Elaboration and implementation of the program for prevention of acute disorders of cerebral circulation as exemplified in Rybnaya Sloboda district of the Rebublic of Tatarstan

Aim. Improvement of activities aimed at reduction of morbidity of stroke and recurrent stroke, mortality and disability rates for stroke of the population of the Republic of Tatarstan, by means of implementation of primary and secondary prevention program.

Methods. Activities that would reduce mortality rate and improve the quality of life of the population of Rybnaya Sloboda region for 2013-2015 were developed. Differentiated approach to stroke prevention for different groups of patients based on individual assessment of stroke risk was suggested. At Rybnaya Sloboda Central District Hospital the project of Stroke education Center was developed and implemented. It provides an opportunity for personified prevention of first-ever and recurrent stroke, massive preventive measures for the whole population aimed at maintaining awareness of present risk factors and methods of their reduction. Statistic analysis of mortality and morbidity rates for acute disorders of cerebral circulation for the population for the Republic of Tatarstan, Chistopolskiy, Tetushi and Rybnaya Sloboda districts for the period from 2013 to 2015 was performed.

Results. In the Republic of Tatarstan, mortality rate in 2015 decreased by 1.6%, compared to the level of 2014, and the mortality rate of working age population reduced by 3.1%. During the last 10 years mortality rate of the population of the Republic of Tatarstan decreased by 13%. In Rybnaya Sloboda district, it was possible to reduce total mortality by 11% in 2015. In the last three years in the Republic of Tatarstan mortality from circulatory system diseases is decreasing, including mortality from stroke which reduced by 1.25 times (or by 25%). In Rybnaya Sloboda district mortality from circulatory system diseases decreased by 2.48 times, from myocardial infarction by 1.83 times, from stroke by 2.29 times. Mortality of working-age population from stroke was not registered in 2015.

Conclusion. The implemented program has demonstrated its efficacy: due to undertaken activities in 2015 it was possible to reduce total mortality in Rybnaya Sloboda district, mortality of working-age population including that from stroke.