Stroke as a Public Health Challenge: Types, Risk Factors and Prevention

Stroke as a Public Health Challenge

Context

The World Health Assembly (WHA) has for the first time adopted a resolution highlighting stroke prevention, treatment and care as an important global public health concern.

About Stroke

  1. Stroke is a medical emergency caused by interruption of blood supply to the brain due to blockage of a blood vessel or bleeding within the brain.
  2. The condition may lead to brain cell damage, long-term disability or death.

Types

  1. Ischaemic Stroke: Occurs when a blood clot blocks blood flow to the brain.
  2. Haemorrhagic Stroke: Caused by rupture of a blood vessel in the brain, leading to internal bleeding.
  3. Transient Ischaemic Attack (TIA): A temporary disruption of blood flow to the brain that causes short-term stroke-like symptoms without permanent damage.

Risk Factors

  1. Modifiable risk factors include high blood pressure, smoking, air pollution, high LDL cholesterol, obesity, physical inactivity, high blood glucose, kidney dysfunction, high-sodium diet and harmful alcohol consumption.
  2. Non-modifiable risk factors include ageing, previous stroke, chronic kidney disease and cardiac conditions such as atrial fibrillation and heart failure.

Symptoms

  1. Weakness or numbness in the face, arm or leg, particularly on one side of the body.
  2. Difficulty in speaking, understanding speech, maintaining balance or walking.
  3. Vision problems, dizziness and severe headache without any known cause.

Treatment and Prevention

  1. Treatment includes medicines, surgery and rehabilitation.
  2. Prevention of recurrent strokes through lifestyle changes and appropriate medication forms an important part of long-term management.