Lessons from the PURE study

Stuart Spencer

doi:10.5339/gcsp.2014.52

Abstract

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Highlights

Global Cardiology Science and Practice 2014:52 as a way to prevent disease and death, but a polypill is a daily expense while vaccination provides long term protection
Income – especially disposal income – is different between high, middle, and lowincome countries and could be a partial explanation for the differences recorded in the Prospective Urban Rural Epidemiology (PURE) paper.[2]
Previous reports from PURE suggest the availability and affordability of medical interventions is a reason for better control of hypertension in high income countries compared with low income countries.[5]

Summary

Introduction

Global Cardiology Science and Practice 2014:52 as a way to prevent disease and death, but a polypill is a daily expense while vaccination provides long term protection. The question is whether a polypill is affordable in low-income countries. Income – especially disposal income – is different between high-, middle-, and lowincome countries and could be a partial explanation for the differences recorded in the PURE paper.[2] Previous reports from PURE suggest the availability and affordability of medical interventions is a reason for better control of hypertension in high income countries compared with low income countries.[5] differences between rural and urban communities in terms of income might partly explain the differences in outcomes between the communities.

Results

Conclusion