EPIDEMIOLOGI STROKE Oleh Santi Martini DepartemenEpidemiologi FKM Unair
Hippocrates (400 BC) wrote in his aphorisms on apoplexy, “persons are most subject to apoplexy between the ages of forty and sixty” and attacks of numbness might reflect “impending apoplexy.”He astutely noted that “when persons in good health are suddenly seized with pains in the head and straightaway are laid down speechless and breathe with stertor, they die in seven days when fever comes on.”
INTRODUCTION DATA BANKS AND STROKE REGISTRIES Stroke Units, Stroke Specialists, and Stroke Nurses STROKE AS A MODEL EXAMPLE OF BRAIN AND VASCULAR DISEASE STROKE CARE
PATHOLOGY: MECHANISMS OF CEREBROVASCULAR DAMAGE TO BRAIN TISSUE Source: page 28 of Caplan”s Stroke
Sampling of 192 countries ranked by age-adjusted stroke mortality (from highest to lowest, median 111 per 100 000) Johnston SC et al. International Stroke Conference 2009; February 20, 2009; San Diego, CA.
Priorities for Action • A Comprehensive approach • Multisectoral action • Surveillance and monitoring • Health system • Best buys • Sustainable development • Civil society and the private sector Source: page 7 of Global Status Report on NCD 2010
THE NEW CONCEPTS of Public Health by Donald Acheson, the Chief Medical Officer for England “the science and art of preventing disease, prolonging life and promoting health through the organised efforts of society.