The Government's Health of the nation strategy demands a reduction in
the revel of ill-health and death caused by stroke. This review descri
bes the present state of knowledge on the prevention and management of
stroke. Effective intervention in stroke has a number of major implic
ations, including: health education for the public; education of healt
h professionals (general practitioners, consultants and others); avail
ability of guidelines and protocols; access to specialist advice, inve
stigations and their interpretation, and rapid treatment, including su
rgery; availability of specially trained nurses for screening and moni
toring; and availability of specialist multidisciplinary teams in hosp
itals and the community.