they reduce global and national economic output strain national governments and health systems burden vulnerable households put human rights at risk and seriously undermine development progress undp b world bank lost productivity due to illness disability or death from ncds can impede macroeconomic growth and shift public budgets from other important health and development objectives who bloom et al in contrast deaths from communicable diseases during the same period fell by per cent from around million people in to million in while deaths from various forms of injuries rose by per cent from around million people in to million in gbd