Welcome to the WSC 2021 Interactive Program
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- WSC TV - Live Session - Pre-Recorded Session with Live Q&A - On Demand Session (watch anytime) - Session with Voting
Policy and Pragmatic Solutions to Improve Global Surveillance of Stroke and its Risk Factors
Policy and Pragmatic Solutions to Improve Primary and Secondary Prevention of Stroke
The 2-3-fold increase in stroke burden across the globe clearly indicates that primary stroke prevention strategies are either not used widely enough or not effective. There are also major between-country gaps in the proportion of recurrent strokes, with some countries (even some developed countries, such as New Zealand) not showing a trend towards improvement at all or very little improvement over the last 30 years. This is suggestive of insufficient implementation of proven effective secondary stroke prevention strategies across the globe, with developing countries suffering the most. This unsatisfactory situation requires analysis of causes of failing primary and secondary stroke prevention strategies and outlining directions and action plans for improving the situation.
In my presentation I will discuss the current trends in stroke burden and risk factors in the world and focus on promising, validated and affordable primary stroke prevention strategies that could be applied across the globe, using strategies outlined in the recent World Stroke Organization Declaration on primary stroke and dementia prevention. These include population-wide and mass individual motivational prevention strategies via widely available and free to use eHealth technologies, such as the Stroke Riskometer app, community interventions by nurses and health volunteers and polypill for people at risk of stroke. I argue that the best way for implementing these strategies is through the support of the WHO and other major international health organisations for these strategies, followed by their inclusion into national and international stroke prevention guidelines endorsed by the national Ministries of Health.
Policy and Pragmatic Solutions to Improve Hyperacute and Acute Stroke Care
Policy and Pragmatic Solutions to Improve Rehabilitation and Re-integration of Stroke Survivors
Stroke rehabilitation is fragmented in low and middle income countries (LMICs). Most of the patients are discharged to their homes and the relatives become the caregivers. Outpatient and in patient rehabilitation facilities are available in urban areas however the rural folks are left without any access to rehabilitation. Caregiver driven stroke rehabilitation model has been tested in India which needs further modifications. Delivery of stroke rehabilitation using nurses has been tested in China eventhough it was feasible but there was no improvement in outcome. Training of community health workers in stroke rehabilitation has been found effective in South Africa. Multiprong approach is needed in LMICs in the effective implementation of stroke rehabilitation. Training of caregivers, nurses, community health workers and integration with low cost telerehabilitation (WhastApp or any other portal) is the way forward for developing stroke rehabilitation in LMICs.