World Stroke Day Proclamation
STROKE: A PREVENTABLE AND TREATABLE CATASTROPHE
THE GROWING EPIDEMIC
STROKE IS PREVENTABLE
but rising globally
Aging, unhealthy diets, tobacco use, and physical inactivity, fuel a growing epidemic of high blood pressure, high cholesterol, obesity, diabetes, stroke, heart disease and vascular cognitive impairment.
Worldwide, stroke accounts for 5.7 million deaths each year and ranks second to ischemic heart disease as a cause of death; it is also a leading cause of serious disability, sparing no age, sex, ethnic origin, or country.
Four out of five strokes occur in low and middle income countries who can least afford to deal with the consequences of stroke.
If nothing is done, the predicted number of people who will die from stroke will increase to 6.7 million each year by 2015.
Six million deaths could be averted over the next 10 years if what is already known is applied.
Much can be done to prevent and treat stroke and rehabilitate those who suffer the devastating consequences of stroke.
JOIN FORCES TO PREVENT STROKE
THE SAME FEW RISK FACTORS ACCOUNT FOR THE LEADING HEALTH PROBLEMS OF THE WORLD
but research about the common threat occurs in isolation from other major chronic diseases.
The common risk factors, tobacco use, physical inactivity, and unhealthy diet, contribute to stroke, heart disease, diabetes, chronic lung disease, cancer, and pose a risk for Alzheimer’s disease.
Therefore we need to:
ENSURE WHAT WE KNOW BECOMES WHAT IS DONE
PREVENTION IS THE MOST READILY APPLICABLE AND AFFORDABLE PART OF OUR KNOWLEDGE
but prevention is neglected.
Therefore we need to:
Encourage healthy environments to support healthy habits and lifestyles.
Use effective drugs for both primary and secondary prevention. Regretfully these drugs are neither accessible nor affordable in many developing countries, nor used optimally in developed ones.
Discourage unproven, costly, or misdirected practices, which drain resources from more cost effective approaches.
Educate health professionals at all levels through a common vocabulary, a core curriculum, on-line materials, long distance mentoring, and opportunities for learning in clinical practice settings.
RECOGNIZE THE UNIQUENESS OF STROKE
THE DIFFERENT TYPES OF STROKE, ISCHEMIC (BLOCKAGE OF ARTERIES), BLEEDING INTO
(INTRACEREBRAL HEMORRHAGE) AND AROUND THE BRAIN (SUBARACHNOID HEMORRHAGE)
HAVE SPECIFIC COURSES REQUIRING SPECIAL TREATMENT AND REHABILITATION.
Therefore, we need to:
Study their causes and understand their mechanisms
Organize skilled teams of physicians, neurosurgeons, neurointerventionalists, and rehabilitation specialists to deal with these special types of stroke.
RECOGNIZE, TREAT AND PREVENT VASCULAR COGNITIVE IMPAIRMENT
SUBCLINICAL (“SILENT”) STROKES OCCUR FIVE TIMES AS OFTEN AS CLINICAL (OBVIOUS) STROKES, AND MAY AFFECT THINKING, MOOD AND PERSONALITY.
Therefore, we need to:
Recognize that vascular cognitive impairment (VCI) occurs commonly and at times hastens Alzheimer’s disease (AD)
Manage the common risk factors for stroke, VCI and AD (tobacco use, high blood pressure, high cholesterol, physical inactivity, obesity and diabetes).
BUILD TRANSDISCIPLINARY TEAMS FOR STROKE CARE AND REHABILITATION
ORGANIZED STROKE CARE IMPROVES OUTCOMES
but remains the exception nearly everywhere.
Therefore we need to:
Establish simple but comprehensive stroke units. Stroke units have long proven their worth, even in their most basic form.
Encourage transdisciplinary teams to develop expertise and translate evidence into practice.
Build a health care system that responds to the needs of each individual dealing with the impact of stroke and rejoining society.
ACTIVELY ENGAGE THE PUBLIC AROUND THE WORLD
THE PUBLIC, ACTING AS INDIVIDUALS, VOTERS OR ADVOCATES, CAN BEST INFLUENCE THEIR OWN FUTURE RISK AND CARE
but not enough is being done.
Therefore we need to:
Increase awareness of the public, policymakers, and health professionals about the causes and symptoms of stroke. The symptoms of stroke are painless and at times transient – but sudden weakness or numbness in the face, arm or leg, sudden inability to speak or understand speech, loss of vision in one eye, or sudden loss of balance are as compelling an emergency as crushing chest pain or sudden, severe unusual headache.
Send a unified, consistent message throughout the world: Stroke is a preventable and treatable catastrophe
Whereas; stroke is a global epidemic that threatens lives, health, and quality of life.
Whereas; much can be done to prevent and treat stroke, and rehabilitate those who suffer one.
Whereas; professional and public awareness is the first step to action.
We hereby proclaim an annual
WORLD STROKE DAY
Vladimir Hachinski (Chair)
President, International Society for Behavioural and Cognitive Vascular Disorders,
Vice-President, World Federation of Neurology
Chair, Stroke Affairs and Liaison Committee, World Federation of Neurology
||President, World Federation of Neurology (WFN)|
||President, World Stroke Federation (WSF)|
||Vice-President, Indian Stroke Association|
||Chair, Oversight Committee ISS/WSF|
||President & Chairperson of South African Stroke Foundation, South Africa|
||Chair European Stroke Initiative, Chair, European Stroke Council, Germany|
||National Stroke Association|
||Past Chair, European Stroke Initiative, Executive, Board Member, European Stroke Council|
||Spanish Neurological Society, Spain|
||Heart and Stroke Foundation of Ontario|
|John W Norris
||Joint Chair, 5th World Stroke Congress|
||Chief Executive, Stroke Foundation New Zealand Inc. (retired)|
|Sir Niphon Poungvarin
||President, Thai Neurological Society, Founding President, Thai Stroke Society, Thailand|
||Director of Operations, American Stroke Association|
|Sidney C Smith Jr.
||Chair, Heart and Stroke Forum, World Heart Federation|
||Chair, Canadian Stroke Consortium|
|James F Toole
||Past President, International Stroke Society|
||President, Japan Stroke Association, Japan, President of the International Stroke Society|
|Frank M Yatsu
||Treasurer, International Stroke Society|
INTERNATIONAL ADVISORY COMMITTEE
|G W Albers
||SOS – Attaque Cerebrale Association, France|
||CEO, National Stroke Association, USA|
|P A Barber
|N M Bornstein
||President, Mediterranean Stroke Society, Israel|
|M G Bousser
||President, French Neurology Society, Founding President – French Stroke Society|
||Chairman, 6th World Stroke Congress – Vienna, Austria; Treasurer World Stroke Federation|
|J P Broderick
||CEO, Heart & Stroke Foundation of Canada, Canada|
||Vice-President, German Stroke Society, Germany|
|L R Caplan
||President, Hong Kong Neurological Society|
||President, Philippine Stroke Society, Philippines|
|S M Davis
|O H del Brutto
|G J Del Zoppo
||Ministry of Health of Ontario, Canada|
|J D Easton
|C J Estol
||President, Argentine Cerebrovascular Association, Argentina|
|J M Ferro
||President, Italian Stroke Forum, Italy|
|A J Furlan
||Stroke Society, Argentina|
|L B Goldstein
||Vice-President UCP, Research and Educational Foundation, USA|
|P B Gorelick
||Chair, German Stroke Society|
|J C Grotta
||President, National Stroke Association of Russian Federation, Russia|
||CEO and Scientific Director, Canadian Stroke Network, Canada|
|G J Hankey
|M E Harriman
||Associate Executive Director, Heart and Stroke Foundation of Canada|
||President, Brazilian Academy of Neurology|
|W D Heiss
||Past President, European Federation of Neurological Societies|
||Chair European Stroke Council, Germany|
||Business Manager, Canadian Stroke Consortium, Canada|
|H H Hu
||Taiwan Stroke Society, Taiwan|
|L J Kapelle
||President, Dutch Neurovascular Taskforce Group|
||Hong Kong Neurological Society, Hong Kong|
|C S Kidwell
|J S Kim
||Medical Competence Centre, South East Europe, Austria|
|S R Levine
||President, Portuguese Stroke Society|
|P D Lyden
||Vice-President, Strategic Alliances and Health IT, American Heart Association/American Stroke Association, USA|
|A R Massaro
||Brazilian Academy of Neurology, Brazil|
||Vice President, American Stroke Association, Vice President, Patient|
|J P Mohr
||Research Institute for Brain and Blood Vessels, Japan|
||Secretary International Stroke Society, Sweden|
||American Academy of Neurology, USA|
|J M Orgogozo
|N V Ramani
||Singapore National Stroke Association|
|E B Ringelstein
||Vice President, German Stroke Society, Germany|
||Chair, Scandinavian Stroke Society, Norway|
|R L Sacco
|A San Luis
||President, Asia and Oceania Association of Neurology, Philippines|
||Co-ordinating Editor, Cochrane Stroke Group, UK|
|D G Sherman
||President, Japan Stroke Society, Japan|
||Vice-President, National Stroke Association of Russian Federation, Secretary, European Stroke Council, Russia|
||President, Thai Stroke Society, Thailand|
||President, American Academy of Neurology, USA|
||Madagascar and France|
|K N Vemmos
|N G Wahlgren
|L R Wechsler
||President, French Stroke Society|
|K S Wong
|M C Wong
||Japanese Neurological Society (Emeritus), Japan|
|B W Yoon