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Submitted by Rajeev Gupta on
We have recently published an article in BMC journal Health Research Policy and Systems on policy issues to tackle the rampaging CVD epidemic in India. This may be useful to policy makers and administrators. The abstract reads as follows: Cardiovascular diseases (CVD) are leading causes of premature mortality in Ind ia. Evidence from developed countries shows that mortality from these can be substantially prevented using population-wide and individual-based strategies. Policy initiatives for control of CVD in India have been suggested but evidence of efficacy has emerged only recently. These initiatives can have immediate impact in reducing morbidity and mortality. Of the prevention strategies, primordial involve improvement in socioeconomic status and literacy, adequate healthcare financing and public health insurance, effective national CVD control programme, smoking control policies, legislative control of saturated fats, trans fats, salt and alcohol, and development of facilities for increasing physical activity through better urban planning and school-based and worksite interventions. Primary prevention entails change in medical educational curriculum and improved healthcare delivery for control of CVD risk factors- smoking, hypertension, dyslipidemia and diabetes. Secondary prevention involves creation of facilities and human resources for optimum acute CVD care and secondary prevention. There is need to integrate various policy makers, develop effective policies and modify healthcare systems for effective delivery of CVD preventive care. The full article is available free at the journal website. http://www.health-policy-systems.com/content/9/1/8/abstract Rajeev.