Global Neurosurgery: Progress and Resolutions at the 75th World Health Assembly
Roxanna M. García, Kemel A. Ghotme, Anastasia Arynchyna-Smith, Priyanka Mathur, Marinus Koning, Frederick A. Boop, Dan Peterson, Natalie Sheneman, Walter D. Johnson, Kee B. Park, Dylan Griswold, Camilla G. Aukrust, Ernest J. Barthélemy, Geoffrey Ibbotson, Jeffrey P. Blount, Gail Rosseau
Abstract
Neurosurgical advocates for global surgery/neurosurgery at the 75th World Health Assembly gathered in person for the first time after the COVID-19 pandemic in Geneva, Switzerland, in May 2022. This article reviews the significant progress in the global health landscape targeting neglected neurosurgical patients, emphasizing high-level policy advocacy and international efforts to support a new World Health Assembly resolution in mandatory folic acid fortification to prevent neural tube defects. The process of developing global resolutions through the World Health Organization and its member states is summarized. Two new global initiatives focused on the surgical patients among the most vulnerable member states are discussed, the Global Surgery Foundation and the Global Action Plan on Epilepsy and other Neurological Disorders. Progress toward a neurosurgery-inspired resolution on mandatory folic acid fortification to prevent spina bifida-folate is described. In addition, priorities for moving the global health agenda forward for the neurosurgical patient as it relates to the global burden of neurological disease are reviewed after the COVID-19 pandemic.