Online Program

Approaches to cardiovascular disease in global health: Are we missing the boat?

Monday, November 4, 2013 : 3:30 p.m. - 3:50 p.m.

Akshaya Arya, BASc MD CCFP FCFP DLitt, Global Health Office, University of Western Ontario, Kitchener, ON, Canada
Current approaches to cardiovascular disease are limited premised on faulty biomilitary logic. We will briefly examine approaches with regard to expansion of markets with ever tightening targets of BP, cholesterol and glucose control and now the NCD push in the Global South. We will see real world evidence that challenges these underlying assumptions. We will also look at forces from key opinion leaders, to journals to patient interest groups, to regulators and physicians groups to societal factors that perpetuate such thinking. Finally we will explore how Bigger bang for the buck can be obtained by focusing on social determinants of health of the marginalized in both the Global North and South.

Learning Areas:

Chronic disease management and prevention
Provision of health care to the public
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Discuss current approaches in the Global North to chronic disease in particular cardiovascular disease. Explain why and how this approach is being migrated to the Global South. Identify faults with underlying assumptions of targets for surrogate markers with diabetes hypertension and hypercholesterolemia. Enunciate approaches to more rational decision-making to low resource settings.

Keyword(s): Chronic Diseases, Social Inequalities

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Extensive experience as a clinician, teacher, researcher, and public health specialist.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.