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The enhancement of the Integrated System for Medical Emergencies (SIUM) and the better training of the medical and nursing staff made it possible for the Cuban province of Sancti Spiritus to reduce cerebrovascular-disease lethality to 16%, the
lowest figure reported during the last eight years.

Cerebrovascular diseases are the third cause of deaths in Sancti Spiritus.

Pavel Nodarse Fleites, head of SIUM in this province, said that providing local intensive care units and ambulances with the necessary equipments and drugs to treat patients with critical pathologies is top priority. Records from years before 2003 showed 30% mortality rates.

Equipped with a state-of-the-art technology, local intensive care units allow the immediate attention of patients, thus making survival more possible, added Nodarse.

The adequate work relationship between the municipalities’ intensive care units and the regional hospital has also influenced the favorable results reported.

Dr. Nodarse, who is also a first degree specialist in Emergency and Intensive Care, explained that medical procedures such as the early tracheotomy in critical patients, widely recognized in medical literature due to its advantages, are being
successfully applied on some patients in need of extended mechanical ventilation.

Cerebrovascular diseases are the third cause of deaths in Sancti Spiritus, thus the need of intensifying control and prevention of hypertension, diabetes mellitus and hypercholesterolemia in the primary health care level.

According to medical studies, cerebrovascular diseases constitute a health problem in the country since they are considered trigger factors for disability and neuro-psychical malfunctions.

Due to the abovementioned situation, Cuba’s Public Health Ministry established the National Program for the Prevention and Control of Cerebrovascular Diseases that rules a right-away treatment in the secondary attention before a six-hour period of
time once the ischemic symptoms have been established.

Source: Escambray

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