Health Talk: Neurological disorders– the neglected burden

THe domain wellness organisation (WHO) on tues warned that neurologic disorders are linked to at least 11 million deaths worldwide each year, even as fewer than one in three countries has a national policy to tackle the growing health burden.WHO’s new global status report on neurology shows that neurological conditions now affect more than 40% of the global population – over 3 billion people.The top 10 neurological conditions contributing to death and disability as of 2021 were stroke, neonatal encephalopathy, migraine, Alzheimer’s disease and other dementias, diabetic neuropathy, meningitis, idiopathic epilepsy, neurological complications linked to preterm birth, autism spectrum disorders, and cancers of the nervous systems.Also Read: AIIMS-trained neurologist shares 5 serious reasons why you might have severe headaches even with a normal MRILow-income countries have more than 80 times fewer neurologists compared to high-income nations despite the high burden of these diseases. Many low- and middle-income countries lack national plans, budgets and workforce— a scary picture, and which is why the UN health body is calling for urgent, evidence-based and coordinated global action to prioritise brain health and expand neurological care.“With more than 1 in 3 people in the world living with conditions affecting their brain we must do all we can to improve the health care they need,” said Jeremy Farrar, WHO assistant director-general, division of health promotion, disease prevention and control, in a statement. “Many of these neurological conditions can be prevented or effectively treated, yet services remain out of reach for most – especially in rural and underserved areas – where people too often face stigma, social exclusion and financial hardship. We must work together to ensure we put patients and their families first and that brain health is prioritised and properly invested in.”The first-of-its-kind report highlights that only 53% of WHO Member States (102 countries out of 194) contributed to this report – an indicator of the limited attention given to neurology. Just 32% of Member States (63 countries) have a national policy addressing neurological disorders, and only 18% (34 countries) report having dedicated funding to address them.Also Read: Brains preserved at KGMU to unlock secrets of neurological diseasesWithout strong policy frameworks, health systems remain fragmented, under-resourced and ill-equipped to meet the needs of patients and families, it said. While public awareness-raising campaigns and advocacy efforts are making progress, there is still significant room to strengthen them – reducing stigma, accelerating reform, and ensuring millions receive the care, and recognition they deserve.Essential services are out of reach for most people. Only 25% of Member States (49 countries) include neurological disorders in their universal health coverage benefit packages. Critical services such as stroke units, pediatric neurology, rehabilitation, and palliative care are frequently lacking or concentrated in urban areas, leaving rural and underserved populations without access to lifesaving and life-sustaining care.The report reveals a severe lack of qualified health professionals, with low-income countries facing up to 82 times fewer neurologists per 100 000 people compared to high-income nations. This shortage means that for many patients, timely diagnosis, treatment, and ongoing care are simply out of reach.Also Read: Neurological conditions leading cause of ill health, disability globally: LancetWithout action, the burden of neurological disorders will continue to rise, deepening global health inequalities. WHO urged governments to: Make neurological disorders a policy priority through bold leadership and sustained investment; expand access to neurological care through universal health coverage and health system strengthening; promote brain health across the life course with coordinated intersectoral action targeting key risk and protective factors; and strengthen data systems and monitoring for evidence-informed decision-making and accountability.