India 2009

Lalitha Super Specialities Hospital Pvt Ltd , Guntur

From the 23-29 Octobre 2009, the Lalitha Super Specialities Hospital organized the Stroke Awareness Week with the support of the Ankineedu Stroke Unit.

During the Stroke Awareness Week a wide range of activities including a stroke helpline, a stroke helpdesk, the distribution of pamphlets focused on the different aspects of stroke and free blood pressure check-ups were organized for the general public and health care professionals in the area.

Contact details:
Dr. P. VIJAYA M.D., D.M. Neurology
Lalitha Super Specialities Hospital, Pvt Ltd

INDIA – Kokilaben Dhirubhai Ambani Hospital & Medical Research Institute, Mumbai

A four pronged strategy was made to spread the awareness on stroke on the occasion of World Stroke Day 2009. This consisted of separate programs for general population including stroke survivors and caregivers; media and press; general medical practitioners; and neurologists.

I. The first program was organized on 11th October 2009 at a hotel in Mumbai, under the aegis of Indian Stroke Association (ISA), named "Stroke Update 2009" for Neurologists practising in the city of Mumbai. The program was chaired by the President of the ISA and Vice President also graced the occasion by giving excellent talks on stroke management. Fifty practising Neurologists and about ten resident trainees in Neurology attended the program. The speakers were Stroke Neurologists, Interventional Neuroradiologists and Neurorehabilitation experts. The topics varied from acute stroke interventions to rehabilitation covering the whole spectrum of stroke care.

II. The second program, a "Press Conference" was organized on 23rd of October 2009, at Kokilaben Dhirubhi Ambani Hospital and Medical Research Institute in association with Stroke Support Group to disseminate awareness about early recognition of stroke, newer concepts in acute stroke treatments and stroke rehabilitation. The awareness of stroke was highlighted by a stroke survivor who had suffered a stroke 8 years ago and with residual hemiparesis and made multiple paintings depicting his life after stroke. Representatives of majority of the national and local news papers and media channels attended the press briefing. The program had a huge impact and most of the newspapers and television channels reported the event in their columns and programs.

III. The third program on 25th October 2009 titled "Stroke Survivor and Caregiver Awareness Programme" was conducted at Kokilaben Dhirubhi Ambani Hospital and Medical Research Institute in association with Rotary club of Bombay (Worli) Stroke Support Group. The day was chosen as 25th October was a Sunday and it was convenient for the patients and caregivers to attend the program on a holiday. This was attended by about 450 stroke survivors and caregivers. The programme consisted of:
talks on early recognition of stroke, management within the acute window period, stroke prevention and long term rehabilitation. This was followed by a panel discussion where pertinent queries and doubts were answered by the experts.

The awareness of stroke was highlighted by an exhibition of 22 paintings made by a stroke survivor who had suffered a stroke 8 years ago and with residual hemiparesis made multiple paintings depicting his life after stroke. The theme of the programme and painting exhibition was "IN STROKE THERE IS HOPE BUT AWARENESS IS THE KEY".
"Comprehensive Stroke Care Plan" was unveiled by the hospital and 'Stroke Awareness and 'Comprehensive Stroke Care Plan' broachers were distributed.

IV. The fourth program, "Stroke CME 2009" was organized on 1st November 2009 for 'General Medical Practioners and Internists'. This was attended by four hundred and fifty physicians practising in the city of Mumbai. This consisted of multiple lectures on every aspect of stroke management from Emergency care to rehabilitations. The speakers were Emergency Physicians, Intensivists, Stroke neurologists, Neuroradiologists, Vascular and Neurosurgeons and Neurorehabilitation experts. This was followed by a panel discussion answering queries.

Contact details
Dr Shirish M Hastak , Consultant Neurologist

INDIA - Neurology team at the Christian Medical college Hospital, Vellore

The Neurology team at the Christian Medical college Hospital , Vellore is currently conducting an acute stroke treatment awareness programme for the doctors in and around the hospital.
Their aim is to make the General Practitioners well aware of the various treatment modalities now available.
The Neurology team is also training field workers to educate the public about stroke.

For the world stroke day their objective is to reach out to a large majority population and make them aware of the acute stroke symptoms and the treatments available.

Contact details:
Dr Sanjith Aaron
drsanjith@yahoo.co.uk
Associate Professor
Dept Of Neurology
Christian Medical college Hospital , Vellore
India

INDIA - Alchemist Hospital working group

The Alchemist Hospital working group has been very active to promote stroke awareness in the Chandigarh area.
Below is a short summary of the activities organized for their stroke awareness campaign:

1. Launch of stroke services and clinic, with media coverage (information was also posted on the Alchemist Hospital's web-site)
2. Conduction of survey among the para-medical staff in the hospital, on stroke awareness, followed by training sessions for the nursing staff.
3. Design of pamphlets for public education. These are now freely available in the OPD areas.
4. Development protocols for Acute Stroke care, which are now being used.

Dr Monica Saini with the support of the Alchemist Hospital working group, has been actively involved in the stroke awareness program launched from across the state of Haryana.
The many conducted activities will include:

a hands-on training programme for primary physicians from across the state of Haryana
Training in recognition of stroke symptoms, NIHSS, Interpretation of CT, emphasis on timely referral for thrombolysis
The spread of primary and secondary stroke prevention strategies
In collaboration with the Citizen's association of Chandigarh, the Alchemist Hospital working group will be organizing a community education programme on November 8, which will be followed by screening camps, distribution of distribution of pamphlets dealing with various aspects of stroke, and a multimedia campaign (including putting up of posters in primary health clinics, corporate offices, and health centers; advertisement campaign in newspapers, and question and answer sessions on stroke
on the radio), and also a monthly out-reach clinics in the states of Haryana and Himachal Pradesh, where preventive and rehabilitative stroke services will be provided.

INDIA - Jangamwadi Muncipal Hospital, Maharashtra

On the occasion of the World Stroke Day coming in this month, Dr Mohammed Ateeq ur Rahman has been personally actively working on a stroke awareness by starting to educate physicians by conducting CMEs in three Districts, publishing various article on stroke national newspapers, and also preparing campaign materials to be implemented in various places of the country.
Details of the organized CMEs on the World Stroke Day occasion coming soon.

Contact details:
Dr.mohammed Ateeq ur Rahman
Stoke Specialist & Consultant Neurologist
Care Clinic, 1-6-1096, Sunmitra Colony, Workshop Road,
Jangamwadi Muncipal Hospital, Nanded. 431605.
Maharashtra, India

NORTHERN INDIA - Hospital in Northern India

A hospital in Northern India is planning on organizing a public awareness campaign, organizing public lectures through various forums where CMEs will be available for physicians, with the sole purpose of generating and increasing awareness of stroke, over the coming 2 months.
On October 29, they plan on organizing a gathering of stroke survivors and their families, and healthcare providers.

INDIA - Subhadra Nambudiri Foundation
Greetings to all!

On the occasion of World Stroke Day today, October 29, 2009, the World Stroke Organization (WSO) has communicated a unified message to the world : Stroke is a preventable and treatable catastrophe and together we can fight this growing epidemic. The theme of this years World Stroke Day is Stroke What can I do?

On this occasion, the Subhadra Nambudiri Foundation (SNF), a Delhi-based health NGO, primarily devoted to creating awareness about stroke and related diseases, along with WSO, exhorts individuals, groups and governments to create awareness about stroke either at a personal level, family or group level.

According to a WHO study, brain stroke is the third largest killer in India after heart attack and cancer and second largest in the world.

The study which was released in June, 2009, has quoted the incidence of the disease in India to be around 130 per 100000 population every year and says about 20 per cent of heart patients are susceptible to it.

The disease has also turned out to be the most common cause of disability and dependence, with more than 70 per cent of stroke survivors remaining vocationally impaired and more than 30 per cent requiring assistance with activities for daily living.

A brain stroke occurs when a blood vessel carrying oxygen and nutrients to the brain is blocked by a clot or bursts, causing the brain to starve.

If deprived of oxygen for even a short period of time, the brain cells begin to die. Once this happens the part of the body controlled by that section of the brain is affected, impairing language, motor skills or vision or causing paralysis.

Compared to heart attack, the awareness about brain stroke, which is even more debilitating, is very limited.

On this occasion, I would urge people to rush the victim to the hospital. Because in the case of brain stroke, time is the key and thats why we say that treatment delayed is treatment denied, Dr P N Renjen, Senior Consultant Neurology, Indraprastha Apollo Hospital and the expert with the Subhadra Nambudiri Foundation said.

Studies show that the average person waits 13 hours after experiencing the first symptoms of stroke before seeking medical care, and 42 per cent of patients wait as long as 24 hours. It is critical to recognize the symptoms of stroke and seek immediately emergency attention.

In his message, SNF Executive Trustee Mr. K G Suresh said, To carry forward the awareness agenda, SNF will organize a National Stroke Awareness Day on December 18, 2009, followed by a National Stroke Awareness Month in July, 2010.

Since its inception in the year 2000, SNF has been organizing an annual lecture, apart from seminars, workshops, exhibitions, camps etc to create awareness about brain stroke and related diseases such as diabetes and hypertension.

SNF has also been circulating a daily newsletter SNF Brain Stroke Samachar to over 5000 doctors, journalists and health NGOs across the country and Asia.

Website:
www.brainstroke.org

Contacts:
Subhadra Nambudiri Foundation
Satyendra Bhardwaj, Director
snfoundation@rediffmail.com

INDIA - Guru Teg Bahadur Hospital, East Delhi

Dr L.C Thakur ,Director professor and Head department of neurology delivered a public lecture on world stroke day 2009 on theme "Stroke, What I can do?" on 29th October 2009, in vernacular language i.e. Hindi for better communication to general public at Guru Teg Bahadur Hospital, only teaching Hospital in east Delhi catering to 1/3 thickly populated and economically backward region of Delhi touching Utter Pradesh .
He talked on "Community awareness and participation in stroke management, prevention and rehabilitation"

Magnitude of the problem -5.7 million people die in the whole world every year of stroke. 2/3 deaths occur in India. Incidence of stroke is said to be 203-250 patients per 100000/year in our country. Four out of five sufferers belong to middle income group. 15% stroke victims die and 75% are left with some residual disability needing rehabilitation.

He described symptoms and signs of Ischemic and hemorrhagic stroke and their management in brief. He stressed the need for investigation in TIAs.

Prevention - He highlighted on change in life style i.e. regular physical exercises, balanced low salt and low fat diet, and regular checkups for hypertension, diabetes and hyperlipidemia. He also made a point to stop smoking and alcohol altogether. Such a change in life style can prevent stroke in 50 to 70% of population.
He focused that if a patient has stroke and brought to the hospital in emergency – within three hours, then thrombolysis can prevent damage to the paralyzed brain which is near the blocked vessel.

Stroke Rehabilitation – Is very important and should be started as early as possible when the patient becomes stable. It is a team work of doctors, trained nurses, occupational therapist social worker, and dietician. With their co-operation and coordination, 75% of stroke paralyzed patients can revive confidence and will power to go back to the society with dignity and pride to do useful work.

World Stroke Organization

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