Cardiovascular, respiratory, and related disorders: key messages from Disease Control Priorities, 3rd edition.



Prabhakaran, Dorairaj, Anand, Shuchi, Watkins, David, Gaziano, Thomas, Wu, Yangfeng, Mbanya, Jean Claude ORCID: 0000-0001-9651-8653, Nugent, Rachel and Disease Control Priorities-3 Cardiovascular, Respiratory, and Re,
(2018) Cardiovascular, respiratory, and related disorders: key messages from Disease Control Priorities, 3rd edition. Lancet (London, England), 391 (10126). 1224 - 1236.

[img] Text
Prabhakaran et al Disease Control Priorities Lancet 2017.pdf - Accepted Version

Download (362kB)

Abstract

Cardiovascular, respiratory, and related disorders (CVRDs) are the leading causes of adult death worldwide, and substantial inequalities in care of patients with CVRDs exist between countries of high income and countries of low and middle income. Based on current trends, the UN Sustainable Development Goal to reduce premature mortality due to CVRDs by a third by 2030 will be challenging for many countries of low and middle income. We did systematic literature reviews of effectiveness and cost-effectiveness to identify priority interventions. We summarise the key findings and present a costed essential package of interventions to reduce risk of and manage CVRDs. On a population level, we recommend tobacco taxation, bans on trans fats, and compulsory reduction of salt in manufactured food products. We suggest primary health services be strengthened through the establishment of locally endorsed guidelines and ensured availability of essential medications. The policy interventions and health service delivery package we suggest could serve as the cornerstone for the management of CVRDs, and afford substantial financial risk protection for vulnerable households. We estimate that full implementation of the essential package would cost an additional US$21 per person in the average low-income country and $24 in the average lower-middle-income country. The essential package we describe could be a starting place for low-income and middle-income countries developing universal health coverage packages. Interventions could be rolled out as disease burden demands and budgets allow. Our outlined interventions provide a pathway for countries attempting to convert the UN Sustainable Development Goal commitments into tangible action.

Item Type: Article
Uncontrolled Keywords: Disease Control Priorities-3 Cardiovascular, Respiratory, and Related Disorders Author Group, Humans, Respiratory Tract Diseases, Cardiovascular Diseases, Developing Countries, Health Priorities
Depositing User: Symplectic Admin
Date Deposited: 04 Dec 2018 08:57
Last Modified: 14 Nov 2019 06:18
DOI: 10.1016/S0140-6736(17)32471-6
URI: http://livrepository.liverpool.ac.uk/id/eprint/3029277
Repository Staff Access