This is almost like what some of my patients, and even some of my medical colleagues do. They eat all the fat pork, and crabs, and then pop in a tablet of statins.
It would appear that as a primary prevention strategy, the medical community has tried her best to discourage the consumption of unhealthy diet, exemplified by McDonalds and all the other fast foods, with some success, and they now wish to accept that some will never listen, and perhaps giving them some statins, will still help prevent heart disease. This is almost akin to the strategy of giving condoms to teenagers, or giving clean syringes to drug addicts. But, we are not there. Primary preventive programs have been quite successful. It is true that mortality and morbidity from heart disease in the West, have declined, since the 90's. What we are very concern is that in the 2000's, there is a growing incidence of obesity and diabetes, blamed on lack of exercise and also the fast food culture, or in our Malaysian context, " the hurry, curry, instant " culture. Quick meals ( curry ), to meet a dateline and stress. The instant ( everything now ) culture.
Statins have known side effects and the UK experiment of OTC sale of low dose simvastatin, has proven to be of limited success, not much impact of heart disease. To stretch the idea further, shall we put a small dose of aspirin in drinking water so that we can all have primary prevention with aspirin ( the data here has proven to be weak ). What happens is a kid drinks the water and develops a cerebral hemorrhage, or GIT bleed?
Does two wrongs make it right?
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