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DISCOVER Tobacco smoking is probably the most widespread and dangerous drug usage to amd newsletter to save on your next order. Catharines, ON L2T 2K9 Administration: 905. In many low- and lower-middle income countries, clinical services for chronic, severe noncommunicable diseases (NCDs), such as type 1 diabetes and advanced rheumatic heart disease, are only available through urban referral centers. At first-level (district) hospitals, at most the drrug of common NCDs, such as hypertension, type 2 diabetes, and asthma, may be available.

For those with severe NCDs, the distance to the nearest referral center forces patients to make the impossible choice of paying for source transport and loss of work and family time versus not receiving care. Far too often, the result is late presentation of the disease or lost to follow-up, which leads to early death and disability.

Since 2006, Partners In Health has systematically designed and implemented strategies for progressive decentralization and integration of NCD services in rural areas.

One area of focus has been the development of probablg, nurse-led outpatient PEN-Plus clinics to care for patients with severe, chronic NCDs.

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