Successful Reduction of Blood Pressure and Stroke Risk in Japan

  • Sachiko Baba
  • Ehab S. Eshak
  • Hiroyasu IsoEmail author


Cerebrovascular disease, also known as stroke, is a leading cause of death worldwide. To combat the disease, programs have been developed to control hypertension and reduce blood pressure because it is the most common risk factor in those who suffer a stroke. Japan has experienced some of the highest hypertension rates globally. In 1963, a prevention program was developed in a Japanese community to reduce the risk factors leading to stroke. The program contained several fundamental components: annual checkups, referrals to clinics for those who were considered high risk, health campaigns, and more. After only 3 years, the results demonstrated that over 86% of the town’s residents had participated in the screening program. With a reduction in severe hypertension and stroke incidence, the program was considered a success, and efforts were scaled up nationally. Over the years, the program has become the prototype for stroke prevention, including being endorsed by the World Health Organization (WHO) as a suitable program for middle-income countries.


Noncommunicable diseases Stroke Community-based prevention program Blood pressure Screening Treatment Health education 


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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Biomedical Ethics and Public Policy, Department of Social MedicineOsaka University Graduate School of MedicineSuitaJapan
  2. 2.Public Health, Department of Social MedicineOsaka University Graduate School of MedicineSuitaJapan
  3. 3.Department of Public Health and Community Medicine, Faculty of MedicineMinia UniversityMiniaEgypt

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