Article

Neurologic Disability: A Hidden Epidemic for India

and Sree Chitra Tirunal Institute for Medical Sciences and Technology (K.R.), Trivandrum, India.
Neurology (Impact Factor: 8.29). 11/2012; 79(21):2146-7. DOI: 10.1212/WNL.0b013e3182752cdb
Source: PubMed

ABSTRACT

India, the world's second most populous country, is facing the emergence of a hitherto "hidden" epidemic: neurologic disability. The rapid economic, demographic, and social transformation of India in recent decades has already resulted in the double burden of unresolved epidemics of infectious diseases (e.g., malaria, tuberculosis) coupled with rising rates of chronic diseases (e.g., cardiovascular diseases). Neurologic disability is likely to join these public health concerns as a third epidemic, largely due to 3 emerging health trends: 1) an increase in traumatic brain injuries (TBI) from road traffic accidents (RTA); 2) an increase in the incidence of age-related dementia; and 3) an increase in the stroke incidence. Without adequate preparation, the treatment and long-term care for an increasing population of neurologically disabled people will strain India's health care system and economy in the coming years in unprecedented ways.

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    • "Moreover, the primary health workers are not trained for identifying or managing neurologic conditions like stroke. These issues are creating an epidemic of neurological disability in India[7,9]. In light of these issues, a cost-effective, simple to use, clinically valid bedside tool for neurological screening, and prognosis, useful both in urban and rural healthcare setting, may help to improve identification and management of neurological dysfunction caused by stroke. "
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