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. 1984 May-Jun;99(3):242–248.

Israel's prevention programs and screening policies for cardiovascular disease.

L Epstein
PMCID: PMC1424557  PMID: 6429720

Abstract

For all four broad ethnic groups in Israel, mortality rates declined over the last decade for both ischemic heart disease (IHD) and cerebrovascular disease (CVD), the first and third most important causes of death in the country. The four broad ethnic groups consist of persons born in Israel, Asia, North Africa, and Europe. Mortality data also indicate a low male to female ratio in mortality from IHD, a definite female predominance in mortality from CVD, and high mortality rates for IHD and CVD in males and females born in North Africa. Morbidity data, especially incidence, are scarce for CVD in both sexes and IHD in females. The feasibility of preventive intervention needs to be tested under the specific conditions of Israel. Although a multiple risk factor trial in Jerusalem showed that such a program can be conducted in a primary care framework, it clearly still needs to be tested in clinics rather than in a model teaching institution. The best place for intervention would seem to be the primary health care system, which has almost complete access to the country's population. Kupat Holim (the Health Insurance Institute of the General Federation of Labour) is attempting systematically to identify and manage hypertension patients. To date, management of acute coronary disease has been emphasized in Israel. Although additional resources are needed for primary prevention services, other options are suggested for obtaining those services.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Abramson J. H., Gofin R. Mortality and its causes among Moslems, Druze and Christians in Israel. Isr J Med Sci. 1979 Dec;15(12):965–972. [PubMed] [Google Scholar]
  2. Abramson J. H., Kark S. L., Epstein L. M., Hopp C., Peritz E., Makler A. A community health study in Jerusalem. Design and response. Isr J Med Sci. 1979 Sep;15(9):725–731. [PubMed] [Google Scholar]
  3. BRUNNER D., LOBL K. Serum cholesterol, electrophoretic lipid pattern, diet and coronary artery disease: a study in coronary patients and in healthy men of different origin and occupations in Israel. Ann Intern Med. 1958 Oct;49(4):732–750. doi: 10.7326/0003-4819-49-4-732. [DOI] [PubMed] [Google Scholar]
  4. DREYFUSS F., HAMOSH P., ADAM Y. G., KALLNER B. Coronary heart disease and hypertension among Jews immigrated to Israel from the Atlas Mountain region of North Africa. Am Heart J. 1961 Oct;62:470–477. doi: 10.1016/0002-8703(61)90254-x. [DOI] [PubMed] [Google Scholar]
  5. Epstein L. Ischemic heart disease in Israel: changes over 30 years. Isr J Med Sci. 1979 Dec;15(12):993–998. [PubMed] [Google Scholar]
  6. Epstein L., Zaaroor M. Mortality from ischemic heart disease and cerebrovascular disease in Israel 1969-1978. Stroke. 1982 Sep-Oct;13(5):570–573. doi: 10.1161/01.str.13.5.570. [DOI] [PubMed] [Google Scholar]
  7. Epstein M. L., Tamir A. [Health related behavior in high school students: I. Smoking habits]. Harefuah. 1982 Apr 1;102(7):303–306. [PubMed] [Google Scholar]
  8. Gofin J., Kark E., Mainemer N., Kark S. L., Abramson J. H., Hopp C., Epstein L. M. Prevalence of selected health characteristics of women and comparisons with men. A community health survey in Jerusalem. Isr J Med Sci. 1981 Feb-Mar;17(2-3):145–159. [PubMed] [Google Scholar]
  9. Goldbourt U., Kark J. D. The epidemiology of coronary heart disease in the ethnically and culturally diverse population of Israel. A review. Isr J Med Sci. 1982 Nov;18(11):1077–1097. [PubMed] [Google Scholar]
  10. Goldbourt U., Neufeld H. N. [Recent trends of declining cardiovascular, cerebrovascular and total mortality in Israel (1974-1978)]. Harefuah. 1980;98(10):437–440. [PubMed] [Google Scholar]
  11. Goor D. [Open heart surgery--past, present and future]. Harefuah. 1980 Dec 1;99(11):380–383. [PubMed] [Google Scholar]
  12. Groen J. J., Medalie J. H., Neufeld H. N., Riss E., Bachrach C. A., Mount F. W., Smith H. An epidemiologic investigation of hypertension and ischemic heart disease within a defined segment of the adult male population of Israel. Isr J Med Sci. 1968 Mar-Apr;4(2):177–194. [PubMed] [Google Scholar]
  13. Halfon S. T., Eisenberg S., Baras M., Davies A. M., Halperin G., Stein Y. Plasma cholesterol, triglyceride and high-density lipoprotein-cholesterol levels in 17-year-old Jerusalem offspring of Jews from 19 countries of birth. Isr J Med Sci. 1982 Nov;18(11):1121–1130. [PubMed] [Google Scholar]
  14. Halfon S. T., Kark J. D., Baras M., Friedlander Y., Eisenberg S. Smoking, lipids and lipoproteins in Jerusalem 17-year-olds. Isr J Med Sci. 1982 Nov;18(11):1150–1157. [PubMed] [Google Scholar]
  15. Halfon S. T., Rifkind B. M., Harlap S., Kaufmann N. A., Baras M., Slater P. E., Halperin G., Eisenberg S., Davies A. M., Stein Y. Plasma lipids and lipoproteins in adult Jews of different origins: the Jerusalem Lipid Research Clinic prevalence study. Isr J Med Sci. 1982 Nov;18(11):1113–1120. [PubMed] [Google Scholar]
  16. Holland W. W., Wainwright A. H. Epidemiology and health policy. Epidemiol Rev. 1979;1:211–232. doi: 10.1093/oxfordjournals.epirev.a036211. [DOI] [PubMed] [Google Scholar]
  17. Kahn H. A., Medalie J. H., Neufeld H. N., Riss E., Balogh M., Groen J. J. Serum cholesterol: its distribution and association with dietary and other variables in a survey of 10,000 men. Isr J Med Sci. 1969 Nov-Dec;5(6):1117–1127. [PubMed] [Google Scholar]
  18. Kark S. L., Kark E., Hopp C., Abramson J. H., Epstein L. M., Ronen I. The control of hypertension, atherosclerotic diseases, and diabetes in a family practice. J R Coll Gen Pract. 1976 Mar;26(164):157–169. [PMC free article] [PubMed] [Google Scholar]
  19. Kark S. L. Variation in the sex ratio in cardiovascular mortality. Isr J Med Sci. 1976 Oct;12(10):1194–1206. [PubMed] [Google Scholar]
  20. Kaufmann N. A., Friedlander Y., Halfon S. T., Slater P. E., Dennis B. H., McClish D., Eisenberg S., Stein Y. Nutrient intake in Jerusalem--consumption in adults. Isr J Med Sci. 1982 Dec;18(12):1183–1197. [PubMed] [Google Scholar]
  21. Librach G., Schadel M., Seltzer M., Hart A., Yellin N. Stroke: incidence and risk factors. Geriatrics. 1977 Apr;32(4):85-91, 94-6. [PubMed] [Google Scholar]
  22. Medalie J. H., Kahn H. A., Neufeld H. N., Riss E., Goldbourt U. Five-year myocardial infarction incidence. II. Association of single variables to age and birthplace. J Chronic Dis. 1973 Jun;26(6):325–349. doi: 10.1016/0021-9681(73)90036-2. [DOI] [PubMed] [Google Scholar]
  23. Medalie J. H., Kahn H. A., Neufeld H. N., Riss E., Goldbourt U., Perlstein T., Oron D. Myocardial infarction over a five-year period. I. Prevalence, incidence and mortality experience. J Chronic Dis. 1973 Feb;26(2):63–84. doi: 10.1016/0021-9681(73)90006-4. [DOI] [PubMed] [Google Scholar]
  24. Silverberg D. S., Baltuch L., Hermoni Y., Eyal P. Control of hypertension in family practice by the doctor-nurse team. J R Coll Gen Pract. 1982 Mar;32(236):184–186. [PMC free article] [PubMed] [Google Scholar]
  25. Sive P. H., Medalie J. H., Kahn H. A., Neufeld H. N., Riss E. Distribution and multiple regression analysis of blood pressure in 10,000 Israeli men. Am J Epidemiol. 1971 May;93(5):317–327. doi: 10.1093/oxfordjournals.aje.a121264. [DOI] [PubMed] [Google Scholar]
  26. Stallones R. A. Mortality and the multiple risk factor intervention trial. Am J Epidemiol. 1983 Jun;117(6):647–650. doi: 10.1093/oxfordjournals.aje.a113597. [DOI] [PubMed] [Google Scholar]
  27. TOOR M., KATCHALSKY A., AGMON J., ALLALOUF D. Atherosis and related factors in immigrants to Israel. Circulation. 1960 Aug;22:265–279. doi: 10.1161/01.cir.22.2.265. [DOI] [PubMed] [Google Scholar]

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