The Small Island Developing States (SIDS) are a group of countries with distinct social, economic, health, nutrition, and climate change vulnerabilities. 

They are primarily dependent on external sources like tourism for the economy. 

Have the highest prevalence of adult and childhood obesity in the world. 

>1/2 of the deaths are premature due to NCDs and mental illnesses. 

Classification as middle- and high-income countries prevents access to financing from global organizations leading to further challenges. 

The 2023 "Bridgetown Declaration on Non-Communicable Diseases (NCDs) and Mental Health " aims to  Reduce premature NCD-related mortalities by 1/3rd using prevention and control strategies under the action principle of Engage,  accelerate, invest,  align,  account.