U.S. global health investment has focused on detection, treatment, and eradication of infectious diseases such as tuberculosis, malaria, and human immunodeficiency virus/acquired immunodeficiency syndrome, with significant results. Although efforts should be maintained and expanded to provide ongoing therapy for chronic infectious disease, there is a pressing need to meet the challenge of noncommunicable diseases, which constitute the highest burden of diseases globally. A Committee of the National Academies of Sciences, Engineering, and Medicine has made 14 recommendations that require ongoing commitments to eradication of infectious disease and increase the emphasis on chronic diseases such as cardiovascular disease. These include improving early detection and treatment, mitigating disease risk factors, shifting global health infrastructure to include management of cardiovascular disease, developing global partners and private-public ventures to meet infrastructure and funding challenges, streamlining medical product development and supply, increasing research and development capacity, and addressing gaps in global political and institutional leadership to meet the shifting challenge.

中文翻译：

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美国在全球健康中的未来角色

美国全球卫生投资重点关注结核病、疟疾和人类免疫缺陷病毒/获得性免疫缺陷综合征等传染病的检测、治疗和根除，取得了显著成效。虽然应继续努力并扩大为慢性传染病提供持续治疗，但迫切需要应对非传染性疾病的挑战，非传染性疾病构成全球疾病的最高负担。美国国家科学院、工程院和医学院委员会提出了 14 项建议，要求持续致力于根除传染病并加强对心血管疾病等慢性病的重视。这些包括改善早期发现和治疗、减轻疾病风险因素、