TITLE

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

AUTHOR(S)
Dalal, Praful
PUB. DATE
September 2007
SOURCE
Annals of Indian Academy of Neurology;2007 Supplement 2, Vol. 10, p57
SOURCE TYPE
Academic Journal
DOC. TYPE
Abstract
ABSTRACT
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.
ACCESSION #
27764397

 

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