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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