Global Neurosurgery in the Context of Global Public Health Practice–A Literature Review of Case Studies
Vigneshwar Raj Veerappan, Phabinly Gabriel, Nathan A. Shlobin, Katya Marks, Setthasorn Zhi Yang Ooi, Camilla G. Aukrust, Edward Ham, Hodan Abdi, Ahmed Negida, Kee B. Park, Abdessamad El Ouahabi
Abstract
and folic acid are micronutrients that, if not at adequate levels, can result in debilitating neurosurgical conditions. In Ethiopia, through coalesced efforts between neurosurgeons and policy makers, the government has made strides in implementing food fortification programs at a national level to address the neurosurgical burden. Traumatic brain injuries (TBIs) are another neurosurgical burden that unevenly affects LMICs. Countries such as Colombia and India have shown the importance of legislation and enforcement, coupled with robust data collection and auditing systems; strong academic advocacy of neurosurgeons can drastically reduce TBIs. Despite the importance of public health efforts in addressing neurosurgical conditions, there is a lack of neurosurgeon involvement in public health and lack of integration of neurosurgical burden in national health planning systems. It is imperative that neurosurgeons advocate for and are included in aspects of public health policy. Neurosurgery does not stop within the bounds of the hospital, and neither should the role of a neurosurgeon.