How scaling care can reduce disease burden

Demographic shifts over the past 25 years have reshaped global health and are expected to accelerate over the next 25. All this week, we explore how health trends will likely evolve due to aging populations and the interventions that could reduce disease burden worldwide.

Demographic shifts across the globe over the last 25 years have been closely linked to a transition in the global disease burden. While some infectious diseases have declined, noncommunicable diseases (NCDs) such as cardiovascular diseases, diabetes, mental disorders, and cancers have risen. In 2050, cardiovascular disease, cancers, and musculoskeletal disorders are expected to lead the disease burden. Scaling interventions could reduce the total burden by up to 35 percent, though impact varies by condition based on disease prevalence, treatment availability and efficacy, and the gap between current and best-practice standards, explain McKinsey’s Alex Beauvais, Brad Herbig, Matt Wilson, and Pooja Kumar. Within NCDs, chronic respiratory diseases, mental disorders, and cardiovascular conditions offer the greatest potential for impact. Among communicable diseases, maternal and neonatal disorders, enteric infections, and nutritional deficiencies represent the areas of highest impact, particularly in low-income settings.

How scaling care can reduce disease burden
Image description: A dual-panel horizontal bar chart displays global disease burden projections for 2050 in billions of disability-adjusted life years alongside the percentage of burden that could be averted through known interventions. The left panel shows cardiovascular diseases bearing the largest burden at ~5 billion DALYs, followed by cancers at 3 billion and musculoskeletal disorders at 2 billion. The right panel reveals variation in potential impact across disease categories: chronic respiratory diseases show the highest avertable burden at 57%, followed by maternal and neonatal disorders at 51% and mental disorders and enteric infections both at 47%, while cardiovascular diseases—despite having the largest absolute burden—could avert 44% of their disease burden. Note: This image description was completed with the assistance of Writer, a gen AI tool. Source: Global Burden of Disease Database, Institute for Health Metrics and Evaluation, 2021 (used with permission, all rights reserved); literature review of intervention efficacy and adoption across 500+ papers, including Lancet and Cochrane reviews; McKinsey Health Institute Prioritizing Health Model. End of image description.

To read the report, see “The health of nations: Stronger health, stronger economies,” February 17, 2026.