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From the Beijing Neurosurgical Institute (Drs. Li, C.C. Wang, and Cheng), Beijing, People's Republic of China (PRC); Neuroepidemiology Branch (Drs. Li and Schoenberg), Intramural Research Program, National Institute of Neurological and Communicative Disorders and Stroke, National Institutes of Health, Bethesda, MD; Neurosciences Programme (Dr. Bolis), Division of Mental Health, World Health Organization, Geneva, Switzerland; and Neurology Department (Dr Wang), First Affiliated Hospital, Hunan Medical College, Changsha, Hunan Province, PRC.
A door-to-door survey was carried out in six cities of the People's Republic of China (PRC). There was 100% cooperation with the survey. Among 63,195 screened individuals, there were 392 prevalent cases of completed stroke and 115 incidence cases. Prevalence ratios and incidence rates for completed stroke showed a south-to-north gradient. The highest point prevalence ratio and incidence rate (age-adjusted to the 1960 US population) were documented in Harbin in northeast PRC (1,249/100,000; 441/100,00O/yr). The majority of new completed strokes were cerebral infarction, but the percentage of intracerebral hemorrhage (44%) was much greater than that reported among Caucasian populations.
Address correspondence and reprint requests to Dr. Schoenberg, Neuroepidemiology Branch, NINCDS, NIH, Room 804, Federal Building, Bethesda, MD 20205.
This report is part of the neuroepidemiologic collaborative survey in six cities of the People's Republic of China and was supported by the Ministry of Public Health, PRC; Bureau of Health of Beijing, Hunan, Sichuan, Guangdong, Heilongjiang, and Ningxia, PRC; and the World Health Organization, Geneva, Switzerland.
Presented in part at the thirty-sixth annual meeting of the American Academy of Neurology, Boston, MA, April 1984.
Accepted for publication March 27, 1985.
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