Dialogues in Cardiovascular Medicine - Vol 14 . N°2 . 2009





Should cardiovascular disease prevention be
undertaken by doctors or policymakers and politicians?



     The World Health Organization (WHO) report on Prevention of Cardiovascular Disease (CVD) describes three strategies for prevention: a population strategy, a high-risk strategy, and a secondary prevention strategy. The population strategy is paramount because it addresses the whole population the economic, social, and cultural determinants of CVD, whereas the highrisk and secondary prevention strategies only address a minority of the population, namely, high-risk and sick individuals. The 61st World Health Assembly of the WHO on May 24th, 2008, stated its implementation strategy for prevention and control of noncommunicable diseases, of which CVD is the most common. The foundation for this action plan is the global strategy for the prevention and control of noncommunicable diseases reaffirmed by the Health Assembly in 2000, the WHO Framework Convention on Tobacco Control in 2003, and the Global Strategy on Diet, Physical Activity, and Health in 2004. The plan is intended to support coordinated, comprehensive, and integrated implementation of strategies and evidence-based interventions across individual diseases and risk factors, especially at the national level. A societal approach— health in all policies—by policymakers and politicians is paramount to preventing CVD...






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