health, ensuring that prevention and care span from. Early life to old age. Our efforts cover the full continuum of prevention as follows: Primordial and primary prevention is advanced through the intersectoral policies on tobacco control, mental health promotion and early crisis intervention, national campaigns, nutrition, oral health and physical activity, as well as community-based programmes that create enabling environments for healthier living. At the secondary level, the National Health Screening Initiative strengthens systemic early detection and timely intervention support, supported by robust national surveillance and registries. And at the tertiary level, structured care pathways are being enhanced, including the integration of psychosocial rehabilitation services at primary healthcare facilities. Malaysia's efforts are underpinned by the whole-of-government and whole-of-society approach, bringing together ministries, civil societies, academia. Communities and the private sector to build synergies and foster innovation. Through technology, stronger surveillance and innovation driven by strategic partnerships, we aim to expand accessibility and reinforce sustainability. Malaysia reaffirms its steadfast commitment to build a healthier, more resilient and more productive nation. We will continue to invest in transformative leadership, integrated action, and global solidarity in pursuit of the sustainable development goals. GA · Vice-President [2:02:12]: I thank the distinguished representative of Malaysia. I now give the floor to the Distinguished Representative of Sri Lanka. Sri Lanka [2:02:37]: Mr. President, Excellencies, Distinguished Delegates. I wish to express Sri Lanka's appreciation for convening this timely meeting under the theme, "Equity and Integration: Transforming Lives and Livelihoods through Leadership and Action on Non-Communicable Diseases and the Promotion of Mental Health and Well-Being," that calls for shared commitment, collective action, and renewed resolve to address the pressing challenges of NCDs. According to the World Health Organization, non-communicable diseases, or NCDs, account for nearly 74% of all deaths worldwide. These include conditions such as heart disease, stroke, cancer, diabetes, and chronic respiratory diseases. Alarmingly, an estimated 86% of premature deaths and more than three-quarters of all NCD-related deaths occur in low- and middle-income countries. The causes are closely linked to mental health challenges that remain under-treated and under-funded. The cost is measured not only in human lives, but in lost productivity, widened inequities and in strained health systems. In Sri Lanka, non-communicable diseases present a significant health challenge. The leading causes of NCD-related deaths are cardiovascular disease, cancer, chronic respiratory diseases, and diabetes mellitus, with cardiovascular diseases remaining the forefront contributor to mortality. With our population undergoing demographic transition and a growing aging segment, the burden of NCD is expected to rise further. As a developing nation, we face numerous challenges in combating these diseases. Unhealthy lifestyle behaviors such as excessive alcohol consumption, tobacco use, physical inactivity, and poor dietary habits remain significant risks. Our challenge is to encourage citizens to move away from entrenched sedentary lifestyles and to adopt healthier habits. Sri Lanka has long recognized that prevention and care for non-communicable diseases can be more effectively delivered through primary health care. To this end, we have established more than 1,000 healthy lifestyle centers across the country offering screening for cardiovascular risk, hypertension, and diabetes. The Government recognises the importance of increasing awareness among the public of the value of early detection and preventive healthcare. Efforts are under way to encourage greater participation in screening programmes in that regard. As we consider this timely matter today, it is important that we acknowledge the challenges in many countries, including our own, in guaranteeing. GA · Vice-President [2:06:05]: I thank the representative of Sri Lanka, and I now give the floor to the representative of Republic of Moldova. Republic of Moldova [2:06:16]: Madam President, it is an honor to address the high-level meeting and to reaffirm the commitment of the Republic of Moldova to advancing of the global agenda of non-communicable diseases and mental health. We meet at the decisive moment. Non-communicable diseases and mental health conditions remain among the greatest public health challenges of our time, driving inequities and threatening sustainable development. Moldova has made the prevention and control of NCDs, as well as the promotion of mental health and well-being, a national priority. Through our national programme of prevention and control of priority NCDs for 2023-2027 and the Health 2030 strategy, we aim to reduce premature mortality by strengthening public health capacities, addressing behavioural risk factors, and ensuring that prevention is central to our response. In recent years, Moldova has achieved a notable reduction in suicide mortality, reflecting both policy commitment and social change. Our National Mental Health Program 2023-2027 is designed to strengthen community-based services, reduce stigma, and ensure that psychological resilience is built into our health system. During 2020's second refugee crisis, we witnessed firsthand the importance of multi-sectoral cooperation, border police, social workers, educators, and civil society working together to provide immediate support and counseling to those in distress. This experience taught us that protection mental health is not only a medical matter, but a collective responsibility across all sectors. Yet, we recognize that no country can achieve these outcomes alone. This is why Moldova has embraced the principle of health in all policies. Through strategic partnership, we are scaling up initiatives such as health-promoting schools and healthy communities, while also building sustainable models of integrated medical and social service, particularly in rural areas. With the support of development partners, the Healthy Life project and the Mensana program are driving progress in both NCDs care and mental health reform, showcasing the impact of long-term, multi-sectoral collaboration. Excellencies, looking forward, we must ensure that integrated, people-centered NCDs and mental health services are embedded in universal. GA · Vice-President [2:09:18]: I thank the distinguished representative of the Republic of Moldova, and I now give the floor to the distinguished representative of Malawi. Malawi [2:09:32]: Madam President, Excellencies, Distinguished Delegates, The Republic of Malawi welcomes this timely high-level meeting and commends the UN for placing equity and integration at the head of global response to NCDs and mental health. These dual challenges are not only public health concerns, but pressing development, equity, and resilience issues. In Malawi, NCDs now account for 40% of all deaths, with hypertension affecting 33% of adults and diabetes over 6%. Cervical cancer is the leading cause of cancer-related deaths amongst women, whilst rheumatic heart disease, epilepsy, and asthma continue to burden our health system. Mental health conditions are also rising sharply, with suicide rates at 11.6 per 100,000 in 2022, and common disorders such as depression and anxiety are widespread, yet services remain centralized and underfunded. Despite these challenges, Malawi has made important strides. Through the national NCD strategy and mental health policy, we are integrating services into the essential health package. scaling up screening and treatment at the primary care level, and expanding pain plus clinics for chronic care. The new Mental Health Act of 2025 modernizes outdated legislation and decriminalizing suicide and decentralizing services, while the National Suicide Prevention Framework and Mental Health and Psychosocial Support Task Force are advancing cross-sector coordination. Community-led models, such as the friendship bench and interpersonal group therapies, are expanding psychosocial support, while digital tools like the Diabetes Compass, strengthening surveillance, patient tracking, and continuity of care. This progress has been achieved despite climate shocks, humanitarian emergencies, and a limited fiscal space. Cyclone Freddy in 2023 exposed the fragility of chronic care systems in Malawi, but we responded by training over 3,500, uh, psychological first aid providers and 367 group therapy facilitators. who have reached more than 1 million vulnerable people. These experiences reinforce our resolve to integrate NCDs and mental health services into emergency preparedness and also invest in climate-resilient health facilities, digitized records, and mobile outreach to safeguard continuity of care. Madam President, to accelerate progress, Malawi calls on the global community to scale up catalytic financing for integrated NCDs and mental health. support workforce development, strengthen supply chain for essential medicines, diagnostics, and digital innovations, and invest in robust data systems, including within pandemic preparedness frameworks. Malawi remains resolute to achieving SDG 3 and the commitments of this political declaration. Let us together act with compassion. GA · Vice-President [2:12:32]: I thank the distinguished representative of Malawi, and I now give the floor to the distinguished representative of Nepal. Nepal [2:12:47]: Excellencies, distinguished delegates, it is a privilege to join you all at this timely meeting. Nepal aligns itself with the statement delivered on behalf of Group of 77 and China. Excellencies, today, global non-communicable disease and mental health governance is at a crossroad. Non-communicable disease continue to claim two-thirds of global deaths and about 71% of total deaths in Nepal. Mental health issues are a serious public concern, and vulnerable communities in developing countries, particularly LDCs, are among the most affected. Quality, accessible, and affordable healthcare remains at the core of our public health governance. It is a cornerstone of a healthy life and a driver for sustainable development. In Nepal, every citizen enjoys emergency and free basic healthcare as a fundamental right. The national health policy aligns with the SDGs, including reducing premature death from NCDs, expanding universal health services, and prioritizing mental health well-being. For ensuring social justice, marginalized communities are integrated into the social health protection system. Initiatives like Mother, Golden 1000 Days, free dialysis services, and cash support have reduced maternal and child mortality while preventing non-communicable diseases. At we face daunting challenges, systemic barriers, financial constraints, inadequate health professionals and infrastructure, fragmented policies, and health literacy, among others. Excellencies, globally, over a billion people suffer from mental health disorders. About 4% of Nepali adults are estimated to be battling with mental health problems. Rising conflicts. climate catastrophe, unhealthy lifestyles, economic disparities have added oods. Mental health is often stigmatized. This has profound socioeconomic consequences for individuals, economies, and nations. Let me highlight a strategic focus on three pillars. First, we must ensure healthy, healthy, health equity by providing reliable, affordable, and accessible health care to all, regardless of their socioeconomic status. Second, integration approach should prioritize aligning NCD and mental health with primary health services. This requires digital health solutions, community involvement, adequate funding, capacity building, and global partnerships. Third, increased official development assistance, technology transfer, and capacity building support from development partners to developing countries, particularly LDCs, are crucial for implementing preventive, curative, and awareness-raising initiatives in the NCD and mental health space. Fourth, strengthening public health insurance and ensuring protection, especially to vulnerable communities, is essential. Additionally, a whole of society and whole of multi-stakeholder cooperation is needed to break silos for impactful change. Together, we can build a healthier, resilient, and. GA · Vice-President [2:15:53]: I thank the distinguished representative of Nepal. And I now give the floor to the distinguished representative of France. France [2:16:06]: Madam President, ladies and gentlemen, non-communicable diseases and mental health are a major challenge for global public health. They account for 70 percent of deaths around the world, and there's a need for unprecedented mobilization. We know only prevention will allow us to reduce their devastating impact on millions of lives. We call for the adoption of the political declaration. France would like to see this to be a more ambitious text, but even so, this declaration reflects the urgency of acting, and for the first time, states that mental health is an essential component of global health, defining individual and collective well-being, We must move from commitments to results with rigorous follow-up measures and specific actions that would be efficient. To get there, France will work side by side with the UN, the WHO, and special agencies. We call for the training of global personnel capable of assisting states in investing in policies of prevention, education, health, specifically through the World Health Organization Academy. On the regional level in Europe, France closely works with its partners to develop joint prevention programs targeting risk factors. This approach makes it possible to adapt policies to local realities while harmonizing efforts to maximize their effectiveness. On the national level, France has launched an ambitious public health plan. Our strategy is based on a multi-sectoral approach linking education, environment, and health. Prevention begins at the earliest age and continues throughout a person's lifetime through awareness raising campaigns, follow up, promotion of healthy lifestyles, and early screening. Mental health in particular occupies a central place in that agenda. It has been designated the great national course in France for 2025. But prevention cannot be just a domain of governments. We must mobilize all actors, civil society, academia, private sector, health professionals, and the citizens themselves. The fight against non-communicable diseases and mental health is a long-term fight. GA · President [2:19:16]: I thank the distinguished representative of France, and now I give the floor to the distinguished representative of Israel. Israel [2:19:26]: Thank you, Madam President. Noncommunicable diseases stand as one of the defining health challenges of our time. Prevention is the most powerful tool we possess. It saves resources, and more importantly, it saves lives. Taking this responsibility further, we should ensure that global health is not only defined by years added to life, but by life lived with health, well-being, and dignity. This requires cultivating environments that encourage healthy choices and lifestyles, encompassing nutrition and physical activity, as well as strengthening systems for early detection and active management of NCDs. Israel strongly encourages international cooperation to prioritize the most impactful areas of intervention, such as cancer and diabetes, where meaningful progress can be made. Madam President, among the non-communicable diseases, mental health must be fully integrated into comprehensive health systems with dedicated resources, reliable data monitoring, and accountability mechanisms. These services must reach marginalized groups, minorities, and all those most likely not to receive help in times of crisis in order to leave no one behind. It is regrettable that certain delegations chose to continually and cynically politicize this forum today while ignoring reality on the ground. After the October 7 attacks, Israel was marked with a profound national trauma, with over 200,000 civilians displaced and thousands directly exposed to violence and loss. In such moments, the need for mental health services is immediate and profound. Our line centers spread across the country became places of healing and strength, offering therapy and equipping communities to face crisis together. Digital tools continue to play a role, a central role in the teletherapy consultations offered free by Israel's national healthcare system. This enables prompt and consistent care to dispersed and displaced populations, providing example of scalable solutions. Israel also emphasizes holistic rehabilitation, linking physical and psychological treatment as an inseparable part of recovery for affected populations and returned hostages. Madam President, we also recognize the essential duty to protect those on the front lines of response. Israel's established services to support emergency personnel, medical teams, and hospital staff treating traumatized survivors and hostages. Sustained investment is required for the long journey of recovery to prevent trauma from evolving into chronic suffering. Israel remains committed to sharing its experience in NCD prevention and treatment, trauma care, and emergency mental health preparedness as just one part of its drive to strengthen collective resilience and ensure that no individual and no member state faces these challenges alone. I thank you, Madam President. GA · President [2:22:11]: I thank the distinguished representative of Israel. We have now exhausted the time available to us for the plenary segment of the high-level meeting of the General Assembly on non-communicable diseases and the promotion of mental health well-being. Unfortunately, we still have several delegations who requested the floor and were not able to make their statement owing to time constraints. I would encourage those delegations to submit their statements to e-statements@un.org for posting on the UN Journal. The closing segment of the high-level meeting will take place immediately following the conclusion of this plenary segment. Please remain seated. We will now begin the closing segment of the high-level meeting of the General Assembly on non-communicable diseases and the promotion of mental health and well-being. Heads of state and government, ministers, excellencies, distinguished delegates, distinguished participants, I would like to express my appreciation to all participants and warmly congratulate the co-chairs of the multi-stakeholder panels for their outstanding leadership. Pursuant to Assembly resolution 79/273, I now invite Ms. Cornelia Sanchez a WHO Civil Society Working Group on NCDs, a lawyer, bioethics, African health justice campaigner, and lived experience expert to deliver a statement. WHO · WHO Civil Society Working Group on NCDs member [2:24:08]: Madam President, distinguished delegates, fellow citizens living with NCDs and mental health conditions globally, Ladies and gentlemen, thank you for your earnest deliberations on the catastrophic burden of non-communicable diseases and mental health conditions today. Thank you for the new political declaration adopted that offers stronger targets on tobacco control, mental health, access to medicines, and support for lived experience. The statistics on the mortalities and mobilities are grim. The human suffering, indignities, and the health inequities caused by noncommunicable diseases and mental health are unconscionable. My job before you today in this august house is not to repeat the numbers or to warn you of the catastrophic financial costs of NCDs and mental health conditions to domestic and global economies. My job here today is to be the face and the upholder of the health and human rights of the hundreds of millions of peoples living with NCDs and mental health conditions globally. I use the term peoples to capture the size and diversity of my global lived experience, patient partner community. I am a South African citizen. in remission for breast cancer, and I am living with bipolar mood disorder and chemotherapy-induced congestive heart failure. Your Excellencies, please allow me to share the scale of human suffering caused by NCDs and mental health conditions. I have lost and buried three loved ones to NCDs and mental health conditions since the 14th of July, 2025. The last funeral I attended was on the 9th of September, 2025, when we buried a beautiful, funny, kind, super talented young African. He was 26 years old. I almost lost another beloved African man to mental health six days before his 34th birthday on the 11th of September 2025. He would have been my fourth loss to NCDs and mental health conditions since the 14th of July 2025, he would have been the second death by suicide due to mental health. I am thankful to the universe and to his medical team that he is still with us and that he is recovering in hospital. while I am here. Your Excellencies, my lived experience is not a reflection of sheer bad luck or of human failing. My family, friends, and I are not unique in our mental and physical exhaustion and human suffering. Millions are also suffering in distant corners of the world, especially on my continent, Africa, and other low to middle income regions. And of course, in the hot searing conflict areas like Palestine, like Gaza. Your Excellencies, I am here to invite us all to intentionally seize this moment of the new political declaration. I invite us to legally and morally recommit ourselves to addressing the global burden of NCDs and mental health conditions. We can do this three ways. First, I implore us to change the language we use to talk about NCDs and mental health conditions. I ask you to replace the phrase people living with NCDs, with citizens living with NCDs. I invoke the language of citizenship to describe my community because it confers rights and obligations for us as health users. I use the language of citizenship because it also confers legal duties on you, your excellencies, as state parties of the United Nations, it imposes on you the obligation to respect, protect, promote, and fulfill the fundamental health and human rights and other interrelated health rights of us people living with NCDs. I correct myself, citizens living with NCDs. It also confers on us citizens living with NCDs the human right to participate as lived experience, experts, and as civil society members in the development, implementation, monitoring, and evaluation of national, regional, and global decisions and policies that affect our lives. Part of your duty, your excellencies, to respect, protect, promote and fulfil includes the responsibility to legally ensure that third parties do not infringe on your citizens' fundamental health and human rights. I implore you, therefore, to introduce and enforce stringent regulations to prevent the wanton health harms of the alcohol, fast foods, and tobacco industries. I implore you, secondly, to commit to sustainable financing for NCDs and mental health prevention and control at nation state, regional level, and global levels. I am aware of national, regional, and global financial crisis. aggravated by geopolitics, especially since the 20th of January 2025. I am consciously aware of the ramifications of the financial costs to global health funding and how they have impacted access to regular, safe, affordable essential medicines and treatments, especially for predominantly black and brown people in Africa and the global south. I am encouraged by your express inclusion of lived experience support, sorry, lived experience experts in the political declaration. Your Excellencies, I, however, want to respectfully caution you against falling into declarationist nominalism, like the late Pope Francis warned you during his September 2015 United Nations address. You cannot substantively include lived experience experts like myself and civil society organization without meaningful financial and knowledge resource investment. The realization of human rights like the health users' right to participate requires financial investment and unflinching political will moral commitment to citizens living with NCDs and mental health from head of states working together with ministers of finance, health, and the whole of government. In conclusion, your excellencies, may I remind you of the key two principles of the Universal Declaration of Human Rights. That is, they are universal. That means they are for everyone, everywhere. Secondly, let me remind you of the principle of non-discrimination, which means you cannot unjustifiably limit human rights. NCDs, contrary to our global health policymaking and political discourses, NCDs and mental health conditions are not invincible. They are not silent killers, and they are not lifestyle diseases. They are disabling, life-threatening, impoverishing, public health threats like HIV and COVID-19. Your Excellencies, non-communicable diseases and mental health conditions deserve your urgent action. They deserve your political will, and they deserve sustained financing. I thank you. GA · President [2:34:46]: I thank Ms. Asante. Allow me now to summarize the discussions held during the multi-stakeholder panels and to deliver concluding remarks. Ms. Asante, Excellencies, ladies and gentlemen, we have reached the close of this high-level meeting on non-communicable diseases and mental health. I thank all Member States and stakeholders for their active engagement and for reaffirming that tackling NCDs is central to achieving the SDGs. As I stressed this morning, and it bears repeating, most NCDs are preventable and treatable. Mental health challenges are not a life sentence. And it's in every country's own interest, including economic interest, to tackle these silent killers. Despite these facts, many countries face budgetary and capacity constraints, as we have heard today, that keep essential services out of reach for those who need them most. It is our responsibility, this has been underlined also here today, to close this gap. That means, as discussed in panel one, forging stronger partnerships and whole of government approaches. It means raising awareness so people understand the risks and know where to turn for help. And as discussed in panel two, It means scaling up financing and capacity building so prevention, diagnosis, and treatment are within reach for everyone, irrespective of nationality, age, or wealth. Excellencies, NCDs and mental health condition touch every country, every community, every family, every economy. Cancer, heart disease, depression, diabetes, these are not distant challenges, but human, our realities. While we cannot eliminate every risk, we can reduce many. We can turn what feels like a fatal diagnosis into a manageable condition, one that allows people not just to survive, but to thrive. We can turn a $30 trillion drag on our economies into innovation, productivity, and overall economic growth. As said this morning and over the day, tackling NCDs is for our own mutual benefit and even for our own self-interest. We work together or we suffer alone. So let's be better together. I thank you. I now-- thank you. I now invite the high-level meeting to turn its attention to the draft political declaration entitled, "Equity and Integration: Transforming Lives and Livelihoods through Leadership and Action on Non-Communicable Diseases and the Promotion of Mental Health and Well-Being." the text of which was transmitted to Member States by the President of the General Assembly at its 79th session in a letter dated September 5, 2025. This action-oriented political declaration has been considered in advance through intergovernmental consultations, with intense outreach during the 79th session by the co-facilitators and the President of the General Assembly at its 79th session. Throughout the course of the plenary segment today, we have listened intensively to the position of member states regarding the draft political declaration. While I understand that there remain objections by some member states, there's also broad support to the text. The document will be considered by member states in the General Assembly. The high-level meeting of the General Assembly on non-communicable diseases and the promotion of mental health and well-being is now concluded. The meeting is adjourned. I wish you all a good evening. Thank you.