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Technical Brief on Parkinson Diseases | Public Health Approach

by Nirdesh Baral
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Technical Brief on Parkinson Diseases | Public Health Approach : The Parkinson disease: A public health approach technical brief outlines the global burden, treatment gaps and crucial areas for actions for Parkinson disease (PD) and provides considerations for policies, implementation and research with a focus on low- and middle-income countries (LMIC).

Globally, disability and death due to Parkinson disease are increasing faster than for any other neurological disorder. Despite the significant impact, there is inequality in the availability of resources to manage the disease, especially in LMIC. The technical brief on PD is targeted to policy-makers, health programme managers and planners, health-care providers, researchers, people with PD and their carers and will support the implementation of the intersectoral action plan on epilepsy and other neurological disorders.

The prevalence of PD has doubled in the past 25 years . The numbers are likely even higher when the many people living with various forms of parkinsonism are included, such as those caused by degenerative conditions (atypical parkinsonism), vascular lesions in the brain or adverse effects of medications such as neuroleptics. The data on incidence and prevalence are inconsistent, particularly for LMIC  and for ethnic minorities in high-income countries (HIC), because of financial and geographical barriers to health care, underreporting of cases, misdiagnosis, lack of awareness of PD and incorrect perceptions that the decline associated with PD (e.g., slowing down or becoming stooped) is part of “normal” ageing. The inconsistent data make it difficult to estimate the global impact of PD accurately. Current estimates suggest that, in 2019, PD resulted in 5.8 million disability-adjusted life years, an increase of 81% since 2000, and caused 329,000 deaths, an increase of over 100% since 2000

  • 23% of countries worldwide had neurologists in rural areas.
  • 16% of countries reported specialized neuro rehabilitation services. 8.5% of countries have integrated palliative care in health services.
  • Resources and educational material in local languages are rarely available so many people with Parkinson disease and their families are unaware of the disease.
  • Diagnosis of Parkinson disease can be done in primary care facilities by trained healthcare workers.

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