Showing posts with label CVD. Show all posts
Showing posts with label CVD. Show all posts

Sunday, October 28, 2018

Stroke Leaders Highlight Global Cost of Government Inaction




Today on World Stroke Day, October 29, the World Stroke Organization, is calling for urgent action and investment to address the growing burden of stroke and circulatory diseases globally. 

Highlighting the disappointing outcome of the recent UN High Level Meeting on Non-Communicable Diseases (NCDs) the WSO President, Prof Michaeal Brainin said, ‘The impact of stroke on individuals, families and society as a whole is devastating. Stroke survivors can face significant impairment of movement, speech, cognition alongside debilitating psychological, social and financial problems.'

'This devastation is compounded by knowing that 80% of strokes could be prevented by addressing a small number of risk factors, including hypertension, diet, smoking and exercise. Preventive action on stroke would also contribute to a massive scale reduction in CVD, cancer, diabetes and other significant causes of death and suffering worldwide.

'With this knowledge, the current lack of political will and investment is incomprehensible, especially given the costs of such inaction. While 5.5 million people die as a result of stroke each year, 80 million survivors around the world currently live with some form of disability or impairment. The costs to individuals is incalculable and the cost to society is astronomical.’


A recent policy document ‘Driving Sustainable Action for Circulatory Health’ published by the WSO and its partners in the Global Coalition for Circulatory Health, has calculated the global cost of circulatory diseases, including stroke, at US$957 Billion in 2015. On current projections this figure is set to rise to US$1044 Billion in the next 12 years.

The white paper sets out four key areas for action that, if enacted, would ensure delivery of global goals on disease reduction which are driving the rise in direct and indirect costs of NCDs. These include legislative interventions to:


1. Deliver policies and programmes to address tobacco, alcohol and unhealthy foods, promote clean air and deliver a built environment which fosters safe physical activity.

2. Ensure access to affordable, quality-assured essential medicines, delivered by adequately trained staff, including access to multi-therapy treatments.

3. Mobilise sufficient resources to combat non-communicable diseases including stroke. The taxation of unhealthy products such as alcohol, tobacco, unhealthy foods and non-alcoholic beverages (such as sugar-sweetened beverages) would generate revenues that could be directed to further prevention and control of circulatory diseases at global and national levels.

4. Put in place reliable, simple, and fit-for- purpose surveillance systems for monitoring the burden of stroke and the prevalence of NCD risk factors and treatment of stroke at national and global levels.


Prof Brainin concluded 'At the recent UN High Level Meeting on NCDs in New York, governments delivered a weak response to a global crisis and agreed to wait 7 years before reviewing progress. In that time another 38.5 million people will die of stroke. We can't wait until 2025 to calculate our losses, we need strong leadership and bold action to save lives now.'

Saturday, September 29, 2018

The air we breathe



29 September 2018, World Heart Day

Nearly one in five deaths from CVD and stroke are caused by air pollution... a total of 3 million deaths globally every year


Today on World Heart Day, WSO is standing with our partners in circulatory disease prevention, the World Heart Federation (WHF) to raise awareness of the strong link between the air we breathe, cardiovascular disease and stroke.

Outdoor and household air pollution are an increasingly important risk factor for CVD: according to recent research, air pollution is the cause of 19% of all CVD deaths, accounting for more than 3 million deaths each year. Recent stroke data shows an even stronger overall association between air pollution and stroke, with over 29% of the burden of stroke attributed to air pollution.
An estimated 7 million people die prematurely every year from air pollution: 1.4 million of these will be from stroke and over 2 million from heart disease. 

According to the WHO, 91% of the world’s population live in areas where air pollution exceeds the WHO guidelines limits. While the problem is clearly geographically widespread, the impact varies depending on where you live and your level of income.

In south Asia and eastern and central sub-Saharan Africa, air pollution is the third highest contributor to stroke, accounting for almost 40% of the stroke burden. In China and India, almost 22% of stroke burden (as measured by DALYs) in 2013 were attributed to ambient PM2.5 air pollution. Although household air pollution from solid fuels did not contribute to stroke burden in high-income countries, almost a fifth of stroke burden in low-income and middle-income countries was attributed to household air pollution in 2013 (especially in Asia and sub-Saharan Africa).
Professor David Wood, WHF President, comments: “Reducing exposure to air pollution has become a crucial challenge that the world needs to face if we are to continue advancing in our goal to reduce the impact of non-communicable diseases, especially cardiovascular disease - the world's biggest killer. On World Heart Day, we are raising awareness of poor outdoor and household air quality as an increasingly important risk factor, and bringing together all those involved in cardiovascular health from every country in the world in the fight to reduce CVD."

President of the World Stroke Organization, Prof Werner Hacke added, 'Stroke is associated with a several heart conditions and an estimated 80% of premature deaths from both stroke and CVD could be prevented. This is why we are committed to collaborating with WHF and our partners the Global Coalition for Circulatory Health to deliver a robust prevention agenda. This includes not only increasing public awareness of the links between CVD and stroke, but also working with governments to put in place population-based policies and investments that will scale up improvements in the health of our communities.’

The case of air pollution shows us that reducing stroke and CVD can't be achieved through individual lifestyle change alone. While there are things that we can all do as individuals to reduce our stroke risk, turning the tide on the global tsunami of CVD, stroke and other non-communicable diseases will happen much faster if action is taken at government and individual level.’

On World Heart Day, WHF is calling on each and every one of us to make a commitment to heart health. WSO's hand on heart promise is to continue to strengthen our partnership work so that together we can address shared risk factors for CVD and stroke and help people live longer and healthier lives.’

REFERENCES:
1Source: GBD 2016 Risk Factors Collaborators. Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet 390, 1345–1422 (2017).
2Source: WHO
3Source :WHO
4Source: Nature Reviews Cardiology volume 15, pages 193–194 (2018).


Wednesday, September 26, 2018

Driving Sustainable Action for Circulatory Health

This week World Stroke Organization President Werner Hacke, along with Vice President Michael Brainin, Global Policy Chair Bo Norrving and Chief Executive Mia Grupper, are in New York to attend the Third UN High Level Meeting on Non-Communicable Diseases (#UNHLM3).


The meeting, taking place on the 27th September, is focused on accelerating progress and identifying actions required to deliver on priorities that UN Members States committed to over five years ago.

While the title of the meeting may sound rather dry and the UN might feel a bit distant, there could not be more at stake. This could be our best opportunity to tackle the diseases that are most likely to kill us in the next 10 years.

The HLM will be attended by Heads of State and Minsters from around the world. This is a critical opportunity to hold them to account and to ensure that they use the evidence of what works to drive action on NCDs.

Together, heart disease, stroke diabetes and kidney disease represent the single largest cause of death worldwide, accounting for around 20 million deaths and staggering total of 374 million years of life lost to death and disability in one year alone. Stroke accounted for 116 million years of life lost in 2016 alone. While people of all ages and all continents are at risk, the burden of disease is felt disproportionately in low to middle income countries where individual suffering is compounded by access barriers and capacity of healthcare and where social and economic development is hampered poor health of the population.

The good news is that because these diseases share several common risk factors, coordinated action on prevention and treatment can result in major gains - and at a much lower cost than dealing with the consequences. WHO and World Economic Forum have identified key policy 'Best Buys' and a recent Lancet Taskforce series on NCD economics economics has indicated dollar for dollar returns that would come from addressing in NCDs now. We also know that where governments haven take responsibility and put in place policies and programmes, progress has been made.

This is why, in addition to raising awareness of specific issues in stroke prevention, treatment and support, the WSO is working as a key partner in the Global Coalition for Circulatory Health to push for more urgent focus and to support coordinated efforts by governments and other stakeholders.

Our joint calls are captured in a White Paper which was launched at a UN side event today.  Driving Sustainable Action for Circulatory Health sets out the key pillars of action that will ensure delivery of global goals on disease reduction:

Pillar 1: Prioritising multi-sectoral and cost-effective interventions
Pillar 2: Fostering access to the prevention and care of circulatory diseases
Pillar 3: Mobilising resources for circulatory health
Pillar 4: Measuring and tracking progress


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