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International Journal of Epidemiology 2001;30:1493-1494
© International Epidemiological Association 2001

Letter to the Editor

Coronary heart disease and stroke in developing countries: time to act

Pekka Puska

Noncommunicable Disease Prevention and Health Promotion World Health Organization, Geneva, Switzerland.

Sirs—I was greatly confused by the article from Shah Ebrahim and George Davey Smith on ‘Exporting failure? Coronary heart disease and stroke in developing countries' in the Journal.1 What was the message?

In some respect it brought to my mind a similar editorial from the Journal 28 years ago; ‘Shot gun prevention?’ in 1973.2 That editorial started ‘Are we yet ready to attack coronary artery disease through prevention programmes in the community?’ The text was critical of the start of the North Karelia Project in Finland and stated that further research and development is needed, with reference . . . [Full Text of this Article]

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