This policy brief provides an overview of the magnitude and context of cardiovascular disease, the mitigation strategies and their inefficiencies, as well as recommendations on what policy and decision-makers should do to address it.
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1 Policy Brief on Cardiovascular Disease Name Lecturer Course Date
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2 Policy Brief on Cardiovascular Disease Executive Summary Cardiovascular diseases have been identified s one of the major issues of health concern in the world. The disease has been causing a lot of social and economic challenges to individuals, families, communities, and governments which have had to bear its costs. One thing that is, however, known about the disease is that it is mainly behavioral. It is a lifestyle disease that is linked to poor and unhealthy decisions that people do make such as smoking, physical inactivity and poor eating habits. These are, however, problems that can be addressed if appropriate measures are taken. This paper is a policy brief that gives a short, but comprehensive overview of the magnitude and context of the cardiovascular disease, the mitigation strategies and their inefficiencies, as well as the recommendations on what the policy and decision-makers should do to ultimately-address it. Context and Importance of the Problem Cardiovascular disease (CVD) refers to the ailment that affects the human heart. It comprises of different diseases. Such illnesses are often identified by a wide range of signs and symptoms which include shortness of the breath, chest pains, and pains in the legs, neck, back, upper abdomen, throat, jaw, dizziness, racing heartbeat, fainting, and many others. CVD has become an issue of concern because it has been causing a lot of problems to the people in Australia and the world at large. It affects both men and women(Bauer, Briss, Goodman & Bowman 2014). As already hinted, CVD is a lifestyle condition that mainly arises from the behaviors that people do portray on daily basis. Research has established that the disease is linked to different causes. Its causes include ischemic heart disease, ischemic stroke, atrial
3 fibrillation, peripheral arterial disease, aortic aneurysm, cardiomyopathy and myocarditis, hypertensive heart disease, endocarditis and rheumatic heart disease. Other cause of CVDs includes maternal, neonatal and nutritional disorders. It has been observed that prevalence of CVDs is more in male as compared to the female. In terms of prevalence, the disease has been discovered to be on the rise. Statistics indicate that the global burden of CVDs is more and it is being increasing because of its complex nature and multiple causes. In 2015, global death due to CVDs estimated to be 17921047, 9419637 and 8501409 for total population, males and females respectively in all the age group people. Age standardised deaths due to CVDs were found to be 286, 242 and 335 per 100000 population in total population, female and male population respectively. Following are the representative countries with lower level prevalence – Singapore, Japan, South Korea; middle level prevalence –United States and United Arab Emirates; and highest-level prevalence – West Africa, Iran, Oman. From 1990 – 2015, it has been estimated that there was no significant change in the prevalence of CVDs. This might be due to the unavailability of the data. The CVDs have been troubling people for many years. It is increasingly becoming a threat because the human beings have been reluctant to change their lifestyles. This policy brief is, therefore, useful because it will help in providing a long-term and ultimate solution for the disease(O'Keefe, Bhatti, Patil, DiNicolantonio, Lucan & Lavie 2013). If its recommendations are adopted, the brief will serve its purpose of helping in the reduction of the high prevalence of CVDs. As it is today, the CVDs have become a threat to everyone because the kind of life that people entertain makes them vulnerable. For example, today, people have become obsessed with the fast foods because they are ready-to-eat time-saving products(Wang, Ouyang, Liu, Zhu, Zhao, Bao & Hu 2014). At the same time, unlimited commitments have made it challenging for
4 them to embrace physical exercises. Meaning, if these lifestyles are not changed, the prevalence of CVDs will continue rising. Apart from reducing the prevalence of the disease, the policy brief will help in minimizing the CVD-related deaths, as well as the economic burden that it poses on the global community. Critique of Policy Option CVD is not anew disease because it has been there for many years. However, the disease still persists and becomes more serious as times goes by. Since it is a global crisis, the fight against the disease has been fought both at local, national, and international levels. This paper focuses on the efforts so far made by the United Nations (UN). The Third Sustainable Global Development (SGD) is the latest policy-framework that the UN has come up with to help in addressing the problem. In this [policy, the organization plans to minimize the prevalence of the CVDs by a third. Meaning, it does not plan to fully-eradicate, but simply to reduce its occurrence by some extent. In its plan, the UN has committed itself to minimizing the rate of infection by a third(Chigumete, Rath, Bosman & Srinivas 2016). This is quite dismal because it does not realize that the remaining two-thirds also need to be salvaged. As an international organization, the UN should have acknowledged that the CVDs have been causing major threats to many countries especially the underdeveloped ones which have become quite vulnerable due to a large section of the population whose social, economic, behavioral, and environmental determinants put them at a disadvantaged position(Rath, Patnala, Bosman & Srinivas 2016). The proposals so far made are not effective because they cannot help in providing a permanent solution to the problem(Santulli 2013). The organization failed to acknowledge that as the umbrella body, it should come up with short-term plans which can be
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5 addressed within the shortest time possible. SDG is not an original policy framework because it is just a rebrand and labeling of the previous policy-frame works each of which have failed. Its approach, scope, and strategies cannot be relied upon to eradicate the CVDs because they are inefficient and ineffective(Nichols, Townsend, Scarborough & Rayner 2013). Policy Recommendations It is quite evident that the efforts so far made in the fight against the CVDs have not yielded much fruit. That is why the prevalence rates of the disease have been on the rise. Although it came up with theThird Sustainable Global Development (SGD), the UN has not shown serious commitments in dealing with the infection(Chigumete, Rath, Bosman & Srinivas 2016). The plan to reduce the rate of infection by a mere third is a disservice to the global population. In this regard, this brief recommends the following: First, there should be CVS health promotion campaigns in each of the countries across the world. The health promotion campaigns should be offered to individuals, families, and communities because it can equip them with all; the necessary information they need to know about CVDs, their causes, risk factors, prevention, management, and treatment. One of the most important lessons that the people should be taught during such campaigns is the way they can change their behaviors and refrain from lifestyles which make them vulnerable to CVDs(De Souza, et al. 2015). Such behaviors include smoking, physical inactivity, and poor diet. Instead, the public should be encouraged to start using balanced diet and refrain from the foods containing too much fat and calories like palm oil, coconut oil, full-fat dairy products, red meat, chips, cookies, margarines, snacks, and deep-fried fast foods. When it comes to physical inactivity, the public should be educated to spend some few minutes, at least, to help in
6 improving the condition of their fitness. Physical exercise can also play a significant role in improving the body weight and making it fit and safe(Nishimura, et al. 2014). At the same time, the campaigns should be focused on teaching the public on issues to do with sleep and stress management. They can also be of great contribution when it comes to the management and prevention of CVDs. Secondly and lastly, all the countries should be committed towards the creation of health equity and equality and equity within their borders. As already highlighted, the CVDs are skewed and unevenly distributed in the world. The prevalence of the diseases is determined by the social, economic, behavioral, and environmental factors that influence the health of people. However, since these determinants vary from one place to another, the disease has to be more prevalent amongst the underprivileged than the advantaged sections of the population. Hence, the best thing to do to address the problem is to promote health equality and equity. Meaning, everyone should have an unrestricted access to cardiovascular services(Nichols, Townsend, Scarborough & Rayner 2014). To achieve this, the government should construct enough cardiovascular services and evenly distribute them to all the corners of the country. In addition to this, the government should empower the poor people by providing them with subsidies or offering them free CVD services whenever they need them. At the same time, the government needs to hire enough VCVDs specialists and provide them with the necessary training and support that they need at all times(Fahed, Gelb, Seidman & Seidman 2013). If this is done as recommended, the cases of CVDs will have to tremendously decline since everyone will have been empowered to access CVD services like screening which means a lot to their health.
7 References Bauer, U.E., Briss, P.A., Goodman, R.A. & Bowman, B.A., 2014. Prevention of chronic disease in the 21st century: elimination of the leading preventable causes of premature death and disability in the USA.The Lancet,384(9937), pp.45-52. Chigumete, T.G., Rath, S., Bosman, S.J. & Srinivas, S.C., 2016. Healthy Diets and Sustainable Development Goals.Indian Journal of Pharmacy Practice,9(2), p.103. De Souza, R.J., Mente, A., Maroleanu, A., Cozma, A.I., Ha, V., Kishibe, T., Uleryk, E., Budylowski, P., Schünemann, H., Beyene, J. & Anand, S.S., 2015. Intake of saturated and trans unsaturated fatty acids and risk of all cause mortality, cardiovascular disease, and type 2 diabetes: systematic review and meta-analysis of observational studies.Bmj, 351, p.h3978. Fahed, A.C., Gelb, B.D., Seidman, J.G. & Seidman, C.E., 2013. Genetics of congenital heart disease: the glass half empty.Circulation research,112(4), pp.707-720. Nichols, M., Townsend, N., Scarborough, P. & Rayner, M., 2013. Cardiovascular disease in Europe: epidemiological update.European heart journal,34(39), pp.3028-3034. Nichols, M., Townsend, N., Scarborough, P. & Rayner, M., 2014. Cardiovascular disease in Europe 2014: epidemiological update.European heart journal,35(42), pp.2950-2959. Nishimura, R.A., Otto, C.M., Bonow, R.O., Carabello, B.A., Erwin, J.P., Guyton, R.A., O'Gara, P.T., Ruiz, C.E., Skubas, N.J., Sorajja, P. & Sundt, T.M., 2014. 2014 AHA/ACC guideline for the management of patients with valvular heart disease: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines.Journal of the American College of Cardiology,63(22), pp.2438- 2488.
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8 O'Keefe, J.H., Bhatti, S.K., Patil, H.R., DiNicolantonio, J.J., Lucan, S.C. & Lavie, C.J., 2013. Effects of habitual coffee consumption on cardiometabolic disease, cardiovascular health, and all-cause mortality.Journal of the American College of Cardiology,62(12), pp.1043- 1051. Rath, S., Patnala, S., Bosman, S.J. & Srinivas, S., 2016. Sustainable Development Goals and Addressing Non-communicable Diseases.Indian Journal of Pharmacy Practice,9(2), p.67. Santulli, G., 2013. Epidemiology of cardiovascular disease in the 21st century: updated numbers and updated facts.J Cardiovasc Dis,1(1), pp.1-2. Wang, X., Ouyang, Y., Liu, J., Zhu, M., Zhao, G., Bao, W. & Hu, F.B., 2014. Fruit & vegetable consumption and mortality from all causes, cardiovascular disease, and cancer: systematic review and dose-response meta-analysis of prospective cohort studies.Bmj, 349, p.g4490.