Global Neurosurgery: Progress and Resolutions at the 75th World Health Assembly

Author:

Garcia Roxanna M.1ORCID,Ghotme Kemel A.23,Arynchyna-Smith Anastasia4,Mathur Priyanka5,Koning Marinus6,Boop Frederick7,Peterson Dan8,Sheneman Natalie8,Johnson Walter D.9,Park Kee B.10,Griswold Dylan1112,Aukrust Camilla G.1314,Barthélemy Ernest J.15,Ibbotson Geoffrey16,Blount Jeffrey P.4,Rosseau Gail L.1718

Affiliation:

1. Department of Neurological Surgery, Northwestern University, Chicago, Illinois, USA;

2. Translational Neuroscience Research Lab, Faculty of Medicine, Universidad de La Sabana, Chía, Colombia;

3. Pediatric Neurosurgery, Department of Neurosurgery, Fundacion Santa Fe de Bogota, Bogota, Colombia;

4. Division of Pediatric Neurosurgery, University of Alabama at Birmingham, Birmingham, Alabama, USA;

5. McGaw Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA;

6. ReachAnother Foundation, Bend, Oregon, USA;

7. Division of Pediatric Neurosurgery, University of Tennessee Health Science Center, Memphis, Tennessee, USA;

8. The G4 Alliance, Chicago, Illinois, USA;

9. Center for Global Surgery, Loma Linda University, California, USA;

10. Global Neurosurgery Initiative, Program in Global Surgery and Social Change, Harvard Medical School, Boston, Massachusetts, USA;

11. Stanford University School of Medicine, Stanford, California, USA;

12. NIHR Group on Neurotrauma, Cambridge, United Kingdom;

13. Department of Neurosurgery, Oslo University Hospital, Oslo, Norway;

14. Department of Community Medicine and Global Health, University of Oslo, Oslo, Norway;

15. Division of Neurosurgery, SUNY Downstate Health Sciences University, Brooklyn, New York, USA;

16. The Global Surgery Foundation, Geneva, Switzerland;

17. Department of Neurosurgery, George Washington University School of Medicine and Health Sciences, Washington, District of Columbia, USA;

18. Barrow Neurological Institute, Phoenix, Arizona, USA

Abstract

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.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Neurology (clinical),Surgery

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