International Journal of Epidemiology 2001;30:201-205
© International Epidemiological Association 2001
Editorial |
Exporting failure? Coronary heart disease and stroke in developing countries
Department of Social Medicine, University of Bristol, Canynge Hall, Whiteladies Road, Bristol BS8 2PR, UK.
Developing countries and the burden of coronary heart disease and stroke
The burden of coronary heart disease (CHD) and stroke is considerable, representing 30% of all deaths worldwide, that is about 15 million deaths a year, of which 11 million are in developing or transitional countries.1 Commentators have pre-dicted a global epidemic of cardiovascular disease on the basis of current trends.2 One enthusiast has even stated that ‘In fact, cardiovascular disease is already the leading cause of death not only in developed countries but, as of the mid-1990s, in developing countries as well’,3 a statement not supported by data in the World Health Report 2000.4 Citing statistics in this way undoubtedly fuels the view that ‘something must be done’, promulgated by bodies such as the World Heart Federation.1 Clearly the absolute numbers of deaths should be related to the population at risk, which is substantially greater in developing countries of the world. The Global Burden of Disease study has attempted to
Health promotion for cardiovascular diseases: the evidence
Multiple risk factor interventions
Smoking cessation programmes
Health promotion policy for developing countries
So, what do we do?
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