Weill Cornell/Rockefeller/Sloan-Kettering Tri-Institutional MD-PhD Program, New York, New York, USA.
J Am Coll Cardiol. 2011 May 17;57(20):1980-7. doi: 10.1016/j.jacc.2010.12.029.
On May 13, 2010, a resolution passed at the United Nations for a high-level meeting with heads of state on noncommunicable chronic diseases (NCDs), catapulting NCDs atop the political and health agendas. This meeting on NCDs, slated for September 2011, provides the rare political moment to commit to scaling up international, regional, and national efforts to prevent and treat NCDs, giving the issue the priority it deserves. An analogous high-profile meeting transpired in 2001 on human immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS), effectively serving as the nucleating event for a vigorous global and political movement towards universal prevention and treatment. As was the case at the HIV/AIDS meeting, a key priority area in the new NCD movement remains ensuring universal access to reliable, affordable essential medicines to prevent and treat NCDs. The upcoming meeting, therefore, provides the perfect opportunity to capitalize on the increased political and social awareness of NCDs and to apply the lessons learned from the HIV/antiretroviral experience in order to improve access to essential medicines for NCDs. Social mobilization and political advocacy, used in tandem with technical solutions, is an important lesson from the HIV experience, and will likely be important to ensure access to essential medicines for NCDs, including cardiovascular disease. Here, we use cardiovascular disease as a specific case study to examine the issue, outlining early solutions while drawing parallels and analogies to the HIV experience.
2010 年 5 月 13 日，联合国通过了一项决议，将召开一次有各国元首参加的关于非传染性慢性疾病（NCDs）的高级别会议，将 NCDs 置于政治和卫生议程的首位。此次定于 2011 年 9 月举行的 NCDs 会议为加大国际、区域和国家预防和治疗 NCDs 的力度提供了一个难得的政治契机，使这一问题得到了应有的重视。类似的引人瞩目的会议曾于 2001 年召开，讨论的是艾滋病毒（HIV）/获得性免疫缺陷综合征（AIDS）问题，该会议有效地成为了一场全球和政治行动的核心事件，旨在实现普遍预防和治疗。与 HIV/AIDS 会议一样，新的 NCD 运动的一个关键优先领域仍然是确保普遍获得可靠、负担得起的基本药物，以预防和治疗 NCDs。因此，即将举行的会议为利用人们对 NCDs 的认识的提高提供了一个绝好的机会，并且可以借鉴 HIV/抗逆转录病毒方面的经验教训，以改善 NCDs 的基本药物获取。社会动员和政治宣传与技术解决方案一起使用，是从 HIV 经验中吸取的重要教训，对于确保心血管疾病等 NCDs 的基本药物获取，这可能很重要。在这里，我们使用心血管疾病作为一个具体的案例研究来探讨这个问题，概述了早期的解决方案，同时借鉴了 HIV 经验的相似之处。
