The Treatment Gap in Epilepsy: The Current Situation and Ways Forward

This article is a summary of a workshop held by the ILAE concerning the issue of the epilepsy treatment gap in developing countries. The gap is defined in terms of those people with epilepsy who are not being appropriately treated and is the result of an array of medical, political, social, economic...

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Bibliographic Details
Published in:Epilepsia (Copenhagen) 2001-01, Vol.42 (1), p.136-149
Main Authors: Meinardi, H., Scott, R. A., Reis, R., On Behalf Of The Ilae Commission on the Developing World, J. W. A. S. Sander
Format: Article
Language:English
Subjects:
Anticonvulsants - economics
Anticonvulsants - supply & distribution
Anticonvulsants - therapeutic use
Biological and medical sciences
Definitions
Delivery of Health Care - standards
Developing countries
Developing Countries - statistics & numerical data
Epilepsy
Epilepsy - drug therapy
Epilepsy - prevention & control
Epilepsy - therapy
Former Soviet economies
Global Health
Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy
Humans
ILAE commission
Medical sciences
Nervous system (semeiology, syndromes)
Neurology
Public health
Public Health - standards
Socioeconomic aspects
Treatment gap
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Summary:This article is a summary of a workshop held by the ILAE concerning the issue of the epilepsy treatment gap in developing countries. The gap is defined in terms of those people with epilepsy who are not being appropriately treated and is the result of an array of medical, political, social, economic, and cultural factors. The situation regarding the treatment gap for various countries is reviewed, along with some of its causes. Although the overall gap is estimated to be large, a number of recent projects and interventions have been effective in delivering appropriate treatment to people with epilepsy in underresourced countries of the developing world. It is hoped that these may be transferable elsewhere and that, combined with the ILAE/IBE/WHO Global Campaign against Epilepsy and increased support from the worldwide epilepsy community, the treatment gap will begin to be bridged.
ISSN:0013-9580
1528-1167
DOI:10.1046/j.1528-1157.2001.32800.x