The real stroke burden in the Philippines.

Area of Science:

• Public Health
• Neurology
• Epidemiology

Background:

• Stroke is the second leading cause of mortality in the Philippines.
• Ischemic stroke accounts for 70% of cases, while hemorrhagic stroke constitutes 30%.
• High prevalence of stroke risk factors including hypertension (20.6%), diabetes (6.0%), dyslipidemia (72.0%), smoking (31%), and obesity (4.9%) is noted.

Purpose of the Study:

• To outline the current landscape of stroke in the Philippines.
• To identify key challenges in stroke care delivery and access.

Main Methods:

• This study presents a summary of stroke statistics and associated risk factors in the Philippines.
• It also reviews the healthcare infrastructure and accessibility of neurological services.

Main Results:

• The Philippines faces a significant stroke burden with a 0.9% prevalence.
• A critical shortage of neurologists exists, with a ratio of 1:330,000, and 67% concentrated in urban areas.
• Healthcare is predominantly private, with significant out-of-pocket expenses for patients.

Conclusions:

• Addressing the high prevalence of stroke and its risk factors is crucial.
• Improving access to neurological care, especially in rural and underserved populations, is a significant challenge.
• The findings highlight the need for enhanced healthcare strategies to mitigate the impact of stroke in the Philippines.