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Fact Sheets and At–a–Glance Reports
State Heart Disease and Stroke Prevention Program Addresses Stroke
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Know the Warning Signs of Stroke!
Sudden numbness or weakness of the face, arm, or leg, especially on one side of the body.
Sudden confusion, or trouble speaking or understanding.
Sudden trouble seeing in one or both eyes.
Sudden trouble walking, dizziness, or loss of balance or coordination.
Sudden severe headache with no known cause.
Stroke is a medical emergency, call 9–1–1! |
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Examples of Stroke Activities in the CDC-Funded State Heart Disease
and Stroke Prevention Programs:
State Plans
All state programs are developing or updating comprehensive state
plans to include stroke. Alabama, Arkansas, Colorado, Connecticut,
Louisiana, Mississippi, Nebraska, North Carolina, and Ohio state
programs are coordinating prevention strategies with stroke coalitions
in their states.
Stroke Interventions
North Carolina, South Carolina, and Georgia have established the
Tri–State Stroke Network to develop and implement stroke prevention
and control programs in the region.
A Delta States Stroke Consortium was recently formed with members
from Alabama, Arkansas, Louisiana, Mississippi and Tennessee.
The Alabama program piloted, in collaboration with AHA and its
State Quality Improvement Organization, health system supports in
primary care settings to improve quality management of patients with
stroke and heart disease
The Florida program implemented recommendations made by the Florida
Women and Heart Disease Force by providing a public awareness campaign
to educate women about the signs, symptoms, and dangers of stroke and
heart disease. It provides training to health care professionals on
the Clinical Preventive Practice Guidelines.
The Louisiana Program provides key support to the legislatively
mandated Louisiana Stroke Education Consortium, which is charged with
educating the public, EMS, and hospital staff on treating stroke as an
emergency.
The Oklahoma program collaborated with the Oklahoma State Heart
Disease and Stroke Network to develop stroke protocols for rural
hospitals.
The Nebraska program is partnering with the American Stroke
Association on Operation Stroke, to promote stroke recognition and treatment.
Surveillance
The state programs are establishing statewide surveillance systems to
monitor trends in the geographic and racial distribution of heart
disease and stroke deaths.
The Alabama program produced the 2002 Alabama Stroke Report for its
state legislature. |
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Stroke Facts
- Each year about 500,000 people suffer first-time strokes and 200,000
have recurrent attacks; 22% of men and 25% of women will die within one
year.1
- On average, someone in the United States suffers a stroke every 45
seconds and every 3 minutes someone dies of a stroke.2
- Stroke is the third leading cause of death in the United States; it
is a leading cause of disability and among the 700,000 stroke survivors,
about 15–30% are permanently disabled.3
- The likelihood of having a stroke more than doubles for each decade
of age after age 55.4
- In 2002, there were 445,452 hospitalizations
among Medicare enrollees that were attributed to stroke.5
- In 2007, the estimated cost of health care and lost productivity due
to stroke in the United States is projected to be $62.7 billion.1
- Preventing and controlling stroke risk factors, (e.g.,
high blood pressure and blood cholesterol, atrial fibrillation, physical
inactivity, tobacco use, and diabetes) is the first step to reduce one's
risk for stroke.6
- Recognizing the warning signs and symptoms of stroke and immediately
calling 9–1–1 for emergency medical care are critical actions to
decrease the risk of stroke-related death and disability.6
State Heart Disease and Stroke Prevention Program: Take Action!
State Health Departments work to reduce the burden of stroke by
promoting activities that can be implemented in health care, work sites,
communities, and schools. A state program might
- Promote health care environments that improve quality of care by
increasing adherence to guidelines for the primary and secondary
prevention of stroke (e.g., physician reminder system).
- Potential Partners: primary care associations,
federally-qualified health centers, managed care organizations,
and Medicare Quality Improvement Organization
- Promote policies for treating stroke as an acute emergency; provide
immediate diagnostic evaluation and treatment within 3 hours; and have
a neurological consult on call at all times.
- Potential Partners: hospitals, medical associations,
and American Heart Association (AHA) affiliate
- Promote universal 9–1–1 statewide
availability.
- Potential Partners: AHA affiliate, Emergency Medical
Services, hospitals, health departments, injury prevention
coalitions, and community groups.
- Increase the awareness of signs and symptoms of stroke and the need
to act promptly by calling 9–1–1. Provide education, training, and
public awareness.
- Potential Partners: hospitals, AHA affiliate, local
media, Red Cross, medical, nursing, and faith associations,
priority population organizations, PTA, and department of education
school health programs.
- Strengthen prevention through increased awareness and
education about risk factors and lifestyle changes that affect high blood
pressure, high cholesterol blood levels, diabetes, and smoking through policy and
environmental changes. Assure detection and follow–up services for
control of high blood pressure and high cholesterol blood levels in the work site and
community. Reinforce a coordinated school health program.
- Potential Partners: AHA affiliate business, industry and
human resource management, employee associations, unions, PTA,
department of education school health programs, fire departments,
faith organizations, local minority nursing association, and local
health departments.
- Advocate for health care coverage that includes primary and
secondary prevention services and rehabilitation services for stroke
survivors.
- Potential Partners: AHA affiliate, business, industry and
human resource management, employee associations, unions, third
party payers, health care providers, and local policymakers.
- Promote multistate and regional stroke networks, similar to the
Tri–State Stroke Network, to share prevention strategies and
partnership opportunities.
- Potential Partners: public and private sectors members.
Back to top
References
- American Heart Association. Heart Disease and
Stroke Statistics—2007 Update. Dallas, TX: AHA, 2007.
- Broderick, J, Brott, T, Kothari, R, Miller, R, Khoury, J, Pancioli, A, Gebel, J, Mills, D, Minneci, L, and Shukla,
R. "The greater Cincinnati/Northern Kentucky stroke study: preliminary
first-ever and total incidence rates of stroke among blacks." Stroke
1998;28(2).
- McNeil JM, Binette J, Prevalence of disabilities and
associate health of the United States, 1999. MMWR
2001;50(7):120–5.
- State-specific mortality from stroke and distribution of
place of
death–United States, 1999. MMMWR 2002;51(20):1–5.
- Public health and aging: hospitalizations for stroke among
adults
aged ≥65 years—United States, 2000. MMWR 2003;52(25):586–589.
- Center for Disease Control and Prevention. National
stroke awareness month–May 2006. MMWR 2006;55:1.
Back to top
Date last reviewed:
02/08/2007
Content source: Division for Heart Disease and Stroke
Prevention,
National Center for Chronic Disease Prevention and
Health Promotion |
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