There are numerous reports on the frequency of cerebrovascular disease in Asia, Europe, North America, and several other countries. But, as Dr. Chin points out, reliable data on stroke incidence and outcomes in sub-Saharan Africa are sparse. Developed countries experience a decline in stroke incidence and mortality rates, while the problem is increasing in sub-Saharan Africa. Dr. Chin has visited Mulago Hospital in Uganda and reports on the care of patients with cerebrovascular disease there. According to Dr. Chin, Mulago Hospital, which has the only CT scanner in Uganda, is the national referral hospital and they see 20–30 stroke patients monthly. Diagnostics, treatment, and prevention are minimal. There are few reports that indicate that the situation is different in the neighboring countries. Dr. Chin's conclusion is clear: The epidemic of stroke in sub-Saharan Africa looms large and it is time to sound the alarm. Johan Aarli, Section Editor
According to the latest WHO statistics,1,2 cerebrovascular disease is responsible for 10.8% of …
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