ALLEVIATING NEUROSURGICAL DISEASE BURDEN FROM WAKE OF PANDEMIC TO HAVOC OF FLOODING IN PAKISTAN. NEUROSURGICAL RURAL OUTREACH SURVEY TO MEET GLOBAL NEUROSURGERY CHALLENGES

Background: In Pakistan, neurosurgical diseases pose a significant health challenge, particularly in rural regions where medical resources and awareness are limited. Factors such as socioeconomic status, cultural beliefs, and a deficient healthcare infrastructure further exacerbate the burden of neurological illnesses. Methods: This study employed a structured survey conducted across 19 surgical camps in a combined area of 149,757.6 km², facilitated by the Government of Pakistan. A total of 1,793 patients underwent assessment for neurosurgical conditions, with a detailed analysis of city-specific data to identify regional disparities. Results: The findings revealed that 16.45% of the patients required urgent surgical intervention. Of these, 42.37% were diagnosed with hydrocephalus and 30% with Degenerative Disc Disease (DDD). The prevalence of hydrocephalus was notably higher in rural areas (53.65%), with only 13.89% of the necessary surgeries being performed in these remote locations. Conclusion: The significant incidence of neurosurgical diseases in rural areas underscores the need for innovative approaches in detection, treatment, and management. Implementing capacity-building initiatives, telemedicine, mobile surgical units, and enhancing community participation could significantly improve health outcomes and quality of life for affected populations.