100% increase in disease burden of stroke

Experts at the Stroke Summit call for an integrated approach to treatment and rehabilitation in India

Stroke Summit call, Disease burden of stroke, MV Padma Srivastava, Neurosciences Centre, All India Institute of Medical Sciences, AIIMS, Jeyaraj Pandian, Hon'ble Union Minister of State for Social Justice and Empowerment, Shri Ramdas Athawale, Global Burden of Disease, World Stroke Organization

Noting that the incidence of stroke has in India increased almost 100 per cent in the past few decades, neurologists and public health experts today called for an integrated and comprehensive approach to address the growing burden of stroke at the first Stroke Summit here organised by premier health think tank Integrated Health & Wellbeing (IHW) Council and endorsed by the World Stroke Organization.

Noting that stroke is the leading cause of death in north-eastern states of India, surpassing cardiac problems and tuberculosis, Dr MV Padma Srivastava, Head, Neurosciences Centre, All India Institute of Medical Sciences (AIIMS), says, “Stroke has become the 5th leading cause of death in 2016 from 12th cause in 1996 and claims 119-145 lives in every 100,000 population, which is almost a 100 per cent increase. Our stroke burden is enormous but we need more of small, India-centric solutions. Every year, 1.8 million people suffer stroke in India, but we have only about 2000 neurologists. We need to understand and acknowledge that ‘time is brain’ and plug the gaps such as lack of awareness, delay in arrival, and lack of centres offering thrombolysis. Thrombolysis is the game changer in the stroke management sector and mobile stroke units, like those in the northeast, can offer relief. We also need to look into amalgamating different approaches such as Ayurveda and homeopathy to bring the patient back into disease-free mode.”

According to the Global Burden of Disease study of 2013, 25.7 million people survived stroke, 6.5 million died, and 10.3 million new strokes were recorded. It also noted that the low-and middle-income countries (LMICs), of which India is a part, have witnessed more than 100 per cent increase in incidence of stroke whereas the developed countries have witnessed a drop of 42 per cent.

Highlighting that the average mortality of stroke in rural India is more than the country average, Dr Jeyaraj Pandian, Vice President, World Stroke Organization (WSO), says, “Our study in rural India showed that mortality is higher than the Indian average. In Gadchiroli, Maharashtra, it was found to be 194 in every 100,000 population while rural areas around Ludhiana, Punjab, the mortality is 210 in every 100,000 population. The gaps in India include prehospital care, stroke services, thrombolysis and rehabilitation of stroke patients that we need to address to bolster our continuum of care.”

“Stroke needs to be prevented and stroke care should be provided as quickly as possible because stroke can cause serious disability and many of the affected people cannot access rehabilitation. There are 1.6 crores disabled people in India as per the 2011 census, which is 2.1 percent of our total population. Today’s Stroke Summit discusses the crucial need to talk about the stroke treatment. We need to work towards bringing down the percentage of disability. We are determined to expand education and insurance services to society in order to make people aware about the need to treat stroke. Our ministry is trying to empower them through an integrated approach and enabling access to physiotherapy and occupational therapy,” says Hon'ble Union Minister of State for Social Justice and Empowerment, Shri Ramdas Athawale.