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

Age

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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