UN Millennium Development Goals (MDGs) Can We Halt Stroke Epidemic in India?

Dalal, Praful
September 2007
Annals of Indian Academy of Neurology;2007 Supplement 2, Vol. 10, p57
Academic Journal
India will soon face an enormous socio-economic burden on the costs of the rehabilitation of stroke-survivors because the population is now surviving through peak years (age 55-56) of occurrence of stroke or Cerebrovascular Accident (CVA). Community surveys from many regions show crude prevalence rate for stroke presumed to be of vacular origin in the range of 90-222 per 100,000 persons. Hence, major risk factors identified have been hypertension (>95 mmHg diastolic), hyperglycenmia tobacco use and low levels (<10 gm%) of normal haemoglobin. Global Burden of Disease (GBD) study, in 1990, reported 94 million deaths in India of which 619,000 deaths were from 'stroke'-suggesting mortality of 73 per 100,000 persons. This mortality rate was almost 22 times greater and Disability Adjusted Life Years (DALYs) lost were nearly six times higher than that due to Malaria. For effective prevention strategies, public awareness and health education on warning symptoms of hypertension and Stroke (CVA) by use of existing mass media is vital. In the absence of Computerised Tomography (CT) facilities in rural areas, primary health care doctors should receive training on nomenclature and clinical diagnosis. Community surveys to detect 'stroke-prone' subjects should be undertaken, wherever feasible. Medico-social medicines. Life style changes, dietary habits and intensive campaign against tobacco use will prove rewarding. The National Councils should interact with various agencies (health, industry, finance etc.) to coordinate actions at all levels.


Related Articles

  • Factors associated with stroke direct cost in francophone West Africa, Benin example. Gnonlonfoun, Dieu Donné; Adoukonou, Thierry; Adjien, Constant; Nkouei, Emma; Houinato, Dismand; Avode, Dossou Gilbert; Preux, Pierre Marie // World Journal of Neuroscience;Nov2013, Vol. 3 Issue 4, p287 

    Background: In sub-Saharan Africa, stroke constitutes a public health issue. Few studies were conducted to assess the cost involved in its treatment. Objective: To determine the factors involved in direct cost of stroke in Cotonou-Benin. Method: It consists in a transversal and prospective...

  • Chapter 1: Introduction.  // WHO Expert Consultation on Rabies;2005, p11 

    Chapter 1 of the book "WHO Expert Consultation on Rabies" is presented. It highlights awareness of human rabies deaths and its prevention in developing countries. It explores methods to estimate the burden of rabies. It also discusses the estimated burden of rabies in the world, particularly in...

  • Stroke: Time for a Global Campaign? Bogousslavsky, J.; Aarli, J.; Kimura, J. // Cerebrovascular Diseases;2003, Vol. 16 Issue 2, p111 

    Comments on the need for a global awareness campaign on stroke. Annual global mortality rate of stroke; Cost associated with stroke in western countries; Benefits of a public stroke campaign; Challenges of such a campaign at a global level; Efforts of the World Federation of Neurology to raise...

  • The development and use of a method to compare the costs of acute stroke across Europe. Grieve, Richard; Dundas, Ruth; Beech, Roger; Wolfe, Charles // Age & Ageing;Jan2001, Vol. 30 Issue 1, p67 

    Focuses on a study which developed and implemented a method to compare the costs of acute stroke care across Europe. Subjects and methods; Results; Conclusion.

  • Annual cost for pediatric stroke care at least $42 million in United States.  // Cardiology Today;Aug2009, Vol. 12 Issue 8, p16 

    The article discusses research being done the lifetime cost of care for patients who suffered from a stroke.

  • Costs of stroke and stroke services: Determinants of patient costs and a comparison of costs of regular care and care organised in stroke services. Van Exel, Job; Koopmanschap, Marc A.; Van Wijngaarden, Jeroen D. H.; Scholte op Reimer, Wilma J. M. // Cost Effectiveness & Resource Allocation;2003, Vol. 1, p2 

    Background: Stroke is a major cause of death and long-term disability in Western societies and constitutes a major claim on health care budgets. Organising stroke care in a stroke service has recently been demonstrated to result in better health effects for patients. This paper discusses patient...

  • On the Significance of Reducing the Need for Stroke Patients to Visit the Emergency Department. Verter, Vedat; Kucukyazici, Beste; Mayo, Nancy E. // Clinical & Investigative Medicine;Dec2005, Vol. 28 Issue 6, p371 

    We studied the care-provider paths followed by 3,946 patients in Quebec in 2001. We showed that the patients flow during the three months preceding discharge from hospital can be represented by a Markov model with memory. This model enables study of four major scenarios to improve health...

  • Public health, childhood and adolescence: a pending challenge. García-Ubaque, Juan Carlos // Revista de Salud Pública;jun2012 supplement, Vol. 14 Issue 2, p2 

    The article discusses various reports published within the issue, including one on the government management of public health in Colombia, one mortality associated with epidemic outbreaks and one on health education programs.

  • A community-based exercise and education scheme for stroke survivors: a randomized controlled trial and economic evaluation. Harrington, Rachel; Taylor, Gordon; Hollinghurst, Sandra; Reed, Mary; Kay, Hazel; Wood, Victorine A. // Clinical Rehabilitation;Jan2010, Vol. 24 Issue 1, p3 

    Objective: The evaluation of a community-based exercise and education scheme for stroke survivors. Design: A single blind parallel group randomized controlled trial. Setting: Leisure and community centres in the south-west of England. Subjects: Stroke survivors (median (IQR) time post stroke...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics