www.thelancet.com/neurology Vol 16 November 2017 859 have the highest occurrence of neurological infections and secondary causes of epilepsy. Second, the decrease in burden of illness due to stroke and other cerebrovascular diseases in high-income countries might have resulted from better control of high blood pressure, cessation of tobacco use, and earlier interventions in the setting of acute stroke. This finding suggests that these successes can be replicated in middle-income and low-income countries if enough public health funding is put behind these efforts. Third, in both low-income and highincome countries, the overall burden of neurological disease is inevitably going to continue to increase as populations increase and grow older. Age-related neurological disorders, such as Alzheimer’s disease and other dementias, Parkinson’s disease, and neurological cancers, are going to be the large neurological public health struggles in the future. Given the worldwide shortage of neurologists and other neurological specialists, the report by Feigin, Vos, and co-authors sends out an important warning for the global public health community—pay heed to the increasing, and increasingly important, role of neurological disease in terms of public health resource allocation. Public health professionals and health-care policy makers must now implement much-needed public health interventions to address the growing need for neurological care across all ages and socioeconomic classes.

中文翻译：

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不宁腿综合征：这一切都在基因中吗？

www.thelancet.com/neurology Vol 16 November 2017 859 的神经系统感染和继发性癫痫的发生率最高。其次，高收入国家中风和其他脑血管疾病导致的疾病负担减轻可能是由于更好地控制高血压、戒烟以及对急性中风的早期干预。这一发现表明，如果为这些努力提供足够的公共卫生资金，这些成功可以在中等收入和低收入国家复制。第三，无论是在低收入国家还是高收入国家，随着人口的增加和老龄化，神经系统疾病的总体负担将不可避免地继续增加。与年龄相关的神经系统疾病，如阿尔茨海默病和其他痴呆症、帕金森病、和神经系统癌症，将成为未来重大的神经系统公共卫生斗争。鉴于神经病学家和其他神经病学专家在全球范围内短缺，费金、沃斯和合著者的报告向全球公共卫生界发出了一个重要警告——注意神经系统疾病在以下方面的作用越来越大，而且越来越重要。公共卫生资源配置。公共卫生专业人员和卫生保健政策制定者现在必须实施急需的公共卫生干预措施，以满足所有年龄段和社会经济阶层对神经病学护理日益增长的需求。和合著者向全球公共卫生界发出了一个重要警告——注意神经系统疾病在公共卫生资源分配方面的作用越来越大，而且越来越重要。公共卫生专业人员和卫生保健政策制定者现在必须实施急需的公共卫生干预措施，以满足所有年龄段和社会经济阶层对神经病学护理日益增长的需求。和合著者向全球公共卫生界发出了一个重要警告——注意神经系统疾病在公共卫生资源分配方面的作用越来越大，而且越来越重要。公共卫生专业人员和卫生保健政策制定者现在必须实施急需的公共卫生干预措施，以满足所有年龄段和社会经济阶层对神经病学护理日益增长的需求。