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Screening for cardiovascular disease risk and subsequent management in low and middle income countries: challenges and opportunities

Bovet, P.; Chiolero, A.; Paccaud, F. et al. Public Health Reviews (2015) CC

Background: Cardiovascular disease (CVD), mainly heart attack and stroke, is the leading cause of premature mortality in low and middle income countries (LMICs). Identifying and managing individuals at high risk of CVD is an important strategy to ... prevent and control CVD, in addition to multisectoral population-based interventions to reduce CVD risk factors in the entire population. Methods: We describe key public health considerations in identifying and managing individuals at high risk of CVD in LMICs. Results: A main objective of any strategy to identify individuals at high CVD risk is to maximize the number of CVD events averted while minimizing the numbers of individuals needing treatment. Scores estimating the total risk of CVD (e.g. ten-year risk of fatal and non-fatal CVD) are available for LMICs, and are based on the main CVD risk factors (history of CVD, age, sex, tobacco use, blood pressure, blood cholesterol and diabetes status). Opportunistic screening of CVD risk factors enables identification of persons with high CVD risk, but this strategy can be widely applied in low resource settings only if cost effective interventions are used (e.g. the WHO Package of Essential NCD interventions for primary health care in low resource settings package) and if treatment (generally for years) can be sustained, including continued availability ofaffordable medications and funding mechanisms that allow people to purchase medications without impoverishing them (e.g. universal access to health care). Thisalso emphasises the need to re-orient health systems in LMICs towards chronic diseases management. Conclusion: The large burden of CVD in LMICs and the fact that persons with high CVD can be identified and managed along cost-effective interventions mean that health systems need to be structured in a way that encourages patient registration, opportunistic screening of CVD risk factors, efficient procedures for the management of chronic conditions (e.g. task sharing) and provision of affordable treatment for those with high CVD risk. The focus needs to be in primary care because that is where most of the population can access health care and because CVD programmes can be run effectively at this level. more

Integrating disease outbreaks and strengthening of health in whole-of-society disaster risk management

UN Office for Disaster Risk Reduction (2024) CC

The guide aims to provide health and DRM practitioners, planners and policymakers across sectors with targeted information to help them strengthen national health systems and integrate the risks of disease outbreaks in national DRR strategies The following are some of the principles and approache ... more

Targeting stroke risk and improving outcomes in patients with atrial fibrillation in Latin America

B. StamblerI; F. ScazzusoII Sao Paulo Medical Journal (2016) C2

Identificando o risco de acidente vascular cerebral e melhorando desfechos em pacientes com fibrilação atrial na América Latina DOI: 10.1590/1516-3180.2015.0222110716 Sao Paulo Med J. 2016; 134(6):534-42

Handbook for a School-based Risk Reduction Initiative

International Federation of Red Cross and Red Crescent Societies (IFRC) (2015) C1

This handbook presents basic content and tips for implementing a school-based risk reduction programme. It is organised into five modules: its importance; approach and process; activities to benefit children up to five years old; activities for stud ... more

The Handbook on Law and Disaster Risk Reduction

International Federation of Red Cross And Red Crescent Societies, UN Development Programme (2015) C1

The Handbook on Law and Disaster Risk Reduction (the Handbook) has been developed to provide guidance on how to use the Checklist and conduct related legislative reviews and reform processes. While the methodology for using the Checklist needs to be ... more

Iron Status of Burkinabé Adolescent Girls Predicts Malaria Risk in the Following Rainy Season

Brabin, L.; S. Gies; S. A. Roberts et al. MDPI (2020) CC

High levels of storage iron may increase malaria susceptibility. This risk has not been investigated in semi-immune adolescents. We investigated whether baseline iron status of nonpregnant adolescent girls living in a high malaria transmission area ... more

Technical considerations for implementing a risk-based approach to international travel in the context of COVID-19

World Health Organization WHO (2021) C_WHO

Interim guidanceAnnex to: Policy considerations for implementing a risk-based approach to international travel in the context of COVID-19, 2 July 2021

Learning from practice: case studies of health in strategic environmental assessment and environmental impact assessment across the WHO European Region

World Health Organization WHO World Health Organization WHO (2022) C_WHO

Health is routinely considered in strategic environmental assessment (‎SEA)‎ and environmental impact assessment (‎EIA)‎, following requirements of European Union directives and the Protocol ... more

Disability Inclusion in Disaster Risk Management: Promising practices and opportunities for enhanced engagement

Guernsey, Katherine; Scherrer, Valérie Global Facility for Disaster Reduction and Recovery (GFDRR), World Bank (2018) C1

This paper provides information to assist World Bank and GFDRR staff in affecting disability-inclusive DRM. It is based upon desk reviews of existing practice, as well as consultations with experts in the field of disability-inclusive DRM. The paper:
- Illustrates promising practices related to ... more

Guidance Note on Disability and Emergency Risk Management for Health

World Health Organization; UNICEF; UNISDR; et al. (2013) C_WHO

This guidance note is intended primarily for health actors working in emergency and disaster risk management (hereafter 'emergency risk management') at the local, national or internati ... more

Inclusive Community-Based Disaster Risk Reduction: Guidance on Good Practice in the Ayeyarwaddy Delta, Myanmar

ActionAid Myanmar (2015) C1

This publication presents guidance on good practice from the Ayeyarwaddy Delta in Myanmar, outlining the key factors which contributed to the successful implementation and outcome of a range of community-based Disaster Risk Reduction initiatives imp ... more

What is VCA? An introduction to vulnerability and capacity assessment

ICRC and International Federation of Red Cross and Red Crescent Societies (2006)

Manual on Community-Based Disaster Risk Reduction

Myanmar Red Cross Society (2013) C1

Overview:
- Part A is an introductory part which will give you background information about CBDRR in Myanmar. It has a small section about the importance of CBDRR in Myanmar, the stakeholders of CBDRR in Myanmar, as well as an overview about the challenges that are faced when implementing CBDRR ... more

Advice for General Practitioners in relation to assessment and management of patients with suspected Novel Coronavirus infection

Health Protection Surveillance Centre (HSE); hpsc Health Protection Surveillance Centre (HSE); hpsc (2020) C2

v1.0, 28.01.2020

Cardiovascular disease risk profile and management practices in 45 low-income and middle-income countries: A cross-sectional study of nationally representative individual-level survey data

Peiris, D.; Ghosh, A.; Manne-Goehler, J. et al. PLoS Medicine (2021) CC

Global cardiovascular disease (CVD) burden is high and rising, especially in low-income and middle-income countries (LMICs). Focussing on 45 LMICs, we aimed to determine (1) the adult population’s median 10-year predicted CVD risk, including its v ... more

Linking Disaster Risk Reduction (DRR) and Mental Health and Psychosocial Support (MHPSS) - Practical tools, approaches and case studies

World Health Organization (WHO) and InterAgency Standing Committee (IASC), Save the Children, et al. (2021) C_WHO

Technical Note Recently, the approach to hazardous events has undergone a considerable shift, away from reactive activities focused on managing and responding to events and towards a more proactive process of emergency and disaster risk management ... more

Contraceptive eligibility for women at high risk of HIV

World Health Organization (2019) C_WHO

Guidance statement Recommendations on contraceptive methods used by women at high risk of HIV

Climate change and health: vulnerability and adaptation assessment

World Health Organisation (WHO) (2021) C_WHO

Climate change and health vulnerability and adaptation assessment In 2013 the World Health Organization (WHO) published the report Protecting health from climate change: vulnerability and adaptation a ... more

A comprehensive systematic review for identifying the risk factors for carrying aTrypanosoma cruzi infection in non-endemic countries

European Centre for Disease Prevention and Control ECDC (2024) CC

Mass population movements have accounted for the emergence of Chagas disease (CD) outside endemic regions, including the European Union/European Economic Area (EU/EEA). The parasite responsible for causing CD, Trypanosoma cruzi (T. cruzi), can be transmitted through substances of human origin (SoH ... more