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The Future Role of the United States in Global Health: Emphasis on Cardiovascular Disease
Valentin Fuster1, Jendayi Frazer2, Megan Snair3
1Icahn School of Medicine at Mount Sinai, Zena and Michael A. Wiener Cardiovascular Institute, New York, New York; Centro Nacional de Investigaciones Cardiovasculares Carlos III, Madrid, Spain.
Insights
Global health investment must shift from infectious diseases to noncommunicable diseases like cardiovascular disease. Recommendations include improving early detection, risk factor mitigation, and strengthening global health infrastructure.
Area of Science:
- Global Health
- Public Health Policy
- Epidemiology
Background:
- Historically, U.S. global health investments prioritized infectious diseases like tuberculosis, malaria, and HIV/AIDS, achieving notable success.
- While continued efforts in infectious disease management are crucial, a significant global burden now stems from noncommunicable diseases (NCDs).
Purpose of the Study:
- To address the growing challenge of NCDs within global health strategies.
- To outline recommendations for shifting focus towards chronic diseases, particularly cardiovascular disease, in global health initiatives.
Main Methods:
- A Committee of the National Academies of Sciences, Engineering, and Medicine reviewed current global health priorities.
- The committee developed 14 recommendations to guide future investments and strategies.
Main Results:
- The recommendations advocate for sustained infectious disease control alongside increased emphasis on NCDs, especially cardiovascular disease.
- Key strategies include enhancing early detection, treatment, and risk factor mitigation for chronic diseases.
Conclusions:
- Global health infrastructure requires adaptation to incorporate comprehensive management of cardiovascular disease.
- Developing robust global partnerships, public-private ventures, and addressing leadership gaps are essential for meeting the evolving global health challenges.
Abstract:
U.S. global health investment has focused on detection, treatment, and eradication of infectious diseases such as tuberculosis, malaria, and human immunodeficiency virus/acquired immunodeficiency syndrome, with significant results. Although efforts should be maintained and expanded to provide ongoing therapy for chronic infectious disease, there is a pressing need to meet the challenge of noncommunicable diseases, which constitute the highest burden of diseases globally. A Committee of the National Academies of Sciences, Engineering, and Medicine has made 14 recommendations that require ongoing commitments to eradication of infectious disease and increase the emphasis on chronic diseases such as cardiovascular disease. These include improving early detection and treatment, mitigating disease risk factors, shifting global health infrastructure to include management of cardiovascular disease, developing global partners and private-public ventures to meet infrastructure and funding challenges, streamlining medical product development and supply, increasing research and development capacity, and addressing gaps in global political and institutional leadership to meet the shifting challenge.
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