Report Brief, Report Summary, and

Full Report can be downloaded for free:

www.iom.edu/globalcvd

PRESENTATION BY JOHN W. FARQUHAR, M.D., PROFESSOR OF MEDICINE AND HEALTH RESEARCH AND POLICY, STANFORD UNIVERSITY, 11/15/2010

Policy Document Institute of Medicine: June, 2010

Beaglehole and Bonita, 2008

Neglected Chronic Diseases Carry Economic Costs

•In 2005, it was estimated that India lost 9 billion USD in national income from premature deaths

due to heart disease, stroke and diabetes

•These losses are expected to cumulatively lead to 237 Billion USD by 2015

•Source: World Health Organization

CVDRisk FactorsDiet, Tobacco,

Physical Inactivity, Obesity,

Hypertension Hyperlipidemia,

Diabetes

End-Organ DiseaseCardiovascular, Renal Cerebrovascular, Eye

Genetic &Intrauterine

Factors

Broad Social & Economic,

Cultural & Environmental

Conditions & Policies

Identify Need Discover CapacityCommit to  Action

CancerRespiratory Dz

Factors Within a Life Course Perspective

Poverty

Develop and Pretest Methods

Build CapacityImplement

A Multi-LevelIntervention

Evaluate andRecycle as Needed

DisseminateLocally & Globally

Sequence of Events

Drivers of ChangeToward Globalization

 Industrialization, Science &

Information Technology

Urbanization

Efficient Agriculture &

Marketing

CVD Risk Factors

Strategies Needed: Prevention (primordial, primary and secondary);Economic Development; Partnerships for Global Action; Support from the Developed World; Continuous

Measurement; Future Needs will Define New Strategies

• A Call For Action

May 28, 1992

We have the scientific knowledge to create a world in which most heart disease and stroke could be eliminated.

Dr. John W. Farquhar, Chair, Advisory Board, International Heart Health Conference

UN Millennium Goals (see WWW.milleniumproject.org)

• 191 UN members, yr 2000, goal 0.7% GNI aid for Int Development• Achievements by 2009:• 1.02-0.082, Sweden, Norway, Lux, Denmark, Netherlands• 0.55-0.46, Belgium, Finland, Ireland, UK, Swiss, France, Spain• 0.35-0.23, Germany, Austria, Canada, NZ, Portugal• 0.2-0.1, US, Greece, Japan, Italy, Korea (US 19th of 22 in 2009)• Good News: US private aid highest in world and 2x government aid• Smart aid helps:--Bangladesh: measles immunization & mortality• See millenium villages (Jeffrey Sachs, Earth Institute, Columbia U)• Severe poverty fell from 40% to 20%, 1981 to 2009• Recent surge interest global health: US med schools & students

Need for action• Robert Proctor, Dept of History, states: one billion

deaths from tobacco predicted in the 21st Century • NYTimes, 11/14/10: Cigarette Giants in a Global Fight

against regulations in developing countries, (so, one billion is not enough?)

• John Donne in 1630, ‘no man is an island, entire of itself...any man’s death diminishes me, because I am involved in mankind, & therefore never send to know for whom the bell tolls, it tolls for thee’

• So: A Call (to thee) for Action on Global Health, including political pressure, with a united front of scientists and all health professionals!