Community control of hypertension- experiences from Finland

J Hum Hypertens. 2004 Aug;18(8):553-6. doi: 10.1038/sj.jhh.1001696.


The improvement in the hypertension control in Finland started in the 1970s by the activities of the North Karelia Project, a comprehensive programme for the control of cardiovascular diseases. The blood pressure level of the population has had a continuous downward trend according to the population surveys conducted every fifth year since 1972 and the rule of halves has changed to the rule of two-thirds. The serum cholesterol level has decreased among hypertensives, even though it is still higher than among normotensives; the patients with antihypertensive drug treatment smoke less than the rest of the population. However, the situation is far from optimal; BP levels are high and body mass index is continuously increasing among the patients. The need for intensifying both pharmacological and nonpharmacological treatment among the hypertensives on a large scale is obvious.

MeSH terms

  • Antihypertensive Agents / therapeutic use
  • Community Health Services*
  • Diet
  • Finland / epidemiology
  • Health Care Costs
  • Humans
  • Hypertension / drug therapy
  • Hypertension / epidemiology
  • Hypertension / prevention & control*
  • Population Surveillance


  • Antihypertensive Agents