Abstract: . . .  each component. The usefulness of each indicator is assessed using the following criteria. Importance to public health Importance to public health - There is good evidence that the indicator has a serious impact on health; there are a significant number of people affected; it has a significant impact on costs; there is potential for improvement of cardiovascular health. Feasibility - Feasibility -Data are available at a reasonable cost in a timely manner. Quality of data Quality of data - Data collection tools and methods provide valid and reliable data. . . .
. . .  Centre for Disease Control, Health Canada, Statistics Canada, the Canadian Institute for Health Information, the Canadian Cardiovascular Society, and the Canadian Stroke Society. Its tables and figures are available on the Internet at www.hc-sc.gc.ca/hpb/lcdc/bcrdd/cardio . The publication of The Changing Face of Heart Disease and Stroke in Canada comes at a time of change on several fronts: Change in the age structure and ethnic make-up of the population, with more elderly and more Canadians from a variety of backgrounds; . . .
. . .  24 0 10 20 30 40 50 1977 1979 1981 1983 1986 1991 1994 1996/ 97 Pe r c e n t Source: Statistics Canada, catalogues 91-002, vol. 7, no. 3; 91-512;91-213. Canadians and smoking: An update. Health and Welfare Canada, 1991. General Social Survey, Statistics Canada, 1991. Survey on Smoking in Canada, Cycle 3, 1994. National Population Health Survey, Statistics Canada, 1996/97. Tobacco Smoking Cigarette . . .
. . .  the progress or complications of established disease . Mortality from ischemic heart disease in North America has declined steadily since the 1960s. It is estimated that 25% of the decline in the United States between 1980 and 1990 was due to efforts in primary prevention, 29% to secondary prevention, and 43% to improvements in treatment. 1 There is a growing body of evidence that the determinants of health go beyond individual genetic endowment, lifestyle behaviour and the health care system to more pervasive forces in the physical, social and economic . . .
. . .  that the determinants of health go beyond individual genetic endowment, lifestyle behaviour and the health care system to more pervasive forces in the physical, social and economic environment. Thus, a fourth and even earlier stage, primordial prevention, has been proposed. Primordial prevention aims at avoiding the emergence in populations of the social, economic and cultural patterns of living that are known to contribute to an elevated risk of disease . Health policy makers and analysts have emphasized that these underlying determinants need to be addressed in order . . .
--3000,5,300,3373,64618