The World Health Organization’s Evidenced-Based Approach to Chronic Diseases: Primary Prevention or Caring for End-Stage Disease?
Tom Judd, MS, PE, CCE, CPHQ, FACCE
Phillip Tuso, MD's, commentary excellently describes the difficult challenge of caring for people in Ethiopia with chronic kidney disease. Dr Tuso raises a very important question: How much should a developing country invest in caring for the end-stage disease state versus extensive revamping of primary care to enhance preventive interventions? On the basis of 20 years of experience as a World Health Organization (WHO) consultant, I would like to discuss how WHO addresses this important question.