population primary prevention interventions for vascular disease how can we make more progress?
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Population Primary Prevention Interventions for Vascular Disease
How can we make more progress?
Aims
• Consideration of how the increasing prevalence of some modifiable cardiovascular risk factors in the Scottish population may affect future incidence and prevalence of TIA, stroke and vascular dementia in Scotland.
• Consideration of gaps in national vascular health policy and strategy.
• Potential solutions.
Challenge One: Vascular Health and Disease in Scotland
Obesity
Source: Scottish Government
60000 40000 20000 0 20000 40000 60000
0
5
10
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35
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Age
Population
Males Female
2011
Age
Age
60000 40000 20000 0 20000 40000 60000
0
5
10
15
20
25
30
35
40
45
50
55
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65
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75
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Age
Males Female
2031
Source: GROS
Diabetes
Source: APHO Diabetes Prevalence Model
Diabetes
Source: APHO Diabetes Prevalence Model
Stroke Mortality Rates
Source: ISD
Incidence of Stroke
Source: ISD
Challenge Two: Current policy and
strategy around vascular health
• Individual Disease Strategies• Individual Topic Strategies• Some overarching prevention and anticipatory
care programmes which link all above – e.g. Keep Well
• Policy and strategy time frames tend to be fairly short term
Potential Solutions
1. Over-arching, coherent vascular health/disease strategy for Scotland
• Balance and synergy between population, community, family and individual interventions
• Most cost effective regulatory and supportive measures in terms in terms of diet, physical activity, as well as tobacco and alcohol
• Utilise contributions of all sectors more effectively – statutory, voluntary, private, academic
2. Setting up of Vascular Health Alliance in Scotland
• To lobby and support delivery, evaluation and review of the above.
• Partnership of all sectors.
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