Organizing the fight against cardiovascular disease in Tangshan and in the Netherlands. Tangshan, the 10th of March 2008 Prof. Ernst W. Roscam Abbing, MD, ML. Epidemiological transition. Infectious. chronic conditions.
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Organizing the fight against cardiovascular disease in Tangshan and in the Netherlands
Tangshan, the 10th of March 2008
Prof. Ernst W. Roscam Abbing, MD, ML
The importance of cardiovascular disease (CVD) as cause of death worldwide
deathcases per 100.000
cancer, men cancer, women
cardiovascular dis., men cardiovascular dis., women
We concentrate on myocardial infarction and stroke as the two most common events.
Average yearly prevalence (per 1000) of diabetes mellitus in the registration systems of general practitioners in the Netherlands
men women age
Percentage children (4-15 y.) with overweight and with obesity for age and sex in the Netherlands
boys with overweight boys with obesity age (years)
girls with overweight girls with obesity
Netherlands: percentage smokers for age and sex in 2006
Monitoring CVD with international standardized methods in China is feasible and urgently needed in view of the rapid socioeconomic development and transition of disease patterns taking place in China.
Conclusion of the Sino-MONICA Project
(Circulation. 2001;103:462-468 )
Treatment of disease
Early detection of a starting, latent disease and of an high risk profile, stimulating awareness of risks.
Health promotion, stimulating behavioral change, sometimes preventive medication
Distinction between two groups:
1. Patients who had already an episode of CVD or who have diabetes II;
2. Patients without CVD or diabetes II, but with:
- systolic blood pressure > 140 mmHg
- total cholesterol . 6.5 m mol/l
- smoking, men 50 years and older
women 55 years and older
Subregion South-East Asia D comprises amongst others: India, Bangladesh, Myanmar, Nepal;
Data for West Pacific Region, subregion B with China in it are not sufficiently available.
Collaboration between public health service, general practitioner and hospital in the Netherlands:
- Public health service (municipal health service): epidemiology and offering programs for groups; (facilitating) mass screening;
- General practitioner (GP): detection of patients at risk and referral;
- Hospital: support of the GP with laboratory facilities and in some cases treatment.