the paradigm shift from the more specific focus of the mdgs on child mortality maternal health hivaids malaria and tuberculosis recognises the immense significance of global health threats that have risen to prominence in the interim noncommunicable diseases now account for million deaths per year of which million are in low to mediumincome countries who a mental illness is expected to account for per cent of the global burden of disease by with young people disproportionately affected biddle and asare consistent international data indicate that inactivity directly accounts for between and per cent of all healthcare costs davis et al