2011, Number 4
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MEDICC Review 2011; 13 (4)
Cardiovascular health in the Americas: Facts, priorities and the UN high-level meeting on non-communicable diseases
Ordúñez P
Language: Spanish
References: 43
Page: 1-5
PDF size: 1866.32 Kb.
ABSTRACT
Population aging, smoking, unhealthy diet and physical inactivity, in the context of globalization and unregulated urbanization, explain the high prevalences of hypertension, hypercholesterolemia and diabetes in the Americas, making cardiovascular diseases the main cause of death. Moreover, cardiovascular diseases and their risk factors disproportionately affect the poorest people, obstructing antipoverty efforts and further deepening health and other inequities. The global
crisis of chronic non-communicable diseases has reached
such proportions that the UN General Assembly called a highlevel meeting in September 2011 to address the issue as one of human development, aiming to stimulate political commitment to a concerted global effort to stem the pandemic. In reference to the Americas, this article reviews the burden of cardiovascular diseases and describes priorities for strategies and action in the region and their relation to the results of the
UN meeting.
REFERENCES
Emberson JR, Whincup PH, Morris RW, Walker M. Re-assessing the contribution of serum total cholesterol, blood pressure and cigarette smoking to the aetiology of coronary heart disease: impact of regression dilution bias. Eur Heart J. 2003 Oct;24(19):1719–26.
WHO. The World Health Report 2002. Reducing Risks, Promoting Healthy Life [Internet]. Geneva: World Health Organization; 2002 [cited 2011 Aug 20]. Available from: http://www.who.int/whr/2002/en/
Schargrodsky H, Hernández R, Champagne BM, Silva H, Vinueza R, Silva Ayçaguer LC, et al. CARMELA: Assessment of Cardiovascular Risk in Seven Latin American Cities. Am J Med. 2008 Jan;121(1):58–65.
WHO. Prevention of Cardiovascular Diseases: guidelines for assessment and management of total cardiovascular risk. Geneva: World Health Organization; 2006.
PAHO Regional Health Observatory. Indicadores Básicos de Salud. Mortalidad. Causas principales de defunción [Internet]. 2010 [cited 2011 Jul 15]; [about 1 screen]. Available from: http://ais.paho.org/phip/viz/mort_causasprincipales_ lt_oms.asp. Spanish.
PAHO. Información y Análisis de Salud: Situación de Salud en las Américas: Indicadores Básicos 2009. Washington DC: Pan American Health Organization; 2009. Spanish.
Kreatsoulas C, Anand SS. The impact of social determinants on cardiovascular disease. Can J Cardiol. 2010 Aug-Sep;26 Suppl C:8–13.
The NCD Alliance [Internet]. Geneva: NCD Alliance; c2010. The Global Burden of NCDs: The Global Epidemic; 2010 [cited 2011 Jul 20]. Available from: http:// www.ncdalliance.org/node/11.
Suhrcke M, Nugent RA, Stuckler D, Rocco L. Chronic Disease: An economic perspective [Internet]. London: Oxford Health Alliance; 2006 [cited 2011 Jan 20]. 60 p. Available from: http://www.sehn.org/tccpdf/Chronic%20disease%20 economic%20perspective.pdf.
Ordúñez-García P, Campillo-Artero C, editors. Regional consultation: priorities for cardiovascular health in the Americas. Key messages for policymakers. Washington DC: Pan American Health Organization; 2011.
PAHO. Regional strategy and plan of action on an integrated approach to the prevention and control of chronic diseases [Internet]. Washington DC: Pan American Health Organization; 2007 [cited 2011 Sep 26]. Available from: http:// www.paho.org/english/ad/dpc/nc/reg-strat-cncds.pdf.
Beaglehole R, Bonita R, Horton R, Adams C, Alleyne G, Asaria P, et al. Priority actions for the non-communicable disease crisis. Lancet. 2011 Apr 23;377(9775):1438–47.
Fuster V, Kelly BB, editors. Committee on Preventing the Global Epidemic of Cardiovascular Disease: Meeting the Challenges in Developing Countries; Institute of Medicine. Promoting Cardiovascular Health in the Developing World: A Critical Challenge to Achieve Global Health. Washington DC: National Academies Press; 2010. 484 p.
Geneau R, Stuckler D, Stachenko S, McKee M, Ebrahim S, Basu S, et al. Raising the priority of preventing chronic diseases: a political process. Lancet. 2010 Nov 13;376(9753):1689–98.
Diez Roux AV, Mair C. Neighborhoods and health. Ann NY Acad Sci. 2010;1186:125–45.
Pereira M, Lunet N, Azevedo A, Barros H. Differences in prevalence, awareness, treatment and control of hypertension between developing and developed countries. J Hypertens. 2009 May;27(5):963–75.
WHO; Commission on Social Determinants of Health. Closing the Gap in a generation: Health equity through action on the Social Determinants of Health. Final Report of the Commission on Social Determinants of Health. Geneva: World Health Organization; 2008. 256 p.
WHO. The World Health Report 2008. Primary Care. Now more than ever. Geneva: World Health Organization; 2008.
PAHO. Impacto de la exclusión de servicios de salud en el acceso a medicamentos. Análisis comparativo de la situación en Guatemala, Honduras y Nicaragua. Washington DC: Pan American Health Organization; 2011. Spanish.
WHO. Framework Convention on Tobacco Control. Geneva: World Health Organization; 2005.
Campbell N, Legowski B, Legetic B, Wilks R, Pinto de Almeida Vasconcellos AB. PAHO/WHO Regional Expert Group Policy Statement—Preventing cardiovascular disease in the Americas by reducing dietary salt intake population-wide. CVD Prevention and Control. 2010;4(4):189–91.
Brownell KD, Warner KE. The Perils of Ignoring History: Big Tobacco Played Dirty and Millions Died. How Similar Is Big Food? Milbank Q. 2009 Mar;87(1):259–94.
Hawkes C, Blouin C, Henson S, Drager N, Dubé L, editors. Trade, Food, Diet and Health: Perspectives and Policy Options. Oxford: Wiley Blackwell; 2010 Jan. 336 p.
Brownell KD, Schwartz MB, Puhl RM, Henderson KE, Harris JL. The need for bold action to prevent adolescent obesity. J Adolesc Health. 2009 Sep;45(3 Suppl):S8–17.
WHO. Set of recommendations on the marketing of foods and non-alcoholic beverages to children. Geneva: World Health Organization; 2010. 16 p.
Gomez LF, Sarmiento OL, Parra DC, Schmid TL, Pratt M, Jacoby E, et al. Characteristics of the built environment associated with leisure-time physical activity among adults in Bogotá, Colombia: A Multilevel Study. J Phys Act Health. 2010 Jul;7 Suppl 2:S196–203.
Freedman DS; Centers for Disease Control and Prevention (CDC). Obesity— United States, 1988–2008. MMWR Surveill Summ. 2011 Jan 14;60 Suppl:73–7.
WHO. Global strategy to reduce the harmful use of alcohol [Internet]. Geneva: World Health Organization; 2010 [cited 2011 Sep 20]. Available from: http:// www.who.int/substance_abuse/alcstratenglish nal.pdf
Dubois CA, Singh D, Jiwani I. The human resource challenge in chronic care. In: Nolte E, McKee M, editors. Caring for people with chronic conditions: A health system perspective. Maidenhead (GB): Open University Press; 2008. p. 143–71.
Curry N, Ham C. Clinical and service integration. The route to improve outcomes. London: The King´s Fund; 2010 Nov 22. 56 p.
PAHO. Redes integradas de servicios de salud: conceptos, opciones de política y hoja de ruta para su implementación en las Américas. Washington DC: Pan American Health Organization; 2010 May. 102 p. Spanish.
Ham C. The ten characteristics of the high-performing chronic care system. Health Econ Policy Law. 2010 Jan;5(Pt 1):71–90.
Battersby M, Von Korff M, Schaefer J, Davis C, Ludman E, Greene SM, et al. Twelve evidence based principles for implementing self-management support in primary care. Jt Comm J Qual Patient Saf. 2010 Dec;36(12):561–70.
WHO. Global health risks; Mortality and burden of disease attributable to selected major risks. Geneva: World Health Organization; 2009. 70 p.
World Alliance for Patient Safety. Summary of the evidence on patient safety: implications for research. Geneva: World Health Organization; 2008.
Puig-Junoy J, Peiró S. De la utilidad de los medicamentos al valor terapéutico añadido y a la relación costo-efectividad incremental. Rev Esp Salud Pública. 2009 Jan-Feb;83(1):59–70. Spanish.
WHO. Equitable access to essential medicines: a framework for collective action. WHO Policy Perspectives on Medicines No. 8. Geneva: World Health Organization; 2004 Mar. 6 p.
Krumholz HM, Anderson JL, Bachelder BL, Fesmire FM, Fihn SD, Foody JM, et al. ACC/AHA 2008 performance measures for adults with ST-elevation and non–ST-elevation myocardial infarction: a report of the American College of Cardiology/American Heart Association Task Force on Performance Measures. Circulation. 2008 Dec 9;118(24):2596–648.
National Institute for Health and of Clinical Excellence (GB). Unstable angina and NSTEMI. London: NICE; 2010 Mar.
Schwamm LH, Fayad P, Acker JE 3rd, Duncan P, Fonarow GC, Girgus M, et al. Translating evidence into practice: A decade of efforts by the American Heart Association/ American Stroke Association to reduce death and disability due to stroke. Stroke. 2010 May;41(5):1051–65.
Bonita R. Guest Editorial: Strengthening NCD prevention through risk factor surveillance. Glob Health Action. 2009 Sep 28;2.
Campillo Artero C. [Integration of information for health interventions: from data to information and from information to action. Report of the Spanish Society of Public Health]. Gac Sanit. 2008 Apr;22 Suppl 1:14–8. Spanish.
United Nations. General Assembly. Sixty-sixth Sessions. Political Declaration of the High-level Meeting of the General Assembly on the Prevention and Control of Non-communicable Diseases. A/66/L.1 [Internet]. New York: United Nations; 2011 Sep 16 [cited 2011 Sep 26]. Available: http://daccess-dds-ny.un.org/doc/UNDOC/LTD/N11/497/77/PDF/ N1149777.pdf?OpenElement.