Cardiovascular Risk Reduction: Where Are We Now?
Abstract
t is proved beyond doubt; with available statistics that cardiovascular disease burden is the most important public health priority in regions of epidemiologic transition. National governments have already started initiatives for addressing this priority. The national program for NCD control is an example. Though the guidelines are mostly about easily implementable and relatively noncontroversial interventions and, the program is already on the anvil, the impact of the program is yet to be felt. Even in Kerala state which has adopted the program for the whole state with considerable support by private and NGO sector, the major emphasis is on secondary prevention than on primary. Mortality reduction is certainly a priority but it should not be neglecting the efforts on morbidity reduction.
A drop of preventive care is considered to be far better than an ounce of curative care. Still prevention many a times become lip service only. Though Governments are committed towards this mission, curative services dominate and people also demand drugs because of the deep rooted concept of a ‘pill for an ill’.
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