Dr Jeyaraj D Pandian, Vice-President, WSO and Dr Bo Norrving, Past President of WSO participated as members of Strategic Technical Advisory Group (STAG) meeting of WHO on 29th and 30th June. The agenda was to develop the Global Action Plan for the Prevention and Control of NCDs 2025-2030. The meeting was organized by Dr Bente Mikkelsen, Director NCD Department at WHO. About 42 members from the STAG and WHO participated in the two days discussion. There were 5 priorities: To raise the priority accorded to the prevention and control of noncommunicable diseases in global, regional and national agendas and internationally agreed development goals, through strengthened international cooperation and advocacy; To strengthen national capacity, leadership, governance, multisectoral action and partnerships to accelerate country response for the prevention and control of noncommunicable diseases; To reduce modifiable risk factors for noncommunicable diseases and underlying social determinants through creation of health-promoting environment; To strengthen and orient health systems to address the prevention and control of noncommunicable diseases and the underlying social determinants through people-centred primary health care and universal health coverage; and To promote and support national capacity for high-quality research and development for the prevention and control of noncommunicable diseases.
The key highlights for stroke are the following cost-effective interventions recommended by WHO:
1. Pharmacological treatment for hypertension
2. Drug therapy and control of risk factors in patients with high risk of CVD
3. Treatment of acute ischemic stroke with intravenous thrombolytic therapy
4. Treatment of acute ischemic stroke with mechanical thrombectomy within an experienced facility
5. Low-dose acetylsalicylic acid within 24 to 48 hours for secondary prevention of ischemic stroke
6. Comprehensive care of acute stroke patients in stroke units with a multidisciplinary team
Besides the above recommendations, for primary prevention of stroke, in patients with low to moderate risk using community health workers was also emphasized by Prof Bo Norrving and Prof Pandian. The current recommendations will be further discussed with the members States and the UN organizations before taking it up with non-state stakeholders. The concluding remarks were given by the Director General Dr Tedros Adhanom Ghebreyesus.
Achieving our vision of a life free from stroke is a task that WSO cannot achieve alone. We are committed to building our partnerships at the global, regional and national level to scale up and deliver improvements in prevention, treatment and support to reduce the burden of stroke.