WHO meeting on community control of stroke and hypertension: Copenhagen, Geneva, 8-16 November 1972: progress report on stroke registry in the Fukuoka area (centre code 47)

• WORLD HEALTH ORGANIZATION ORGANISATION MONDIALB DB LA SANm WHO M!ll'l'INO Clf COIIIJNITY CON'!ROL OF S'm.OKE AND HYPER'!DfSION Copenhaep/Oeneva, 8-16 November 1972 <:VD/s/72.26 ENGLISH ONLY INDEXE.O PROOllSS REPORT <Jf S'DIOICE JU!'DIS'fflY IN THE FUKUaCA ARIA (CIN'!U CODE 47) bJ T. Omae Head, 2nd. Department ot Internal Medicine Kyushu University, Fukuoka City, Japan In the two districts of Sasaguri-Machi and Naka-Koku, stroke registry was carried out whenever notification was made of stroke occurring among the subjects of the hypertensive survey, since January 1971. Therefore, those aged between 40 and 69 only were registered. So far, 24 subjects (Sasaguri 10 and Naka-Koku 14) have been registered. In Hisayama-Machi this was done among residents aged 40 and over: so far, 16 have been registered. Since stroke was more frequently seen in 1972 than in 1971 in Hisayama-Machi, we wondered if this showed a true picture. However, no other cue waa reported during the period of 1971, as far as we followed up. Risk of development ot stroke waa definitely higher as blood pressure increased. Future problems to be discusaed or settled baaed on the study (1) Notification of stroke This is the most crucial point of this study. Since we have few public nurses in the study area and we are not in a position to obtain enough co-operation from health centres for the study, we have to organize a better system to obtain information. This is, indeed, also very important for the follow-up study of the hypertension programme. Use of local newsletters or medical bulletins, medical lectures for the general public and consideration of a reporting system for general practitioners, etc. are at present being discussed. It is not difficult to register all cases of death occurring among the subjects within one year, since they are automatically reported by physicians with death certificates, but a good reporting system is eaaential to have all stroke cases registered at the early stage of the disease. (2) Follow-up of stroke patients Following-up patients three times a year is found to be difficult in the present situation. An effort has been made to perform follow-up at least twice: at 3 weeks and at one year. Physicians have to perform this task. (3) Standardization of registration Physicians reporting the cases should be accustomed to completing the registration forms so that errors should be minimized. The Japanese version of the registration forms The issue of this document does not constitute formal publication. It should not be reviewed, abstracted or quoted without the agreement of the World Health Organization. Authors alone are responsible for views expressed in signed articles. Ce document ne constitue pas une publication. II ne doit faire l'objet d'aucun compte rendu ou r6sumt!i ni d'aucune citation sans l'autorisation de !'Organisation Mondiale de la Sante. Les opinions exprim6es dans les articles slgnt!is n'engagent que leurs auteurs. CVD/S/72.26 page 2. has been dietributed. and used for regietration in the Fukuoka area. (4) Type of etroke ehould be differentiated. to the beat of our ability. A table for differentiating type of etroke has been used in our area. The table wae made baaed on the experience of the study group of etroke in the Second Department of Internal Medicine, Kyuehu University Hospital, under the direction of Profeesor Katsuki. (5) Background for assessing cause of death or related dieeases ehould be diecueeed more carefully in order to obtain more uniform reporting, because practically all physicians in the study area have become involved. in the study. This will also be important to compare the major diaeaees in different populations.