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Cardiovascular disease (CVD), once thought to be confined primarily
to industrialized nations, has emerged as a major health threat in
developing countries. Cardiovascular disease now accounts for
nearly 30 percent of deaths in low and middle income countries each
year, and is accompanied by significant economic repercussions. Yet
most governments, global health institutions, and development
agencies have largely overlooked CVD as they have invested in
health in developing countries. Recognizing the gap between the
compelling evidence of the global CVD burden and the investment
needed to prevent and control CVD, the National Heart, Lung, and
Blood Institute (NHLBI) turned to the IOM for advice on how to
catalyze change. In this report, the IOM recommends that the NHLBI,
development agencies, nongovernmental organizations, and
governments work toward two essential goals:
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