CINDI Highlights • Number 8 - Health Promotion Agency
CINDI Highlights • Number 8 - Health Promotion Agency
CINDI Highlights • Number 8 - Health Promotion Agency
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12<br />
Estonia<br />
Associate Professor<br />
Margus Viigimaa<br />
Programme Director<br />
This year’s <strong>CINDI</strong> highlights included work on risk<br />
factors surveys, a <strong>CINDI</strong>/EuroPharm Forum joint<br />
project, a national cardiovascular disease (CVD)<br />
prevention programme and noncommunicable<br />
disease (NCD) risk factors in schoolchildren.<br />
Risk factors survey<br />
A new risk factors survey started in 2002 involving men<br />
and women aged 65 to 74 residing in the <strong>CINDI</strong><br />
demonstration area of Tallinn. The aspects of ageing in<br />
NCD epidemiology were investigated. The Estonian<br />
Institute of Cardiology carried out the survey in accordance with <strong>CINDI</strong><br />
methodology. Additional anthropological, biochemical and instrumental<br />
investigations were also used in the study to collect data on the health status<br />
of the study population.<br />
A joint <strong>CINDI</strong>/EuroPharm Forum project<br />
The pharmacy-based hypertension management project was extended to<br />
seven pharmacies in Estonia (five in Tallinn, and one in both Tartu and<br />
Haapsalu). For eight months, level 1 (primary prevention) services were given<br />
to 14,064 pharmacy clients, level 2 (detection of hypertension) services to<br />
2,184 clients and level 3 (hypertension management) services to 550 clients.<br />
In patients monitored at the pharmacies, the systolic blood pressure mean<br />
values decreased by 9 mmHg and diastolic blood pressure mean values<br />
decreased by 5.8 mmHg (the last three values versus the first value).<br />
CVD prevention programme<br />
The national CVD prevention programme for 2002-2006 was started<br />
successfully. Teams of two national prevention centres in Tartu and in Tallinn,<br />
14 regional heart health units and 100 family physicians have screened and<br />
advised more than 12,000 subjects aged 30-60 years for cardiovascular risk<br />
factors.<br />
NCD risk factors in schoolchildren<br />
The <strong>CINDI</strong> children programme in collaboration with the national programme<br />
‘Children’s and adolescents health until 2005’ has resulted in intervention at<br />
population level. The monitoring of NCD risk factors has been implemented as<br />
routine in the school health service. The distribution of Guidelines on<br />
detection of NCD risk factors in schoolchildren among family physicians in<br />
Estonia was continued.<br />
Further information<br />
The <strong>CINDI</strong> Programme in Estonia is managed by the Department of Public<br />
<strong>Health</strong> of the Estonian Ministry of Social Affairs, the Estonian Centre of <strong>Health</strong><br />
Education and <strong>Promotion</strong>, the University of Tartu and the Estonian Institute of<br />
Cardiology. For more information, please contact the <strong>CINDI</strong> Programme<br />
Director, Associate Professor Margus Viigimaa, Department of Cardiology,<br />
Tartu University Hospital, Puusepa St 8, Tartu EE-51014, Estonia. Tel/fax:<br />
+372 7 318 467; Mob: +372 5 110 070; E-mail: Margus.Viigimaa@kliinikum.ee
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