Gupta Saksham, Aukrust Camilla G, Bhebhe Arnold, Winkler Andrea S, Park Kee B
Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Department of Global Health and Social Medicine, Program for Global Surgery and Social Change, Harvard Medical School, Boston, Massachusetts, USA.
Neurosurgery. 2024 Jan 15. doi: 10.1227/neu.0000000000002828.
The World Health Organization's Intersectoral Global Action Plan (IGAP) on Epilepsy and Other Neurological Diseases 2022-2031 is a holistic, interdisciplinary, and intersectoral plan with a strong focus on equity and human rights. The IGAP was unanimously approved by all World Health Organization Member States at the 75th World Health Assembly in May 2022 and provides a framework for researchers and clinicians to study and address national and global inadequacies in the evaluation and management of people suffering from neurological disorders and their prevention. While IGAP has applied epilepsy as an entry point for other neurological disorders, advocacy by neurologists and neurosurgeons has broadened it to include diseases with a large and growing global health footprint such as stroke, hydrocephalus, traumatic brain injury, and brain and spine cancers. The IGAP is important to neurosurgeons globally because it provides the first ever roadmap for comprehensively addressing unmet neurological and neurosurgical care in low- and middle-income countries. Furthermore, it creates an opportunity for neurologists and neurosurgeons to scale up services for neurological diseases in tandem. As such, it provides a structure for the neurosurgery community to become involved in global health initiatives at all levels.
世界卫生组织《2022 - 2031年癫痫及其他神经疾病部门间全球行动计划》(IGAP)是一项全面、跨学科且跨部门的计划,高度关注公平和人权。该计划于2022年5月在第75届世界卫生大会上获得所有世界卫生组织成员国一致批准,为研究人员和临床医生研究并解决神经疾病患者评估与管理以及预防方面的国家和全球不足提供了框架。虽然IGAP将癫痫作为其他神经疾病的切入点,但神经科医生和神经外科医生的倡导使其范围扩大,纳入了中风、脑积水、创伤性脑损伤以及脑和脊柱癌症等在全球健康领域影响巨大且日益增加的疾病。IGAP对全球神经外科医生很重要,因为它为全面解决低收入和中等收入国家未满足的神经和神经外科护理需求提供了首个路线图。此外,它为神经科医生和神经外科医生携手扩大神经疾病服务创造了机会。因此它为神经外科界参与各级全球健康倡议提供了架构。