Neurology, Public Health and Disability Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Via Celoria 11, 20133, Milan, Italy.
Unitelma Sapienza University of Rome, Rome, Italy.
J Headache Pain. 2024 Jan 4;25(1):4. doi: 10.1186/s10194-023-01700-3.
The World Health Organization (WHO) Intersectoral Global Action Plan on Epilepsy and Other Neurological Disorders was developed by WHO to address the worldwide challenges and gaps in provision of care and services for people with epilepsy and other neurological disorders and to ensure a comprehensive, coordinated response across sectors to the burden of neurologic diseases and to promote brain health across life-course. Headache disorders constitute the second most burdensome of all neurological diseases after stroke, but the first if young and midlife adults are taken into account. Despite the availability of a range of treatments, disability associated with headache disorders, and with migraine, remains very high. In addition, there are inequalities between high-income and low and middle income countries in access to medical care. In line with several brain health initiatives following the WHOiGAP resolution, herein we tailor the main pillars of the action plan to headache disorders: (1) raising policy prioritization and strengthen governance; (2) providing effective, timely and responsive diagnosis, treatment and care; (3) implementing strategies for promotion and prevention; (4) fostering research and innovation and strengthen information systems. Specific targets for future policy actions are proposed. The Global Action Plan triggered a revolution in neurology, not only by increasing public awareness of brain disorders and brain health but also by boosting the number of neurologists in training, raising research funding and making neurology a public health priority for policy makers. Reducing the burden of headache disorders will not only improve the quality of life and wellbeing of people with headache but also reduce the burden of neurological disorders increasing global brain health and, thus, global population health.
世界卫生组织(WHO)的《癫痫和其他神经系统疾病部门间全球行动计划》是由世卫组织制定的,旨在应对全球在为癫痫患者和其他神经系统疾病患者提供护理和服务方面面临的挑战和差距,并确保各部门全面协调应对神经疾病负担,促进全生命周期的大脑健康。头痛疾病是仅次于中风的第二大致残性神经系统疾病,但如果考虑到年轻人和中年人的情况,它就是最致残的疾病。尽管有一系列治疗方法,但头痛疾病和偏头痛相关的残疾仍然很高。此外,高收入国家和低收入及中等收入国家在获得医疗保健方面存在不平等。根据世卫组织《全球行动计划》决议后的多项大脑健康倡议,我们在此将该行动计划的主要支柱调整适用于头痛疾病:(1)提高政策优先级别,加强治理;(2)提供有效、及时和响应性的诊断、治疗和护理;(3)实施促进和预防战略;(4)促进研究和创新,加强信息系统。提出了未来政策行动的具体目标。《全球行动计划》引发了神经病学的革命,不仅提高了公众对大脑疾病和大脑健康的认识,而且增加了接受培训的神经科医生人数,增加了研究资金,并使神经病学成为政策制定者的公共卫生优先事项。减轻头痛疾病负担不仅会提高头痛患者的生活质量和幸福感,还会减轻神经疾病负担,从而提高全球大脑健康和全球人口健康。