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In response, the North Karelia Project was launched in 1972 to carry out a comprehensive preventive project, first only in North Karelia as a national pilot (1972 to 1977), and thereafter continuing in North Karelia but at the same time transferring the experiences to a national level.
In the Framingham Offspring Study NRI remained modest, 4.1% to 2.1%, depending on the model, but in the Malmö Preventive Project an NRI of 9% and in the Botnia project an NRI of 20% (p = 0.05) was achieved.
Setting Malmö Preventive Project, Sweden.
Originally, 10 902 women participated in the Malmö Preventive Project.
The Malmo Preventive Project has been previously described.
The Malmö Preventive Project study has been previously described.
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The research effort must involve multi-agencies, and grant support from the government must be made available continuously for the sustainable preventive projects in the future.
Central measures to attain this aim included acquiring new knowledge through research, distributing knowledge through education and information activities, and giving advice and counseling to professional groups working on clinical and preventive projects [ 3].
Health policy and economic decisions makers in each country will be more likely to accept such large preventive projects not only if it the project is proven to save lifes and reduce morbidity, but also if it cost-effective (ie: having a low or even negative cost-per DALYs).
The authors gratefully acknowledge the population of the Niakhar area for their participation in this study and the team of the "Intermittent Preventive Treatment" project (IRD-UR77 and US009) for their support.
The Malmö cohort emerged from a unique subset from the Malmö Preventive Medicine Project cohort constituting of 1162 men born in 1921 in Malmö, Sweden, who provided blood samples at age 60 in 1981-82.
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