Chronic diseases such as heart disease, stroke, cancer, diabetes and arthritis are among the most common, costly and preventable of all health problems in the United States. Approximately 795,000 Americans experience a stroke each year, approximately 185,000 of those strokes are recurrent. More women than men die each year from of a stroke, and frequency of stroke and stroke related death is higher in blacks and Hispanics than non-Hispanic whites. In 2007, 29 percent of adults in Michigan reported having high blood pressure, and 40 percent screened reported having high cholesterol, which puts them at great risk of having a stroke. Strokes accounted for 6 percent of the deaths in the state of Michigan.