Fighting Against Stroke in Latin America: A Joint Effort of Medical Professional Societies and Governments

• DOI: 10.3389/fneur.2021.743732
• Publication Date: 2021-10-01T09:07:07Z
• Authors: Sheila Cristina O...; Pablo Lavados; Thaís Leite Secchi; Michael Brainin; Sebastian Ameriso; Fernando Gongora-...; Claudio Sacks; Carlos Cantú-Brito; Tony Fabian Alvar...; Germán Enrique Pé...; Mario Muñoz Collazos; Miguel A. Barboza; Antonio Arauz; Carlos Abanto Arg...; Nelson Novarro-Es...; Hector Ignacio Am...; Roberto Crosa; Claudia Camejo; Ricardo Mernes; Nelson Maldonado; Daissy Liliana Mo...; Octávio Marques P...; Gisele Sampaio Silva; Leonardo Augusto ...; Ana Claudia de Souza; Eduardo David Gom...; Alan Flores; Donoban Melgarejo; Irving R. Santos ...; Arnold Hoppe; João José Freitas...; Francisco Mont'Al...; Pablo Amaya; Hernan Bayona; Victor Hugo Navia...; Juan Carlos Duran; Victor C. Urrutia; Denizar Vianna Ar...; Valery L. Feigin; Raul G. Nogueira
• Keywords: Stroke; Declaration

Introduction: Stroke is one of the leading causes death in Latin America, a region with countless gaps to be addressed decrease its burden. In 2018, at first American Ministerial Meeting, stroke physician and healthcare manager representatives from 13 countries signed Declaration Gramado priorities improve region, commitment implement all evidence-based strategies for care. The second meeting March 2020 reviewed achievements 2 years discussed new objectives. This paper will review 2-year advances future plans alliance stroke. Method: 2020, survey based on items was sent neurologists participants Meetings. results were confirmed Ministries Health leaders Meeting. Results: years, public awareness initiatives increased 25 75% countries. All have started programs encourage physical activity, there has been an increase number that implement, least partially, identify treat hypertension, diabetes, lifestyle risk factors. Programs dyslipidemia atrial fibrillation still remained poor. centers 322 448, them providing intravenous thrombolysis, units. mechanical thrombectomy, but mostly restricted few private hospitals. Pre-hospital organization remains limited. utilization telemedicine hospitals not widely available throughout country. Patients late, if any, access rehabilitation after hospital discharge. Conclusion: initiative collaborate, exchange experiences, unite societies governments care America yielded good results. Important made terms increasing acute services, implementing reperfusion treatments creating detection treatment We hope this approach can reduce inequalities serves as model other under-resourced environments.