Garcia Roxanna M, Ghotme Kemel A, Arynchyna-Smith Anastasia, Mathur Priyanka, Koning Marinus, Boop Frederick, Peterson Dan, Sheneman Natalie, Johnson Walter D, Park Kee B, Griswold Dylan, Aukrust Camilla G, Barthélemy Ernest J, Ibbotson Geoffrey, Blount Jeffrey P, Rosseau Gail L
Department of Neurological Surgery, Northwestern University, Chicago , Illinois , USA.
Translational Neuroscience Research Lab, Faculty of Medicine, Universidad de La Sabana, Chía , Colombia.
Neurosurgery. 2023 Sep 1;93(3):496-501. doi: 10.1227/neu.0000000000002472. Epub 2023 Apr 3.
Neurosurgical advocates for global surgery/neurosurgery at the 75th World Health Assembly gathered in person for the first time after the COVID-19 pandemic in Geneva, Switzerland, in May 2022. This article reviews the significant progress in the global health landscape targeting neglected neurosurgical patients, emphasizing high-level policy advocacy and international efforts to support a new World Health Assembly resolution in mandatory folic acid fortification to prevent neural tube defects. The process of developing global resolutions through the World Health Organization and its member states is summarized. Two new global initiatives focused on the surgical patients among the most vulnerable member states are discussed, the Global Surgery Foundation and the Global Action Plan on Epilepsy and other Neurological Disorders. Progress toward a neurosurgery-inspired resolution on mandatory folic acid fortification to prevent spina bifida-folate is described. In addition, priorities for moving the global health agenda forward for the neurosurgical patient as it relates to the global burden of neurological disease are reviewed after the COVID-19 pandemic.
2022年5月，倡导全球外科手术/神经外科手术的神经外科医生们在瑞士日内瓦举行了自新冠疫情以来的首次线下聚会，此次聚会是在第75届世界卫生大会期间。本文回顾了在全球卫生领域针对被忽视的神经外科患者所取得的重大进展，强调了高层政策倡导以及为支持一项关于强制叶酸强化以预防神经管缺陷的新的世界卫生大会决议所做的国际努力。总结了通过世界卫生组织及其成员国制定全球决议的过程。讨论了两项针对最脆弱成员国中的外科手术患者的新的全球倡议，即全球外科手术基金会和癫痫及其他神经疾病全球行动计划。描述了在一项受神经外科启发的关于强制叶酸强化以预防脊柱裂-叶酸的决议方面取得的进展。此外，还回顾了新冠疫情后推动神经外科患者全球卫生议程前进的优先事项，这与神经疾病的全球负担相关。
