Four years ago, health officials in Komagane in central Japan were wrestling with a persistent problem.
As in the rest of the country, the ski-resort city has a large elderly population — nearly a third of its 32,000 residents — for whom strokes are a significant health risk. Yet, in Komagane, the stroke mortality rate, particularly among women, was far above the national average.
The officials knew that stroke patients are at risk from a recurrence, with potentially deadly or debilitating consequences, and that lifestyle changes can cut that risk. But how to make that happen?
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