Kiribati, Nauru and PNG are not expected to achieve this target, with an increasing trend in TB incidence, and work also remaining to eliminate NTDs - Kiribati (filariasis, trachoma, leprosy), Nauru (trachoma), PNG (filariasis, trachoma, leprosy, yaws, soil-transmitted helminthiases and foodborne trematodiases) (WHO, 2013). On the other hand, Samoa and Tonga’s alcohol per capita consumption is expected to increase significantly, making it difficult for these countries to achieve this target. It should also be noted that while there are no Tier 1 indicators at present to make an assessment on Target 3.4 on reducing NCDs, the outlook on NCDs is expected to be grim if efforts are not scaled up (see Chapter 6). The IAEG-SDGs proposed 11 indicators to monitor this goal, of which three were Tier 1 indicators (see Appendix 2.1). The only relevant indicator relevant for assessment relates to quality early childhood development but there are only sparse data available for some of the countries (Table 2.4). Given these limitations, an overall assessment for Commonwealth Pacific small states on Goal 4 is not possible.